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Sample records for alveolar ridge resorption

  1. Effect of smoking on alveolar bone resorption

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    Ra?unica Jelena

    2008-01-01

    Full Text Available Introduction: Periodontal disease is one of the most common diseases in adults. Although the cause of periodontal disease is bacterial infection from the dental plaque, the level of destruction of periodontal tissues depends on risk factors, and smoking is one of the most important ones. Aim: The aim of the present study was to determine the level of alveolar bone resorption in smokers. Materials and Methods: Radiographic examination of all present teeth was conducted in 30 smokers (12 men and 18 women and 30 non-smokers (13 men and 17 women, control group, 20-60 years of age. Data on smoking habits, smoking period and the number of cigarettes a day were obtained using a questionnaire. The level of alveolar bone resorption was determined on retroalveolar X-rays, by measuring the distance from the amelo-cemental junction to the bone level on mesial and distal sides of each present tooth. Results: In smokers, significantly higher (p=0.00002 values of alveolar bone resorption (3.16 ± 2.07 mm were found compared to the control group (1.72 ± 1.02 mm. In people who had been smoking for more than 15 years, significantly greater bone resorption was observed compared to those smoking for 15 years or less (p=0.00028. The interceptive relationship showed that smokers were at 2.98x greater risk (95% CI 1.04- 8.52 for the mean value of alveolar bone resorption of > 2 mm compared to non-smokers. Conclusion: The present results have shown that smoking increases alveolar bone resorption and that the period of smoking affects the level of resorption.

  2. A roentgenographic study of alveolar bone resorption using measurable grid

    International Nuclear Information System (INIS)

    The author had performed the measurement of the various teeth regions on 200 cases of Full-mouth roentgenogram taken with the measurable Grid to detect the degree of alveolar bone resorption, aged from 20 to 60 years of Koreas, and to verify the effective result of measurable Grid as a new device which enables the observers to determine the correct length of images on the periapical standard film. The results were obtained as follows. 1. It was found that the degrees of alveolar bone resorption were different in the various teeth regions. 2. As a whole, alveolar bone resorption of anterior teeth regions was more severe than that of posterior teeth regions. 3. Alveolar bone resorption of mandibular region was more severe than that of maxillary region. 4. In sex difference, alveolar bone resorption of male is more severe than that of female, and it was increased with aging. 5. Measurable grid can be used as an adjunct of evaluation of alveolar bone resorption and of calculating the tooth length.

  3. The role of synthetic biomaterials in resorptive alveolar bone regeneration

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    Kali?anin Biljana M.

    2007-01-01

    Full Text Available The alveolar bone tissue resorption defect has a significant role in dentistry. Because of the bone tissue deficit developed by alveolar resorption, the use of synthetic material CP/PLGA (calcium-phosphate/polylactide-co-gliycolide composite was introduced. Investigations were performed on rats with artificially produced resorption of the mandibular bone. The results show that the best effect on alveolar bone were attained by using nano-composite implants. The effect of the nanocomposite was ascertained by determining the calcium and phosphate content, as a basis of the hydroxyapatite structure. The results show that synthetic CP/PLGA nanocomposite alleviate the rehabilitation of weakened alveolar bone. Due to its osteoconductive effect, CP/PLGA can be the material of choice for bone substitution in the future.

  4. Automated method for measuring alveolar bone resorption by three-dimensional image processing

    International Nuclear Information System (INIS)

    This report describes a method for estimating regions of alveolar bone resorption and automatically measuring resorption depth using dental 3-D CT images by applying 3-D image processing techniques. The depth of alveolar bone resorption is an important index of the severity of periodontitis. Conventional methods for evaluating alveolar bone resorption have suffered from the limitations of not permitting inspection on the interproximal sides and not providing a 3-D description of resorption. In our proposed method, dental 3-D X-ray CT images are used to estimate the region of resorption and to automatically measure the resorption depth around the tooth of interest. Detailed information concerning the distribution of resorption can be obtained using this method. Regions of resorption are estimated using morphological operations and labeling. Limits are established by fitting convex hulls to the region of the target tooth before searching for the lowest points of resorption. The resorption depth is calculated as the distance between the cement-enamel junction and the lowest point of resorption. The experimental results and comparison of these results against measurements obtained by experts using cross-sectional CT images and the findings of clinical examination showed that the proposed method can be used to measure the resorption depth around the entire tooth automatically. (author)

  5. Alveolar ridge augmentation by osteoinduction in rats

    DEFF Research Database (Denmark)

    Pinholt, E M; Bang, G; Haanaes, H R

    1990-01-01

    The purpose of this study was to evaluate bone substitutes for alveolar ridge augmentation by osteoinduction. Allogenic, demineralized, and lyophilized dentin and bone was tested for osteoinductive properties in order to establish an experimental model for further studies. Implantations were performed subperiosteally on the premaxilla and heterotopically in the abdominal muscles of rats. Light microscopic evaluations revealed that all allogenic, demineralized, and lyophilized dentin and bone imp...

  6. Distracción osteogénica alveolar como método de aumento del reborde alveolar Alveolar osteogenic distraction as method to increase the alveolar ridge

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    Denia Morales Navarro

    2011-03-01

    Full Text Available La distracción osteogénica alveolar, como proceso biológico de neoformación de hueso alveolar, nos motivó a la realización de la presente revisión bibliográfica, con el objetivo enfatizar en el análisis de las variables: antecedentes históricos en Cuba, clasificación de los distractores, fases de la distracción (latencia, distracción y consolidación, indicaciones, contraindicaciones, ventajas, desventajas y complicaciones. Se realizó una revisión bibliográfica mediante la consulta de bases de datos de los sistemas referativos, como MEDLINE y PubMed con la utilización de descriptores "alveolar distraction" y "osteogenic distraction". Se consultaron las fuentes bibliográficas publicadas fundamentalmente en los últimos 5 años, lo que reveló que esta técnica es una excelente alternativa para la formación de huesos y tejidos blandos en zonas de atrofia alveolar, que consta de tres etapas: latencia, distracción y consolidación; un método previsible y con bajas tasas de reabsorción ósea en comparación con otras técnicas de aumento del reborde alveolar. Tiene su principal indicación en la terapia de implantes al proveer volumen óseo. Debemos individualizar cada caso y usar el método más adecuado según las características clínicas y personales del paciente. Una adecuada selección de los casos y una mejor comprensión de la técnica son los puntales para lograr exitosos resultados mediante la distracción osteogénica alveolar. En Cuba se ha aplicado poco la distracción alveolar, por lo que ha sido necesario ampliar los estudios sobre esta temática.The alveolar osteogenic distraction, as a biological process of alveolar bone neoformation, motivates us to make the bibliographic review whose objective was to emphasize in analysis the following variables: historical backgrounds in Cuba, distraction classification, distraction phases (latency, distraction and consolidation, indications, contraindications, advantages, disadvantages and complications. A bibliographic review was made by database search of reference systems as MEDLINE and PubliMed using the descriptors "alveolar distraction" o "osteogenic distraction". The published bibliographic sources mainly over 5 years concluding that this technique is an excellent alternative for the bone and soft tissues formation in zones of alveolar atrophy including three stages: latency, distraction and consolidation; being a foreseeable method and with low rates of bone reabsorption compared to other techniques of increase of alveolar ridge. It has its main indication in implant therapy to provide bone volume. We must to individualize each case and to use the more appropriate method according the clinical and personal features of patient. A proper case selection and a better understand of technique are essential to achieve successful results by alveolar osteogenic distraction. In Cuba the alveolar distraction has been not much applied being necessary to expand the studies on this subject matter.

  7. Quantification and visualization of alveolar bone resorption from 3D dental CT images

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    Nagao, Jiro; Mori, Kensaku; Kitasaka, Takayuki; Suenaga, Yasuhito [Nagoya University, Graduate School of Information Science, Nagoya (Japan); Yamada, Shohzoh; Naitoh, Munetaka [Aichi-Gakuin University, School of Dentistry, Nagoya (Japan)

    2007-06-15

    Purpose A computer aided diagnosis (CAD) system for quantifying and visualizing alveolar bone resorption caused by periodontitis was developed based on three-dimensional (3D) image processing of dental CT images. Methods The proposed system enables visualization and quantification of resorption of alveolar bone surrounding and between the roots of teeth. It has the following functions: (1) vertical measurement of the depth of resorption surrounding the tooth in 3D images, avoiding physical obstruction; (2) quantification of the amount of resorption in the furcation area; and (3) visualization of quantification results by pseudo-color maps, graphs, and motion pictures. The resorption measurement accuracy in the area surrounding teeth was evaluated by comparing with dentist's recognition on five real patient CT images, giving average absolute difference of 0.87 mm. An artificial image with mathematical truth was also used for measurement evaluation. Results The average absolute difference was 0.36 and 0.10 mm for surrounding and furcation areas, respectively. The system provides an intuitive presentation of the measurement results. Conclusion Computer aided diagnosis of 3D dental CT scans is feasible and the technique is a promising new tool for the quantitative evaluation of periodontal bone loss. (orig.)

  8. Quantification and visualization of alveolar bone resorption from 3D dental CT images

    International Nuclear Information System (INIS)

    Purpose A computer aided diagnosis (CAD) system for quantifying and visualizing alveolar bone resorption caused by periodontitis was developed based on three-dimensional (3D) image processing of dental CT images. Methods The proposed system enables visualization and quantification of resorption of alveolar bone surrounding and between the roots of teeth. It has the following functions: (1) vertical measurement of the depth of resorption surrounding the tooth in 3D images, avoiding physical obstruction; (2) quantification of the amount of resorption in the furcation area; and (3) visualization of quantification results by pseudo-color maps, graphs, and motion pictures. The resorption measurement accuracy in the area surrounding teeth was evaluated by comparing with dentist's recognition on five real patient CT images, giving average absolute difference of 0.87 mm. An artificial image with mathematical truth was also used for measurement evaluation. Results The average absolute difference was 0.36 and 0.10 mm for surrounding and furcation areas, respectively. The system provides an intuitive presentation of the measurement results. Conclusion Computer aided diagnosis of 3D dental CT scans is feasible and the technique is a promising new tool for the quantitative evaluation of periodontal bone loss. (orig.)

  9. Alveolar ridge augmentation by osteoinductive materials in goats

    DEFF Research Database (Denmark)

    Pinholt, E M; Haanaes, H R; Roervik, M; Donath, K; Bang, G

    1992-01-01

    The purpose of the present study was to determine whether alveolar ridge augmentation could be induced in goats. In 12 male goats allogenic, demineralized, and lyophilized dentin or bone was implanted subperiosteally on the buccal sides of the natural edentulous regions of the alveolar process of...

  10. Improving prosthetic prognosis by connective tissue ridge augmentation of alveolar ridge

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    Mishra Niraj

    2010-01-01

    Full Text Available The contour of edentulous ridge should be carefully evaluated before a fixed partial denture is undertaken. The ideal ridge height and width allows placement of a natural looking pontic which facilitates maintenance of plaque-free environment. The localized alveolar ridge defect refers to the volumetric deficit of the limited extent of bone and soft tissue within the alveolar process. Such type of ridge defects can be corrected by surgical ridge augmentation that can be accomplished by the addition of either soft or hard tissues. This article describes a procedure of surgical connective tissue augmentation of a localized deficient alveolar ridge in the maxilla, followed by fixed partial denture, enhancing the esthetics, function and health.

  11. Effects of Hydroxyapatite on Bone Graft Resorption in an Experimental Model of Maxillary Alveolar Arch Defects

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    Ozgur Pilanci

    2013-06-01

    Full Text Available Most commonly used treatments use autologous bone grafts to address bony defects in patients with cleft palate. Major disadvantages of autogenous bone grafts include donor site morbidity and resorption. Suggestions to overcome such problems include biomaterials that can be used alone or in combination with bone. We examined the effect of hydroxyapatite cement on bone graft resorption in a rabbit maxillary alveolar defect model. We divided 16 young adult albino New Zealand rabbits into two groups. A defect 1 cm wide was created in each rabbit's maxillary arch. In Group 1, the removed bone was disrupted, and the pieces were replaced in the defect. In the other group, the pieces were replaced after mixing (1:1 with hydroxyapatite cement. Quantitative computed tomographic evaluation of these grafts was performed in axial and coronal planes for each rabbit at 2 and 12 weeks. In axial images at 12 weeks, the group without cement showed mean bone resorption of 15%. In the cement group, a mean volumetric increase of 68% was seen. No resorption occurred when bone grafts were mixed with hydroxyapatite cement. [Arch Clin Exp Surg 2013; 2(3.000: 170-175

  12. [Reconstruction of the alveolar ridge by osteodistraction for implant placement].

    Science.gov (United States)

    Rachmiel, A; Emodi, O; Aizenbud, D

    2011-07-01

    Alveolar Distraction is a method for reconstructing a deficient or atrophic alveolar bone. Alveolar ridge reconstruction may be indicated for the atrophic alveolar process resulting from maxillofacial trauma, periodontal disease, or post aggressive large cyst or tumor resection. The aim of this paper is to demonstrate the method of reconstruction of the alveolar ridge by Distraction Osteogenesis. A total of 32 patients were treated. An alveolar segmental osteotomy was carried out and the distraction device was mounted. In patients with an extensive alveolar defect two distraction devices were placed in order to better control the vector of elongation in both bone edges. The distraction was started on the fourth post-operative day at a rate of 0.5 mm/day as necessary and according to the length of the distraction device, followed by a consolidation period of 90 days. Subsequently, the devices were removed, and dental implants were placed for osteointegration. The amount of elevation was 8-15mm. All the patients had panoramic x ray before the distraction, during the lengthening, at the end of distraction and after removal of the device. Early mineralization in the distracted area was seen radiographically during the consolidation period that increased after device removal. As a result of alveolar distraction, a segment of mature bone was transported vertically in order to lengthen the crest for better implant anchorage, either for esthetic purposes or for functional prosthetic requirements. A total of 68 implants were introduced. In follow-up at 24 months, failure of only one implant was noted, due to inadequate transported bone stability. In conclusion, distraction osteogenesis is an alternative treatment in moderate to severe alveolar deficiencies for an ideal three-dimensional reconstruction with no need for bone harvesting. This method offers the possibility to place dental implants in a correct position to obtain proper prosthetic results. PMID:21939103

  13. Ridge split and implant placement in deficient alveolar ridge: Case report and an update

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    Reenesh Mechery

    2015-01-01

    Full Text Available Dr. Hilt Tatum 1970s introduced a method of ridge splitting or bone spreading, which over a period have been used in implant dentistry for esthetic rehabilitation and implant site preparation in cases of deficient alveolar ridges to satisfy the basic ideal need of hard tissue augmentation for functional and esthetic outcome of implant. In this case report, we describe a case of horizontal ridge augmentation using ridge split and simultaneous implant placement in esthetic maxillary premolar zone.

  14. Alveolar ridge augmentation in rats by Bio-Oss

    DEFF Research Database (Denmark)

    Pinholt, E M; Bang, G; Haanaes, H R

    1991-01-01

    The purpose of the study was to examine if Bio-Oss initiated osteoinduction or osteoconduction when implanted into rats. Sintered and unsintered granules of the anorganic bovine bone Bio-Oss was implanted subperiosteally for alveolar ridge augmentation purposes and heterotopically in the abdominal...... muscles of rats. Light microscopic evaluation revealed no osteoinduction or osteoconduction in connection with sintered or unsintered Bio-Oss. A foreign body reaction was observed around both forms....

  15. Effects of alveolar ridge preservation on delayed implant osseointegration

    OpenAIRE

    Shao, Shan; Li, Bin; Xue, Hui-Min; Huang, Hai-Yun; Liu, Gang-Li

    2015-01-01

    To evaluate the effects of alveolar ridge preservation with Bio-Oss bone substitute (Geistlich Pharma) on delayed implant osseointegration. The 3rd and 4th left and right mandibular premolars were extracted from four adult healthy male and female dogs. For the experimental group, we randomly selected two extraction sockets in each dog to be filled with Bio-Oss bone substitute (Geistlich Pharma). The two remaining extraction sockets remained untreated and served as the control group. Three mon...

  16. A radiographic study on the prevalence of knife-edge residual alveolar ridge at proposed dental implant sites

    International Nuclear Information System (INIS)

    Dental implants are widely used in restoration of completely or partially edentulous dental arches. Before placement of endosseous implants in the jaws, both the quantity and quality of the residual ridge must be assessed radiographically. Remodeling activity after tooth extraction is localized primarily at the crestal area of the residual ridges, resulting in reduction of the height of bone and creation of various three-dimensional shapes of the residual ridges. When bone resorption at the lingual and buccal aspects is greater than that at the crestal area, a knife-edge type of residual ridge develops. The aim of this study was to evaluate the prevalence of the knife-edge morphology of the residual alveolar bone at proposed implant sites in partially or completely edentulous patients. Computed tomography (CT) cross-sectional images of the upper and lower jaws were assessed at the proposed sites before implant placement. Images of 258 proposed implant sites belonging to 30 patients were assessed radiographically. In 120 proposed implant sites out of 258 (46.5%), the residual alveolar ridge had a knife-edge configuration, the majority belonging to completely edentulous patients who lost their teeth more than ten years previously. High prevalence of knife-edge ridge was found, therefore, replacement of missing teeth by immediate implant is recommended to prevent atrophy or knife-edge morphology of the residual ridge. (author)

  17. Three-dimensional analysis of alveolar bone resorption by image processing of 3-D dental CT images

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    Nagao, Jiro; Kitasaka, Takayuki; Mori, Kensaku; Suenaga, Yasuhito; Yamada, Shohzoh; Naitoh, Munetaka

    2006-03-01

    We have developed a novel system that provides total support for assessment of alveolar bone resorption, caused by periodontitis, based on three-dimensional (3-D) dental CT images. In spite of the difficulty in perceiving the complex 3-D shape of resorption, dentists assessing resorption location and severity have been relying on two-dimensional radiography and probing, which merely provides one-dimensional information (depth) about resorption shape. However, there has been little work on assisting assessment of the disease by 3-D image processing and visualization techniques. This work provides quantitative evaluation results and figures for our system that measures the three-dimensional shape and spread of resorption. It has the following functions: (1) measures the depth of resorption by virtually simulating probing in the 3-D CT images, taking advantage of image processing of not suffering obstruction by teeth on the inter-proximal sides and much smaller measurement intervals than the conventional examination; (2) visualizes the disposition of the depth by movies and graphs; (3) produces a quantitative index and intuitive visual representation of the spread of resorption in the inter-radicular region in terms of area; and (4) calculates the volume of resorption as another severity index in the inter-radicular region and the region outside it. Experimental results in two cases of 3-D dental CT images and a comparison of the results with the clinical examination results and experts' measurements of the corresponding patients confirmed that the proposed system gives satisfying results, including 0.1 to 0.6mm of resorption measurement (probing) error and fairly intuitive presentation of measurement and calculation results.

  18. Comparison of ridge expansion and ridge splitting techniques for narrow alveolar ridge in a Swine cadaver model.

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    Kao, Daniel W K; Fiorellini, Joseph P

    2015-01-01

    Ridge splitting and ridge expansion have been used to expand narrow alveolar ridges. Piezosurgical ridge splitting involves separating the atrophic crests with piezosurgical inserts. Ridge expansion with motor-driven expanders was proposed to achieve the cortical dilation. The purpose of this study was to evaluate the efficacy of ridge gain by ridge expansion or ridge splitting. Eighteen (36 ramus) swine cadaver jaws were first divided into two groups- ridge expansion with a motor-driven expander or ridge splitting with the piezosurgical system. Then, either an active-tapping implant or nonactivetapping cylinder-type implant was inserted. The crestal ridge diameter change was measured with a Boley gauge. The area of bony perforation, which includes fenestrations and dehiscences, was measured with a prefabricated reference grid. The results showed that there was no statistically significant difference in crestal width gain between groups. However, the combination of the motor-driven ridge expansion technique and the active-tapping implant could be beneficial in significantly decreasing the bony perforation area. PMID:25909532

  19. Aumento del reborde alveolar residual mediante técnica de rollo Increase of residual alveolar ridge using roll technique

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    Miguel Ángel Simancas Pallares

    2011-03-01

    Full Text Available La pérdida dentaria, asociada a factores sistémicos, patológicos y traumáticos, promueve el proceso de reabsorción ósea de los rebordes residuales y genera problemas funcionales, como la falta de estabilidad y retención de las prótesis dentarias removibles, y disturbios estéticos y psicológicos. Estos defectos varían en dependencia de la cantidad de pérdida ósea y de tejidos blandos que hayan alcanzado. En la actualidad son descritas diversas técnicas que permiten corregir estos defectos. Una de ellas es la técnica del rollo, la cual demuestra muy buenos resultados al aumentar el tamaño del reborde alveolar y disminuir los defectos estéticos que causa sobre todo en el sector anterior. El objetivo del presente artículo es describir el caso clínico de un paciente con pérdida ósea en el sector anterior, tipo III según Seibert, rehabilitado con prótesis parcial fija y sometido a un procedimiento quirúrgico con la técnica del rollo. Se alcanzaron los objetivos planteados y proporciona una mejoría estética así como una mejora en su calidad de vida. Se demostró que con esta técnica se obtienen resultados predecibles que devuelven la estética en zonas de alta exigencia por parte de los pacientes.Tooth loss associated with systemic factors, pathological and traumatic conditions, promotes the bone resorption of residual ridges, this, creates functional problems such as lack of stability and retention of removable dentures as well as aesthetic and psychological disturbances. These defects vary depending on the amount of bone loss and soft tissue they reach. At present there are described various techniques that can correct these defects. One of these is the roll technique which shows very good results by increasing the size of the alveolar ridge and decrease aesthetic defects in the anterior area of the maxilla. The aim of this article is to describe a case of a patient with Seibert bone loss type III, rehabilitated with fixed partial denture after undergoing a surgical procedure with the roll technique achieving the stated objectives and providing aesthetic improvement to the patient and an improvement in their quality of life. It is shown that the technique can be achieved with predictable results that return aesthetics in areas of high demand from patients.

  20. Hyptis pectinata gel prevents alveolar bone resorption in experimental periodontitis in rats

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    Mônica S. Paixão

    2015-02-01

    Full Text Available Hyptis pectinata (L. Poit., Lamiaceae, is an aromatic, abundant and broadly used plant species in Sergipe to treat oral and gastrointestinal pain and inflammation. The aim of the present study was to analyze the relation between periodontitis and changes in the corporal mass and alveolar bone structure after induction of experimental periodontal disease in rat treated or not treated with H. pectinata gel at 5% (GS5% and 10% (GS10%, comparing their effects with doxycycline gel at 10% (D10%, positive control, vehicle gel (negative control and a group with experimental periodontal disease, but non-treated. The gels were locally applied in the gingival region immediately after the experimental periodontal disease induction by ligature (3×/day, 11 days. Bone destruction was determined through clinical exam, histopathological analysis and cone beam computed tomography of the experimental animals (n = 36. After 11 days of periodontitis induction, all groups that received ligature presented a decrease in the corporal mass, except to the naïve group (without experimental periodontal disease (p < 0.05. Computed tomography results have shown healthy bone structure in the group I and bone resorption for the test groups. Histopathological analysis confirmed the healthy bone structure for naïve group animals, while the test groups exhibited bone loss in several degrees. In particular, the non-treated group animals had an intense inflammatory process. When the periodontium of the animals treated with GS10% was histopathologically analyzed, insertion periodontium was preserved. The results for these groups were significantly different of the vehicle group (p < 0.05. According to the results, the gel based in the aqueous extract of H. pectinata at 10% can prevent bone loss in experimental periodontal disease similarly to doxycycline 10%.

  1. Effects of alveolar ridge preservation on delayed implant osseointegration.

    Science.gov (United States)

    Shao, Shan; Li, Bin; Xue, Hui-Min; Huang, Hai-Yun; Liu, Gang-Li

    2015-01-01

    To evaluate the effects of alveolar ridge preservation with Bio-Oss bone substitute (Geistlich Pharma) on delayed implant osseointegration. The 3rd and 4th left and right mandibular premolars were extracted from four adult healthy male and female dogs. For the experimental group, we randomly selected two extraction sockets in each dog to be filled with Bio-Oss bone substitute (Geistlich Pharma). The two remaining extraction sockets remained untreated and served as the control group. Three months after Bio-Oss placement, dental implants were inserted into the alveolar bone of the experimental group and the control group. The osteogenic activity of the bone around the implants was assessed by evaluating the histological morphology and by estimating histomorphometric parameters at 3 and 6 months after delayed implantation. At 3 months, Goldner's trichrome staining analysis showed that the bone-implant contact rate and mineralised bone area around the implant were significantly higher in the experimental group (75.98% ± 8.97% and 69.52% ± 9.63%, respectively) than in the control group (56.13% ± 8.18% and 52.82% ± 7.25%, respectively; P Bio-Oss placement can promote osseointegration of delayed implantation. This may be a promising option for clinical use. PMID:26379871

  2. Analysis of correlation between initial alveolar bone density and apical root resorption after 12 months of orthodontic treatment without extraction

    Scientific Electronic Library Online (English)

    Paula Cabrini, Scheibel; Adilson Luiz, Ramos; Lilian Cristina Vessoni, Iwaki; Kelly Regina, Micheletti.

    2014-10-01

    Full Text Available OBJETIVO: avaliar a correlação entre a densidade óssea alveolar inicial dos incisivos centrais superiores (DOA-IS) e a reabsorção radicular apical externa (RRAE) após 12 meses de movimentação ortodôntica em casos sem extração. MÉTODOS: quarenta e sete pacientes ortodônticos (maiores que 11 ano [...] s) foram submetidos ao exame periapical dos incisivos superiores no pré-tratamento (T1) e 12 meses após (T2). Mensurou-se a RRAE no intervalo de 12 meses, bem como a densidade óssea alveolar inicial da região apical desses dentes por meio da fotodensitometria. RESULTADOS: não houve correlação estatisticamente significativa entre a DOA-IS inicial e a RRAE em T2 (r = 0,149; p = 0,157). CONCLUSÃO: a densidade alveolar avaliada pela radiografia periapical não se apresentou como fator de interferência ou preditivo para reabsorção radicular após 12 meses de tratamento ortodôntico sem extração. Abstract in english OBJECTIVE: The aim of the present study was to investigate the correlation between initial alveolar bone density of upper central incisors (ABD-UI) and external apical root resorption (EARR) after 12 months of orthodontic movement in cases without extraction. METHODS: A total of 47 orthodontic [...] patients 11 years old or older were submitted to periapical radiography of upper incisors prior to treatment (T1) and after 12 months of treatment (T2). ABD-UI and EARR were measured by means of densitometry. RESULTS: No statistically significant correlation was found between initial ABD-UI and EARR at T2 (r = 0.149; p = 0.157). CONCLUSION: Based on the present findings, alveolar density assessed through periapical radiography is not predictive of root resorption after 12 months of orthodontic treatment in cases without extraction.

  3. The effect of therapeutic radiation on canine alveolar ridges augmented with hydroxylapatite

    DEFF Research Database (Denmark)

    Pinholt, E M; Kwon, P H

    1992-01-01

    The purpose of this investigation was to evaluate the effect of radiation on hydroxylapatite (HA) implanted subperiosteally for alveolar ridge augmentation in dogs. All bicuspids and molars were extracted from 16 dogs. After 6 weeks, nonporous HA granules were implanted subperiosteally on the alveolar ridge. Following 4 months of healing, 12 dogs (experimental group) underwent therapeutic radiation therapy (Co60, 4,000 rad [40 Gy]) to the head and neck region. Four dogs were not irradiated and s...

  4. USE OF PANORAMIC RADIOGRAPHS FOR EVALUATION OF MAXILLARY AND MANDIBULAR RESIDUAL RIDGE RESORPTION: IN VITRO STUDY

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    Priyanka

    2014-11-01

    Full Text Available : INTRODUCTION: Progressive ridge resorption is one of the main causes of loss of stability and retention of mandibular complete dentures. The location of the mental foramen can be identified easily on panoramic radiographs, and radiographic examinations are considered an important component of Prosthodontics diagnostic and treatment planning. Also the location of maxillary landmark is important to known how much resorption is there. Aim: To determine the average ratio of bone height with nearest constant anatomical landmarks in maxilla and in mandible. OBJECTIVE: To find out the association between radiographic findings & prosthodontics, such as measurements of the amount of resorption and the variation in the treatment planning of edentulous patients. METHODS: The subjects OPG was taken using standard radiographic procedural parameters. The measurement was done for distance ‘c’, ‘a’, ‘x’, ‘y’, ‘z’. Then the calculations from measurements were done to calculate the ratio of c/a, to calculate the ratio of x/y, to calculate the ratio of x/z. RESULT: The descriptive statistics was done. The C/a ratio mean is 2.71 ± 0.31. The X/Y ratio mean is 1.49 ± 0.34 and the X/Z ratio mean is 1.51 ± 0.24. CONCLUSION: This ratio can be assessed in edentulous patients and then there further treatment plan can be decided according to the ratio. The implant placement can be assessed by using the measurements in this study.

  5. Induction of nonspecific tolerance to endotoxins reduces the alveolar bone resorption in ligature-treated rats.

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    Nowotny, A; Sanavi, F

    1983-01-01

    Previous experimental data from various laboratories indicate that endotoxin of gram-negative oral microorganisms might be one of the most important bacterial products involved in bone resorption during periodontitis. Immunologically nonspecific tolerance to endotoxins in rats was induced by repeated application of Serratia marcescens trichloroacetic acid-extracted endotoxin. Silk ligature was placed on the second maxillary molar of the endotoxin-tolerant rats as well as of control rats in wh...

  6. Combined soft and hard tissue augmentation for a localized alveolar ridge defect

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    Ritu Rana

    2013-01-01

    Full Text Available Ideal alveolar ridge width and height allows placement of a natural appearing pontic, which provides maintenance of a plaque-free environment. The contour of a partially edentulous ridge should be thoroughly evaluated before a fixed partial denture is undertaken. Localized alveolar ridge defect refers to a volumetric deficit of the limited extent of bone and soft-tissue within the alveolar process. These ridge defects can be corrected by hard tissue and/or soft-tissue augmentation. A 30-year-old male patient was referred to the Department of Periodontology for correction of Seibert?s Class III ridge defect in the lower anterior region. Granulation tissue/connective tissue present at the base of the defect was removed after elevation of full thickness flap. MucoMatrixX, an animal derived, collagen based soft-tissue graft was sutured to the labial flap and bone graft was placed into the defect. If a soft-tissue graft material could be used to replace the palatal grafts, then all the possible complications associated with donor site would be eliminated and above all periodontal plastic surgery and ridge augmentation would be better accepted by patients.

  7. Ankylosed maxillary incisor with severe root resorption treated with a single-tooth dento-osseous osteotomy, vertical alveolar distraction osteogenesis, and mini-implant anchorage.

    Science.gov (United States)

    Sen???k, Neslihan Ebru; Koçer, Gülperi; Kaya, Bulem Üreyen

    2014-09-01

    Dentoalveolar ankylosis interferes with the vertical growth of the alveolar process, which can lead to an open bite, an unesthetic smile, and occlusal disharmony. This case report presents a new treatment protocol for an ankylosed tooth with severe root resorption using a combined surgical orthodontic management protocol involving a single-tooth dento-osseous osteotomy and vertical alveolar distraction osteogenesis with intraoral elastics and mini-implant anchorage. After distraction and active orthodontic treatment, the patient's anterior open bite was corrected. A Class I dental relationship was achieved, overjet was decreased, and a normal incisor relationship was obtained. PMID:25172260

  8. Chemical, physical, and histologic studies on four commercial apatites used for alveolar ridge augmentation

    DEFF Research Database (Denmark)

    Pinholt, E M; Ruyter, I E; Haanaes, H R; Bang, G

    1992-01-01

    The purpose of this study was to evaluate four commercial apatite products. Subperiosteal alveolar ridge augmentation was performed on the maxilla of rats by implantation of granules of two dense products and of two porous products, and the tissue response was compared with the material character...

  9. Alveolar Ridge and Maxillary Sinus Augmentation Using rhBMP-2

    DEFF Research Database (Denmark)

    de Freitas, Rubens Moreno; Spin-Neto, Rubens; Junior, Elcio Marcantonio; Pereira, Luís Antônio Violin Dias; Wikesjö, Ulf Me; Susin, Cristiano

    2013-01-01

    The aim of this systematic review was to evaluate clinical and safety data for recombinant human bone morphogenetic protein-2 (rhBMP-2) in an absorbable collagen sponge (ACS) carrier when used for alveolar ridge/maxillary sinus augmentation in humans.

  10. Alveolar Ridge and Maxillary Sinus Augmentation Using rhBMP-2 : A Systematic Review

    DEFF Research Database (Denmark)

    de Freitas, Rubens Moreno; Spin-Neto, Rubens

    2013-01-01

    The aim of this systematic review was to evaluate clinical and safety data for recombinant human bone morphogenetic protein-2 (rhBMP-2) in an absorbable collagen sponge (ACS) carrier when used for alveolar ridge/maxillary sinus augmentation in humans.

  11. 3D vector control during alveolar ridge augmentation using distraction osteogenesis and temporary anchorage devices: a new technique.

    Science.gov (United States)

    Aizenbud, D; Hazan-Molina, H; Cohen, M; Rachmiel, A

    2012-02-01

    This report describes a combined orthodontic surgical technique involving vertical alveolar distraction using temporary anchorage devices (TADs) in cases of massive alveolar ridge bone and teeth loss. A combined surgical orthodontic protocol included presurgical orthodontic preparation and a preimplantation surgical augmentation stage for insertion of a vertical distractor. During the active vertical alveolar distraction process TADs were inserted. Intraoral orthodontic elastics were attached to the main orthodontic archwire exerting multidirectional forces to control the vertical distraction vector. After 3 months of vector controlling and active bone moulding, the TADs were removed. Anterior alveolar ridge augmentation using distraction osteogenesis was achieved. The application of TADs for better anterior segment curvature enabled dental implant insertion, better positioning and restoration. A combined surgical orthodontic management protocol involving vertical alveolar distraction osteogenesis for augmentation purposes is an efficient treatment method to improve alveolar ridge volume for the preimplantation stage. PMID:21978932

  12. A new method to standardize CBCT for quantitative evaluation of alveolar ridge preservation in the mandible: a case report and review of the literature

    Science.gov (United States)

    Xia, Yang; Xie, Lizhe; Zhou, Yi; Song, Tianxi; Zhang, Feimin; Gu, Ning

    2015-01-01

    Cone-beam computerized tomography (CBCT) is an effective technique for assessment of changes to the alveolar ridge (AR). However, its accuracy and reliability could be improved by standardization of imaging positions to remain unchanged during measurements. In this study, an alveolar ridge preservation procedure was performed on a left third molar (38) socket by filling it with a radiotransparent synthetic bone graft, mineralized collagen (MC). Photographic, X-ray and CBCT images were captured before and 3, 6 and 12 months after surgery. A new method was developed to standardize CBCT for quantitative evaluation. Obtained CBCT images showed good comparability. The post-extraction alveolar width and height were both over 95% of the original values, but some resorption of the lingual bone wall (>50%) and inter-crestal bone (>30%). It is concluded that an effective positional standardization method was developed for CBCT assessment of AR dimensional changes in the posterior mandible. The use of MC in combination with a collagen membrane improved dimensional preservation of the AR. PMID:26816648

  13. Hyptis pectinata gel prevents alveolar bone resorption in experimental periodontitis in rats

    Scientific Electronic Library Online (English)

    Mônica S., Paixão; Mônica S., Melo; Nicole P., Damascena; Adriano A.S., Araújo; Andrea F., Soares; Denise V.A., Oliveira; Jeison S., Oliveira; Fabrício T.C., Almeida; Francilene S., Amaral; Brancilene S., Araújo; Charles S., Estevam; Marco A., Botelho; Lucindo J., Quintans-Júnior.

    2015-02-01

    Full Text Available Hyptis pectinata (L.) Poit., Lamiaceae, is an aromatic, abundant and broadly used plant species in Sergipe to treat oral and gastrointestinal pain and inflammation. The aim of the present study was to analyze the relation between periodontitis and changes in the corporal mass and alveolar bone stru [...] cture after induction of experimental periodontal disease in rat treated or not treated with H. pectinata gel at 5% (GS5%) and 10% (GS10%), comparing their effects with doxycycline gel at 10% (D10%, positive control), vehicle gel (negative control) and a group with experimental periodontal disease, but non-treated. The gels were locally applied in the gingival region immediately after the experimental periodontal disease induction by ligature (3×/day, 11 days). Bone destruction was determined through clinical exam, histopathological analysis and cone beam computed tomography of the experimental animals (n = 36). After 11 days of periodontitis induction, all groups that received ligature presented a decrease in the corporal mass, except to the naïve group (without experimental periodontal disease) (p

  14. The outcome of intraoral onlay block bone grafts on alveolar ridge augmentations: A systematic review

    OpenAIRE

    Aloy-Prósper, Amparo; Peñarrocha-Oltra, David; Peñarrocha-Diago, Maria A.; Peñarrocha-Diago, Miguel

    2015-01-01

    Aim: The purpose of this study was to systematically review clinical studies examining the survival and success rates of implants placed with intraoral onlay autogenous bone grafts to answer the following question: do ridge augmentations procedures with intraoral onlay block bone grafts in conjunction with or prior to implant placement influence implant outcome when compared with a control group (guided bone regeneration, alveolar distraction, native bone or short dental implants.)? Mater...

  15. Alveolar ridge augmentation in rats by combined hydroxylapatite and osteoinductive material

    DEFF Research Database (Denmark)

    Pinholt, E M; Bang, G; Haanaes, H R

    1991-01-01

    The purpose of this study was to examine if increased bony ingrowth developed when hydroxylapatite was implanted together with an osteoinductive substrate. Dense hydroxylapatite granules (HA) (Calcitite, Calcitek, San Diego, CA, USA) were mixed with equal volumes of allogenic, demineralized, lyophilized dentin or bone and implanted subperiosteally for alveolar ridge augmentation purposes and heterotopically in the abdominal muscles in rats. Light microscopic evaluation revealed that HA was surro...

  16. A customized distraction device for alveolar ridge augmentation and alignment of ankylosed teeth.

    Science.gov (United States)

    Nocini, Pier Francesco; De Santis, Daniele; Ferrari, Francesca; Bertele, Gian Paolo

    2004-01-01

    The purpose of this study was to develop an extraosseous, tooth-supported miniature intraoral device that could produce prosthetically driven bone distraction of small atrophic alveolar ridge segments. Extraosseous distraction requires that the distraction device be anchored to a dental implant previously placed into the ridge according to its anatomic axis. A distractor can also correct the position of implants placed in young patients before skeletal growth is completed. Similarly, it allows the alignment of ankylosed teeth not treatable by orthodontics. The device is made of (1) an engine consisting of an orthodontic micrometric screw; (2) a joint between the implant and the engine, ie, the ball attachment/o-ring system; and (3) an anchorage system to the oral cavity provided by an orthodontic appliance and a mini-implant for possible additional support. Surgery involves an osteotomy of the atrophic alveolar ridge segment, incorporating the implant, from the basal bone; afterward the device can be applied and distraction of the segment can be carried out. Distraction was successfully performed in 3 clinical cases: 2 bone-implant segments and 1 bone-ankylosed tooth segment. All cases were clinically uneventful. This mini-device for osteogenic distraction of small atrophic ridge segments can provide for accurate and precise ridge augmentation, as is required for ideal prosthetic rehabilitation. PMID:14982366

  17. Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement

    OpenAIRE

    Shipra Arora; Arundeep Kaur Lamba; Farrukh Faraz; Shruti Tandon; Abdul Ahad

    2013-01-01

    Deficiencies in the alveolar ridges cause multiple problems in achieving aesthetic and functional outcome of implant therapy and are commonly restored by using onlay graft from intraoral source. Careful assessment of the recipient as well as the donor site using cone beam computed tomography (CBCT) is a prerequisite to ideal treatment planning. This paper highlights the critical role of CBCT in planning a successful rehabilitation of traumatised deficient anterior maxillary alveolar ridge usi...

  18. Alveolar ridge preservation with deproteinized bovine bone graft and collagen membrane and delayed implants.

    Science.gov (United States)

    Pang, Chaoyuan; Ding, Yuxiang; Zhou, Hongzhi; Qin, Ruifeng; Hou, Rui; Zhang, Guoliang; Hu, Kaijin

    2014-09-01

    To evaluate clinically and radiographically an alveolar ridge, preservation technique with deproteinized bovine bone graft and absorbable collagen membrane and then restoration with delayed implants were done. The study included 30 patients. The trial group's sockets were filled with deproteinized bovine bone graft (Bio-Oss) and covered with absorbable collagen membrane (Bio-Gide). The control group's sockets healed without any treatment. Panoramic radiograph and computed tomography were taken immediately after graft and 3 and 6 months later to evaluate the height, width, and volume change of the alveolar ridge bone. Dental implants were inserted in all sockets at 6 months, and osseointegration condition was evaluated in the following 12 months. All sockets healed uneventfully. In the trial group, the mean (SD) height reduction of the alveolar ridge bone was 1.05 (0.24) mm at 3 months and 1.54 (0.25) mm at 6 months. The width reduction was 1.11 (0.13) mm at 3 months and 1.84 (0.35) mm at 6 months. Bone volume reduction was 193.79 (21.47) mm at 3 months and 262.06 (33.08) mm at 6 months. At the same trend, in the control group, the bone height reduction was 2.12 (0.15) mm at 3 months and 3.26 (0.29) mm at 6 months. The width reduction was 2.72 (0.19) mm at 3 months and 3.56 (0.28) mm at 6 months. Bone volume reduction was 252.19 (37.21) mm at 3 months and 342.32 (36.41) mm at 6 months. There was a significant difference in alveolar ridge bone height, width, and volume reduction in the 2 groups. The osseointegration condition had no significant difference between the 2 groups. This study suggested that the deproteinized bovine bone graft and absorbable collagen membrane were beneficial to preserve the alveolar ridge bone and had no influence on the osseointegration of delayed implant. PMID:25148644

  19. Titanium implant insertion into dog alveolar ridges augmented by allogenic material

    DEFF Research Database (Denmark)

    Pinholt, E M; Haanaes, H R; Donath, K; Bang, G

    1994-01-01

    The purpose of this investigation was to evaluate whether titanium endosseous implants would osseointegrate in dog alveolar ridges augmented by allogenic material. In 8 dogs en bloc resection, including 2 pre-molars, was performed bilaterally in the maxilla and the mandible. After a healing period...... of 6 weeks allogenic, demineralized and lyophilized dentin or bone was implanted subperiosteally. Titanium implants were installed 5.5 months later in some of the regions. Light and fluorescence microscopic evaluation revealed fibrous encapsulation of the implanted allogenic material, no...... osteoinduction and only minimal osteoconduction, few multinuclear giant cells and a sparse inflammatory reaction. The titanium implants healed mainly by fibrous encapsulation....

  20. Pressure Produced on the Residual Maxillary Alveolar Ridge by Different Impression Materials and Tray Design: An In Vivo Study

    OpenAIRE

    Reddy, Subash M.; Mohan, Chenthil Arun; Vijitha, D.; Balasubramanian, R; Satish, A.; Kumar, Mahendira

    2012-01-01

    Increased ridge resorption may occur due to inappropriate pressure applied during final impression making phase of complete denture fabrication. This study was done to evaluate the pressure applied on the residual ridge while making impressions with two tray designs (with and without spacer) using, zinc oxide eugenol and light body polyvinyl siloxane impression material. Five edentulous subjects were randomly selected. For each of the five subjects four maxillary final impressions were made a...

  1. Anthropometric Measurements in Toothed and Toothless Maxillaries and its Consequences in Human Alveolar Bone Resorption Mediciones Antropométricas en Maxilares con y sin Dientes de Humanos y sus Consecuencias en la Reabsorción Ósea Alveolar

    OpenAIRE

    Jaciel Benedito de Oliveira; Andrelle Nayara Cavalcanti Lima de Almeida; Carla Cabral dos Santos Accioly Lins; Adelmar Afonso de Amorim Júnior; Zélia Albuquerque Seixas

    2012-01-01

    This study proposes to measure and compare anthropometric measurements between toothed and toothless maxillas. 26 human skulls were used with: 13 toothed and 13 toothless maxillas. The measurements were made between the distances of the alveolar ridge (AR): the anterior nasal spine (ANS), to the incisive foramen (FI) and the palatine foramen, greater (FPMA) and lower (FPME) on both sides by two evaluators. The data obtained showed that the average of the measurements were correspondingly high...

  2. Minimally traumatic alveolar ridge augmentation with a tunnel injectable thermo-sensitive alginate scaffold

    Scientific Electronic Library Online (English)

    Yifen, LI; Xiaoqian, FANG; Ting, JIANG.

    2015-04-01

    Full Text Available Injectable bone substitutes and techniques have been developed for use in minimally invasive procedures for bone augmentation. Objective : To develop a novel injectable thermo-sensitive alginate hydrogel (TSAH) as a scaffold to induce bone regeneration, using a minimally invasive tunnelling techniqu [...] e. Material and Methods : An injectable TSAH was prepared from a copolymer solution of 8.0 wt% Poly(N-isopropylacrylamide) (PNIPAAm) and 8.0 wt% AAlg-g-PNIPAAm. In vitro properties of the material, such as its microstructure and the sustained release of recombinant human bone morphogenetic protein-2 (rhBMP-2), were investigated. Then, with the subperiosteal tunnelling technique, this material, carrying rhBMP-2, was injected under the labial periosteum of the maxillary anterior alveolar ridge in a rabbit model. New bone formation was evaluated by means of X-ray, micro-computed tomography (micro-CT), fluorescence labelling, histological study, and immunohistochemistry study. Results : The material exhibited good injectability and thermo-irreversible properties. SEM showed an interconnected porous microstructure of the TSAH. The result of ALP activity indicated sustained delivery of BMP-2 from the TSAH from days 3 to 15. In a rabbit model, both TSAH and TSAH/rhBMP-2 induced alveolar ridge augmentation. The percentage of mineralised tissue in the TSAH/rhBMP-2 group (41.6±3.79%) was significantly higher than in the TSAH group (31.3±7.21%; p

  3. Minimally traumatic alveolar ridge augmentation with a tunnel injectable thermo-sensitive alginate scaffold

    Directory of Open Access Journals (Sweden)

    Yifen LI

    2015-04-01

    Full Text Available Injectable bone substitutes and techniques have been developed for use in minimally invasive procedures for bone augmentation. Objective : To develop a novel injectable thermo-sensitive alginate hydrogel (TSAH as a scaffold to induce bone regeneration, using a minimally invasive tunnelling technique. Material and Methods : An injectable TSAH was prepared from a copolymer solution of 8.0 wt% Poly(N-isopropylacrylamide (PNIPAAm and 8.0 wt% AAlg-g-PNIPAAm. In vitro properties of the material, such as its microstructure and the sustained release of recombinant human bone morphogenetic protein-2 (rhBMP-2, were investigated. Then, with the subperiosteal tunnelling technique, this material, carrying rhBMP-2, was injected under the labial periosteum of the maxillary anterior alveolar ridge in a rabbit model. New bone formation was evaluated by means of X-ray, micro-computed tomography (micro-CT, fluorescence labelling, histological study, and immunohistochemistry study. Results : The material exhibited good injectability and thermo-irreversible properties. SEM showed an interconnected porous microstructure of the TSAH. The result of ALP activity indicated sustained delivery of BMP-2 from the TSAH from days 3 to 15. In a rabbit model, both TSAH and TSAH/rhBMP-2 induced alveolar ridge augmentation. The percentage of mineralised tissue in the TSAH/rhBMP-2 group (41.6±3.79% was significantly higher than in the TSAH group (31.3±7.21%; p<0.05. The density of the regenerating tissue was higher in the TSAH/rhBMP-2 group than in the other groups (TSAH group, positive control, blank control; p<0.05. Conclusions : The TSAH provided convenient handling properties for clinical application. To some extent, TSAH could induce ridge augmentation and mineral deposition, which can be enhanced when combined with rhBMP-2 for a minimally invasive tunnelling injection.

  4. Clinical Results of Localized Alveolar Ridge Augmentation with Bone Grafts Harvested from Symphysis in Comparison with Ramus

    OpenAIRE

    Reza Pourabbas; Saeed Nezafati

    2007-01-01

    Background and aims. Autogenous onlay bone grafting is a common procedure for alveolar ridge augmentation. It has been suggested that the amount of healed bone after this technique would be significantly less than the initial quantity. The aim of this study was to determine the relationship between the various parameters influencing the outcome of ridge augmentation procedures.

    Materials and methods. Thirty-...

  5. Comparison of alveolar ridge preservation method using three dimensional micro-computed tomographic analysis and two dimensional histometric evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Park, Young Seok; Kim, Sung Tae; Oh, Seung Hee; Park, Hee Jung; Lee, Sophia; Kim, Taeil; Lee, Young Kyu; Heo, Min Suk [School of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    2014-06-15

    This study evaluated the efficacy of alveolar ridge preservation methods with and without primary wound closure and the relationship between histometric and micro-computed tomographic (CT) data. Porcine hydroxyapatite with polytetrafluoroethylene membrane was implanted into a canine extraction socket. The density of the total mineralized tissue, remaining hydroxyapatite, and new bone was analyzed by histometry and micro-CT. The statistical association between these methods was evaluated. Histometry and micro-CT showed that the group which underwent alveolar preservation without primary wound closure had significantly higher new bone density than the group with primary wound closure (P<0.05). However, there was no significant association between the data from histometry and micro-CT analysis. These results suggest that alveolar ridge preservation without primary wound closure enhanced new bone formation more effectively than that with primary wound closure. Further investigation is needed with respect to the comparison of histometry and micro-CT analysis.

  6. Histomorphometric Evaluation of Anorganic Bovine Bone Coverage to Reduce Autogenous Grafts Resorption: Preliminary Results

    OpenAIRE

    MAIORANA, CARLO; Beretta, Mario.; Battista Grossi, Giovanni; Santoro, Franco; Scott Herford, Alan; Nagursky, Heiner; Cicciù, Marco

    2011-01-01

    Physiologic resorption due to remodeling processes affects autogenous corticocancellous grafts in the treatment of atrophic jawbone alveolar ridges. Such a situation in the past made overgrafting of the recipient site mandatory to get enough bone support to dental implants in order to perform a prosthetic rehabilitation. Anorganic bovine bone, conventionally used to treat alveolar bone deficiencies in implant surgery, showed a high osteoconductive property thanks to its micro and macrostructu...

  7. Regeneración ósea guiada para el aumento vertical del reborde alveolar / Guided osseous regeneration for the vertical augmentation of the alveolar ridge

    Scientific Electronic Library Online (English)

    CE, Nappe; CE, Baltodano.

    2013-04-01

    Full Text Available Se considera como aumento óseo vertical, cualquier técnica que apunte a crear una mayor altura del reborde alveolar. A inicios de la década de los 90’s se empezó a utilizar la regeneración ósea guiada (ROG) en mandíbulas atróficas, con el fin de permitir la instalación de implantes óseointegrados. C [...] on el fin de evaluar y exponer parte de la evidencia disponible en la actualidad, con respecto a la ROG para aumento óseo vertical, se realizó la siguiente revisión bibliográfica. Abstract in english Any technique aimed to improve the alveolar ridge height is considered as a vertical bone augmentation procedure. In the early 90’s guided bone regeneration (GBR) procedures began to be used in atrophic mandibles to allow the installation of osseointegrated dental implants. The following bibliograph [...] ic review was made with the purpose of evaluating and exposing part of the available evidence at present in this field.

  8. Regeneración ósea guiada para el aumento vertical del reborde alveolar Guided osseous regeneration for the vertical augmentation of the alveolar ridge

    Directory of Open Access Journals (Sweden)

    CE Nappe

    2013-04-01

    Full Text Available Se considera como aumento óseo vertical, cualquier técnica que apunte a crear una mayor altura del reborde alveolar. A inicios de la década de los 90’s se empezó a utilizar la regeneración ósea guiada (ROG en mandíbulas atróficas, con el fin de permitir la instalación de implantes óseointegrados. Con el fin de evaluar y exponer parte de la evidencia disponible en la actualidad, con respecto a la ROG para aumento óseo vertical, se realizó la siguiente revisión bibliográfica.Any technique aimed to improve the alveolar ridge height is considered as a vertical bone augmentation procedure. In the early 90’s guided bone regeneration (GBR procedures began to be used in atrophic mandibles to allow the installation of osseointegrated dental implants. The following bibliographic review was made with the purpose of evaluating and exposing part of the available evidence at present in this field.

  9. Clinical Results of Localized Alveolar Ridge Augmentation with Bone Grafts Harvested from Symphysis in Comparison with Ramus

    Directory of Open Access Journals (Sweden)

    Reza Pourabbas

    2007-06-01

    Full Text Available

    Background and aims. Autogenous onlay bone grafting is a common procedure for alveolar ridge augmentation. It has been suggested that the amount of healed bone after this technique would be significantly less than the initial quantity. The aim of this study was to determine the relationship between the various parameters influencing the outcome of ridge augmentation procedures.

    Materials and methods. Thirty-two patients, 17 males and 15 females (mean age 40 ± 8.66, requiring lateral ridge augmentation in the anterior maxilla were recruited. Bone grafts obtained from either the mandibular ramus or symphysis were grafted on the recipient site and the buccolingual dimensions of the edentulous ridge before and six months after the procedure were measured and the difference between them was considered as ridge augmentation (RA. Parameters including graft thickness (GT, graft area (GA and donor site (DS were also recorded.

    Results. Onlay bone grafts, taken from mandibular and symphysis areas, significantly increased the buccolingual dimension of the alveolar ridge (mean 1.98 ± 1.22 mm, p < 0.001. However, the mean RA by symphysis grafts was significantly greater than ramus grafts (2.49 mm vs. 1.48 mm. There was also a significant correlation between graft thickness, surface area and the amount of bone augmentation.

    Conclusion. Symphysis area provides thicker and larger grafts, which may result in a better clinical outcome in alveolar ridge augmentation.

  10. Novel antioxidative nanotherapeutics in a rat periodontitis model: Reactive oxygen species scavenging by redox injectable gel suppresses alveolar bone resorption.

    Science.gov (United States)

    Saita, Makiko; Kaneko, Junya; Sato, Takenori; Takahashi, Shun-Suke; Wada-Takahashi, Satoko; Kawamata, Ryota; Sakurai, Takashi; Lee, Masaichi-Chang-Il; Hamada, Nobushiro; Kimoto, Katsuhiko; Nagasaki, Yukio

    2016-01-01

    The excessive production of reactive oxygen species (ROS) has been implicated in a variety of disorders, but to date, ROS scavengers have not been widely used for local treatment of inflammation, because they are rapidly eliminated from the inflamed site. We have designed a novel redox injectable gel (RIG) that is formed at 37 °C after disintegration of nano-assembled flower micelles allowing nitroxide radicals to act locally as specific ROS scavengers for the treatment of periodontitis. In the present study, we have confirmed retention of the RIG in the periodontal region, along with its antioxidant-related anti-inflammatory effects, and we have subsequently evaluated the inhibitory effect of the RIG against Porphyromonas gingivalis (P. gingivalis)-induced alveolar bone loss attributed to ROS. Alveolar bone loss was estimated by morphometry, gingival blood flow was measured using laser Doppler flowmetry, and osteoclast differentiation was evaluated by tartrate-resistant acid phosphatase staining. The results show that the RIG can inhibit P. gingivalis-induced bone loss by antioxidant-related anti-inflammatory actions, and this suggests that the RIG is a promising novel therapeutic agent for the treatment of P. gingivalis-induced periodontitis. PMID:26559357

  11. SYSTEMIC NON-MALIGNANT OSTEOPOROSIS AND REDUCTION OF EDENTULOUS ALVEOLAR RIDGES

    Directory of Open Access Journals (Sweden)

    Postic D. Srdjan

    2014-04-01

    Full Text Available Introduction. Systemic osteoporosis damages skeletal bones to different degrees. The aim of this study was to determine the intensity and correlation of the osteoporotic changes in the bone density of the skeleton and body mass index (BMI with a reduction in edentulous mandibles, and to assess possibility of reparation of layers of mandibles with increase of mineral content in jaws of patients affected by osteoporosis. Material and Methods. In this study, 99 edentulous patients with decreased bone density comprised the experimental group, and 48 edentulous patients with normal bone densities formed the control. The age of the examined patients was 69.02 ± 7,9, range 53–74 of females and 69.11 ± 7.1, range 59–76 years. Radiographs of the hands and panoramic radiographs were done for all the patients. The values of BMI, metacarpal index , density of lumbar spine (L2–L4, in the phalanx and in segments of the mandibles as well as the edentulous alveolar ridges heights were measured, assessed and calculated. Results. The lowest value of the total skeletal density was established in the osteoporotic patients on the basis of the average T-score of – 2.5 in men, and – 2.6 in women. Minimum values of the edentulous ridges heights (right/left, in mm were measured in both osteoporotic females (21.84/22.39 and males 24.90/24.96 patients. By comparison of the densities of the metacarpal bones, proximal phalanx, segments of the edentulous mandibles and based on the numerical values of the edentulous ridges heights ?2 = 3.81 was found in men and ?2 = 4.03 was found in women with normal bone densities; ? 2= 5.92 was found in men and ?2=6.25 was found in women with osteopenia; ?2= 2.63 was found in men and ?2 = 3.85 was found in women with osteoporosis, on the level of probability of 0.05. After application of calcium and calcitonin in solutions, moderate increment of density (p < 0.05; p < 0.01 was verified, compensating up to 4% of total loss of mass, minerals and solidity of denture bearing areas of osteoporotic mandibles. Conclusion. Systemic osteoporosis leads to decrease of densities of bones of mandibles and causes reduction of edentulous ridges.

  12. Autogenous bone graft alone or associated with titanium mesh for vertical alveolar ridge augmentation: a controlled clinical trial

    OpenAIRE

    BERRONE, Sid; RAMIERI, Guglielmo

    2007-01-01

    OBJECTIVES: The aim of this controlled clinical trial is to evaluate alveolar ridge augmentation using an autogenous onlay bone graft alone or associated with a titanium mesh (Ti-Mesh). MATERIAL AND METHODS: A group of 23 partially edentulous patients, presenting the need for vertical bone augmentation of at least 4 mm, were treated before implant placement. Surgical procedure was performed by the same operator and was identical at 12 test (bone graft+Ti-Mesh) and 12 control (bone graft alone...

  13. An evaluation of the position of the neutral zone in relation to the crest of mandibular alveolar ridge - An In-vivo study

    OpenAIRE

    Bhorgonde, Deepak; Nandakumar, K; Khurana, Punit R S; Kumari, V Santoshi; Reddy, M Sushendar; Siddique, Sabin

    2014-01-01

    Background: In view of the importance of neutral zone in complete denture construction, it was thought feasible to determine the relation between the centre of the alveolar ridge crest in relation to the neutral zone in a buccolingual direction which will help in positioning of the teeth in a region of minimum conflict so that the stability of the denture is enhanced. Materials & Methods: The position of the neutral zone to alveolar ridge crest was investigated in 3...

  14. Stress distribution in maxillary alveolar ridge according to finite element analysis using micro-CT

    International Nuclear Information System (INIS)

    The purpose of the present study was to evaluate stress distribution by finite element analysis in an accurate model simulating trabecular bone using micro-CT. Dentulous and edentulous maxillary jaws of Japanese adult cadavers were used (5 sides each; total, 10 sides). Imaging was performed using a micro-CT, followed by reconstruction with 3-D images. Finite element analysis models were developed using the maxilla with average bone morphometry. A load corresponding to occlusal force was applied in different loading conditions, followed by evaluation of stress distribution. In dentulous maxillas, a load was applied in the dental axis direction to the first molar crown (LD). In edentulous maxillas, a load was applied directly to a circular area 4 mm in diameter (LER0) to a cylinder 4 mm in diameter and 10 mm in height (LER10) corresponding to the first molar area. Stress was concentrated in cortical bone around the first molar, trabecular bone and cortical bone at the maxillary sinus base in LD, cortical bone of the alveolar ridge in LER0, and trabecular bone around the cylinder and cortical bone at the maxillary sinus base in LER10. LER0 showed a stress distribution markedly different from that in LD. Compared with LER0, LER10 showed a stress distribution close to that in LD. A model simulating trabecular bone allows a more accurate evaluation of stress distribution. (author)

  15. Photoelastic Stress Analysis Surrounding Implant-Supported Prosthesis and Alveolar Ridge on Mandibular Overdentures

    Directory of Open Access Journals (Sweden)

    Rafael Yagüe Ballester

    2010-01-01

    Full Text Available The purpose of this research was to evaluate the maximum stress around osseointegrated implants and alveolar ridge, in a mandible with left partial resection through a photoelastic mandibular model. The first group consisted of two implants: traditional model (T, implants placed in the position of both canines; fulcrum model (F, implants placed in the position of left canine CL and right lateral incisor LiR. Both models linked through a bar and clips. The second group was consisted of three implants, with implants placed in the position of both canines (CR and CL and the right lateral incisor (LiR, which composed four groups: (1 model with 3 “O” rings, (2 model 2 ERAs, bar with clips, (3 model 2 ERAs bar without clips; (4 model “O” ring bar and ERA. An axial and an oblique load of 6.8?kgf was applied on a overdenture at the 1st Pm, 2nd Pm, and 1st M. Results showed that the area around the left canine (CL was practically free of stress; the left lateral incisor (LiL developed only small tensions, and low stress in all the other cases; the right canine tooth suffered the largest concentrations of stress, mainly with the ERA retention mechanism.

  16. Anthropometric Measurements in Toothed and Toothless Maxillaries and its Consequences in Human Alveolar Bone Resorption / Mediciones Antropométricas en Maxilares con y sin Dientes de Humanos y sus Consecuencias en la Reabsorción Ósea Alveolar

    Scientific Electronic Library Online (English)

    Jaciel Benedito, de Oliveira; Andrelle Nayara Cavalcanti Lima de, Almeida; Carla Cabral dos Santos Accioly, Lins; Adelmar Afonso de Amorim, Júnior; Zélia Albuquerque, Seixas.

    2012-09-01

    Full Text Available Este estudio propuso medir y comparar las medidas antropométricas entre los maxilares con y sin dientes. Fueron utilizados 26 cráneos humanos, 13 maxilares con dientes y 13 sin dientes. Las mediciones fueron realizadas a ambos lados por dos evaluadores entre las distancias del reborde alveolar (RA): [...] a la espina nasal anterior (ENA), al canal incisivo (CI) y a lo foraámenes palatinos mayor (FPMA) y menor (FPME). Los datos mostraron que la media de las mediciones fueron proporcionalmente mayores en las maxilas con dientes, para todas las mediciones en cualquiera de los evaluadores. El RA-ENA (p = 0,001), AR-CI (p = 0,006), RA-APMA derecho (p = 0,001) y RA-APMA izquierdo (p Abstract in english This study proposes to measure and compare anthropometric measurements between toothed and toothless maxillas. 26 human skulls were used with: 13 toothed and 13 toothless maxillas. The measurements were made between the distances of the alveolar ridge (AR): the anterior nasal spine (ANS), to the inc [...] isive foramen (FI) and the palatine foramen, greater (FPMA) and lower (FPME) on both sides by two evaluators. The data obtained showed that the average of the measurements were correspondingly higher in toothed maxillas than in toothless, for all measurements in any one of the evaluators. The AR-ANS (p = 0.001), IF-AR (p = 0.006), AR-FPMA right (p = 0.001) and AR-FPMA left (p

  17. Alveolar ridge augmentation by connective tissue grafting using a pouch method and modified connective tissue technique: A prospective study

    Science.gov (United States)

    Agarwal, Ashish; Gupta, Narinder Dev

    2015-01-01

    Background: Localized alveolar ridge defect may create physiological and pathological problems. Developments in surgical techniques have made it simpler to change the configuration of a ridge to create a more aesthetic and more easily cleansable shape. The purpose of this study was to compare the efficacy of alveolar ridge augmentation using a subepithelial connective tissue graft in pouch and modified connective tissue graft technique. Materials and Methods: In this randomized, double blind, parallel and prospective study, 40 non-smoker individuals with 40 class III alveolar ridge defects in maxillary anterior were randomly divided in two groups. Group I received modified connective tissue graft, while group II were treated with subepithelial connective tissue graft in pouch technique. The defect size was measured in its horizontal and vertical dimension by utilizing a periodontal probe in a stone cast at base line, after 3 months, and 6 months post surgically. Analysis of variance and Bonferroni post-hoc test were used for statistical analysis. A two-tailed P < 0.05 was considered to be statistically significant. Results: Mean values in horizontal width after 6 months were 4.70 ± 0.87 mm, and 4.05 ± 0.89 mm for group I and II, respectively. Regarding vertical heights, obtained mean values were 4.75 ± 0.97 mm and 3.70 ± 0.92 mm for group I and group II, respectively. Conclusion: Within the limitations of this study, connective tissue graft proposed significantly more improvement as compare to connective tissue graft in pouch. PMID:26759591

  18. Carcinoma de células escamosas em rebordo alveolar inferior: diagnóstico e tratamento odontológico de suporte Squamous cell carcinoma in lower alveolar ridge: diagnosis and odontologic support treatment

    Directory of Open Access Journals (Sweden)

    Filipe Ivan Daniel

    2006-08-01

    Full Text Available O carcinoma epidermóide é a neoplasia maligna mais comum de cavidade oral e estruturas adjacentes. Apresenta maior incidência no gênero masculino, após a quarta década de vida, e tem como principais fatores etiológicos os usos crônicos de tabaco e álcool. Neste trabalho é relatado um caso de carcinoma de células escamosas do rebordo alveolar inferior, que não é uma região preferencial para esse tipo de patologia. Também é discutida a importância do cirurgião-dentista na equipe de profissionais que assiste esses pacientes, tanto no diagnóstico precoce quanto no manejo das alterações estomatológicas advindas da terapia antineoplásica.Squamous cell carcinoma is the most common malignant neoplasm in oral cavity and adjacent structures. Its prevalence is higher in males, after the fourth decade, and the main etiologic associated factors are smoking and alcohol. This study reports a case of squamous cell carcinoma arising from the lower alveolar ridge, a non-preferential site for this pathology. It also discusses the importance of the dentist in the team of professionals assisting these patients, in early diagnosis and treatment of the stomatological alterations due to antineoplastic therapy.

  19. Anthropometric Measurements in Toothed and Toothless Maxillaries and its Consequences in Human Alveolar Bone Resorption Mediciones Antropométricas en Maxilares con y sin Dientes de Humanos y sus Consecuencias en la Reabsorción Ósea Alveolar

    Directory of Open Access Journals (Sweden)

    Jaciel Benedito de Oliveira

    2012-09-01

    Full Text Available This study proposes to measure and compare anthropometric measurements between toothed and toothless maxillas. 26 human skulls were used with: 13 toothed and 13 toothless maxillas. The measurements were made between the distances of the alveolar ridge (AR: the anterior nasal spine (ANS, to the incisive foramen (FI and the palatine foramen, greater (FPMA and lower (FPME on both sides by two evaluators. The data obtained showed that the average of the measurements were correspondingly higher in toothed maxillas than in toothless, for all measurements in any one of the evaluators. The AR-ANS (p = 0.001, IF-AR (p = 0.006, AR-FPMA right (p = 0.001 and AR-FPMA left (p Este estudio propuso medir y comparar las medidas antropométricas entre los maxilares con y sin dientes. Fueron utilizados 26 cráneos humanos, 13 maxilares con dientes y 13 sin dientes. Las mediciones fueron realizadas a ambos lados por dos evaluadores entre las distancias del reborde alveolar (RA: a la espina nasal anterior (ENA, al canal incisivo (CI y a lo foraámenes palatinos mayor (FPMA y menor (FPME. Los datos mostraron que la media de las mediciones fueron proporcionalmente mayores en las maxilas con dientes, para todas las mediciones en cualquiera de los evaluadores. El RA-ENA (p = 0,001, AR-CI (p = 0,006, RA-APMA derecho (p = 0,001 y RA-APMA izquierdo (p <0,001 y RA-APME en ambos lados (p = 0,001, comprobando la existencia de diferencias significativas entre los dos tipos de maxila. Fue verificado que a partir de la pérdida dental ocurren irreversibles cambios anatómicos en el maxilar, que deben ser considerados en el diseño y fabricación de prótesis e implantes osteointegrados.

  20. Alveolar ridge preservation after dental extraction and before implant placement: a literature review / Preservação do rebordo alveolar após a extração dentária e antes da colocação de implante: revisão da literatura

    Scientific Electronic Library Online (English)

    Luis André, Mezzomo; Rosemary Sadami, Shinkai; Nikos, Mardas; Nikolaos, Donos.

    Full Text Available Várias técnicas e materiais têm sido sugeridos para a preservação do rebordo alveolar (PRA) após a extração dentária e antes da colocação do implante. Esta revisão de literatura buscou discutir os aspectos histológicos e clínicos da cicatrização do alvéolo e do procedimento PRA após a extração dentá [...] ria e verificar se ele permite a colocação de implante dentário (com ou sem enxerto adicional). Apesar da heterogeneidade dos estudos, há evidência que os procedimentos de preservação do rebordo são eficazes na limitação da perda dimensional do rebordo pós-extração e são acompanhados por um grau diferente de regeneração óssea, com variadas quantidades de partículas residuais dos "materiais de enxerto". Abstract in english Several techniques and materials have been suggested for alveolar ridge preservation (ARP) after dental extraction and before implant placement. This literature review aimed to discuss the histological and clinical aspects of alveolar healing and the ARP procedure after dental extraction and to veri [...] fy whether it allows dental implant placement (with or without further augmentation). Despite the heterogeneity of the studies, some evidence suggests that ridge preservation procedures are efficient in limiting the postextraction dimensional loss of the ridge and are accompanied by a different degree of bone regeneration, with varied amounts of residual graft material particles.

  1. Horizontal Resorption of Fresh-Frozen Corticocancellous Bone Blocks in the Reconstruction of the Atrophic Maxilla at 5 Months

    OpenAIRE

    Pereira, E.; Messias, A; R. Dias; Judas, F; Salvoni, A; Guerra, F.

    2014-01-01

    BACKGROUND: Reliable implant-supported rehabilitation of an alveolar ridge needs sufficient volume of bone. In order to achieve a prosthetic-driven positioning, bone graft techniques may be required. PURPOSE: This prospective cohort study aims to clinically evaluate the amount of resorption of corticocancellous fresh-frozen allografts bone blocks used in the reconstruction of the severe atrophic maxilla. MATERIALS AND METHODS: Twenty-two partial and totally edentulous patients ...

  2. [Anterior bridges with the IPS-Empress-2 System after alveolar ridge augmentation. A case report].

    Science.gov (United States)

    Zawta, C; Bernhard, M

    2000-01-01

    The success of a prosthesis is judged according to optimal function, good chewing comfort, adequate phonetics and white and pink esthetics. The aim of a treatment is to approach the perfection of nature. For anterior bridgework, the all-ceramic System IPS Empress 2 offers light transmission and reflection comparable to that of natural teeth, provided that the pink esthetics are optimised in the preprosthetic phase. The provision of an anterior bridge in the IPS Empress 2-system is presented here in the form of a case report. After extraction of the anterior teeth, a ridge augmentation including preparation of the pontic bed was carried out. The type of post and core, preparation and cementation are important parameters for the success of all-ceramic restorations. PMID:10670274

  3. Alveolar Ridge Conservation by Early Bone Formation After Tooth Extraction in Rabbits: A Histomorphological Study / Conservación de la Cresta Alveolar por Formación Ósea Temprana después de la Extracción Dentaria en Conejos: Un Estudio Histomorfológico

    Scientific Electronic Library Online (English)

    Mario, Cantín; Sergio, Olate; Ramón, Fuentes; Bélgica, Vásquez.

    2015-03-01

    Full Text Available La pérdida de volumen cresta alveolar, es un proceso irreversible. Para evitar este evento fisiológico, que típicamente resulta en cambios anatómicos locales significativos, tanto en la dimensión horizontal y vertical, existen algunos procedimienos para reducir al mínimo la pérdida de volumen óseo q [...] ue sigue típicamente a la extracción del diente. El propósito de este estudio fue evaluar si tres injertos óseos diferentes podrían promover la formación de hueso en el alveolo tras la extracción del diente para la conservación de la cresta alveolar. Los primeros molares mandibulares de conejos machos adultos fueron extraídos y los alvéolos post extracción fueron rellenados aleatoriamente con tres injertos óseos diferentes, uno de xenoinjerto y dos injertos aloplásticos, más un grupo que no recibió tratamiento (coágulo de sangre). Los alvéolos post extracción en los conejos seleccionados de cada grupo fueron evaluados a las 4, 6, o 8 semanas post-extracción. Los resultados indicaron que los alvéolos tratados con injerto aloplástico mostraron formación de hueso lamelar (6,5%) ya a las 4 semanas post extracción. Por otra parte, el grado de formación de hueso nuevo fue significativamente mayor (P Abstract in english Alveolar ridge volume loss is an irreversible process. To prevent this physiological event, which typically result in significant local anatomical changes in both the horizontal and the vertical dimension, some strategies are indicated to minimize the loss of ridge volume that typically follows toot [...] h extraction. The purpose of this study was to evaluate if three different bone grafts could promote new bone formation in the alveolar socket following tooth extraction for the alveolar ridge conservation. First mandibular molars of male adults rabbits were extracted and the extraction sockets were randomly treated with three different bone grafts, one xenograft and two alloplastic grafts, and a group that received no treatment (blood clot). The extraction sockets of selected rabbits from each group were evaluated at 4, 6, or 8-week post-extraction. The results indicated that the extraction sockets treated with alloplastic graft (biphasic calcium phosphate) exhibited lamellar bone formation (6.5%) as early as four weeks after the extraction was performed. Moreover, the degree of new bone formation was significantly higher (P

  4. Root resorption

    DEFF Research Database (Denmark)

    Kjaer, Inger

    2014-01-01

    Introduction: This paper summarizes the different conditions, which have a well-known influence on the resorption of tooth roots, exemplified by trauma and orthodontic treatment. The concept of the paper is to summarize and explain symptoms and signs of importance for avoiding resorption during...... orthodontic treatment. The Hypothesis: The hypothesis in this paper is that three different tissue layers covering the root in the so-called periroot sheet can explain signs and symptoms of importance for avoiding root resorption during orthodontic treatment. These different tissue layers are; outermost...... processes provoked by trauma and orthodontic pressure. Inflammatory reactions are followed by resorptive processes in the periroot sheet and along the root surface. Evaluation of the Hypothesis: Different morphologies in the dentition are signs of abnormal epithelium or an abnormal mesodermal layer. It has...

  5. Evaluación radiográfica de aumentos de rebordes alveolares con injertos aloplásticos de hidroxiapatita no reabsorbible: seguimiento a nueve meses Radiographic evaluation of alveolar ridge augmentation with non resorbable hydroxyapatite alloplastic grafts: nine months follow up

    Directory of Open Access Journals (Sweden)

    Félix Antonio Gil Cárdenas

    2008-12-01

    Full Text Available INTRODUCCIÓN: el objetivo fue determinar radiográficamente el porcentaje de estabilidad de la altura del reborde alveolar del maxilar superior e inferior en pacientes sometidos a cirugía preprotésica de aumento de reborde con implante de HA no reabsorbible. MÉTODOS: el estudio se realizó en quince pacientes, en quienes se determinaron mediciones reproducibles. Para el maxilar superior: (A desde espina nasal anterior; (B derecha-izquierda desde el borde más inferior de las fosas nasales; (C derecha- izquierda desde el borde más inferior de la órbita. Para el maxilar inferior: (E desde el borde inferior de la mandíbula y pasando por la sínfisis; (F derecha-izquierda pasando por el agujero mentoniano; (G derecha-izquierda pasando 5 mm. atrás del agujero mentoniano; (H derecha-izquierda pasando 10 mm posterior al agujero mentoniano. Todas las mediciones se realizaron en el prequirúrgico, en el posquirúrgico inmediato, y a los nueve meses. RESULTADOS: se promediaron los diferentes puntos del maxilar superior (PPMXS y se observó una pérdida de altura entre el 6,29 y un 33,6% con promedio del 17,36 %. En el maxilar inferior (PPMXI se observó una variación desde ganancia del 6,31% hasta una disminución del 18,87%, con promedio del 2,54%. CONCLUSIONES: el implante de HA permite restablecer adecuada altura del reborde alveolar. La altura del reborde alveolar obtenida inicialmente presenta un porcentaje de disminución de su altura en el maxilar superior del 17,36%, y en el maxilar inferior del 2,54 durante el seguimiento a nueve meses.INTRODUCTION: the purpose of this study was to determine radiographically the percentage of stability of alveolar ridge height in the maxilla and the mandible in patients subjected to pre prosthetic surgery of ridge augmentation with non resorbable HA implants. METHODS: the study was performed in 15 patients in whom reproducible measurements were taken. For the maxilla: (A From Anterior Nasal Spine; (B right and left from the lowest border of the nasal fossae; (C right and left from the lowest border of the orbit. For the mandible: (E from the lowest border of the mandible passing through symphysis; (F right and left passing through the mental foramen; (G right and left passing 5 mm posterior to the mental foramen; (H right and left passing 10 mm posterior to mental foramen. All measurements were performed before surgery, immediately after and, nine months after surgery. RESULTS: the different points of the maxilla were averaged (PPMXS and a height loss between 6.29% and 33.6% was observed, with an average of 17.36%. For the mandible (PPMXL variations ranging from 6.31% of augmentation to 18.8% loss were observed, with an average of 2.54%. CONCLUSIONS: HA implants allow reestablishment of adequate alveolar ridge height. The alveolar ridge height initially obtained presents a decrease percentage in height for the maxilla of 17.36% and 2.54% for the mandible after nine months follow up.

  6. Fate of autologous and fresh-frozen allogeneic block bone grafts used for ridge augmentation. A CBCT-based analysis

    DEFF Research Database (Denmark)

    Spin-Neto, Rubens; Stavropoulos, Andreas

    2013-01-01

    OBJECTIVES: To evaluate dimensional changes in autologous (AT) and fresh-frozen allogeneic (AL) block bone grafts 6 months after alveolar ridge augmentation. MATERIAL AND METHODS: Twenty-six partially or totally edentulous patients treated either with fresh-frozen AL bone or AT bone onlay block grafts prior to implant placement (13 patients in each group), were included in this analysis. Patients received CBCT (i-CAT Classic) examinations prior to surgery and 14 days and 6 months after grafting. Differences in alveolar ridge area among the various observation times were evaluated by planimetric measurements on two-dimensional CBCT images of the grafted regions. Nineteen grafted blocks from each group were evaluated. RESULTS: Significant increase in alveolar ridge dimensions, allowing implant placement, was obtained with both types of grafts 6 months after grafting; no significant differences in alveolar ridge area were observed between the groups at the various observation times. However, graft resorption in the AL group was significantly larger compared to that in the AT group at 6 months. CONCLUSIONS: Larger bone graft resorption was seen in patients treated with fresh-frozen AL bone than in those treated with AT bone 6 months following alveolar ridge augmentation.

  7. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials

    DEFF Research Database (Denmark)

    Jensen, Simon Storgård; Terheyden, Hendrik

    periods. The heterogeneity of the available data did not allow identifying one superior grafting protocol for any of the osseous defect types under investigation. However, a series of grafting materials can be considered well-documented for different indications based on this review. There is a high level......PURPOSE: The objective of this review was to evaluate the efficacy of different grafting protocols for the augmentation of localized alveolar ridge defects. MATERIALS AND METHODS: A MEDLINE search and an additional hand search of selected journals were performed to identify all levels of clinical...... evidence except expert opinions. Any publication written in English and including 10 or more patients with at least 12 months of follow-up after loading of the implants was eligible for this review. The results were categorized according to the presenting defect type: (1) dehiscence and fenestration...

  8. Fabrication and anti-microbial evaluation of drug loaded polylactide space filler intended for ridge preservation following tooth extraction

    Directory of Open Access Journals (Sweden)

    Nebu George Thomas

    2011-01-01

    Full Text Available Background: The preservation or reduction of alveolar ridge resorption following tooth extraction is important in patients especially for those intended for implants at a later stage. One way to achieve this is by using membranes, graft materials, and biodegradable space fillers to prevent alveolar bone resorption and promote regeneration. A major attraction for using biodegradable and biocompatible polymers as space fillers for ridge preservation is their safety profile in comparison to xenograft materials like lyophilized bone and collagen. Materials and Methods: Biocompatible polylactide space fillers were fabricated by fusing porous polylactide particles. The sponges were loaded with drugs by placing them in the respective solutions. Pseudomonas aeruginosa was isolated from a chronic periodontitis patient and in vitro anti-microbial evaluation was done with the drug loaded sponges. Results: Chlorhexidine loaded space filler showed significant anti microbial effect against multiple drug resistant Pseudomonas aeruginosa isolated from a patient with chronic periodontitis. Conclusion: The results of this study indicate that biodegradable drug releasing polylactide space fillers has the potential to be used for ridge preservation following tooth extraction. Release of drugs in the socket may prove useful in preventing development of alveolar osteitis post extraction which can interfere with normal healing of the socket. Synthetic biodegradable polymers also exhibit a controlled degradation rate to achieve complete resorption within the intended time.

  9. Restoration of the maxillary anterior tooth using immediate implantation with simultaneous ridge augmentation

    Directory of Open Access Journals (Sweden)

    Park Jun-Beom

    2010-01-01

    Full Text Available Atrophy is most severe during the first month of post-extraction in the anterior maxilla with the degree of horizontal bone resorption being nearly twice as high as that of vertical bone resorption. The loss of the buccal alveolar plate following tooth extraction may lead to palatal implant positioning of the implants. Thus, immediate or early implant placement in the extraction socket has been suggested, because it would reduce the time period and the number of surgical intervention and yield higher patient satisfaction compared with delayed placed implants. However, placement of an implant immediately after tooth extraction may result in a gap between the occlusal portion of the implant and the surrounding alveolar bone crest. In this case report, an implant-supported restoration which is in harmony with the surrounding hard and soft tissue was created by the immediate implant placement with ridge augmentation in anterior region with high satisfaction from the patient.

  10. Invasive cervical root resorption: Engineering the lost tissue by regeneration

    Directory of Open Access Journals (Sweden)

    Dexton Antony Johns

    2013-01-01

    Full Text Available Invasive cervical resorption (ICR is a localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely the zone of the connective tissue attachment′ early diagnosis, elimination of the resorption and restorative management are the keys to a successful outcome. Treatment done was a combined non-surgical root canal therapy, surgical treatment to expose the resorptive defect and the resorptive defect was filled up with reverse sandwich technique and finally the bony defect filled with platelet rich fibrin (PRF, hydroxylapatite and PRF membrane. Significant bone fill was obtained in our case after a 2 year follow-up period. This case report presents a treatment strategy that might improve the healing outcomes for patients with ICR.

  11. Frequency of the external resorptions of root apex

    Directory of Open Access Journals (Sweden)

    Opa?i?-Gali? Vanja

    2004-01-01

    Full Text Available Root resorptions present a significant problem in endodontic therapy of the affected teeth and in dentistry in general. The objective of this study was to analyze, based on epidemiological and statistical research, the frequency of clinical incidence of pathological root resorptions in everyday practice related to localization, type of tooth, age and sex of patients. Radiographie documentation of patients treated from 1997 till 2002 at the Department of Conservative Dentistry and Endodontics, Faculty of Stomatology in Belgrade, was used as baseline for this study. Retroalveolar radiographs of teeth with visible signs of resorptions were singled out from 15654 patients' clinical records used for this study. The external resorptions were shown as radiolucent areas localized on various outer root surfaces, followed by significant or less significant resorption of lamina dura and alveolar bone. Out of all teeth analyzed in this study, 594 (3.79% showed some kind of resorption. The external resorptions were found to be more present in the upper jaw (55.10% and molars (50.30% than in the lower jaw (44.90% and single root teeth (49.70%, but in both cases without significant statistical differences. The most frequent localization of resorptions was root apex (82.44%. In regard to age, the most frequent resorptions were recorded in patients aged between 21 and 30 years (28.40%, and the lowest incidence was found in the youngest population (5.51%. The results also showed that resorptions were more frequent among the female population (59.04% than among the male population (40.96%. Based on these results, we may conclude that the external root resorptions are not a frequent clinical phenomenon. Proper and early diagnostics of such tissue pathology is one of the basic prerequisites for successful endodontic therapy of the affected root.

  12. Bone Replacement Materials and Techniques Used for Achieving Vertical Alveolar Bone Augmentation

    Directory of Open Access Journals (Sweden)

    Zeeshan Sheikh

    2015-05-01

    Full Text Available Alveolar bone augmentation in vertical dimension remains the holy grail of periodontal tissue engineering. Successful dental implant placement for restoration of edentulous sites depends on the quality and quantity of alveolar bone available in all spatial dimensions. There are several surgical techniques used alone or in combination with natural or synthetic graft materials to achieve vertical alveolar bone augmentation. While continuously improving surgical techniques combined with the use of auto- or allografts provide the most predictable clinical outcomes, their success often depends on the status of recipient tissues. The morbidity associated with donor sites for auto-grafts makes these techniques less appealing to both patients and clinicians. New developments in material sciences offer a range of synthetic replacements for natural grafts to address the shortcoming of a second surgical site and relatively high resorption rates. This narrative review focuses on existing techniques, natural tissues and synthetic biomaterials commonly used to achieve vertical bone height gain in order to successfully restore edentulous ridges with implant-supported prostheses.

  13. Accuracy of vertical bitewing and bisect periapical radiography techniques in anterior mandibular teeth interdental bone resorption

    Directory of Open Access Journals (Sweden)

    Mohamad Shah Abouei

    2009-01-01

    Full Text Available Introduction: Alveolar bone level is changed due to the balance between bone formation and resorption. Radiographic examination has an important role in the diagnosis and treatment of periodontal diseases. This study was performed to compare the accuracy of vertical bitewing and periapical radiography in anterior mandibular teeth interdental bone resorption using grid sheet.Materials and Methods: A total of 20 patients who all needed periodontal surgery on their anterior mandibular region were included. Before surgery, using grid sheet, 3 periapical radiographs and 3 vertical bitewing radiographs were taken from the anterior mandibular region, and the distance between CEJ and the crest of alveolar bone were measured on the scaled radiographs. During periodontal surgery the real amount of bone resorption was measured via Williams probe. The collected data were then analyzed by paired-t-test.Results: The mean of alveolar bone resorption on vertical bitewing radiography was 3.88 ± 1.06 and 3.97 ± 0.97 for mandibular incisors and mandibular canines respectively. On periapical radiography however, the same value was 3.80 ± 0.75 for mandibular incisors, and 3.90 ± 1.11 for mandibular canines. Applying Williams probe during surgery, the mean value of real alveolar bone resorption was found to be 3.20 ± 1.20 for mandibular incisors, and 3.18 ± 1.03 for mandibular canines.Conclusion: Based on the findings, there were significant differences between the findings on periapical and vertical bitewing radiographs with the real amount of bone resorption recorded during surgery. However, the difference between the accuracy of bite wing and periapical radiography in measuring the amount of alveolar bone resorption in anterior mandibular region was not significant.

  14. Ridge Preservation with Modified “Socket-Shield” Technique: A Methodological Case Series

    Directory of Open Access Journals (Sweden)

    Markus Glocker

    2014-01-01

    Full Text Available After tooth extraction, the alveolar bone undergoes a remodeling process, which leads to horizontal and vertical bone loss. These resorption processes complicate dental rehabilitation, particularly in connection with implants. Various methods of guided bone regeneration (GBR have been described to retain the original dimension of the bone after extraction. Most procedures use filler materials and membranes to support the buccal plate and soft tissue, to stabilize the coagulum and to prevent epithelial ingrowth. It has also been suggested that resorption of the buccal bundle bone can be avoided by leaving a buccal root segment (socket shield technique in place, because the biological integrity of the buccal periodontium (bundle bone remains untouched. This method has also been described in connection with immediate implant placement. The present case report describes three consecutive cases in which a modified method was applied as part of a delayed implantation. The latter was carried out after six months, and during re-entry the new bone formation in the alveolar bone and the residual ridge was clinically evaluated as proof of principle. It was demonstrated that the bone was clinically preserved with this method. Possibilities and limitations are discussed and directions for future research are disclosed.

  15. Expansion of the alveolar bone crest with ultrasonic surgery device: clinical study in mandible.

    Science.gov (United States)

    Scarano, A; Murmura, G; Sinjiari, B; Assenza, B; Sollazzo, V; Spinelli, G; Carinci, F

    2011-01-01

    The purpose of this paper was to document the application to the split-crest mandibular procedure in two stage in order to avoid cortical resorption due to periosteal detachment in buccal cortical bone of the alveolar crest. Twenty-two healthy patients with non-contributory past medical history (14 women and 8 men, all non-smokers, mean age 59 years, range 54-65 years) were included in this study. After buccal mucoperiosteal flap was followed by a sagittal corticotomy in the coronal area of the alveolar crest and a second sagittal corticotomy, but in a lower (basal) position and two vertical corticotomies in the buccal wall, using a ultrasonic surgery device (Surgysonic, Esacrom, Imola Italy). Adequate crest expansion was achieved without compromising cortical vascularisation by utilising a combination of scalpel, thin chisels and threaded osteotomes (Bone System, Milano, Italy). Postoperative results were assessed by panoramic and periapical radiographs. Ossification of the osteotomy lines was evident and could be observed as sites with increasing radiopacity on panoramic and periapical radiographs 3 months after implants insertion. No dehiscence of the mucosa was observed. No patient suffered from hypoaesthesia. The mean horizontal bone increase in coronal area was 5±3 mm. Mandibular ridge expansion using a split-crest technique that included grafting the implant sites with a ultrasonic surgery device is a viable therapeutic alternative for implant placement in this patient population. PMID:21781449

  16. Low-dose doxycycline prevents inflammatory bone resorption in rats

    Scientific Electronic Library Online (English)

    M.M., Bezerra; G.A.C., Brito; R.A., Ribeiro; F.A.C., Rocha.

    2002-05-01

    Full Text Available Matrix metalloproteinases (MMP) are considered to be key initiators of collagen degradation, thus contributing to bone resorption in inflammatory diseases. We determined whether subantimicrobial doses of doxycycline (DX) ([...] n experimental periodontitis model. Thirty male Wistar rats (180-200 g) were subjected to placement of a nylon thread ligature around the maxillary molars and sacrificed after 7 days. Alveolar bone loss (ABL) was measured macroscopically in one hemiarcade and the contralateral hemiarcade was processed for histopathologic analysis. Groups of six animals each were treated with DX (2.5, 5 or 10 mg kg-1 day-1, sc, 7 days) and compared to nontreated (NT) rats. NT rats displayed significant ABL, severe mononuclear cell influx and increase in osteoclast numbers, which were significantly reduced by 5 or 10 mg kg-1 day-1 DX. These data show that DX inhibits inflammatory bone resorption in a manner that is independent of its antimicrobial properties.

  17. Influence of anatomical barriers on maxillary incisor root resorption after orthodontic treatment with premolar extractions

    Directory of Open Access Journals (Sweden)

    Antonio Geraldo de Oliveira

    2012-04-01

    Full Text Available INTRODUCTION: Apical root resorption is a frequent and occasionally critical problem in orthodontic patients undergoing induced tooth movement. One of the factors that might influence prognosis, especially in maxillary incisors, which most frequently present resorptions, are the so-called the anatomical barriers; that is, proximity of the buccal and palatal cortical bones to the maxillary incisor roots. OBJECTIVE: The purpose of this research was to investigate whether patients with excessive vertical growth really present a small distance between the alveolar cortical bones and the maxillary incisor roots, and whether there is a correlation between this distance and the root resorption index in comparison with patients presenting horizontal growth. METHODS: The sample comprised orthodontic records of 18 patients with extraction planning of first maxillary premolars and treatment by the standard and/or preadjusted edgewise brackets. Their initial and final periapical radiographs were evaluated to determine the amount of root resorption that occurred. RESULTS: On the palatal side, patients with excessive vertical growth (Group 2 - SN-GoGn > 43º showed a narrower alveolar bone than the horizontal growth patients (Group 1 - SN-GoGn < 29º. However, the distance between the buccal cortical bone and the central incisor root apex showed no significant difference between Groups 1 and 2; CONCLUSIONS: It was concluded that there are no correlations between the proximity of buccal cortical bone, maxillary incisor roots and the root resorption index.

  18. Low-dose doxycycline prevents inflammatory bone resorption in rats

    Directory of Open Access Journals (Sweden)

    Bezerra M.M.

    2002-01-01

    Full Text Available Matrix metalloproteinases (MMP are considered to be key initiators of collagen degradation, thus contributing to bone resorption in inflammatory diseases. We determined whether subantimicrobial doses of doxycycline (DX (<=10 mg kg-1 day-1, a known MMP inhibitor, could inhibit bone resorption in an experimental periodontitis model. Thirty male Wistar rats (180-200 g were subjected to placement of a nylon thread ligature around the maxillary molars and sacrificed after 7 days. Alveolar bone loss (ABL was measured macroscopically in one hemiarcade and the contralateral hemiarcade was processed for histopathologic analysis. Groups of six animals each were treated with DX (2.5, 5 or 10 mg kg-1 day-1, sc, 7 days and compared to nontreated (NT rats. NT rats displayed significant ABL, severe mononuclear cell influx and increase in osteoclast numbers, which were significantly reduced by 5 or 10 mg kg-1 day-1 DX. These data show that DX inhibits inflammatory bone resorption in a manner that is independent of its antimicrobial properties.

  19. Influence of anatomical barriers on maxillary incisor root resorption after orthodontic treatment with premolar extractions

    Scientific Electronic Library Online (English)

    Antonio Geraldo de, Oliveira; Fabiana Guilhermina Ferreira, Castro.

    2012-04-01

    Full Text Available INTRODUCTION: Apical root resorption is a frequent and occasionally critical problem in orthodontic patients undergoing induced tooth movement. One of the factors that might influence prognosis, especially in maxillary incisors, which most frequently present resorptions, are the so-called the anatom [...] ical barriers; that is, proximity of the buccal and palatal cortical bones to the maxillary incisor roots. OBJECTIVE: The purpose of this research was to investigate whether patients with excessive vertical growth really present a small distance between the alveolar cortical bones and the maxillary incisor roots, and whether there is a correlation between this distance and the root resorption index in comparison with patients presenting horizontal growth. METHODS: The sample comprised orthodontic records of 18 patients with extraction planning of first maxillary premolars and treatment by the standard and/or preadjusted edgewise brackets. Their initial and final periapical radiographs were evaluated to determine the amount of root resorption that occurred. RESULTS: On the palatal side, patients with excessive vertical growth (Group 2 - SN-GoGn > 43º) showed a narrower alveolar bone than the horizontal growth patients (Group 1 - SN-GoGn

  20. Resorption pattern and radiographic diagnosis of invasive cervical resorption

    OpenAIRE

    Luso, Sandra; Luder, Hans Ulrich

    2012-01-01

    Summary The aim of this study was to evaluate, whether and how the histologic structure of invasive cervical resorption (external granulomas) affect their clinical radiographic diagnosis. For this purpose, nine more or less intact extracted teeth, of which intraoral radiographs were available, were processed for examination in the scanning electron (SEM) and light microscope. From some of the specimens non-decalcified ground sections were prepared and some were decalcified for preparation of ...

  1. Clinical technique for invasive cervical root resorption

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Machado Silveira

    2011-01-01

    Full Text Available This clinical case report describes the diagnosis and treatment of an external invasive cervical resorption. A 17-year-old female patient had a confirmed diagnosis of invasive cervical resorption class 4 by cone beam computerized tomography. Although, there was no communication with the root canal, the invasive resorption process was extending into the cervical and middle third of the root. The treatment of the cervical resorption of the lateral incisor interrupted the resorptive process and restored the damaged root surface and the dental functions without any esthetic sequelae. Both the radiographic examination and computed tomography are imperative to reveal the extent of the defect in the differential diagnosis.

  2. Pulmonary alveolar microlithiasis

    OpenAIRE

    Kashyap, Surender; Prasanta R. Mohapatra

    2013-01-01

    Pulmonary alveolar microlithiasis (PAM) is a rare, chronic lung disease with bilateral intra-alveolar calcium and phosphate deposition throughout the lung parenchyma with predominance to lower and midzone. Although, etiology and pathogenesis of PAM is not fully understood, the mutation in SLC34A2 gene that encodes a sodium-phosphate co-transporter in alveolar type II cells resulting in the accumulation and forming of microliths rich in calcium phosphate (due to impaired clearance) are conside...

  3. Extensive pulmonary alveolar microlithiasis

    OpenAIRE

    Rittayamai, Nuttapol; Muangman, Nisa; Ruangchira-Urai, Ruchira

    2013-01-01

    Pulmonary alveolar microlithiasis is a rare pulmonary disorder that is caused by abnormal sodium-dependent phosphate co-transporter from the mutation of SLC34A2 gene, leading to accumulation of microliths in the alveoli. We report the extensive pulmonary alveolar microlithiasis in an elderly woman who presented with progressive dyspnea for 2 months. Chest radiograph revealed diffuse pulmonary calcification. Tissue histopathology from open lung biopsy demonstrated widespread intra-alveolar lam...

  4. Biological Events in Periodontal Ligament and Alveolar Bone Associated with Application of Orthodontic Forces

    Science.gov (United States)

    Feller, L.; Khammissa, R. A. G.; Schechter, I.; Thomadakis, G.; Fourie, J.; Lemmer, J.

    2015-01-01

    Orthodontic force-induced stresses cause dynamic alterations within the extracellular matrix and within the cytoskeleton of cells in the periodontal ligament and alveolar bone, mediating bone remodelling, ultimately enabling orthodontic tooth movement. In the periodontal ligament and alveolar bone, the mechanically induced tensile strains upregulate the expression of osteogenic genes resulting in bone formation, while mechanically induced compressive strains mediate predominantly catabolic tissue changes and bone resorption. In this review article we summarize some of the currently known biological events occurring in the periodontal ligament and in the alveolar bone in response to application of orthodontic forces and how these facilitate tooth movement. PMID:26421314

  5. Contaminant resorption during soil washing

    International Nuclear Information System (INIS)

    To evaluate the applicability of soil washing to a specific site requires some basic research in how contaminants are bound. Much can be learned from sequential extraction methodology based on micronutrient bioavailability studies wherein the soil matrix is chemically dissected to selectively remove particular fixation mechanisms independently. This procedure uses a series of progressively more aggressive solvents to dissolve the principle phases that make up a soil, however, the published studies do not appear to consider the potential for a contaminant released from one type of site to resorb on another site during an extraction. This physical model assumes no ion exchange or adsorption at sites either previously occupied by other ions, or exposed by the dissolution. Therefore, to make engineering use of the sequential extraction data, the release of contamination must be evaluated relative to the effects of resorption. Time release studies were conducted to determine the optimum duration for extraction to maximize complete destruction of the target matrix fraction while minimizing contaminant resorption. Tests with and without a potassium brine present to inhibit cesium resorption indicated extraction efficiency could be enhanced by as much as a factor of ten using the brine

  6. Pulmonary alveolar proteinosis

    Directory of Open Access Journals (Sweden)

    B. Crestani

    2011-06-01

    Full Text Available Pulmonary alveolar proteinosis (PAP is a rare pulmonary disease characterised by alveolar accumulation of surfactant. It may result from mutations in surfactant proteins or granulocyte macrophage-colony stimulating factor (GM-CSF receptor genes, it may be secondary to toxic inhalation or haematological disorders, or it may be auto-immune, with anti-GM-CSF antibodies blocking activation of alveolar macrophages. Auto-immune alveolar proteinosis is the most frequent form of PAP, representing 90% of cases. Although not specific, high-resolution computed tomography shows a characteristic “crazy paving” pattern. In most cases, bronchoalveolar lavage findings establish the diagnosis. Whole lung lavage is the most effective therapy, especially for auto-immune disease. Novel therapies targeting alveolar macrophages (recombinant GM-CSF therapy or anti-GM-CSF antibodies (rituximab and plasmapheresis are being investigated. Our knowledge of the pathophysiology of PAP has improved in the past 20 yrs, but therapy for PAP still needs improvement.

  7. Equine Odontoclastic Tooth Resorption and Hypercementosis: Histopathologic Features.

    Science.gov (United States)

    Smedley, R C; Earley, E T; Galloway, S S; Baratt, R M; Rawlinson, J E

    2015-09-01

    Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a painful progressive condition of older horses that involves multiple teeth, including canines and incisors. EOTRH is uncommonly recognized by veterinary pathologists and in some cases may be misdiagnosed as cementoblastoma. The cause is unknown. The goals of this study were to describe the histopathologic features of EOTRH in 17 affected horses from the United States and to increase awareness of this condition. Samples ranged from affected tooth to the entire rostral mandible and maxilla. Affected teeth exhibited cemental hyperplasia and lysis. The marked proliferation of cementum in severe cases caused bulbous enlargement of the intra-alveolar portions of affected teeth. Several teeth contained necrotic debris, bacteria, and plant material in the regions of cemental lysis. All horses exhibited dentinal lysis in at least affected tooth, and several contained necrotic debris in these regions. Endodontic disease was often present with inflammation, lysis, necrotic debris, fibrosis, and/or a thin rim of atubular mineralized tissue in the pulp cavity. Periodontal disease was a common feature that was primarily characterized by moderate lymphoplasmacytic inflammation. Resorption with secondary hypercementosis appears to begin on the external surface of the teeth rather than within the pulp cavity. Distinguishing EOTRH from other diseases requires a complete history that includes the number and location of affected teeth, a gross description of regional hard/soft tissue health, and radiographic findings. PMID:26077784

  8. Working pairs for resorption refrigerator

    International Nuclear Information System (INIS)

    The performances of three chemisorption working pairs operating under the resorption cycle were studied gravimetrically by comparing the desorbed and adsorbed mass of refrigerant in different operation conditions. All pairs used NH3 as refrigerant and MnCl2 in the main reactor, but each one used a different salt for the cooling effect production in the secondary reactor. These salts were NH4Cl or NaBr or BaCl2. The experimental results indicated that the degree of conversion in reaction between the NH3 and BaCl2 was inferior to 25% during cooling production at 0 oC or below, whereas the reactions with the other salts had conversions of at least 80%. When the systems operated with heat source temperature for the main reactor at 155 oC, heat sink temperature for both reactors at 30 oC, and cooling effect production temperature at 0 oC the coefficient of performance (COP) of the system using NH4Cl and the system using NaBr were similar and around 0.30; however, the former system had a specific cooling power (SCP) 5% higher than that of the latter system. Because the reaction in the system with NH4Cl was practically halted in a period much shorter than that used in the experiments, it is possible to expect that if the period of the cooling period was shortened, the difference between the SCP of those systems would be much higher. - Highlights: ? The comparison of three different working pairs operating under resorption cycle was conducted. ? The three working pairs were NH4Cl/MnCl2, NaBr/MnCl2, BaCl2/MnCl2, respectively. ? The mass of refrigerant reacted in different situations were measured and compared. ? Among the LTS studied, NH4Cl is the most suitable to be used in a resorption machine at 0 or below 0 oC.

  9. Oral Rehabilitation of Adult Edentulous Siblings Severely Lacking Alveolar Bone Due to Ectodermal Dysplasia: A Report of 2 Clinical Cases and a Literature Review.

    Science.gov (United States)

    Wu, Yiqun; Zhang, Chenping; Squarize, Cristiane H; Zou, Duohong

    2015-09-01

    The oral conditions of adult edentulous patients with ectodermal dysplasia (ED) often lead to decreased physical and psychological health, and the negative effects can become as extreme as social and psychological isolation. However, restoring oral function of adult edentulous patients with ED using zygomatic implants (ZIs) or conventional implants (CIs) remains challenging for dentists because of the severe atrophy of these patients' alveolar ridges. This report describes 2 cases of adult edentulous siblings with ED; they exhibited severe alveolar bone atrophy and were treated with ZIs and CIs as bases to augment the bone in their anterior jaws. For these patients, bone augmentation was completed with an autogenous fibular graft. Although there was mild evidence of bone graft resorption in the maxilla, the bone augmentation procedures were successful in the 2 patients. Effective osseointegration of the implants was obtained. After placement, the functional and esthetic results of the oral rehabilitation were acceptable. More importantly, restoration of the patients' oral function enhanced their self-confidence and self-esteem. Therefore, restoring oral function in adult patients with ED and edentulous jaws using ZIs and CIs as the bases for bone augmentation is an effective approach. PMID:25957874

  10. On radionuclide resorption from the gastrointestinal tract

    International Nuclear Information System (INIS)

    In experiments with rats a study was made of a number of factors influencing the resorption of 241Am from the gastrointestinal tract (GIT). The resorption of 241Am from GIT was found to be 120-245 times more intensive in neonatal rats, during the first 21 days after birth (a milk diet), than in adult animals. A milk diet for adult rats produced a 5-fold increase in the resorption of 241Am from GIT. The additional administration of digestive enzymes, as a homogenate from pancreas and small intestine, produced a 7-9-fold increase in the rate of 241Am resorption from GIT

  11. Alveolar Epithelial ?2-Adrenergic Receptors

    OpenAIRE

    Mutlu, Gökhan M; Factor, Phillip

    2007-01-01

    ?2-adrenergic receptors are present throughout the lung, including the alveolar airspace, where they play an important role for regulation of the active Na+ transport needed for clearance of excess fluid out of alveolar airspace. ?2-adrenergic receptor signaling is required for up-regulation of alveolar epithelial active ion transport in the setting of excess alveolar edema. The positive, protective effects of ?2-adrenergic receptor signaling on alveolar active Na+ transport in normal and inj...

  12. Molecular mediators of alveolarization

    OpenAIRE

    Wolff, Jens-Christian

    2010-01-01

    Egr1 is a growth factor with multiple different interaction partners and numerous effects covering most of the known cellular processes. Having found a postnatal downregulation of this anti-proliferative, pro-apoptotic molecule fits the needs of high division ratios within alveolarization, but may also depict a diminished necessity of differentiation. Stainings revealed single alveolar septal cells of both models to (over-) express Egr1, potentially emphasizing a local pro-prol...

  13. Augmentation of residual alveolar bone height with tissue engineering for dental implant placement

    Directory of Open Access Journals (Sweden)

    S M Balaji

    2014-01-01

    Full Text Available The challenge of correcting deficient vertical alveolar height for dental implant placement has been there since dental implants came in to regular clinical placement. The ability of various methods to increase the residual alveolar height has met with varying results. The primary reason is that the techniques were not quite successful in maintaining the required residual alveolar height. Use of Bone Morphogentic Protein, especially rhBMP-2 has been met with high degree of success in deficient vertical alveolar height in a mandibular ridge. The demonstration of this using a case has been presented here.

  14. Understanding coupling between bone resorption and formation

    DEFF Research Database (Denmark)

    Andersen, Thomas Levin; Abdelgawad, Mohamed Essameldim; Kristensen, Helene Bjørg; Hauge, Ellen M; Rolighed, Lars; Bollerslev, Jens; Kjærsgaard-Andersen, Per; Delaisse, Jean-Marie

    2013-01-01

    Bone remodeling requires bone resorption by osteoclasts, bone formation by osteoblasts, and a poorly investigated reversal phase coupling resorption to formation. Likely players of the reversal phase are the cells recruited into the lacunae vacated by the osteoclasts and presumably preparing thes...

  15. An interdisciplinary management of severely resorbed maxillary anterior ridge complicated by traumatic bite using a ridge splitting technique

    Directory of Open Access Journals (Sweden)

    Narender Dev Gupta

    2015-01-01

    Full Text Available Injury to the teeth and alveolar ridge of the maxillary anterior region due to trauma can cause severe alveolar ridge deficiency. Ridge augmentation is a valuable periodontal plastic surgical method for the correction of ridge defects for esthetic purpose. Although ridge augmentation can help to restore the ridge volume, the grafting procedures can significantly increase the patient morbidity, treatment time, and the cost. Among the ridge augmentation techniques, the ridge split procedure demonstrates many benefits such as no need for donor site, the rare risk of damage to underlying anatomical structures, less pain, and swelling. This case report presents a vertical split technique for increasing the bone volume. There was a remarkable healing and significant increase in bone volume. We have followed the case for 6 months.

  16. Root Resorption in Orthodontics: Literature Review

    Directory of Open Access Journals (Sweden)

    María Alexandra Lozano-Chourio

    2009-12-01

    Full Text Available This article is a literature review about external root resorption and the biological and mechanical factors that predispose its appearance in orthodontic patients. Genetic, systemic and pharmacological factors, chronological and dental age, nutritional status, gender, race, habits, tooth morphology, size and number, resorptions and dental trauma previous to periapical infections, occlusal factors and specific vulnerability to resorption are described. Among mechanical factors, the type of appliances, the type of movement, duration of forces, and duration of treatment are included. Since external root resorption is considered an undesirable side effect associated with orthodontic movement, it is responsibility of the orthodontist to be aware of all these risk factors for external root resorption, for its timely prevention or interception.

  17. Decreased potassium stimulates bone resorption.

    Science.gov (United States)

    Bushinsky, D A; Riordon, D R; Chan, J S; Krieger, N S

    1997-06-01

    Metabolic acidosis induces net calcium efflux (JCa+) from cultured bone, in part, through an increase in osteoclastic resorption and a decrease in osteoblastic formation. In humans provision of base as potassium (K+) citrate, but not sodium (Na+) citrate, reduces urine Ca (UCa), and oral KHCO3 decreases bone resorption and UCa in postmenopausal women. Potassium deprivation alone leads to an increase in UCa. To determine whether decreased extracellular K+ concentration ([K+]) at a constant pH, PCO2, and [HCO-3] alters JCa+ and bone cell activity, we measured JCa+, osteoblastic collagen synthesis, and osteoclastic beta-glucuronidase release from neonatal mouse calvariae cultured for 48 h in medium of varying [K+]. Calvariae were cultured in control medium (approximately 4 mM [K+]) or medium with mildly low K+ (MLK, approximately 3 mM [K+]), very low K+ (VLK, approximately 2 mM [K+]), or extremely low K+ (ELK, approximately 1 mM [K+]) (n > or = 9 in each group). Compared with control, ELK, but not MLK or VLK, resulted in a marked increase in JCa+ and an increase in beta-glucuronidase release and a decrease in collagen synthesis. JCa+ was correlated directly with medium beta-glucuronidase activity and inversely with collagen synthesis. To determine whether the reduction in medium [K+] was associated with a decrease in intracellular pH (pHi), we measured pHi in MC3T3-E1 cells, a mouse osteoblastic cell line. Incubation in 1 mM [K+] led to a significant decrease in pHi compared with 3 mM [K+]. Thus incubation in a reduced [K+] medium stimulates JCa+ and osteoclastic enzyme release and inhibits osteoblastic collagen synthesis, which may be mediated by a reduction in bone cell pH. PMID:9227639

  18. Severely Resorbed Edentulous Ridges: A Preventive Prosthodontic Approach - A Case Report.

    Science.gov (United States)

    Karnam, Shalini; Basimi, Swapna; Surapaneni, Haragopal; Basapogu, Sreeramulu; Gantala, Ramlal

    2015-10-01

    As a dentist our main aim should be prevention which not only includes prevention of caries and or periodontal disease but also prevention of residual alveolar bone loss after teeth are extracted. Today with greater stress on preventive measures, the dental profession has expanded this preventive concept into Prosthodontics. Preventive Prosthodontics emphasizes the importance of any procedure that can delay or eliminate the future Prosthodontic problem and stop further progression of oral disease and prevent the loss of remaining tissues. The Residual Ridge Resorption (RRR) is an inevitable consequence of tooth loss and denture wearing. Severe RRR gradually results in increased interarch distance, significant horizontal discrepancy between edentulous ridges, occurrence of flabby displaceable tissues in the denture bearing area and other sequelae. Prosthetic rehabilitation in these patients can be challenging. The conventional complete denture fabrication in such cases may further compound the poor denture bearing ability of the tissues and lead to decreased retention, stability and support which may result in psychological problems and social isolation. This case report emphasizes the importance of preventive concepts in every step of complete denture fabrication to offer a long serviceable prosthesis without any significant complications and compromise. PMID:26557629

  19. Crown amputation with intentional root retention for advanced feline resorptive lesions--a clinical study.

    Science.gov (United States)

    DuPont, G

    1995-03-01

    Whole tooth extraction is generally considered to be the treatment of choice for teeth with advanced feline external odontoclastic resorptive lesions. These teeth often have both a weakened, brittle crown and radicular ankylosis. These two factors cause frustration and sometimes complications during attempts at extraction. This study investigated the alternative of intentionally leaving part or all of non-pathologic tooth roots in situ to prevent iatrogenic trauma to the patient, loss of alveolar bone, and prolonged healing of surgical defects. Fifty one roots from 23 teeth were radiographed 5-36 months following elective root retention; continued resorption without surrounding bony reaction was seen in almost all cases. In one cat, the roots retained normal periodontal ligament one year later, and in another cat that developed severe stomatitis, the intentionally retained roots were extracted at the same time that the remaining molar teeth were extracted. PMID:9693619

  20. [Distraction osteogenesis of deficient alveolar bone prior to dental rehabilitation].

    Science.gov (United States)

    Shilo, D; Emodi, O; Aizenbud, D; Rachmiel, A

    2015-07-01

    Implant supported rehabilitation has become very common in treatment plans nowadays, yet many patients lack the vertical and horizontal bone dimensions required for endosseous implant insertion. Distraction osteogenesis is a technique in which bone is generated by progressive elongation of two bone fragments following an osteotomy or corticotomy. Distraction osteogenesis of the alveolar ridge as a treatment modality in implant dentistry is a very useful technique that allows for adequate bone formation suitable for implant insertion. Alveolar distraction can be unidirectional, bidirectional, multidirectional or horizontal. Alveolar distraction osteogenesis can be performed by using intraosseous distraction devices, intraosseous distraction implants or by extraosseous devices which are the most prevalent today. Distraction osteogenesis has many advantages such as gradual lengthening of the bone with no need for an autogenous bone graft and lack of the associated donor site morbidity as well as distraction of the surrounding soft tissue together with the transported bone. One of the major challenges when using alveolar distraction osteogenesis is controlling the vector of distraction, this problem should be further addressed in future researches. We describe different methods for alveolar distraction osteogenesis, including the surgical procedure, latency period, lengthening and consolidation period. We also discuss the advantages, disadvantages and complications of the method. In this manuscript a case of mandibular alveolar deficiency following mandibular fracture and loss of teeth and the alveolar bone is presented. This patient was treated by alveolar distraction osteogenesis with excellent results. This patient was later rehabilitated . using endosseous implants as demonstrated by radiographs. Alveolar distraction osteogenesis provides a method to regain both hard tissue and soft tissue without additional grafting and is an efficient modality in cases of medium to severe bone loss. PMID:26548149

  1. Proteinosis alveolar pulmonar

    Directory of Open Access Journals (Sweden)

    Concepción Sánchez Infante

    2011-12-01

    Full Text Available La proteinosis alveolar pulmonar es una enfermedad respiratoria crónica, caracterizada por alteración en el metabolismo del surfactante, lo que determina su acumulación anormal en el espacio alveolar. Es una enfermedad extremadamente rara. Se han reportado solamente 500 casos en la literatura. Se describió por primera vez en 1958. Se presenta un caso de proteinosis alveolar pulmonar en un lactante de 2 meses, con desnutrición proteico energética, que ingresa por dificultad respiratoria e hipoxemia, y, con imágenes radiológicas de tipo retículo-nodulillar, en vidrio deslustrado, en el cual se plantea inicialmente el diagnóstico de bronconeumonía. Ante la evolución desfavorable y no respuesta al tratamiento, se realizó un estudio para descartar enfermedades pulmonares crónicas. El paciente fallece y se confirma el diagnóstico por anatomía patológica. Se realiza una revisión del tema.

  2. Pulmonary alveolar microlithiasis

    Directory of Open Access Journals (Sweden)

    Surender Kashyap

    2013-01-01

    Full Text Available Pulmonary alveolar microlithiasis (PAM is a rare, chronic lung disease with bilateral intra-alveolar calcium and phosphate deposition throughout the lung parenchyma with predominance to lower and midzone. Although, etiology and pathogenesis of PAM is not fully understood, the mutation in SLC34A2 gene that encodes a sodium-phosphate co-transporter in alveolar type II cells resulting in the accumulation and forming of microliths rich in calcium phosphate (due to impaired clearance are considered to be the cause of the disease. Chest radiograph and high-resolution CT of thorax are nearly pathognomonic for diagnosing PAM. HRCT demonstrates diffuse micronodules showing slight perilobular predominance resulting in calcification of interlobular septa. Patients with PAM are asymptomatic till development of hypoxemia and cor-pulmonale. No therapy has been proven to be beneficial except lung transplantation.

  3. Restoration of the maxillary anterior tooth using immediate implantation with simultaneous ridge augmentation

    OpenAIRE

    Park Jun-Beom

    2010-01-01

    Atrophy is most severe during the first month of post-extraction in the anterior maxilla with the degree of horizontal bone resorption being nearly twice as high as that of vertical bone resorption. The loss of the buccal alveolar plate following tooth extraction may lead to palatal implant positioning of the implants. Thus, immediate or early implant placement in the extraction socket has been suggested, because it would reduce the time period and the number of surgical intervention and yiel...

  4. 3D-CT evaluation of secondary alveolar bone grafts in alveolar clefts

    International Nuclear Information System (INIS)

    From 1994 to 2000, we treated 116 patients with cleft alveolus by secondary alveolar bone grafts, and 48 of them were evaluated morphologically with 3D-CT. The frequency of successful bony bridging was significantly higher in the group whose grafts were completely enveloped (including the anterior alveolar ridge) with a mucoperiosteal flap. The frequency was also significantly higher in the group who underwent bone grafts at the age of 13 or less, and canine eruptions did not influence the ratio. Some cases showed such an improved growth pattern of grafted bone that the shape of the affected maxilla resembled that of the normal side, after long-term follow-up observations. The growth increment was remarkable in anterior maxillary height. Orthodontic management guides the canine or incisor into the reconstructed area of the previous cleft. We surmise that the new occlusal position puts pressure on the grafted bone and promotes further osteogenesis. These findings show that it is important to produce sufficient bony bridge to guide the canine or incisor, not the volume of grafted bone, in secondary alveolar bone grafts. Long-term follow-up observation, after more than 2-3 years, is also necessary to evaluate secondary alveolar bone grafts. (author)

  5. 3D-CT evaluation of secondary alveolar bone grafts in alveolar clefts

    Energy Technology Data Exchange (ETDEWEB)

    Naitoh, Hiroshi; Nishimura, Yoshihiko [Kyoto Univ. (Japan). Graduate School of Medicine; Yamawaki, Yoshiroh [Kyoto Katsura Hospital (Japan); Morimoto, Naoki [Kobe City General Hospital (Japan)

    2002-07-01

    From 1994 to 2000, we treated 116 patients with cleft alveolus by secondary alveolar bone grafts, and 48 of them were evaluated morphologically with 3D-CT. The frequency of successful bony bridging was significantly higher in the group whose grafts were completely enveloped (including the anterior alveolar ridge) with a mucoperiosteal flap. The frequency was also significantly higher in the group who underwent bone grafts at the age of 13 or less, and canine eruptions did not influence the ratio. Some cases showed such an improved growth pattern of grafted bone that the shape of the affected maxilla resembled that of the normal side, after long-term follow-up observations. The growth increment was remarkable in anterior maxillary height. Orthodontic management guides the canine or incisor into the reconstructed area of the previous cleft. We surmise that the new occlusal position puts pressure on the grafted bone and promotes further osteogenesis. These findings show that it is important to produce sufficient bony bridge to guide the canine or incisor, not the volume of grafted bone, in secondary alveolar bone grafts. Long-term follow-up observation, after more than 2-3 years, is also necessary to evaluate secondary alveolar bone grafts. (author)

  6. Immunology of root resorption: A literature review

    Directory of Open Access Journals (Sweden)

    Silva Luciano

    2008-01-01

    Full Text Available Root resorption seems to be related to a complex combination of mechanical factors and biological activity, which comprehends the role of immunologic structures including specialized cells. The aim of this research was to explain the development of the process - from mineralization to the destruction of hard tissues - and the possible relationship between root resorption and immunology, along with discussing current concepts described in the literature.

  7. The four mechanisms of dental resorption initiation

    Scientific Electronic Library Online (English)

    Alberto, Consolaro.

    2013-06-01

    Full Text Available O presente trabalho propõe-se a apresentar uma classificação, com aplicação clínica, para as reabsorções dentárias, para que o diagnóstico seja objetivo e imediatamente ligado à causa do problema, levando automaticamente o clínico ao provável plano de tratamento e a um prognóstico preciso. Com esse [...] objetivo, sugerimos agrupar cada caso clínico de reabsorção dentária em um dos seguintes grupos: 1) Reabsorções radiculares pela morte dos cementoblastos, com manutenção dos restos epiteliais de Malassez. 2) Reabsorções radiculares pela morte dos cementoblastos e dos restos epiteliais de Malassez. 3) Reabsorções dentárias pela morte dos odontoblastos, com manutenção da vitalidade pulpar. 4) Reabsorções dentárias pela exposição direta da dentina ao tecido conjuntivo gengival, nos gaps da junção amelocementária. Abstract in english The aim of this study is to present a classification with a clinical application for root resorption, so that diagnosis will be more objective and immediately linked to the source of the problem, leading the clinician to automatically develop the likely treatment plan with a precise prognosis. With [...] this purpose, we suggest putting together all diagnosed dental resorptions into one of these four criteria: 1) Root resorption caused by cementoblast cell death, with preservation of the Malassez epithelial rests. 2) Root resorption by cementoblasts and Malassez epithelial rests death. 3) Dental resorption by odontoblasts cell death with preservation of pulp vitality. 4) Dental resorption by direct exposure of dentin to gingival connective tissue at the cementoenamel junction gaps.

  8. Predisposing factors to severe external root resorption associated to orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Gracemia Vasconcelos Picanço

    2013-02-01

    Full Text Available OBJECTIVE: The aim of this study was to evaluate predisposing factors among patients who developed moderate or severe external root resorption (Malmgren's grades 3 and 4, on the maxillary incisors, during fixed orthodontic treatment in the permanent dentition. METHODS: Ninety-nine patients who underwent orthodontic treatment with fixed edgewise appliances were selected. Patients were divided into two groups: G1 - 50 patients with no root resorption or presenting only apical irregularities (Malmgren's grades 0 and 1 at the end of the treatment, with mean initial age of 16.79 years and mean treatment time of 3.21 years; G2 - 49 patients presenting moderate or severe root resorption (Malmgren's grades 3 and 4 at the end of treatment on the maxillary incisors, with mean initial age of 19.92 years and mean treatment time of 3.98 years. Periapical radiographs and lateral cephalograms were evaluated. Factors that could influence the occurrence of severe root resorption were also recorded. Statistical analysis included chi-square tests, Fisher's exact test and independent t tests. RESULTS: The results demonstrated significant difference between the groups for the variables: Extractions, initial degree of root resorption, root length and crown/root ratio at the beginning, and cortical thickness of the alveolar bone. CONCLUSION: It can be concluded that: Presence of root resorption before the beginning of treatment, extractions, reduced root length, decreased crown/root ratio and thin alveolar bone represent risk factors for severe root resorption in maxillary incisors during orthodontic treatment.OBJETIVO: avaliar os fatores comuns aos pacientes que desenvolveram reabsorção radicular externa moderada ou severa (graus 3 e 4 de Malmgren nos incisivos superiores, durante o tratamento ortodôntico fixo na dentição permanente. MÉTODOS: foram selecionados 99 pacientes que iniciaram o tratamento ortodôntico fixo com a técnica Edgewise. Os pacientes foram divididos em dois grupos: G1 - 50 pacientes que concluíram o tratamento com ausência de reabsorções radiculares ou apresentando apenas irregularidades apicais (graus 0 e 1 de Malmgren, com idade média inicial de 16,79 anos e tempo de tratamento médio de 3,21 anos; G2 - 49 pacientes que finalizaram o tratamento apresentando reabsorção radicular moderada ou severa (graus 3 e 4 de Malmgren nos incisivos superiores, com idade média inicial de 19,92 anos e tempo de tratamento médio de 3,98 anos. As radiografias periapicais e telerradiografias foram avaliadas, além de diversos fatores que pudessem influenciar a ocorrência de uma reabsorção severa. A análise estatística incluiu o testes qui-quadrado, teste exato de Fisher e teste t independente. RESULTADOS: foi demonstrada a presença de diferença significativa entre os grupos para as variáveis realização de extrações, grau de reabsorção radicular inicial, comprimento radicular, proporção coroa/raiz e da espessura da cortical óssea alveolar. CONCLUSÃO: pode-se concluir que são fatores de risco para reabsorção radicular severa nos incisivos superiores, durante o tratamento ortodôntico, a presença de reabsorção radicular antes do início do tratamento, a realização de extrações, o comprimento radicular reduzido, a proporção coroa/raiz diminuída e a espessura óssea alveolar fina.

  9. Predisposing factors to severe external root resorption associated to orthodontic treatment

    Scientific Electronic Library Online (English)

    Gracemia Vasconcelos, Picanço; Karina Maria Salvatore de, Freitas; Rodrigo Hermont, Cançado; Fabricio Pinelli, Valarelli; Paulo Roberto Barroso, Picanço; Camila Pontes, Feijão.

    2013-02-01

    Full Text Available OBJETIVO: avaliar os fatores comuns aos pacientes que desenvolveram reabsorção radicular externa moderada ou severa (graus 3 e 4 de Malmgren) nos incisivos superiores, durante o tratamento ortodôntico fixo na dentição permanente. MÉTODOS: foram selecionados 99 pacientes que iniciaram o tratamento or [...] todôntico fixo com a técnica Edgewise. Os pacientes foram divididos em dois grupos: G1 - 50 pacientes que concluíram o tratamento com ausência de reabsorções radiculares ou apresentando apenas irregularidades apicais (graus 0 e 1 de Malmgren), com idade média inicial de 16,79 anos e tempo de tratamento médio de 3,21 anos; G2 - 49 pacientes que finalizaram o tratamento apresentando reabsorção radicular moderada ou severa (graus 3 e 4 de Malmgren) nos incisivos superiores, com idade média inicial de 19,92 anos e tempo de tratamento médio de 3,98 anos. As radiografias periapicais e telerradiografias foram avaliadas, além de diversos fatores que pudessem influenciar a ocorrência de uma reabsorção severa. A análise estatística incluiu o testes qui-quadrado, teste exato de Fisher e teste t independente. RESULTADOS: foi demonstrada a presença de diferença significativa entre os grupos para as variáveis realização de extrações, grau de reabsorção radicular inicial, comprimento radicular, proporção coroa/raiz e da espessura da cortical óssea alveolar. CONCLUSÃO: pode-se concluir que são fatores de risco para reabsorção radicular severa nos incisivos superiores, durante o tratamento ortodôntico, a presença de reabsorção radicular antes do início do tratamento, a realização de extrações, o comprimento radicular reduzido, a proporção coroa/raiz diminuída e a espessura óssea alveolar fina. Abstract in english OBJECTIVE: The aim of this study was to evaluate predisposing factors among patients who developed moderate or severe external root resorption (Malmgren's grades 3 and 4), on the maxillary incisors, during fixed orthodontic treatment in the permanent dentition. METHODS: Ninety-nine patients who unde [...] rwent orthodontic treatment with fixed edgewise appliances were selected. Patients were divided into two groups: G1 - 50 patients with no root resorption or presenting only apical irregularities (Malmgren's grades 0 and 1) at the end of the treatment, with mean initial age of 16.79 years and mean treatment time of 3.21 years; G2 - 49 patients presenting moderate or severe root resorption (Malmgren's grades 3 and 4) at the end of treatment on the maxillary incisors, with mean initial age of 19.92 years and mean treatment time of 3.98 years. Periapical radiographs and lateral cephalograms were evaluated. Factors that could influence the occurrence of severe root resorption were also recorded. Statistical analysis included chi-square tests, Fisher's exact test and independent t tests. RESULTS: The results demonstrated significant difference between the groups for the variables: Extractions, initial degree of root resorption, root length and crown/root ratio at the beginning, and cortical thickness of the alveolar bone. CONCLUSION: It can be concluded that: Presence of root resorption before the beginning of treatment, extractions, reduced root length, decreased crown/root ratio and thin alveolar bone represent risk factors for severe root resorption in maxillary incisors during orthodontic treatment.

  10. RABDOMIOSARCOMA ALVEOLAR DE UTERO

    Scientific Electronic Library Online (English)

    Ernesto, Hurel M; Gregorio, Evans M; Ronald, Poulsen R; Hugo, Gómez P.

    Full Text Available Los rabdomiosarcomas constituyen un tipo raro de sarcoma que se origina en las células mesenquimáticas que van a derivar en músculo estriado. De ocurrencia mayoritaria en la infancia (50-55% de los sarcomas de los niños, de ellos el 70% ocurre en la primera década). Se clasifican en forma histológic [...] a en embriones, botriodes, alveolar y pleomórficas. Estos tumores se diagnostican en raras ocasiones. Se etapifican según la IRSG de Estados Unidos. Debido a los pobres resultados se evalúa la sobrevida a los 2 años (90% de mortalidad a los dos años). A continuación presentamos el poco afortunado caso de una paciente manejada en nuestro servicio, en cuyo estudio patológico se demostró un rabdomiosarcoma alveolar de útero Abstract in english Rabdomyosarcoma constitutes a rare type of sarcoma that it is originated in the mesenchymal cells that are going to derive in striated muscle. Are more common in childhood (50-55% of sarcomas of the children, of them 70% happens in a the first decade). They are classified histologicaly in embryonic, [...] botryoid, alveolar and pleomorphic. These tumors are diagnosed very seldom. We present the unfortunate case of a patient handled in our service, in whose pathological study a uterine alveolar rhabdomyosarcoma was demonstrated

  11. RABDOMIOSARCOMA ALVEOLAR DE UTERO

    Directory of Open Access Journals (Sweden)

    Ernesto Hurel M

    2003-01-01

    Full Text Available Los rabdomiosarcomas constituyen un tipo raro de sarcoma que se origina en las células mesenquimáticas que van a derivar en músculo estriado. De ocurrencia mayoritaria en la infancia (50-55% de los sarcomas de los niños, de ellos el 70% ocurre en la primera década. Se clasifican en forma histológica en embriones, botriodes, alveolar y pleomórficas. Estos tumores se diagnostican en raras ocasiones. Se etapifican según la IRSG de Estados Unidos. Debido a los pobres resultados se evalúa la sobrevida a los 2 años (90% de mortalidad a los dos años. A continuación presentamos el poco afortunado caso de una paciente manejada en nuestro servicio, en cuyo estudio patológico se demostró un rabdomiosarcoma alveolar de úteroRabdomyosarcoma constitutes a rare type of sarcoma that it is originated in the mesenchymal cells that are going to derive in striated muscle. Are more common in childhood (50-55% of sarcomas of the children, of them 70% happens in a the first decade. They are classified histologicaly in embryonic, botryoid, alveolar and pleomorphic. These tumors are diagnosed very seldom. We present the unfortunate case of a patient handled in our service, in whose pathological study a uterine alveolar rhabdomyosarcoma was demonstrated

  12. Effects of oestrogen deficiency on the alveolar bone of rats with experimental periodontitis.

    Science.gov (United States)

    Xu, Xin-Chen; Chen, Hui; Zhang, Xi; Zhai, Zan-Jing; Liu, Xu-Qiang; Zheng, Xin-Yi; Zhang, Jun; Qin, An; Lu, Er-Yi

    2015-09-01

    Periodontitis is an inflammatory disease characterized by loss of connective tissue and alveolar bone, and osteoporosis is a common disease characterized by a systemic impairment of bone mass and microarchitecture. To date, the association between periodontitis and osteoporosis has remained to be fully elucidated. In the present study, an experimental rat model of periodontitis was used to explore the effects of oestrogen deficiency?induced osteoporosis on the maxillary alveolar bone. Forty?four female, six?month?old Sprague?Dawley rats were randomly divided into four groups: Control, ligature, ovariectomized (OVX), and OVX + ligature. One month after ovariectomy, rats in the ligature and OVX + ligature groups received ligatures on their first and second maxillary molars for 1 month. Fluorescent labelling was performed prior to sacrificing the animals. At the end of the experiment, the maxillae and serum were collected and subjected to micro?computed tomography analysis, confocal laser?scanning microscopic observation, Van Gieson's fuchsin staining, tartrate?resistant acid phosphatase staining and ELISA. Ligatures slightly reduced the alveolar bone mineral density (BMD) and bone formation rate, but significantly reduced alveolar crest height (ACH). Ovariectomy reduced the alveolar BMD, impaired the trabecular structure, reduced the bone formation rate and increased the serum levels of bone resorption markers. Animals in the OVX + ligature group exhibited a lower alveolar BMD, a poorer trabecular structure, a reduced ACH, a lower bone formation rate and higher serum levels of bone resorption markers compared with those in the control group. The results of the present study showed that ovariectomy enhanced alveolar bone loss and reduced the ACH of rats with experimental periodontitis. Thus, post?menopausal osteoporosis may influence the progression of periodontitis. PMID:26035209

  13. Measuring mandibular ridge reduction

    International Nuclear Information System (INIS)

    This thesis investigates the mandibular reduction in height of complete denture wearers and overdenture wearers. To follow this reduction in the anterior region as well as in the lateral sections of the mandible, an accurate and reproducible measuring method is a prerequisite. A radiologic technique offers the best chance. A survey is given of the literature concerning the resorption process after the extraction of teeth. An oblique cephalometric radiographic technique is introduced as a promising method to measure mandibular ridge reduction. The reproducibility and the accuracy of the technique are determined. The reproducibility in the positioning of the mandible is improved by the introduction of a mandibular support which permits a precise repositioning of the edentulous jaw, even after long periods of investigation. (Auth.)

  14. Using Micro-Computed Tomography to Evaluate the Dynamics of Orthodontically Induced Root Resorption Repair in a Rat Model

    Science.gov (United States)

    Yang, Fengxue; Wei, Shicheng; Dai, Hongwei

    2016-01-01

    Objective To observe dynamic changes in root resorption repair, tooth movement relapse and alveolar bone microstructure following the application of orthodontic force. Materials and Methods Forces of 20 g, 50 g or 100 g were delivered to the left maxillary first molars of fifteen 10-week-old rats for 14 days. Each rat was subjected to micro-computed tomography scanning at 0, 3, 7, 10, 14, 28 and 42 days after force removal. The root resorption crater volume, tooth movement relapse and alveolar bone microarchitecture were measured at each time point. Results From day 3 to day 14, the root resorption volume decreased significantly in each group. In the 20-g force group, the root resorption volume gradually stabilized after 14 days, whereas in the 50-g and 100-g force groups, it stabilized after 28 days. In all groups, tooth movement relapsed significantly from day 0 to day 14 and then remained stable. From day 3 to day 10, the 20-g group exhibited faster relapse than the 50-g and 100-g groups. In all groups, the structure model index and trabecular separation decreased slowly from day 0 to day 10 and eventually stabilized. Trabecular number increased slowly from day 0 to day 7 and then stabilized. Conclusions The initial stage of root resorption repair did not change significantly and was followed by a dramatic repair period before stabilizing. The most serious tooth movement relapse occurred immediately after the appliance was removed, and then the tooth completely returned to the original position. PMID:26930605

  15. Alveolar Capillary Dysplasia

    OpenAIRE

    Bishop, Naomi B.; Stankiewicz, Pawel; STEINHORN, ROBIN H.

    2011-01-01

    Alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV) is a rare, fatal developmental lung disorder of neonates and infants. This review aims to address recent findings in the etiology and genetics of ACD/MPV and to raise awareness of this poorly known disease, which may also present as milder, unclassified forms. Successively discussed are what is known about the epidemiology, pathogenesis, pathophysiology, diagnostic indicators and approaches, genetic testing, treat...

  16. Autoimmune pulmonary alveolar proteinosis

    DEFF Research Database (Denmark)

    Leth, Steffen; Bendstrup, Elisabeth; Vestergaard, Hanne; Hilberg, Ole

    2013-01-01

    Pulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by accumulation of a periodic acid Schiff (PAS)-positive eosinophilic material in the distal airways. For decades, the standard treatment of PAP has been whole lung lavage (WLL), where large quantities of saline are instilled into the lungs to remove the proteinaceous material. However, not all patients respond to this treatment. Thus, new treatment modalities, such as subcutaneous or inhaled granulocyte macrophage colony-...

  17. Hydrochlorothiazide inhibits osteoclastic bone resorption in vitro.

    Science.gov (United States)

    Hall, T J; Schaueblin, M

    1994-10-01

    Long-term thiazide diuretic use is associated with higher bone mineral density and reduced hip fracture rates, which are attributed to increased serum calcium levels and decreased parathyroid activity that lead to decreased bone resorption. The present study shows that 1-100 microM hydrochlorothiazide (HCTZ) dose dependently inhibits bone resorption by isolated rat osteoclasts in the bone slice assay with an IC50 of approximately 20 microM. At these concentrations, HCTZ did not affect osteoclast survival on bone slices and had no effect on the proliferation of UMR-106 rat osteoblasts, indicating that the compound is not cytotoxic. However, such concentrations of HCTZ are unlikely to be achieved in man where therapeutic doses are usually 12.5-100 mg/day. That the in vitro effect of HCTZ on bone resorption may be due to inhibition of osteoclast carbonic anhydrase is discussed. PMID:7820777

  18. Rapid orthodontics with alveolar reshaping: two case reports of decrowding.

    Science.gov (United States)

    Wilcko, W M; Wilcko, T; Bouquot, J E; Ferguson, D J

    2001-02-01

    Two case reports demonstrate a new orthodontic method that offers short treatment times and the ability to simultaneously reshape and increase the buccolingual thickness of the supporting alveolar bone. A 24-year-old man with a Class I severely crowded malocclusion and an overly constricted maxilla with concomitant posterior crossbites and a 17-year-old female with a Class I moderately to severely crowded malocclusion requested shortened orthodontic treatment times. This new surgery technique included buccal and lingual full-thickness flaps, selective partial decortication of the cortical plates, concomitant bone grafting/augmentation, and primary flap closure. Following the surgery, orthodontic adjustments were made approximately every 2 weeks. From bracketing to debracketing, both cases were completed in approximately 6 months and 2 weeks. Posttreatment evaluation of both patients revealed good results. At approximately 15 months following surgery in one patient, a full-thickness flap was again reflected. Visual examination revealed good maintenance of the height of the alveolar crest and an increased thickness in the buccal bone. The canine and premolars in this area were expanded buccally by more than 3 mm, and yet there had actually been an increase in the buccolingual thickness of the overlying buccal bone. Additionally, a preexisting bony fenestration buccal of the root of the first premolar was covered. Both of these findings lend credence to the incorporation of the bone augmentation procedure into the corticotomy surgery because this made it possible to complete the orthodontic treatment with a more intact periodontium. The rapid expansive tooth movements with no significant apical root resorption may be attributed to the osteoclastic or catabolic phase of the regional acceleratory phenomenon. Instead of bony "block" movement or resorption/apposition, the degree of demineralization/remineralization might be a more accurate explanation of what occurs in the alveolar bone during physiologic tooth movement in these patients. PMID:11829041

  19. Unusual external resorption of a maxillary lateral.

    Science.gov (United States)

    Giunta, J L; Kaplan, M A

    1994-01-01

    This article defines an unusual previously unreported entity afflicting a maxillary lateral incisor. Labial idiopathic external root resorption just apical to the cemento-enamel presented as a gingival (periodontal) problem and was misinterpreted as cervical dental caries. This report defines a new possibility for a radicular defect in a maxillary lateral incisor that may cause periodontal problems. PMID:8054293

  20. Localized ridge defect augmentation using human pericardium membrane and demineralized bone matrix

    Directory of Open Access Journals (Sweden)

    Arun Kumar Vidyadharan

    2014-01-01

    Conclusion and Clinical Implications: The results suggested that HP Allograft membrane may be a suitable component for augmentation of localized alveolar ridge defects in conjunction with DBM with bone chips.

  1. Radiographic evaluation of apical root resorption following fixed orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Sina Haghanifar

    2012-01-01

    Full Text Available Background and Aims: Apical root resorption is an adverse side effect of fixed orthodontic treatment which cannot be repaired. The aim of this study was to use panoramic radiographs to compare the root resorption before and after the orthodontic treatment with standard edgewise .018 appliance.Materials and Methods: The before and after treatment panoramic views of sixty-three patients needed fixed orthodontic treatment included 1520 teeth were categorized into 3 Grades (G0: without resorption, G1: mild resorption with blunt roots or ? 1/4 of root length, G2: moderate to severe resorption or > 1/4 to 1/2 of root length. Relationship between root resorption and sex and treatment duration was analyzed with Mann-whitney and Spearman's correlation coefficient, respectively.Results: The findings showed that 345 teeth were categorized as Grade 1. Grade 2 of root resorption was not found in this study. The highest amount of root resorption was recorded for the mandibular lateral incisor. In both gender, the root resorption of the mandible was more than that of the maxilla. The males showed significantly higher rate of resorption than the females (P0.05.Conclusion: The mandible and male patients showed higher amount of root resorption. In addition, root resorption was not related to the treatment duration and the side of the jaws.

  2. Pulmonary alveolar proteinosis

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    Hadice Selimo?lu ?en

    2011-06-01

    Full Text Available Pulmonary alveolar proteinosis is a rare disease characterized by the accumulation of lipoproteinosis material within the alveoli. A 36 age male patient applied to our hospital with dyspnea that began 5 months ago. Bilateral diffuse infiltration on postero-anterior chest graphy was seen. Arterial blood gas measurements (ABG was: pH:7.44, pCO2: 36 mmHg, pO2: 49 mmHg, SaO2: 85%, HCO3: 24 mmol/L. High resolution computed tomography (HRCT reported as bilateral diffuse ground glass areas and interlobuler septal thickening on this areas. Asido resistant bacillus was negative in sputum at three times and was also negative in post bronchoscopic sputum and bronchoalveoler lavage material. Wedge resection was made by video-assisted thoracoscopic surgery. Histopathology report of biopsy material revealed “Pulmonary alveolar proteinosis (PAP”. Massive lung lavage under general anesthesia was planned for patient. Clinical improvement was seen in patient beginning from admission and ABG measurements entered the recovery trend in follow-up. Partial pressure of oxygen was increased to 65 mmHg and patient was followed without lung lavage. Control chest radiography and HRCT showed significant radiological improvement. After three months, radiological lesions had completely regressed at control HRCT. As a result, in patients with symptoms and radiologically bilateral diffuse infiltration physicians should consider PAP as a rare disease in the differential diagnosis.

  3. Immediate Loading of One-Piece Implants in Conjunction with a Modified Technique of Inferior Alveolar Nerve Lateralization: 10 Years Follow-Up

    OpenAIRE

    Eldibany, Riham; Rodriguez, Joaquin G.

    2014-01-01

    This report describes a treatment modification for a patient presented with severely resorbed bilateral edentulous posterior mandible and mobility of the anterior teeth. There was less than 8?mm of bone between the crest of the alveolar ridge and the mandibular canal as revealed by radiographic examination. A modified technique for inferior alveolar nerve lateralization (IANL) in conjunction with ridge expansion was performed using threaded bone expanders, which allowed for better primary sta...

  4. [Calcitonin as an alternative treatment for root resorption].

    Science.gov (United States)

    Pierce, A; Berg, J O; Lindskog, S

    1989-01-01

    Inflammatory root resorption is a common finding following trauma and will cause eventual destruction of the tooth root if left untreated. This study examined the effects of intrapulpal application of calcitonin, a hormone known to inhibit osteoclastic bone resorption, on experimental inflammatory root resorption induced in monkeys. Results were histologically evaluated using a morphometric technique and revealed that calcitonin was an effective medicament for the treatment of inflammatory root resorption. It was concluded that this hormone could be a useful therapeutic adjunct in difficult cases of external root resorption. PMID:2576918

  5. Alveolar bone grafting

    Directory of Open Access Journals (Sweden)

    Lilja Jan

    2009-10-01

    Full Text Available In patients with cleft lip and palate, bone grafting in the mixed dentition in the residual alveolar cleft has become a well-established procedure. The main advantages can be summarised as follows: stabilisation of the maxillary arch; facilitation of eruption of the canine and sometimes facilitation of the lateral incisor eruption; providing bony support to the teeth adjacent to the cleft; raising the alar base of the nose; facilitation of closure of an oro-nasal fistula; making it possible to insert a titanium fixture in the grafted site and to obtain favourable periodontal conditions of the teeth within and adjacent to the cleft. The timing of the ABG surgery take into consideration not only eruption of the canine but also that of the lateral incisor, if present. The best time for bone grafting surgery is when a thin shell of bone still covers the soon erupting lateral incisor or canine tooth close to the cleft.

  6. Root resorption : Focus on signs and symptoms of importance for avoiding root resorption during orthodontic treatment

    DEFF Research Database (Denmark)

    Kjaer, Inger

    2014-01-01

    Introduction: This paper summarizes the different conditions, which have a well-known influence on the resorption of tooth roots, exemplified by trauma and orthodontic treatment. The concept of the paper is to summarize and explain symptoms and signs of importance for avoiding resorption during orthodontic treatment. The Hypothesis: The hypothesis in this paper is that three different tissue layers covering the root in the so-called periroot sheet can explain signs and symptoms of importance for avoiding root resorption during orthodontic treatment. These different tissue layers are; outermost-an ectodermal tissue layer (Malassez?s epithelium), a middle layer-composed by the collagen-mesodermal tissue layer, and an innermost root-close innervation layer. Abnormalities in one of these tissue layers are thought to cause inflammatory processes in the periodontal membrane comparable to inflammatory processes provoked by trauma and orthodontic pressure. Inflammatory reactions are followed by resorptive processes in the periroot sheet and along the root surface. Evaluation of the Hypothesis: Different morphologies in the dentition are signs of abnormal epithelium or an abnormal mesodermal layer. It has formerly been demonstrated how demyelinization of the myelin sheaths in the peripheral nerves close to the root provoke resorption. Accordingly, conditions affecting these tissue layers can be associated not only with different morphologies but also with general symptoms and diseases (e.g., ectodermal dysplasia and hypophosphatasia).

  7. Alveolar proteinosis in Behçet's disease

    Directory of Open Access Journals (Sweden)

    Tetikkurt Cuneyt

    2010-08-01

    Full Text Available Abstract A 51-year-old man with Behçet's disease complained of fever, dry cough and dyspnea during exertion. Chest CT showed ground glass opacities with interstitial septal thickening in both lungs. Bronchoalveolar lavage (BAL revealed amorphous and lipoproteinaceous material that was periodic acid-Schiff (PAS stain positive. Transbronchial biopsy specimen demonstrated PAS positive alveolar eosinophilic material consistent with pulmonary alveolar proteinosis. Serum anti-granulocyte-macrophage colony stimulating factor (GM-CSF antibody was negative. Recent studies have reported anti-GMCSF not present in the the serum of patients with secondary pulmonary alveolar proteinosis (PAP but they have not reported so in patients with idiopathic PAP. We report a case of alveolar proteinosis in the setting of Behçet's disease with spontaneous remission.

  8. Proteinosis alveolar pulmonar, caso clínico

    Directory of Open Access Journals (Sweden)

    TERESA PARAM S

    2007-04-01

    Full Text Available La Proteinosis Alveolar Pulmonar es una patología poco frecuente, especialmente en la edad pediátrica, caracterizada por acumulación de material lipoproteináceo proveniente del surfactante en los macrófagos alveolares. Objetivo: Comunicar un caso de proteinosis pulmonar en el cual el uso de la fibrobroncoscopía (FB permitió el diagnóstico y el tratamiento. Caso Clínico: Escolar de 7 años, que consulta por un cuadro febril, en la cual se plantea inicialmente el diagnóstico de neumonía. Ante la mala evolución, con aumento de las imágenes radiológicas de tipo nodular, el ascenso de los niveles de LDH en plasma, y la mínima sintomatología clínica respiratoria, se planteó el diagnóstico de proteinosis alveolar, realizando una FB con lavado alveolar. Las tinciones de Sudán y PAS confirmaron la sospecha diagnóstica, lo cual fue apoyado por la mejoría radiológica y clínica de la paciente. Discusión: Se discute las formas clínicas de presentación, los hallazgos clínicos, radiológicos y de laboratorio que permiten plantear el diagnóstico. Se destaca el rol de la fibrobroncoscopía como método diagnóstico y terapéuticoPulmonary Alveolar Proteinosis. Case-report Pulmonary alveolar proteinosis is a rare pathology in children, characterized by the presence of lipoprotein material becoming from surfactants in alveolar macrophages. Objetive: Describe a clinical case of pulmonary proteinosis, in which fibrobronchoscopy (FB allowed diagnosis and treatment. Case-report: A 7 years-old boy with fever and diagnostic presumption of pneumonia. The evolution was not favorable, in terms of increase in nodular images on chest X-ray and increase in LDH plasmatic level, with few respiratory symptoms. The diagnosis of pulmonary alveolar proteinosis was suspected, performing a FB with bronchoalveolar lavage, where Sudán and PAS colouring confirmed the diagnosis. Discussion: Analysis of clinical presentations, laboratory findings and chest images that suggest the diagnosis. It is important to point out the role of FB in diagnosis and treatment

  9. Proteinosis alveolar pulmonar, caso clínico

    Scientific Electronic Library Online (English)

    TERESA, PARAM S; MANUEL, FLORES S; JUAN PABLO, BOLBARAN S; ARMANDO, DÍAZ C; JUAN CARLOS, ACUÑA H; LAURA, OCHOA M.

    2007-04-01

    Full Text Available La Proteinosis Alveolar Pulmonar es una patología poco frecuente, especialmente en la edad pediátrica, caracterizada por acumulación de material lipoproteináceo proveniente del surfactante en los macrófagos alveolares. Objetivo: Comunicar un caso de proteinosis pulmonar en el cual el uso de la fibro [...] broncoscopía (FB) permitió el diagnóstico y el tratamiento. Caso Clínico: Escolar de 7 años, que consulta por un cuadro febril, en la cual se plantea inicialmente el diagnóstico de neumonía. Ante la mala evolución, con aumento de las imágenes radiológicas de tipo nodular, el ascenso de los niveles de LDH en plasma, y la mínima sintomatología clínica respiratoria, se planteó el diagnóstico de proteinosis alveolar, realizando una FB con lavado alveolar. Las tinciones de Sudán y PAS confirmaron la sospecha diagnóstica, lo cual fue apoyado por la mejoría radiológica y clínica de la paciente. Discusión: Se discute las formas clínicas de presentación, los hallazgos clínicos, radiológicos y de laboratorio que permiten plantear el diagnóstico. Se destaca el rol de la fibrobroncoscopía como método diagnóstico y terapéutico Abstract in english Pulmonary Alveolar Proteinosis. Case-report Pulmonary alveolar proteinosis is a rare pathology in children, characterized by the presence of lipoprotein material becoming from surfactants in alveolar macrophages. Objetive: Describe a clinical case of pulmonary proteinosis, in which fibrobronchoscopy [...] (FB) allowed diagnosis and treatment. Case-report: A 7 years-old boy with fever and diagnostic presumption of pneumonia. The evolution was not favorable, in terms of increase in nodular images on chest X-ray and increase in LDH plasmatic level, with few respiratory symptoms. The diagnosis of pulmonary alveolar proteinosis was suspected, performing a FB with bronchoalveolar lavage, where Sudán and PAS colouring confirmed the diagnosis. Discussion: Analysis of clinical presentations, laboratory findings and chest images that suggest the diagnosis. It is important to point out the role of FB in diagnosis and treatment

  10. Root resorption following treatment with aligners.

    Science.gov (United States)

    Brezniak, Naphtali; Wasserstein, Atalia

    2008-11-01

    Can orthodontically induced inflammatory root resorption (OIIRR) be the result of Invisalign treatment? Since OIIRR was first described in the literature, orthodontists have been looking for a treatment procedure where no root shortening will occur. In the past decade, Invisalign orthodontic treatment has become very popular, and there is no description of OIIRR after this treatment. Therefore, it might be incorrectly concluded that the body is immune to this type of orthodontic treatment modality and no OIIRR appears as a result of this treatment. The following case report demonstrates an aspect of the complexity of OIIRR. PMID:18947291

  11. Bone Remodeling and Hydroxyapatite Resorption in Coated Primary Hip Prostheses

    OpenAIRE

    Tonino, Alphons J.; van der Wal, Bart C. H.; Heyligers, Ide C; Grimm, Bernd

    2008-01-01

    Hydroxyapatite coatings for THA promote bone ongrowth, but bone and coating are exposed to stress shielding-driven osteoclastic resorption. We asked: (1) if the resorption of hydroxyapatite coating and bone ongrowth correlated with demographics; (2) if the resorption related to the stem level; and (3) what happens to the implant-bone interface when all hydroxyapatite coating is resorbed? We recovered 13 femoral components from cadaveric specimens 3.3 to 11.2 years after uneventful primary THA...

  12. External radicular resorption: Selected cases and review of the literature

    OpenAIRE

    Bartok, RI; V?ideanu, T; Dimitriu, B; Vârlan, CM; Suciu, I; Podoleanu, D

    2012-01-01

    External radicular resorption is a pathological process that generates the loss of cementum, dentin and bone, almost irreversibly, involving vital and pulpless teeth. The early stage is asymptomatic and might be diagnosed by a routine radiograph or a clinical examination. Radicular resorption appears because of cementoclastic, dentinoclastic or/and osteoclastic activity. The process of resorption is associated with a damage of the periodontal ligament as a result of injury and necrosis, m...

  13. Replantation of an Avulsed Central Incisor after Long Extra- Alveolar Period. (Case Report

    Directory of Open Access Journals (Sweden)

    Seraj B

    2000-05-01

    Full Text Available A case involving the replantation of an avulsed incisor after long extra-oral period (8 days is reported. After cleaning the root surface, the tooth was soaked in fluoride gel for 20 minutes and root canal therapy was performed extraorally. The tooth was stabilized by wire and composite for six weeks. The patient has been periodically recalled and the tooth monitored for 36 months after replantation. Only minor external surface resorption was observed in the periapical area on the rodiograph, which was taken immediately before removal of the splint and the rate of subsequent replacement resorption has been acceptable. It should be considered that and extended extraoral period is not an absolute contraindication to replantation. Teeth replanted after long extra- alveolar periods can function for a long period of time and thus postpone prosthetic treatment.

  14. "Tent-Pole" for Reconstruction of Large Alveolar Defects: A Case Report.

    Science.gov (United States)

    Xiao, Ting; Zhao, Yuyue; Luo, En; Hu, Jian

    2016-01-01

    Severe tridimensional alveolar ridge defects complicate the placement of dental implants, and surgical removal of some oral tumors might not leave adequate bone for dental implant placement. Regenerating an adequate amount of bone vertically and horizontally to achieve a satisfying outcome for well-osseointegrated implants and thus ensure long-term success of implant restoration is challenging. This report describes the clinical feasibility of a simple approach using a screw tent-pole combined with guided bone regeneration to augment complicated tridimensional alveolar ridge defects in a case of extensive bone loss due to maxillary tumor surgery. Titanium screws were arranged in "tented" fashion to provide stable room for bone regeneration. Regenerated bone was achieved and 2 more implants were placed in the regenerated ridge 10 months later, leading to a successful maxillary prosthesis. PMID:26375368

  15. Multiple internal resorption in permanent teeth associated with hyperparathyroidism

    Directory of Open Access Journals (Sweden)

    Eswar Nagaraj

    2013-01-01

    Full Text Available Internal resorption has been described as a resorptive defect of internal aspect of tooth. It is caused by transformation of normal pulp tissue into granulomatous tissue with giant cells which resorb dentin. Though mostly idiopathic in origin, trauma, caries and restorative procedures have also been suggested to be contributing factors of internal resorption of pulp. Most of the internal resorption cases were found on isolated individual tooth. There are few case reports on multiple root resorptions. External root resorption have been frequently associated with systemic disorders like renal diseases hyperparathyroidism, rickets etc. A rare association of multiple internal resorption of permanent teeth (including lateral incisors, canines, premolars, sparing 2 nd and 3 rd . Permanent molars and missing 35,36, 42 with elevated levels of PTH and uric acid was evident in a 28 year old female patient who presented with fracture of crowns of permanent teeth. Though many cases related to dental manifestations of chronic renal disease and internal resorption of permanent teeth have been documented in literature, there is no evidence on association of hyperparathyroidism with multiple internal resorptions of teeth.

  16. Internal root resorption in the maxillary central incisor

    Directory of Open Access Journals (Sweden)

    Josué MARTOS

    2010-06-01

    Full Text Available Introduction: Internal root resorption is a chronic inflammatory process initiated within the pulp space with the loss of dentin. The clastic cells present in the pulp tissue trigger a progressive resorption phenomenon. Case report and conclusion: This paper reports a clinical case of an internal root resorption in the permanent central incisor, at the middle third of the root canal. Because it is asymptomatic,internal root resorption needs an early diagnosis in order to institute the endodontic treatment before the process compromises the mineralized structures of the tooth.

  17. Bilateral Alveolar Distraction for Large Alveolar Defects: Case Report.

    Science.gov (United States)

    Aravindaksha, Shyam Prasad; Batra, Puneet; Sadhu, Partha

    2015-09-01

    Distraction osteogenesis has become a very popular technique, as the ability to reconstruct combined deficiencies in bone and soft tissue makes this process unique and invaluable to all types of reconstructive surgeons. We document a case in which an intraoral tooth-borne distractor was designed and segmental alveolar distraction was performed in a large alveolar defect in a patient with bilateral cleft lip and palate. Cosmetic dentistry was performed to attain a pleasing result. This article aims at highlighting the use of distraction in large defects in which bone grafting only is not a suitable procedure. PMID:26317633

  18. Adhesion Molecule Deficiencies Increase Porphyromonas gingivalis-Induced Alveolar Bone Loss in Mice

    OpenAIRE

    Baker, Pamela J.; DuFour, Lisa; Dixon, Mark; Roopenian, Derry. C.

    2000-01-01

    Alveolar bone resorption can be induced in specific-pathogen-free mice by oral infection with Porphyromonas gingivalis (P. J. Baker, R. T. Evans, and D. C. Roopenian, Arch. Oral Biol. 39:1035–1040, 1994). Here we used a mouse strain, C57BL/6J, which is relatively resistant to P. gingivalis-induced bone loss to examine whether partial or complete deletion of various adhesion molecules would increase susceptibility. Complete deletion of P-selectin or nearly complete lack of expression of interc...

  19. New ridge parameters for ridge regression

    OpenAIRE

    A.V. Dorugade

    2014-01-01

    Hoerl and Kennard (1970a) introduced the ridge regression estimator as an alternative to the ordinary least squares (OLS) estimator in the presence of multicollinearity. In ridge regression, ridge parameter plays an important role in parameter estimation. In this article, a new method for estimating ridge parameters in both situations of ordinary ridge regression (ORR) and generalized ridge regression (GRR) is proposed. The simulation study evaluates the performance of the proposed estimator ...

  20. Tooth resorption in the Swedish Eurasion lynx (Lynx lynx).

    Science.gov (United States)

    Pettersson, Ann

    2010-01-01

    The etiology of tooth resorption in the domestic cat remains unknown. The high prevalence and progressive nature of the disease complicates defining healthy control groups. In order to evaluate the possible influence of various life style changes on the prevalence of tooth resorption, healthy control groups are a prerequisite. This paper presents a prevalence study for tooth resorption in a free-ranging wild felidae population. Skulls from 46 free-ranging Eurasian lynx (Lynx lynx) were examined. The age of the animals had previously been estimated based on cementum annuli in the maxillary right canine tooth. The dental examination included both dental probing and radiographic imaging. Complicated fractures of the canine teeth were found in 9/46 (19.5%) skulls. In one fractured canine, apical root resorption and periapical lucency was detected. The root resorption was attributed to inflammatory resorption as a consequence of the initial dental trauma and necrotic pulp. No signs of tooth resorption were found in the remaining teeth. Supernumerary roots were detected in 18/46 skulls (39.1 %). Supernumerary "peg" teeth caudal to the mandibular first molar tooth were detected in 6/46 (13.0%) skulls. Although further studies on dental ultra-structure are needed, the Swedish Eurasian lynx may, in the future, be useful as a healthy comparative model for studies on the etiopathogenesis of tooth resorption in the domestic cat. PMID:21322429

  1. Endodontic therapy of pathological resorptions of tooth root

    Directory of Open Access Journals (Sweden)

    Opa?i?-Gali? Vanja

    2004-01-01

    Full Text Available Pathological resorptions of a tooth root very often represent both a diagnostic and therapeutical problem. The goal of this study was, based on clinical research on a number of pathological resorptions of various types and localization in relation to time, to analyze and evaluate applied endodontic therapy. Clinical research covered 30 patients (40 root canals in total. 18 teeth (22 canal with external and 12 (18 canal with internal root resorptions received endodontic therapy. After standard endodontic procedure had been applied (cleaning and canal shaping calcium hydroxide paste was used as a canal medicament for cases with internal resorptions and calcium hydroxide paste and points for cases with external resorptions. Canal opturations were done by modified technique of lateral condesation applying AH- Plus paste. The obtained results showed that in cases of internal resorption after 12 months, 11 cases were successful and only 1 failure occurred. In case of external resorption, after the same period of time, 15 cases were successful and failures occurred in 3 cases. The success of resorption treatment depends on many factors but, primarily, it depends on time and accuracy of diagnosis and properly applied treatment and root canal opturation.

  2. Post-extraction application of beta-tricalcium phosphate in alveolar socket

    Directory of Open Access Journals (Sweden)

    M. Muñoz-Corcuera

    2015-03-01

    Full Text Available Aim The objective of this study was to assess the capacity of beta-tricalcium phosphate to facilitate bone formation in the socket and prevent post-extraction alveolar resorption. Materials and methods After premolar extraction in 16 patients, the sockets were filled with beta-tricalcium phosphate. Six months later, during the implant placement surgery, a trephine was used to harvest the bone samples which were processed for histological and histomorphometrical analyses. Data were gathered on patient, clinical, histological and histomorphometric variables at the extraction and implant placement sessions, using data collection forms and pathological reports. Results Clinical outcomes were satisfactory, the biomaterial was radio-opaque on X-ray. Histological study showed: partial filling with alveolar bone of appropriate maturation and mineralization for the healing time, osteoblastic activity and bone lacunae containing osteocytes. The biomaterial was not completely resorbed at six months. Conclusion Beta-tricalcium phosphate is a material capable of achieving preservation of the alveolar bone when it is positioned in the immediate post-extraction socket followed by suture; it also helps the formation of new bone in the socket. Further studies are needed comparing this technique with other available biomaterials, with growth factors and with sites where no alveolar preservation techniques are performed.

  3. Pulmonary alveolar microlithiasis with calcified pleural plaques

    Directory of Open Access Journals (Sweden)

    Malhotra Balbir

    2010-01-01

    Full Text Available Pulmonary alveolar microlithiasis (PAM is a rare disease. Herein we report a case of pulmonary alveolar microlithiasis who was suspected to have the disease on chest X-ray and was confirmed on high resolution CT and transbronchial lung biopsy. These investigations showed characteristic features of pulmonary alveolar microlithiasis with diffuse interstitial pulmonary fibrosis.

  4. Biomechanical aspects of external root resorption in orthodontic therapy

    Scientific Electronic Library Online (English)

    Allan, Abuabara.

    2007-12-01

    Full Text Available External apical root resorption is a common phenomenon associated with orthodontic treatment. The factors relevant to root resorption can be divided into biological and mechanical factors. Some mechanical and biological factors might be associated with an increased or decreased risk of root resorpti [...] on during orthodontic treatment. For mechanical factors, the extensive tooth movement, root torque and intrusive forces, movement type, orthodontic force magnitude, duration and type of force are involved. For biological factors, a genetic susceptibility, systemic disease, gender and medication intake have been demonstrated influence root resorption. Orthodontic therapy of patients with increased risk of root resorption should be carefully planned. Medical history, medication intake, family history, tooth agenesis, root morphology, oral health and habits must be considerate if we do not want jeopardize our patients by severe root resorption. To monitor apical root resorption the standard procedure is a radiographic examination after 6 months of treatment. In teeth with enhanced risk, a 3-month radiographic follow-up is recommended. The administration of anti-inflammatory drugs might suppress root resorption induced by orthodontic therapy, although none study was enough conclusive to indicate a protocol for patients with enhanced risk. In the event of multiple external root resorption, the diagnostic procedure should focus on the exclusion of the local factors and its associations (such as magnitude, duration and type of orthodontic force; periodontal disease; root form) that might lead to external root resorption. Systemic disorders associated with phosphorus-calcium metabolic alterations shall be suspected. This review searched the current knowledge of the mechanical and biological aspects of root resorption in orthodontic tooth movement.

  5. Diphyllin, a novel and naturally potent V-ATPase inhibitor, abrogates acidification of the osteoclastic resorption lacunae and bone resorption

    DEFF Research Database (Denmark)

    Sørensen, Mette G; Henriksen, Kim; Neutzsky-Wulff, Anita V; Dziegiel, Morten Hanefeld; Karsdal, Morten A

    2007-01-01

    Dissolution of the inorganic phase of bone by the osteoclasts mediated by V-ATPase and ClC-7 is a prerequisite for bone resorption. Inhibitors of osteoclastic V-ATPase or ClC-7 are novel approaches for inhibition of osteoclastic bone resorption. By testing natural compounds in acidification assay...

  6. The effects of systemic alendronate with or without intraalveolar collagen sponges on postextractive bone resorption: a single masked randomized clinical trial.

    Science.gov (United States)

    Graziani, Filippo; Rosini, Stefano; Cei, Silvia; La Ferla, Fabio; Gabriele, Mario

    2008-07-01

    Alendronate is a bisphosphonate frequently used to reduce bone resorption. It has been used for osteoporosis, Paget's disease, and also as adjunctive therapy for periodontal disease. The aim of this study was to evaluate the effect of systemic alendronate with or without endoalveolar collagen sponge on vertical bone resorption after lower wisdom tooth extraction. Forty patients referred for wisdom tooth impaction were selected. Before surgery, patients were randomly assigned to receive one of the following pharmacologic treatments: no medication (group 1), postextractive endoalveolar collagen sponge (group 2), systemic alendronate for 4 months starting the day of surgery (group 3), and group 2 + group 3 (group 4). Standardized orthopantomographic evaluation was obtained during recruitment (T1), immediately after surgery (T2), and 4 months (T3) to evaluate crestal and alveolar socket changes. Results indicate that at T2, crest and socket level did not show significant differences between the four groups. At T3, test sites treated showed less bone resorption compared with controls. In particular, higher vertical bone height levels and a faster intraalveolar healing were achieved in groups 3 and 4. Systemically given alendronate may be used successfully to reduce vertical bone resorption after wisdom tooth extraction. PMID:18650733

  7. Bone resorption around pedicle screws after pedicle screw plate fixation

    International Nuclear Information System (INIS)

    To determine the frequency, level, distribution, onset, and pattern of progression of bone resorption that occurring around pedicle screws after pedicle screw plate fixation. Bone resorption around 902 pedicle screws was analyzed in post-operative, and follow-up radiographs obtained from 156 patients who underwent pedicle screw plate fixation. To determine the resorption degree, categorized arbitrarily as grade 1 (less than 1 mm), grade 2 (1mm or more, but less than 2 mm), or grade 3 (2mm or more), the width of radiolucent zones was measured. In 39 patients in whom resorption was graded 1, 2 or 3, the pattern of progression of 78 screws was evaluated. Resorption occurred around 78 (8.6%) screws in 39 (25%) patients, 26 of whom had more than on lesion. For 99% of screws, there was evidance of resorption within 12 weeks of pedicle screw plate fixation. During follow-up, 61.5% of screws (48/78) remained stable, while 38.5% (30 screws) showed progression to higher grades. The possibility of progression to a higher grade is less when the initial grade is lower. An understanding of the radiographic patterns of bone resorption is useful for monitoring a patient after pedicle screw plate fixation

  8. External radicular resorption: selected cases and review of the literature.

    Science.gov (United States)

    Bartok, R I; V?ideanu, T; Dimitriu, B; Vârlan, C M; Suciu, I; Podoleanu, D

    2012-06-12

    External radicular resorption is a pathological process that generates the loss of cementum, dentin and bone, almost irreversibly, involving vital and pulpless teeth. The early stage is asymptomatic and might be diagnosed by a routine radiograph or a clinical examination. Radicular resorption appears because of cementoclastic, dentinoclastic or/and osteoclastic activity. The process of resorption is associated with a damage of the periodontal ligament as a result of injury and necrosis, macrophages are the first cells that are detected, followed by multinucleated cells, odontoclasts, which affect the cementum and dentin. PMID:22802880

  9. Central osteoma associated with root resorption.

    Science.gov (United States)

    Bulut, Emel; Ozan, Bora; Günhan, Omer

    2010-03-01

    Osteomas of the jaws are rare osteogenic lesions considered to be true neoplasms, characterized by the proliferation of compact and/or cancellous bone. It can be central, peripheral, or of an extraskeletal type. The central osteoma arises from the endosteum, the peripheral osteoma from the periosteum, and the extraskeletal soft tissue osteoma usually develops within a muscle. However, in a previous work we have suggested that at least some peripheral osteomas may be reactive rather than neoplasms, probably associated with trauma. Some reported cases did have a clear history of trauma; however, this was not the case in the majority of cases. Whereas peripheral osteomas are fairly easy to diagnose, central osteomas pose a more challenging diagnostic problem and need to be differentiated from other similar lesions of the jaws, such as central ossifying fibroma, condensing osteitis, idiopathic osteosclerosis, osteoblastoma, cementoblastoma, and complex odontoma. With such a low number of case of central osteoma reported, the objectives of the present report are to describe a case of the central osteoma associated with partially root resorption of the mandibular first molar. Our case report participates to literature as a 11th case. PMID:20216457

  10. Multiple Idiopathic Apical Root Resorption: a Case Report

    Directory of Open Access Journals (Sweden)

    L. Khojastepour

    2010-09-01

    Full Text Available The aim of this case report was to present a case of multiple idiopathic apical root resorption which is a rare condition in a 17-year-old adult male. External root resorption of the permanent teeth is a multifactorial process. Well-recognized causes of apical rootresorption in permanent teeth include orthodontic therapy, trauma, periapical or periodontal inflammation, tumors, cysts, occlusal stress, impacted teeth, systemic conditions, endocrine imbalances and dietary habits. When none of these causes are present, it is termed idiopathic root resorption which may be either cervical or apical.Multiple idiopathic apical root resorption is a rare condition which is usually detected as an incidental radiographic finding. However, it may cause pain and mobility in severe cases.

  11. Alveolar permeability and mucociliary clearance

    International Nuclear Information System (INIS)

    Investigation of alveolar permeability and mucociliary clearance by means of radionuclides are rarely used methods to estimate various functions of the lungs in-vivo (barrier and self cleaning function). Results of both methods are influenced by many factors which requires standardization of data acquisition and data interpretation. Although normal values are available, large interindividual variations require intraindividual follow-up investigations (i.e. after intervention or during therapy). The estimation of alveolar permeability by means of Pertechnegas is an alternative to the use of conventional Tc-99m-DTPA aerosol and can be completed within 15 min. A tiny modification (i.e. order of a special gas) enables the Technegas generator to deliver Pertechnegas which is optimal to estimate alveolar permeability. By contrast, no adequate particle is commercially available to estimate mucociliary clearance; however, patient's own red blood cells can be used for this purpose. This method has been applied by several investigators and labelling expense is low. Both scintigraphic methods are highly sensitive but have low specificity. Therefore, their strength is the exclusion of an alteration of lungs' partial function. (orig.)

  12. Long palatal connective tissue rolled pedicle graft with demineralized freeze-dried bone allograft plus platelet-rich fibrin combination: A novel technique for ridge augmentation - Three case reports

    Directory of Open Access Journals (Sweden)

    Pathakota Krishnajaneya Reddy

    2015-01-01

    Full Text Available Replacement of missing maxillary anterior tooth with localized residual alveolar ridge defect is challenging, considering the high esthetic demand. Various soft and hard tissue procedures were proposed to correct alveolar ridge deformities. Novel techniques have evolved in treating these ridge defects to improve function and esthetics. In the present case reports, a novel technique using long palatal connective tissue rolled pedicle graft with demineralized freeze-dried bone allografts (DFDBAs plus Platelet-rich fibrin (PRF combination was proposed to correct the Class III localized anterior maxillary anterior alveolar ridge defect. The present technique resulted in predictable ridge augmentation, which can be attributed to the soft and hard tissue augmentation with a connective tissue pedicle and DFDBA plus PRF combination. This technique suggests a variation in roll technique with DFDBA plus PRF and appears to promise in gaining predictable volume in the residual ridge defect and can be considered for the treatment of moderate to severe maxillary anterior ridge defects.

  13. New ridge parameters for ridge regression

    Directory of Open Access Journals (Sweden)

    A.V. Dorugade

    2014-04-01

    Full Text Available Hoerl and Kennard (1970a introduced the ridge regression estimator as an alternative to the ordinary least squares (OLS estimator in the presence of multicollinearity. In ridge regression, ridge parameter plays an important role in parameter estimation. In this article, a new method for estimating ridge parameters in both situations of ordinary ridge regression (ORR and generalized ridge regression (GRR is proposed. The simulation study evaluates the performance of the proposed estimator based on the mean squared error (MSE criterion and indicates that under certain conditions the proposed estimators perform well compared to OLS and other well-known estimators reviewed in this article.

  14. Bisphosphonates in bone cement inhibit PMMA particle induced bone resorption

    OpenAIRE

    Sabokbar, A; Fujikawa, Y.; MURRAY, D.; Athanasou, N.

    1998-01-01

    OBJECTIVE—Wear particle induced bone resorption is thought to be one of the mechanisms that contribute to implant loosening. It has previously been shown that macrophages, in response to polymethylmethacrylate (PMMA) particles, differentiate into bone resorbing osteoclasts, and that this process is inhibited by a bisphosphonate, etidronate (EHDP). The aim of this study was to determine whether incorporating EHDP in bone cement could reduce PMMA associated bone resorption.
METHODS—Two concentr...

  15. Kinins : important regulators in inflammation induced bone resorption

    OpenAIRE

    Bernhold Brechter, Anna

    2006-01-01

    Inflammatory processes in, or in close vicinity of, the skeleton often lead to loss of bone tissue. Different cytokines have been shown to be involved as stimulators of inflammatory induced osteoclastic bone resorption. During inflammatory processes also the kallikrein-kinin system is activated, leading to production of kinins that can cause pain, vasodilation and increased permeability of vessels. Kinins can also induce bone resorption in vitro. All cytokines and kinins that stimulate bone r...

  16. Alveolar Bone Expansion for Implant Placement in Compromised Aesthetic Zone – Case Series

    OpenAIRE

    Mohamed, Jumshad B; Alam, Md.Nazish; Singh, Gurudeep; Chandrasekaran, S.N

    2014-01-01

    Implant placement and restoration of compromised alveolar ridges in the aesthetic zone has always been a challenge to the oral implantologists. The use of bone expanders and bone condensers without the use of traditional drilling sequences in this scenario is becoming popular because of its predictable results. Xenograft along with Platelet-rich fibrin (PRF) used as scaffold also provides growth factors to accelerate both soft and hard tissue healing as well as regeneration. The paper highlig...

  17. Inflammatory root resorption in primary molars: prevalence and associated factors

    Directory of Open Access Journals (Sweden)

    Raquel Gonçalves Vieira-Andrade

    2012-08-01

    Full Text Available This study aimed at determining the prevalence of inflammatory root resorption and associated factors in 1068 primary mandibular molars in 453 children 3 to 12 years of age. Age, dental history and medical history were recorded using a questionnaire administered to the children's parents/caregivers. Previously trained and calibrated examiners assessed radiographic images of the primary molars by direct observation, with the aid of a viewing box. Root resorption (physiological or inflammatory, dental crown status (healthy, carious with no pulp involvement, carious with pulp involvement and evidence of restoration, and pulpotomy or pulpectomy were determined. Data analysis involved descriptive statistics, the chi-square test and a multiple logistic regression (p < 0.05. The prevalence of inflammatory root resorption was 16.2% (n = 173. The male gender (OR: 1.4; 95% CI, the 3-to-7-years age bracket (OR: 1.5; 95% CI, an unhealthy dental crown (OR: 8.7; 95% CI, caries with pulp involvement (OR: 7.4; 95% CI, pulpotomy (OR: 3.1; 95% CI, and pulpectomy (OR: 5.4; 95% CI were risk factors for the occurrence of inflammatory root resorption in primary molars. In conclusion, the prevalence of inflammatory root resorption in the present sample was 16.2%. Gender, age, an unhealthy tooth, caries with pulp involvement, pulpotomy, pulpectomy, and the absence of a restoration were associated with a higher occurrence of inflammatory root resorption in primary molars.

  18. [Effect of saliva on resorption time of some resorbable membranes].

    Science.gov (United States)

    Urbani, G; Canepari, P; Lombardo, G; Salgarelli, C; Santi, E

    1997-11-01

    Since resorbable membranes have been introduced their resorption time has been always an important topic of discussion. The current literature does not cover very accurately the contributing factors associated with this biologic process in the oral cavity. The clinical experience shows that the influence of saliva may be an important factor during the resorption of synthetic resorbable membranes. Six experiments are described in this article in which four synthetic resorbable membranes are tested (Vicryl periodontal mesh, Vicryl collagene, Guidor and Resolut). The membranes are plated in Petri dishes precoated with Agar in contact with saliva. Experiment number 1 and 2 demonstrated that saline solution and Agar do not alter the resorption time of the membranes. Experiment 3 and 4 showed that a dilution of saliva to 1:10 and a non diluted saliva accelerate their resorption time of two of the tested membranes. The Vicryl periodontal mesh and the Vicryl collagene disappeared respectively after 7 and 9 days of contact with the not diluted saliva and after 10 and 12 days of contact with the 1:10 diluted saliva. The experiment 5 and 6 indicated that both salivas (diluted and not diluted) deprived of bacteria do not alter the resorption time of the membranes. In conclusion the pattern of resorption of the synthetic membranes, in this in vitro study, is recognized in the contact between the membrane and the bacterial enzymes present in saliva, and in the mechanical structure of the membrane design. PMID:9489352

  19. Pathogen infection drives patterns of nutrient resorption in citrus plants.

    Science.gov (United States)

    Cao, Jirong; Cheng, Chunzhen; Yang, Junjie; Wang, Qibing

    2015-01-01

    Nutrient resorption processes in the plants infected by pathogen remain poorly understood. Huanglongbing (HLB) is a destructive disease of citrus. HLB-pathogen 'Candidatus Liberibacter asiaticus' grows specifically in the phloem of hosts and may cause problems in the plant vascular system after infection. Therefore, it brings a great concern about the phloem nutrient transport and nutrient intra-cycling in HLB-affected plants. We investigated the effects of 'Ca. L. asiaticus' infection on nitrogen (N) and phosphorus (P) concentrations and resorption in different citrus species (i.e. Citrus reticulata, Citrus limon and Citrus maxima). HLB-pathogen infection had distinctive impacts on nutrient resorption in different species. P resorption efficiency substantially decreased in infected C. reticulata plants relative to the healthy plants in summer, which may account for the marked decrease in the average fruit yield. P resorption was more efficient in infected C. limon plants than in the healthy plants. However, for C. maxima plants, HLB had no significant effects on N:P ratio in live leaves and resorption efficiency as well as on fruit yield. Keeping efficient internal nutrient cycling can be a strategy of citrus species being tolerant to HLB. PMID:26419510

  20. Biomechanical aspect of feline dental resorptive lesions formation

    Directory of Open Access Journals (Sweden)

    Živkovi? R.

    2010-01-01

    Full Text Available Feline dental resorptive lesions affect more than one third of all adult domestic cats and continue to be an enigma in the veterinary dental science although different theories about the pathogenesis of these lesions have been proposed. Recently, a hypothesis was introduced that local mechanical trauma could be an important factor in the initiation of feline dental resorptive lesions and that there is a correlation between the occurrence of resorptive lesions and occlusal trauma in cats. The aim of this study was to analyse stress distribution in feline tooth during occlusal loading in order to accept or reject the hypothesis that dental resorptive lesions in cats might be caused by occlusal trauma. A solid model of feline tooth had to be created in order to perform the investigation. The idea was to gain data for tooth displacement (deformation and stress and strain distribution under loading generally for any feline tooth using the finite element method. The results of the study contribute to the theory that occlusal overload might be one of the causes in multifactorial resorptive lesions in cats. Succession of tensile and compressive stresses and tooth displacement during occlusal loading might be a contributive factor in the pathogenesis of feline resorptive lesions. However, further research is required to confirm this statement.

  1. Ridge augmentation with soft tissue procedures in aesthetic dentistry: pre- and postoperative volume measurements with a new kind of moire technique

    Science.gov (United States)

    Studer, Stephan P.; Mueller, Ernst; Bucher, Alfred

    1993-09-01

    The aim of this paper was to measure the volume differences of operated alveolar ridge defects before and until 3 months post-surgically. Ten patients with ten localized alveolar ridge defects were operated on. Five alveolar ridge defects were corrected by using the full thickness onlay graft technique and the other five defects were operated by the subepithelial connective tissue graft technique. A strict standardized operation protocol was followed and all alveolar ridge defects were operated on by the same dental surgeon. Before as well as 1, 2, and 3 months after surgery the corrected defect was photographed and an impression was made by using an A-silicon material to produce a gypsum-cast model. The form of all these cast models was then measured using the moire technique. The three months result of ten cases shows that the form of the operated alveolar ridge defects, which were corrected by the subepithelial connective tissue graft technique are more stable compared to those which were operated on by the full thickness onlay graft technique. Localized alveolar ridge defects using the latter method does not show a form stability after 3 months post-surgically.

  2. Diphyllin, a novel and naturally potent V-ATPase inhibitor, abrogates acidification of the osteoclastic resorption lacunae and bone resorption

    DEFF Research Database (Denmark)

    Sørensen, Mette G; Henriksen, Kim; Neutzsky-Wulff, Anita V; Dziegiel, Morten Hanefeld; Karsdal, Morten A

    2007-01-01

    Dissolution of the inorganic phase of bone by the osteoclasts mediated by V-ATPase and ClC-7 is a prerequisite for bone resorption. Inhibitors of osteoclastic V-ATPase or ClC-7 are novel approaches for inhibition of osteoclastic bone resorption. By testing natural compounds in acidification assays, diphyllin was identified. We characterized diphyllin with respect to the pharmacological effects on osteoclasts.

  3. B Cell IgD Deletion Prevents Alveolar Bone Loss Following Murine Oral Infection

    Directory of Open Access Journals (Sweden)

    Pamela J. Baker

    2009-01-01

    Full Text Available Periodontal disease is one of the most common infectious diseases of humans. Immune responses to infection trigger loss of alveolar bone from the jaw and eventual tooth loss. We investigated the contribution of B cell IgD to alveolar bone loss by comparing the response of B cell normal BALB/cJ mice and IgD deficient BALB/c-Igh-5?/?J mice to oral infection with Porphyromonas gingivalis, a gram-negative periodontopathic bacterium from humans. P. gingivalis-infected normal mice lost bone. Specific antibody to P. gingivalis was lower and oral colonization was higher in IgD deficient mice; yet bone loss was completely absent. Infection increased the proportion of CD69+ activated B cells and CD4+ T cells in immune normal mice compared to IgD deficient mice. These data suggest that IgD is an important mediator of alveolar bone resorption, possibly through antigen-specific coactivation of B cells and CD4+ T cells.

  4. Rac-null leukocytes are associated with increased inflammation-mediated alveolar bone loss.

    Science.gov (United States)

    Sima, Corneliu; Gastfreund, Shoshi; Sun, Chunxiang; Glogauer, Michael

    2014-02-01

    Periodontitis is characterized by altered host-biofilm interactions that result in irreversible inflammation-mediated alveolar bone loss. Genetic and epigenetic factors that predispose to ineffective control of biofilm composition and maintenance of tissue homeostasis are not fully understood. We elucidated how leukocytes affect the course of periodontitis in Rac-null mice. Mouse models of acute gingivitis and periodontitis were used to assess the early inflammatory response and patterns of chronicity leading to loss of alveolar bone due to inflammation in Rac-null mice. Leukocyte margination was differentially impaired in these mice during attachment in conditional Rac1-null (granulocyte/monocyte lineage) mice and during rolling and attachment in Rac2-null (all blood cells) mice. Inflammatory responses to subgingival ligatures, assessed by changes in peripheral blood differential leukocyte numbers, were altered in Rac-null compared with wild-type mice. In response to persistent subgingival ligature-mediated challenge, Rac-null mice had increased loss of alveolar bone with patterns of resorption characteristic of aggressive forms of periodontitis. These findings were partially explained by higher osteoclastic coverage of the bone-periodontal ligament interface in Rac-null compared with wild-type mice. In conclusion, this study demonstrates that leukocyte defects, such as decreased endothelial margination and tissue recruitment, are rate-limiting steps in the periodontal inflammatory process that lead to more aggressive forms of periodontitis. PMID:24269593

  5. Microlitiasis alveolar pulmonar en colombia

    OpenAIRE

    Esguerra Gómez, Gonzalo

    2011-01-01

    1. Se presentan los cuatro primeros casos de microlitiasis alveolar pulmonar, familiar, estudiados en Colombia, S. A., uno de ellos comprobado con la autopsia. Se trata de 4 hermanas en una familia de 7, dos hombres y cinco mujeres,. 2. Tanto la radiología como la clínica, la evolución y los estudios anatomopatológicos coinciden con los señalados en esta enfermedad. 3. Se llama la atención a la frecuencia de un espesamiento pleural de la cisura menor interlobar y a la ausencia de tos, mientra...

  6. HIV-1 tat and rev upregulates osteoclast bone resorption

    Directory of Open Access Journals (Sweden)

    Nicholas Chew

    2014-11-01

    Full Text Available Introduction: Disruption in bone homeostasis with increased osteoclastic resorption may lead to osteoporosis. HIV tat has been found to increase differentiation of precursor cells into osteoclast (OC (1. Presence of soluble HIV proteins in virally suppressed HIV patients on ART may drive a bone resorption phenotype. We investigated the role of soluble HIV proteins (tat, gp120 Mn and Bal, rev and p55-gag on osteoclastogenesis and OC resorptive capacity. Methods: Mouse monocyte RAW 264.7 cells were cultured in vitro and induced to differentiate into OCs with 50 ng/mL RANKL and 25 ng/mL mCSF. Medium was supplemented with 100 ng/mL of recombinant HIV tat, gp120 (Mn and Bal, rev, nef and p55-gag, respectively, with zolendronate as negative control. Differentiated OCs were stained for TRAP and counted. OC resorption function was examined by culturing differentiated OCs (in the presence of respective HIV proteins on dentin-coated plates and examining the following (i sealing zone formation, (ii volume of resorption pits and (iii area of resorption pits per field using confocal microscopy. Expression of OC specific genes including NFATc1 and cathepsin K was investigated by qPCR. Reactive oxygen species (ROS production is essential in RANKL-induced OC differentiation (2,3; effect of these proteins on ROS production was assessed using the fluorescent H2DCFH-DA. Mean fluorescence intensity was then measured by flow cytometry. TNF? production by OC precursors when incubated with tat and rev was measured by ELISA. Results: Tat and rev treatment was associated with increased OC formation by 70 and 26%, respectively (p<0.01, relative to control, while zolendronate significantly inhibited OC formation by 75%. Gp120 Mn and Bal, nef and p55-gag treatment had no effect on OC differentiation. Interestingly, neither tat nor rev treatment caused significant increases in sealing zone formation but increased dentin resorption pit area by 28 and 19%, respectively, and resorption pit volume by 11 and 6%, respectively. Tat protein treatment was associated with upregulation of NFATc1 and cathepsin K mRNA expression by 20 and 15%, respectively. Incubation with tat and rev led to a dose-dependent increase in intracellular ROS production in the monocytes and OC precursors and significant upregulation in TNF? cytokine production by the OC precursors. Conclusions: In addition to their effect of OC differentiation, we demonstrated the effects of tat and rev on OC resorption. HIV tat and rev are both biologically active in driving a pro-osteoclastic phenotype.

  7. The effect of photobiomodulation on root resorption during orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Nimeri G

    2014-01-01

    Full Text Available Ghada Nimeri, Chung H Kau, Rachel Corona, Jeffery Shelly Department of Orthodontics, University of Alabama, Birmingham, AL, USA Abstract: Photobiomodulation is used to accelerate tooth movement during orthodontic treatments. The changes in root morphology in a group of orthodontic patients who received photobiomodulation were evaluated using the cone beam computed tomography technique. The device used is called OrthoPulse, which produces low levels of light with a near infrared wavelength of 850 nm and an intensity of 60 mW/cm2 continuous wave. Twenty orthodontic patients were recruited for these experiments, all with class 1 malocclusion and with Little's Irregularity Index (>2 mm in either of the arches. Root resorption was detected by measuring changes in tooth length using cone beam computed tomography. These changes were measured before the orthodontic treatment and use of low-level laser therapy and after finishing the alignment level. Little's Irregularity Index for all the patients was calculated in both the maxilla and mandible and patients were divided into three groups for further analysis, which were then compared to the root resorption measurements. Our results showed that photobiomodulation did not cause root resorption greater than the normal range that is commonly detected in orthodontic treatments. Furthermore, no correlation between Little's Irregularity Index and root resorption was detected. Keywords: photobiomodulation, root resorption, accelerate tooth movement, orthodontics, cone beam computed tomography

  8. A rare case of impacted supernumerary premolar causing resorption of mandibular first molar

    Directory of Open Access Journals (Sweden)

    R V Murali

    2015-01-01

    Full Text Available The management of patients with pain in today?s general practice has become a major concern and sometimes this pain is related to some rare causes. A male patient aged 26 years reported with pain in the lower left molar region (36 and then an intra-oral periapical radiograph (IOPA, and orthopantomograph was taken. IOPA revealed the presence of supernumerary premolar causing pressure and root resorption of 36. Also, there was missing 21 and proximal decay in 11. Eleven was treated endodontically, and then bridge was done in relation to 11, 21 and 22. Lower anterior crowding was also present. The treatment plan was to extract 36 followed by orthodontic extrusion of the supernumerary premolar and also the correction of lower anterior crowding. Hidden approach (lingual orthodontics was used as the patient was insisting upon the braces not being seen outside during the course of the treatment. Later all ceramic bridge was done in relation to 11, 21 and 22. Orthodontic tooth extrusion techniques offer excellent treatment options for Partially Impacted tooth. It is a well-documented clinical method for extruding sound tooth material from within the alveolar socket by light forces. The use of lingual technique for forced eruption enhance acceptance of orthodontic treatment by adults. The treatment of a young adult patient illustrates the importance of treatment planning from one discipline to another, communication among team members and the benefits of working together in an interdisciplinary approach

  9. A rare case of impacted supernumerary premolar causing resorption of mandibular first molar.

    Science.gov (United States)

    Murali, R V; Gnanashanmugam, K; Rajasekar, L; Kularashmi, B S; Saravanan, B

    2015-04-01

    The management of patients with pain in today's general practice has become a major concern and sometimes this pain is related to some rare causes. A male patient aged 26 years reported with pain in the lower left molar region (36) and then an intra-oral periapical radiograph (IOPA), and orthopantomograph was taken. IOPA revealed the presence of supernumerary premolar causing pressure and root resorption of 36. Also, there was missing 21 and proximal decay in 11. Eleven was treated endodontically, and then bridge was done in relation to 11, 21 and 22. Lower anterior crowding was also present. The treatment plan was to extract 36 followed by orthodontic extrusion of the supernumerary premolar and also the correction of lower anterior crowding. Hidden approach (lingual orthodontics) was used as the patient was insisting upon the braces not being seen outside during the course of the treatment. Later all ceramic bridge was done in relation to 11, 21 and 22. Orthodontic tooth extrusion techniques offer excellent treatment options for Partially Impacted tooth. It is a well-documented clinical method for extruding sound tooth material from within the alveolar socket by light forces. The use of lingual technique for forced eruption enhance acceptance of orthodontic treatment by adults. The treatment of a young adult patient illustrates the importance of treatment planning from one discipline to another, communication among team members and the benefits of working together in an interdisciplinary approach. PMID:26015740

  10. Intracranial alveolar echinococcosis: CT and MRI

    Energy Technology Data Exchange (ETDEWEB)

    Bensaid, A.H. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Dietemann, J.L. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Filippi de la Palavesa, M.M. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Klinkert, A. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Kastler, B. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Gangi, A. (Dept. of Radiology B, Univ. Hospital, Strasbourg (France)); Jacquet, G. (Dept. of Neurosurgery, Univ. Hospital, Besancon (France)); Cattin, F. (Dept. of Radiology, Univ. Hospital, Besancon (France))

    1994-05-01

    Intracranial alveolar echinococcosis is uncommon. We report a patient with right frontal lobe and palpebral lesions secondary to a primary hepatic focus with secondary lesion in the lung. The intracranial and palpebral cystic masses were totally removed and both proved to be alveolar hydatid cysts. An unusual feature in this case is CT and MRI demonstration of dural and bony extension. (orig.)

  11. Pulmonary alveolar microlithiasis in children

    International Nuclear Information System (INIS)

    Two asymptomatic Turkish sibs are presented, a 4-year-old boy and his 7-year-old sister, with pulmonary alveolar microlithiasis (PAM) confirmed by transbronchial lung biopsy and bronchoalveolar lavage. Chest radiographs and high resolution CT demonstrated wide-spread intra-alveolar calcifications in both lungs. The lesions were sharply defined and less than 1 mm in diameter. CT documented a high concentration of microliths along the bronchovascular bundles, the intralobular fissue and the (sub)pleural lung parenchyma. The combination of bronchoalveolar lavage and roentgenographic appearance in high resolution CT are characteristic and pathognomonic, and can confirm the diagnosis. The more severe changes in the elder sib and the radiographic controls suggest that the pulmonary disease may be progressive in our patients. The described family of consanguineous, unaffected parents with two affected and one healthy child confirmed the autosomal recessive inheritance of PAM (McKusick 265100). In addition, the affected girl had autosomal recessive Waardenburg-anophthalmia syndrome (McKusick 206920), raising the question of whether this is a chance occurrence or possibly a contiguous gene syndrome. (orig.)

  12. CT features of lung alveolar echinococcosis

    International Nuclear Information System (INIS)

    Objective: To analyze the CT features of lung alveolar echinococcosis and assess the value of CT scanning for the diagnosis of this disease. Methods: The CT features of lung alveolar echinococcosis in 26 patients diagnosed pathologically or clinically were reviewed retrospectively and correlated with histopathology. Results: Lung alveolar echinococcosis appeared as multiple lesions bilaterally in 18 patients, as multiple lesions unilaterally in 6 patients, and as single lesion bilaterally in 2 patients. Seventeen cases presented as masses and nodules, 8 patients presented as nodules, 1 patient presented as a mass. Lobulation and speculation were showed in most lesions, irregular cavity or bubble-like opacity in 13 patients,calcification in 18 patients, a patchy area or fibrotic cord around lesion in 14 patients. Pleural thickening adjacent to the lesion in 20 patients. Conclusion: Lung alveolar echinococcosis has characteristic features on CT, and CT can provide important information for the diagnosis of lung alveolar echinococcosis. (authors)

  13. Effects of a Mikania laevigata extract on bone resorption and RANKL expression during experimental periodontitis in rats

    Scientific Electronic Library Online (English)

    Bruno B., Benatti; Jozafá C., Campos-Júnior; Vilmar J., Silva-Filho; Polyanna M., Alves; Isabela R., Rodrigues; Elizabeth, Uber-Bucek; Silvio M., Vieira; Marcelo H., Napimoga.

    2012-06-01

    Full Text Available OBJECTIVES: The Mikania laevigata extract (MLE) (popularly known in Brazil as "guaco") possesses anti-inflammatory properties. In the present study we tested the effects of MLE in a periodontitis experimental model in rats. We also investigated possible mechanisms underlying such effects. MATERIAL A [...] ND METHODS: Periodontal disease was induced by a ligature placed around the mandibular first molars of each animal. Male Wistar rats were divided into 4 groups: non-ligated animals treated with vehicle; non-ligated animals treated with MLE (10 mg/kg, daily); ligature-induced animals treated with vehicle and ligature-induced animals treated with MLE (10 mg/kg, daily). Thirty days after the induction of periodontal disease, the animals were euthanized and mandibles and gingival tissues removed for further analysis. RESULTS: Morphometric analysis of alveolar bone loss demonstrated that MLE-treated animals presented a decreased alveolar bone loss and a lower expression of the activator of nuclear factor-?B ligand (RANKL) measured by immunohistochemistry. Moreover, gingival tissues from the MLE-treated group showed decreased neutrophil migration myeloperoxidase (MPO) assay. CONCLUSIONS: These results indicate that MLE may be useful to control bone resorption during progression of experimental periodontitis in rats.

  14. Effects of a Mikania laevigata extract on bone resorption and RANKL expression during experimental periodontitis in rats

    Directory of Open Access Journals (Sweden)

    Bruno B. Benatti

    2012-06-01

    Full Text Available OBJECTIVES: The Mikania laevigata extract (MLE (popularly known in Brazil as "guaco" possesses anti-inflammatory properties. In the present study we tested the effects of MLE in a periodontitis experimental model in rats. We also investigated possible mechanisms underlying such effects. MATERIAL AND METHODS: Periodontal disease was induced by a ligature placed around the mandibular first molars of each animal. Male Wistar rats were divided into 4 groups: non-ligated animals treated with vehicle; non-ligated animals treated with MLE (10 mg/kg, daily; ligature-induced animals treated with vehicle and ligature-induced animals treated with MLE (10 mg/kg, daily. Thirty days after the induction of periodontal disease, the animals were euthanized and mandibles and gingival tissues removed for further analysis. RESULTS: Morphometric analysis of alveolar bone loss demonstrated that MLE-treated animals presented a decreased alveolar bone loss and a lower expression of the activator of nuclear factor-?B ligand (RANKL measured by immunohistochemistry. Moreover, gingival tissues from the MLE-treated group showed decreased neutrophil migration myeloperoxidase (MPO assay. CONCLUSIONS: These results indicate that MLE may be useful to control bone resorption during progression of experimental periodontitis in rats.

  15. Nonparametric ridge estimation

    OpenAIRE

    Genovese, Christopher R.; Perone-Pacifico, Marco; Verdinelli, Isabella; Wasserman, Larry

    2012-01-01

    We study the problem of estimating the ridges of a density function. Ridge estimation is an extension of mode finding and is useful for understanding the structure of a density. It can also be used to find hidden structure in point cloud data. We show that, under mild regularity conditions, the ridges of the kernel density estimator consistently estimate the ridges of the true density. When the data are noisy measurements of a manifold, we show that the ridges are close and ...

  16. Management of Root Resorption Using Chemical Agents: A Review.

    Science.gov (United States)

    Mohammadi, Zahed; C Cehreli, Zafer; Shalavi, Sousan; Giardino, Luciano; Palazzi, Flavio; Asgary, Saeed

    2016-01-01

    Root resorption (RR) is defined as the loss of dental hard tissues because of clastic activity inside or outside of tooth the root. In the permanent dentition, RR is a pathologic event; if untreated, it might result in the premature loss of the affected tooth. Several hypotheses have been suggested as the mechanisms of root resorption such as absence of the remnants of Hertwig's epithelial root sheath (HERS) and the absence of some intrinsic factors in cementum and predentin such as amelogenin or osteoprotegerin (OPG). It seems that a barrier is formed by the less-calcified intermediate cementum or the cementodentin junction that prevents external RR. There are several chemical strategies to manage root resorption. The purpose of this paper was to review several chemical agents to manage RR such as tetracycline, sodium hypochlorite, acids (citric acid, phosphoric acid, ascorbic acid and hydrochloric acid), acetazolamide, calcitonin, alendronate, fluoride, Ledermix and Emdogain. PMID:26843869

  17. Peculiarities of the bone tissue resorption under microgravity conditions

    Science.gov (United States)

    Rodionova, N.; Oganov, V.; Polkovenko, O.; Nitsevich, T.

    The actual problem - peculiarities of resorptive processes in the spongiose of thingbones - we studied with the use of tranmissive electron microscopy in experiments on rats (American space station SLS-2) and on monkeys Macaca mulatt? (BION-11). Animals were onboard during 2 weeks. There was established, that the resorption happen with osteoclasts participation. They can create groups of cells. In the osteoclasts population we indicated not typical for the control (ground experiment) "giant" cells, which have on ultrathin sections 5-6 nuclei, many lysosomes, well developed "light" zone and "brush-border". The destruction of minera lized matrix in bone lacunas also happens by the way of osteolytic activity of osteocytes. Lysosome ferments of osteocytes are secreted by the eczocytosis. The osteocytic osteolysis, as well as the osteoclastic one can be seen as a physiological, gormon-dependent mechanism of resorption. The presence of a considerable number of neutrophiles, which enter in some zones of resorption is also typical. When these neutrophiles destruct, they release lysosomic ferments that dissolve the bone matrix. In some zones of resorption we noted the presence of the row from collagen fibrils, which loosed crystals , on mineralized matrix borders. The cell detritus is noted in zones of surface dissolving among crystallic conglomerates. It certificates the processes of osteogenic cells destruction that happen here. So, under the microgravity conditions in zones of adaptive remodeling of the spongiose the processes of the bone tissue resorption happen by some ways, namely: by the functional activization of osteoclasts; by the osteocytic osteolysis increasing; as a result of hydrolytic activity of neutrophiles, entering in these zones, and also by the local demineralization and further destruction of bone matrix surface zones.

  18. Humoral Regulation of Osteoclasts and Their Role in Bone Resorption

    Directory of Open Access Journals (Sweden)

    Hatice Sebile Dökmeta?

    2008-05-01

    Full Text Available Osteoclasts are derived from the macrophage haematopoietic lineage, resemble monocyte-like phagocytic cells, and are involved in bone resorption. The cells of the bone and the immune system communicate by cytokines and growth factors. The discovery of the receptor activator of nuclear factor kappa B (RANK signalling pathway in osteoclasts provides a deeper understanding of osteoclastogenesis, mechanisms of the activation of bone resorption, and how bone structure and mass are affected by hormones. Turk Jem 2008; 12: 12-7

  19. Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT

    Scientific Electronic Library Online (English)

    Dilhan, Ilguy; Mehmet, Ilguy; Semanur, Dolekoglu; Erdogan, Fisekcioglu.

    2013-09-01

    Full Text Available Assessment of the maxillary sinus anatomy before sinus augmentation is important for avoiding surgical complications, because of the close anatomical relationship between the posterior maxillary teeth and the maxillary sinus. The posterior superior alveolar artery (PSAA) is the branch of the maxilla [...] ry artery that supplies the lateral sinus wall and overlying membrane. We evaluated the location of the PSAA and its relationship to the alveolar ridge and maxillary sinus using cone beam computed tomography (CBCT). The study group consisted of 135 CBCT scans (270 sinuses) obtained from the archive of the dentomaxillofacial radiology department at Yeditepe University Faculty of Dentistry, Istanbul, Turkey. The distance between the lower border of the artery and the alveolar crest, bone height from the sinus floor to the ridge crest, distance from the artery to the medial sinus wall, and the diameter and location of the artery were determined. The occurrence of septa and pathology were recorded from CBCT scans. The PSAA was observed in 89.3% of sinuses, and 71.1% of arteries were intraosseous with diameters mostly

  20. A case of pulmonary alveolar microlithiasis

    International Nuclear Information System (INIS)

    A case of pulmonary alveolar microlithiasis is reported. A 33-year-old male visited our clinic because of cough and sore throat. The chest X-ray showed granular micronodulation diffusely disseminated throughout the lung fields. On the eighth day since admission, cough and sore throat disappeared. Pulmonary alveolar microlithiasis was confirmed by transbronchial lung biopsy. Bronchoalveolar lavage (BAL) was performed, and the differential cell count of the BAL fluid showed 74.3 % eosinophilia. Furthermore, 67Ga-citrate scintigraphy revealed diffuse uptake throughout the lung fields. Whether these findings are common in pulmonary alveolar microlithiasis or not is considered to be an unanswered problem. (author)

  1. Influence of the variation in radiographic technique on the digital radiographic image reading in interproximal alveolar bone resorption evaluation

    Directory of Open Access Journals (Sweden)

    Orivaldo Tavano

    2009-12-01

    Full Text Available Objective: To analyze digital radiographic images using the resources available in the Digora digital radiograph system (Soredex, Helsinki, Finland, and comparing it with real images of the open surgical site, varying the angles of radiographs taken with the aim of obtaining a result closer to that which would be real. Methods: For the clinical exam, millimetric probes were used with the aid of a line that joins the amelocemental junction, measuring up to the center of the bone defect between two contiguous teeth. The radiographic exam was standardized to obtain a digital image with greater detail and the minimum of distortion, using a support and Rinn type positioner, and a resin model of the occlusal surfaces of the teeth to be radiographed, to reproduce the focus/film distances of 40cm, and object/film parallelism, in the five radiographic incidences used(0°, +10°, -10°, 10° to the right and 10° to the left.Results: After the descriptive statistical result the coefficient of variation was obtained, which was shown to be only regular, as it was over 20%. As regards the type of image treatment, DFW 2.5.a showed the standard radiograph to have similar results to those of the clinical exam, the 3D radiographic image had variations towards lower values and the negative images towards higher values. Conclusion: The standardization used in the research for radiographic exam showed that there is always a small enlargement of the image in relation to the clinical measurements; that the standard image was more reliable for the observation and measurement of interdental bone crests, followed by the 3D image and finally the negative image of the Digora digital radiographic system. The best incidence of X-rays, using the Rinn type positioner, is that of 0°, after this +10°, -10° and 10° to the right; the incidence of 10?? to the left showed the greatest variation.

  2. Porphyromonas gingivalis GroEL Induces Osteoclastogenesis of Periodontal Ligament Cells and Enhances Alveolar Bone Resorption in Rats

    OpenAIRE

    Lin, Feng-Yen; Hsiao, Fung-Ping; Huang, Chun-Yao; Shih, Chun-Ming; Tsao, Nai-Wen; Tsai, Chien-Sung; Yang, Shue-Fen; Chang, Nen-Chung; Hung, Shan-Ling; Lin, Yi-Wen

    2014-01-01

    Porphyromonas gingivalis is a major periodontal pathogen that contains a variety of virulence factors. The antibody titer to P. gingivalis GroEL, a homologue of HSP60, is significantly higher in periodontitis patients than in healthy control subjects, suggesting that P. gingivalis GroEL is a potential stimulator of periodontal disease. However, the specific role of GroEL in periodontal disease remains unclear. Here, we investigated the effect of P. gingivalis GroEL on human periodontal ligame...

  3. External cervical resorption: a case study using orthodontic extrusion.

    Science.gov (United States)

    Emery, C

    1996-10-01

    A case is presented of external cervical resorption detected on routine 6-monthly examination. Following root canal therapy orthodontic extrusion and pericision, the tooth was restored using a radicular retained post and core supporting a porcelain bonded to gold full coverage crown. PMID:9452623

  4. Regional aggressive root resorption caused by neuronal virus infection

    DEFF Research Database (Denmark)

    Kjær, Inger; Strøm, Carsten; Worsaae, Nils

    2012-01-01

    occurring regionally. Two cases of female patients, 26 and 28 years old, referred with aggressive root resorption were investigated clinically and radiographically. Anamnestic information revealed severe virus diseases during childhood, meningitis in one case and whooping cough in the other. One of the...

  5. Glucocorticoid-Induced Changes in the Geometry of Osteoclast Resorption Cavities Affect Trabecular Bone Stiffness

    DEFF Research Database (Denmark)

    Vanderoost, Jef; Søe, Kent; Merrild, Ditte Marie Horslev; Delaissé, Jean-Marie; van Lenthe, G Harry

    2012-01-01

    Bone fracture risk can increase through bone microstructural changes observed in bone pathologies, such as glucocorticoid-induced osteoporosis. Resorption cavities present one of these microstructural aspects. We recently found that glucocorticoids (GCs) affect the shape of the resorption cavities...

  6. Integrity of the alveolar-capillary barrier and alveolar surfactant system in smokers.

    OpenAIRE

    Schmekel, B; Bos, J.A.; A. R. Khan; Wohlfart, B; Lachmann, B.; Wollmer, P

    1992-01-01

    BACKGROUND: The permeability of the alveolar-capillary barrier to technetium-99m labelled diethylenetriamine pentaacetate (99mTc DTPA) is known to be greatly increased in smokers, but the underlying mechanism is poorly understood. Abnormal permeability of the alveolar epithelium as well as impaired surfactant function has been suggested. The purpose of this study was to examine transudation of urea and albumin into the alveoli and alveolar surfactant function in smokers and non-smokers and to...

  7. Characteristic aspects of alveolar proteinosis diagnosis Aspectos característicos do diagnóstico da proteinose alveolar

    OpenAIRE

    Thiago Prudente Bártholo; José Gustavo Pugliese; Luiz Carlos Aguiar Vaz; Cláudia Henrique da Costa; Rogério Rufino

    2012-01-01

    Alveolar proteinosis is an uncommon pulmonary disease characterized by an accumulation of surfactant in terminal airway and alveoli, thereby impairing gas exchange and engendering respiratory insufficiency in some cases. Three clinically and etiologically distinct forms of pulmonary alveolar proteinosis are recognized: congenital, secondary and idiopathic, the latter corresponding to 90% of the cases. In this case report we present a young male patient that was diagnosed with alveolar protein...

  8. Vanishing Roots: First Case Report of Idiopathic Multiple Cervico–Apical External Root Resorption

    OpenAIRE

    Choudhury, Priyadarshini; Panigrahi, Rajat G; Maragathavalli,; Panigrahi, Antarmayee; Patra, Padma Charan

    2015-01-01

    Idiopathic root resorption is a very rare phenomenon. Resorption in tooth is brought about by odontoclastic activity. Special mechanisms in the periodontal ligament exist to prevent mineralization of the periodontal ligament and these periodontal ligament cells produce factors that inhibit mineralized tissue resorption and are capable of regulating bone and cementum formation. When this mechanism is disturbed it manifests in resorption of root structure. This case report is of a 28-year-old m...

  9. Glucocorticoids maintain human osteoclasts in the active mode of their resorption cycle

    DEFF Research Database (Denmark)

    Søe, Kent; Delaissé, Jean-Marie

    2010-01-01

    Osteoclasts are known to exert their resorptive activity through a so-called resorption cycle consisting of alternating resorption and migration episodes and resulting typically in the formation of increasing numbers of discrete round excavations on bone slices. This study shows that glucocorticoids deeply modify this resorptive behavior. First, glucocorticoids gradually induce excavations with a trenchlike morphology while reducing the time-dependent increase in excavation numbers. This indicat...

  10. Identification of A Novel Root Resorptive Function of Osteopontin Gene

    Directory of Open Access Journals (Sweden)

    M. Seifi

    2008-12-01

    Full Text Available Objective: Osteopontin (OPN has been proposed to play a role in bone resorption. With regard to bone and cementum/dentin structural and histological similarities, it was hy-pothesized that expression of this gene might be increased in resorptive lacunae during orthodontic tooth movement.Materials and Methods: Fixed Nickel-Titanium closed coil springs (Dentaurum® capa-ble of delivering approximately 60 gf were applied for mesial movement of maxillary left first molars in 26 male 8-week-old Wistar rats. The right maxillary molar served as inter-nal control for each subject. After 21 days, the rats were sacrificed. Tissues from 13 rats were examined by histomorphometric analysis and the scratched material from resorptive lacunae on mesial sides of the roots was used for extracting messenger ribonucleic acid (mRNA in RT-PCR reactions. T-test and Wilcoxon signed-rank test served for statistical analyses.Results: Histomorphometric analysis of histologic sections revealed an increased resorbed area in test group compared to control animals (P<0.001. The integrity of mRNA con-firmed by RT-PCR for housekeeping gene glyceraldehyde 3-phosphate dehydrogenase (GAPDH. Densitometric analysis of OPN mRNA on electrophoresis gel showed an in-crease in background levels of OPN in resorptive lacunae of test group (P<0.001.Conclusion: Data indicates that in the controlled environment of this study, an increase in OPN expression is associated with root resorption induced by orthodontic tooth move-ment.

  11. Alveolar wound healing in rats fed on high sucrose diet

    Scientific Electronic Library Online (English)

    María A, Baró; Marina R, Rocamundi; Javier O, Viotto; Ruth S, Ferreyra.

    2013-10-01

    Full Text Available El potencial de reparacion osea esta influenciado por una variedad de mecanismos bioquimicos, biomecanicos, hormonales, patologicos y factores como la dieta y sus componentes; todos rigen comportamiento y funcion de las celulas encargadas de formar nuevo hueso. Varios autores sugieren que una dieta [...] rica en sacarosa, podria cambiar el balance del calcio y la composicion osea en animales, alterando la mineralizacion de tejidos duros. El mecanismo por el cual esto se produce no es claro. La cicatrizacion alveolar post extraccion reune caracteristicas particulares que la convierten en una herida unica, en animales y en humanos. El objetivo general de este trabajo fue evaluar y cuantificar la respuesta biologica durante la cicatrizacion alveolar post extraccion en ratas con dieta rica en sacarosa; mediante la histomorfometria de lagunas osteociticas, recuento de lagunas vacias y medicion de zonas de reposo, neoformacion y resorcion osea. Se utilizaron 42 ratas Wistar, de ambos sexos, que fueron divididas en dos grupos: grupo experimental, alimentadas con dieta modificada de Stephan Harris (43% de sacarosa) y grupo control alimentadas con dieta balanceada estandar. Se anestesiaron los animales y se extrajeron primeros molares inferiores, derecho e izquierdo, luego fueron sacrificados a las 0hs., 14, 28, 60 y 120 dias. Las muestras obtenidas fueron fijadas, descalcificadas con EDTA e incluidas en parafina y se obtuvieron cortes para microscopia optica que fueron coloreados con hematoxilina/eosina. El analisis histomorfometrico mostro diferencias significativas de tamano entre lagunas osteociticas de ambos grupos a los 28 y 60 dias siendo de mayor tamano en los experimentales, se encontraron mayor cantidad de lagunas vacias en experimentales a los 14 dias y no hubo diferencias significativas en las superficies de actividad osea. Una dieta rica en sacarosa podria producir modificaciones en la morfologia y calidad del tejido oseo que se forma en el alveolo post extraccion dentaria. Abstract in english The potential for bone repair is influenced by various biochemical, biomechanical, hormonal, and pathological mechanisms and factors such as diet and its components, all of which govern the behavior and function of the cells responsible for forming new bone. Several authors suggest that a high sucro [...] se diet could change the calcium balance and bone composition in animals, altering hard tissue mineralization. The mechanism by which it occurs is unclear. Alveolar healing following tooth extraction has certain characteristics making this type of wound unique, in both animals and humans. The general aim of this study was to evaluate and quantify the biological response during alveolar healing following tooth extraction in rats fed on high sucrose diets, by means of osteocyte lacunae histomorphometry, counting empty lacunae and measuring areas of bone quiescence, formation and resorption. Forty-two Wistar rats of both sexes were divided into two groups: an experimental group fed on modified Stephan Harris diet (43% sucrose) and a control group fed on standard balanced diet. The animals were anesthetized and their left and right lower molars extracted. They were killed at 0 hours, 14, 28, 60 and 120 days. Samples were fixed, decalcified in EDTA and embedded in paraffin to prepare sections for optical microscopy which were stained with hematoxylin/eosin. Histomorphometric analysis showed significant differences in the size of osteocyte lacunae between groups at 28 and 60 days, with the experimental group having larger lacunae. There were more empty lacunae in the experimental group at 14 days, and no significant difference in the areas of bone activity. A high sucrose diet could modify the morphology and quality of bone tissue formed in the alveolus following tooth extraction.

  12. Ridge Regression: A Panacea?

    Science.gov (United States)

    Walton, Joseph M.; And Others

    1978-01-01

    Ridge regression is an approach to the problem of large standard errors of regression estimates of intercorrelated regressors. The effect of ridge regression on the estimated squared multiple correlation coefficient is discussed and illustrated. (JKS)

  13. Boosting ridge regression

    OpenAIRE

    Tutz, Gerhard; Binder, Harald

    2005-01-01

    Ridge regression is a well established method to shrink regression parameters towards zero, thereby securing existence of estimates. The present paper investigates several approaches to combining ridge regression with boosting techniques. In the direct approach the ridge estimator is used to fit iteratively the current residuals yielding an alternative to the usual ridge estimator. In partial boosting only part of the regression parameters are reestimated within one step of the iterative proc...

  14. Membrane transport of clindamycin in alveolar macrophages.

    OpenAIRE

    Hand, W L; King-Thompson, N L

    1982-01-01

    The use of antibiotics which can penetrate phagocytic cells and kill intracellular organisms is desirable in the treatment of chronic facultative bacterial infections. Recently, we reported that several antibiotics were selectively concentrated by rabbit alveolar macrophages. Clindamycin accumulation was especially marked. In the present study we evaluated the plasma membrane transport (initial uptake) of clindamycin in alveolar macrophages. The transport of clindamycin is an active process, ...

  15. Alveolar hydatid cyst: A case report

    Directory of Open Access Journals (Sweden)

    Behiye Zarif-Zakerian

    2010-06-01

    Full Text Available Alveolar hydatid cyst is a parasitic disease due to invasion of the Echinococcus multilocularis larva into the different tissues. The main host of this tape worms is Canidae family, especially foxes and jackals. Human beings are usually infected through eating contaminated vegetables and water with parasite eggs. In this article, one case of alveolar hydatid cyst has been reported in a 35 year-old woman

  16. Alveolar bone preservation subsequent to miniscrew implant placement in a canine model

    DEFF Research Database (Denmark)

    Melsen, Birte; Huja, Sarandeep

    2014-01-01

    Abstract OBJECTIVE: To assess the effects of transcortical screws on alveolar (bone) ridge preservation following extraction. DESIGN: Four adult beagle dogs had mandibular premolars extracted bilaterally. After 6 weeks, using a split-mouth design, two transcortical screws were inserted unilaterally below the alveolar crest on the experimental side in the region of the extraction. The dogs were killed after 12 weeks. The bone at the extraction sites was analyzed using ?CT and 3D analysis. A cylindrical core was placed around the actual and a virtual screw placed in the identical location on the control side. The bone volume within the cylinders was quantified. An insertion of a dental implant was simulated bilaterally at the insertion site. The height of the clinical crown and the alveolar crest were determined on both sides. The bone turnover was assessed histomorphometrically on un-decalcified bucco-lingual sections stained with basic fuchsine and toluidine blue. RESULTS: Comparison of the two sidesrevealed a significant difference both with regard to the bone volume and morphology. The transcortical screw caused an increase in bone density and less ridge atrophy. When simulating a dental implant placement on both sides, the bone preservation on the experimental side led to a need for a shorter clinical crown compared to the control side. A higher activity level of the bone in the experimental side was demonstrated histologically. CONCLUSION: In this dog model the insertion of a mini-implant across the healing alveolar process results in increased density not only adjacent to the screws, but also in the region where a potential dental implant would be inserted. In humans, the insertion of transcortical screws may maintain bone when for various reasons insertion of a permanent dental implant has to be postponed.

  17. Glucocorticoids maintain human osteoclasts in the active mode of their resorption cycle

    DEFF Research Database (Denmark)

    SØe, Kent; Delaissé, Jean-Marie

    2010-01-01

    Osteoclasts are known to exert their resorptive activity through a so-called resorption cycle consisting of alternating resorption and migration episodes and resulting typically in the formation of increasing numbers of discrete round excavations on bone slices. This study shows that glucocorticoids deeply modify this resorptive behavior. First, glucocorticoids gradually induce excavations with a trenchlike morphology while reducing the time-dependent increase in excavation numbers. This indicates that glucocorticoids make osteoclasts elongate the excavations they initiated rather than migrating to a new resorption site, as in control conditions. Second, the round excavations in control conditions contain undegraded demineralized collagen as repeatedly reported earlier, whereas the excavations with a trenchlike morphology generated under glucocorticoid exposure appear devoid of leftovers of demineralized collagen. This indicates that collagenolysis proceeds generally at a lower rate than demineralization under control conditions, whereas collagenolysis rates are increased up to the level of demineralization rates in the presence of glucocorticoids. Taking these observations together leads to a model where glucocorticoid-induced increased collagenolysis allows continued contact of osteoclasts with mineral, thereby maintaining resorption uninterrupted by migration episodes and generating resorption trenches. In contrast, accumulation of demineralized collagen, as prevails in controls, acts as a negative-feedback loop, switching resorptive activity off and promoting migration to a new resorption site, thereby generating an additional resorption pit. We conclude that glucocorticoids change the osteoclastic resorption mode from intermittent to continuous and speculate that this change may contribute to the early bone fragilization of glucocorticoid-treated patients.

  18. Multiple idiopathic external and internal resorption: Case report with cone-beam computed tomography findings

    Energy Technology Data Exchange (ETDEWEB)

    Celikten, Berkan; Uzuntas, Ceren Feriha; Kurt, Hakan [Faculty of Dentistry, Ankara University, Ankara (Turkmenistan)

    2014-12-15

    Root resorption is loss of dental hard tissue as a result of clastic activities. The dental hard tissue of permanent teeth does not normally undergo resorption, except in cases of inflammation or trauma. However, there are rare cases of tooth resorption of an unknown cause, known as 'idiopathic root resorption.' This report would discuss a rare case of multiple idiopathic resorption in the permanent maxillary and mandibular teeth of an otherwise healthy 36-year-old male patient. In addition to a clinical examination, the patient was imaged using conventional radiography and cone-beam computed tomography (CBCT). The examinations revealed multiple external and internal resorption of the teeth in all four quadrants of the jaws with an unknown cause. Multiple root resorption is a rare clinical phenomenon that should be examined using different radiographic modalities. Cross-sectional CBCT is useful in the diagnosis and examination of such lesions.

  19. Inflammatory root resorption in primary molars: prevalence and associated factors

    Scientific Electronic Library Online (English)

    Raquel Gonçalves, Vieira-Andrade; Clarissa Lopes, Drumond; Laura Pereira Azevedo, Alves; Leandro Silva, Marques; Maria Letícia, Ramos-Jorge.

    2012-08-01

    Full Text Available This study aimed at determining the prevalence of inflammatory root resorption and associated factors in 1068 primary mandibular molars in 453 children 3 to 12 years of age. Age, dental history and medical history were recorded using a questionnaire administered to the children's parents/caregivers. [...] Previously trained and calibrated examiners assessed radiographic images of the primary molars by direct observation, with the aid of a viewing box. Root resorption (physiological or inflammatory), dental crown status (healthy, carious with no pulp involvement, carious with pulp involvement and evidence of restoration), and pulpotomy or pulpectomy were determined. Data analysis involved descriptive statistics, the chi-square test and a multiple logistic regression (p

  20. Apoptotic osteocytes and the control of targeted bone resorption.

    Science.gov (United States)

    Plotkin, Lilian I

    2014-03-01

    Studies from the 1950s and 1960s already recognize the fact that osteocytes, although long living cells, die, as evidenced by accumulation of osteocytic lacunae devoid of cells. More recently, it was demonstrated that these cells die by apoptosis. The rate of osteocyte apoptosis is regulated by the age of the bone, as well as by systemic hormones, local growth factors, cytokines, pharmacological agents, and mechanical forces. Apoptotic osteocytes, in turn, recruit osteoclasts to initiate targeted bone resorption. This results in the removal of "dead" bone and may improve the mechanical properties of the skeleton. However, the molecular regulators of osteocyte survival and targeted bone remodeling are not completely known. In this review, the current knowledge on the molecular mechanism that lead to osteocyte death or survival, and the signals that mediate targeted bone resorption is discussed. PMID:24470254

  1. The aetiopathogenesis of feline osteoclastic resorptive lesions (FORL)

    OpenAIRE

    Delaurier, A. F.

    2003-01-01

    External feline osteoclastic resorptive lesions (FORL) of the tooth occur in 20-75% of domestic cats. Epidemiological studies have shown that the incidence of FORL increases with age, and premolars and molars are the most commonly affected teeth. However, the aetiological mechanisms of tooth destruction in FORL are unknown. In this study, the normal surface anatomy of the tooth, and the surface features of early and advanced FORL were described using scanning electron microscop...

  2. Cellular mechanisms of bone resorption in breast carcinoma

    OpenAIRE

    Hunt, N C A; Fujikawa, Y.; Sabokbar, A.; Itonaga, I; Harris, A.; Athanasou, N. A.

    2001-01-01

    The cellular mechanisms that account for the increase in osteoclast numbers and bone resorption in skeletal breast cancer metastasis are unclear. Osteoclasts are marrow-derived cells which form by fusion of mononuclear phagocyte precursors that circulate in the monocyte fraction. In this study we have determined whether circulating osteoclast precursors are increased in number or have an increased sensitivity to humoral factors for osteoclastogenesis in breast cancer patients with skeletal me...

  3. Association of orthodontic force system and root resorption

    DEFF Research Database (Denmark)

    Roscoe, Marina G; Meira, Josete B C; Cattaneo, Paolo M

    2015-01-01

    INTRODUCTION: In this systematic review, we assessed the literature to determine which evidence level supports the association of orthodontic force system and root resorption. METHODS: PubMed, Cochrane, and Embase databases were searched with no restrictions on year, publication status, or language. Selection criteria included human studies conducted with fixed orthodontic appliances or aligners, with at least 10 patients and the force system well described. RESULTS: A total of 259 articles were...

  4. Hydroxyapatite Nanopowder Synthesis with a Programmed Resorption Rate

    OpenAIRE

    Dariusz Smoleń; Tadeusz Chudoba; Stanisław Gierlotka; Aleksandra Kedzierska; Witold Łojkowski; Kamil Sobczak; Wojciech Święszkowski; Krzysztof Jan Kurzydłowski

    2012-01-01

    A microwave, solvothermal synthesis of hydroxyapatite (HAp) nanopowder with a programmed material resorption rate was developed. The aqueous reaction solution was heated by a microwave radiation field with high energy density. The measurements included powder X-ray diffraction (PXRD) and the density, specific surface area (SSA), and chemical composition as specified by the inductively coupled plasma optical emission spectrometry technique (ICP-OES). The morphology and structure were investiga...

  5. A resorption cycle for the cogeneration of electricity and refrigeration

    International Nuclear Information System (INIS)

    Graphical abstract: A novel resorption cycle driven by low grade heat for cogeneration of electricity and refrigeration is studied. The cycle features in high exergy efficiency, very little or no ammonia liquid inside and simple structure. Highlights: ? A resorption cogeneration cycle for electricity and refrigeration is proposed. ? The cycle improved refrigeration COP by 10 times compared with Goswami cycle. ? The highest exergy efficiency of the cogeneration cycle is as high as 0.9. ? The cycle also features in safety and simple structure. - Abstract: This paper describes a novel resorption cycle driven by the low grade heat for the cogeneration of electricity and refrigeration, which is based on ammonia adsorption refrigeration technology. The presented cycle features a variable endothermic process which stands for higher adaptability if compared with the traditional Rankine cycle, very little or no ammonia liquid in the system which is a safety feature, solid adsorbents inside the beds, and simple structure for the fact of no rectifying equipment and circulation pumps required by the working fluids. This cycle can be utilised for the heat source with the temperature higher than 100 °C, and it has an electricity generation exergy efficiency of up to 0.69 and a refrigeration coefficient of performance (COP) of up to 0.77. If compared with the Goswami cycle, which is established based on the absorption Kalina cycle for the cogeneration of electricity and refrigeration, the novel resorption cycle kept the merit of the high exergy efficiency for electricity generation, meanwhile, it overcame the limitation of the low refrigeration coefficient of performance (COP) of Goswami cycle, and improved the COP by 10 times. The optimum overall exergy efficiency is as high as 0.9, which is 40–60% improved compared with the Goswami cycle under the same working conditions

  6. Resorptive tooth root lesions in the Malayan tapir (Tapirus indicus).

    Science.gov (United States)

    Da Silva, Mari-Ann O; Kortegaard, Hanne E; Choong, Siew Shean; Arnbjerg, Jens; Bertelsen, Mads F

    2011-03-01

    Facial abscessation and osteomyelitis due to dental disease is commonly seen in the Malayan tapir (Tapirus indicus), but little is known about the prevalence or etiology of these lesions. To determine the prevalence of dental ailments, 56 skulls and mandibles of deceased Malayan tapirs were visually and radiographically evaluated. Dental lesions were scored according to severity, and individuals were classified according to their age (juvenile/ young adult/adult) and origin (captive/free ranging). All of the lesions identified were of a resorptive nature. seemingly originating at the cementoenamel junction and burrowing towards the center of the tooth. Overall, 27% of the investigated skulls presented radiolucent dental lesions. The prevalence among captive animals was 52% (13/25), while only 6% (2/31) of the free-ranging tapirs had dental lesions. The second, third, and fourth premolars and first molar were the teeth most commonly affected, and the mandibular teeth were more often involved than the maxillary dentition. This study demonstrates a high prevalence of resorptive dental lesions in captive Malayan tapirs and provides a strong indication that age and captivity are significant risk factors in the development of these lesions. Dental disease, Malayan tapir, radiology, resorptive lesions, Tapirus indicus. PMID:22946368

  7. The influence of ovariectomy, simvastatin and sodium alendronate on alveolar bone in rats / Influência da ovariectomia, da sinvastatina e do alendronato sódico no osso alveolar em ratas

    Scientific Electronic Library Online (English)

    Ana Lia, Anbinder; Fernanda de Almeida, Prado; Marcela de Almeida, Prado; Ivan, Balducci; Rosilene Fernandes da, Rocha.

    2007-09-01

    Full Text Available Os bisfosfonatos são empregados atualmente para o tratamento de várias doenças caracterizadas pelo aumento da reabsorção óssea, como a osteoporose. As estatinas são amplamente utilizadas para redução de níveis elevados de colesterol e estudos recentes têm revelado sua ação anabólica no osso. O objet [...] ivo deste trabalho foi avaliar a influência da deficiência estrogênica e dos tratamentos com sinvastatina ou alendronato sódico no osso alveolar em ratas. Cinqüenta e quatro ratas sofreram ovariectomia (OVX) ou cirurgia simulada ("sham"). Um mês após, os animais passaram a receber diariamente, via oral, 25 mg/kg de sinvastatina (SIN), 2 mg/kg de alendronato (ALN) ou água (controle). Trinta e cinco dias depois do início do tratamento os animais foram sacrificados, as hemimandíbulas esquerdas removidas e radiografadas em aparelho de raios X digital. Foi calculada a densidade radiográfica em tons de cinza da área de osso alveolar sob o primeiro molar mandibular e os valores foram submetidos a ANOVA, ao nível de 5%. Ratas ovariectomizadas ganharam mais peso (média ± desvio-padrão: 20,06 ± 6,68%) que as demais (12,13 ± 5,63%). Os valores de densidade radiográfica, em tons de cinza, foram menores nos animais do grupo OVX-água (183,49 ± 6,47), significantemente diferentes daqueles observados nos grupos que receberam alendronato ("sham"-ALN: 193,85 ± 3,81; OVX-ALN: 196,06 ± 5,11) e no grupo "sham"-água (193,66 ± 4,36). Outras comparações entre grupos não revelaram diferenças estatísticas. Concluiu-se que a ovariectomia reduziu a densidade óssea alveolar e que o tratamento com alendronato sódico foi eficiente para o tratamento desta situação. Abstract in english Bisphosphonates are currently used in the treatment of many diseases involving increased bone resorption such as osteoporosis. Statins have been widely used for the treatment of hypercholesterolemia and recent studies have shown that these drugs are also capable of stimulating bone formation. The pu [...] rpose of this study was to evaluate the influence of an estrogen deficient state and the effects of simvastatin and sodium alendronate therapies on alveolar bone in female rats. Fifty-four rats were either ovariectomized (OVX) or sham operated. A month later, the animals began to receive a daily dose of simvastatin (SIN - 25 mg/kg), sodium alendronate (ALN - 2 mg/kg) or water (control) orally. Thirty-five days after the beginning of the treatment, the rats were sacrificed and their left hemimandibles were removed and radiographed using digital X-ray equipment. The alveolar radiographic density under the first molar was determined with gray-level scaling and the values were submitted to analysis of variance (a = 5%). Ovariectomized rats gained more weight (mean ± standard deviation: 20.06 ± 6.68%) than did the sham operated animals (12.13 ± 5.63%). Alveolar radiographic density values, expressed as gray levels, were lowest in the OVX-water group (183.49 ± 6.47), and differed significantly from those observed for the groups receiving alendronate (sham-ALN: 193.85 ± 3.81; OVX-ALN: 196.06 ± 5.11) and from those of the sham-water group (193.66 ± 4.36). Other comparisons between groups did not show significant differences. It was concluded that the ovariectomy reduced alveolar bone density and that alendronate was efficient for the treatment of this condition.

  8. The influence of ovariectomy, simvastatin and sodium alendronate on alveolar bone in rats Influência da ovariectomia, da sinvastatina e do alendronato sódico no osso alveolar em ratas

    Directory of Open Access Journals (Sweden)

    Ana Lia Anbinder

    2007-09-01

    Full Text Available Bisphosphonates are currently used in the treatment of many diseases involving increased bone resorption such as osteoporosis. Statins have been widely used for the treatment of hypercholesterolemia and recent studies have shown that these drugs are also capable of stimulating bone formation. The purpose of this study was to evaluate the influence of an estrogen deficient state and the effects of simvastatin and sodium alendronate therapies on alveolar bone in female rats. Fifty-four rats were either ovariectomized (OVX or sham operated. A month later, the animals began to receive a daily dose of simvastatin (SIN - 25 mg/kg, sodium alendronate (ALN - 2 mg/kg or water (control orally. Thirty-five days after the beginning of the treatment, the rats were sacrificed and their left hemimandibles were removed and radiographed using digital X-ray equipment. The alveolar radiographic density under the first molar was determined with gray-level scaling and the values were submitted to analysis of variance (a = 5%. Ovariectomized rats gained more weight (mean ± standard deviation: 20.06 ± 6.68% than did the sham operated animals (12.13 ± 5.63%. Alveolar radiographic density values, expressed as gray levels, were lowest in the OVX-water group (183.49 ± 6.47, and differed significantly from those observed for the groups receiving alendronate (sham-ALN: 193.85 ± 3.81; OVX-ALN: 196.06 ± 5.11 and from those of the sham-water group (193.66 ± 4.36. Other comparisons between groups did not show significant differences. It was concluded that the ovariectomy reduced alveolar bone density and that alendronate was efficient for the treatment of this condition.Os bisfosfonatos são empregados atualmente para o tratamento de várias doenças caracterizadas pelo aumento da reabsorção óssea, como a osteoporose. As estatinas são amplamente utilizadas para redução de níveis elevados de colesterol e estudos recentes têm revelado sua ação anabólica no osso. O objetivo deste trabalho foi avaliar a influência da deficiência estrogênica e dos tratamentos com sinvastatina ou alendronato sódico no osso alveolar em ratas. Cinqüenta e quatro ratas sofreram ovariectomia (OVX ou cirurgia simulada ("sham". Um mês após, os animais passaram a receber diariamente, via oral, 25 mg/kg de sinvastatina (SIN, 2 mg/kg de alendronato (ALN ou água (controle. Trinta e cinco dias depois do início do tratamento os animais foram sacrificados, as hemimandíbulas esquerdas removidas e radiografadas em aparelho de raios X digital. Foi calculada a densidade radiográfica em tons de cinza da área de osso alveolar sob o primeiro molar mandibular e os valores foram submetidos a ANOVA, ao nível de 5%. Ratas ovariectomizadas ganharam mais peso (média ± desvio-padrão: 20,06 ± 6,68% que as demais (12,13 ± 5,63%. Os valores de densidade radiográfica, em tons de cinza, foram menores nos animais do grupo OVX-água (183,49 ± 6,47, significantemente diferentes daqueles observados nos grupos que receberam alendronato ("sham"-ALN: 193,85 ± 3,81; OVX-ALN: 196,06 ± 5,11 e no grupo "sham"-água (193,66 ± 4,36. Outras comparações entre grupos não revelaram diferenças estatísticas. Concluiu-se que a ovariectomia reduziu a densidade óssea alveolar e que o tratamento com alendronato sódico foi eficiente para o tratamento desta situação.

  9. Alveolar bone height in professional musicians.

    Science.gov (United States)

    Bergström, J; Eliasson, S

    1986-06-01

    This study aimed at determining alveolar bone height in musicians playing wind instruments and non-wind instruments. Two hundred and forty-two subjects, 208 men and 34 women, from 3 national orchestras in Stockholm were examined in an intraoral full-mouth survey. The height of alveolar bone, registered by a computerized method, was expressed as a percentage of the root length. Mean alveolar bone height varied from 87.4% in subjects aged 21-30 years to 73.6% in subjects aged 51-60 years. There were no significant differences between the two categories of instrumentalists in any age group. With regard to individual teeth, the greatest values of bone height were observed for canines and second premolars, whereas mandibular incisors and maxillary molars displayed the lowest values. The alveolar bone height was not significantly different for the two categories of instrumentalists in either anterior teeth or posterior teeth. It is concluded that playing wind instruments does not influence the alveolar bone height to such an extent as to be detectable on a large-scale epidemiologic basis. PMID:3461660

  10. Compression-absorption (resorption) refrigerating machinery. Modeling of reactors; Machine frigorifique a compression-absorption (resorption). Modelisation des reacteurs

    Energy Technology Data Exchange (ETDEWEB)

    Lottin, O.; Feidt, M.; Benelmir, R. [LEMTA-UHP Nancy-1, 54 - Vandoeuvre-les-Nancy (France)

    1997-12-31

    This paper is a series of transparencies presenting a comparative study of the thermal performances of different types of refrigerating machineries: di-thermal with vapor compression, tri-thermal with moto-compressor, with ejector, with free piston, adsorption-type, resorption-type, absorption-type, compression-absorption-type. A prototype of ammonia-water compression-absorption heat pump is presented and modeled. (J.S.)

  11. Botryllus schlosseri (Tunicata) whole colony irradiation: Do senescent zooid resorption and immunological resorption involve similar recognition events

    International Nuclear Information System (INIS)

    The colonial tunicate Botryllus schlosseri undergoes cyclic blastogenesis where feeding zooids are senescened and resorbed and a new generation of zooids takes over the colony. When non-identical colonies come into direct contact, they either reject each other or fuse. Fusion is usually followed by the resorption of one of the partners in the chimera (immunological resorption). The striking morphological similarities between the two resorption phenomena suggest that both may involve tissue destruction following self-nonself recognition events. Here we attempt to modify these two events by whole colony gamma irradiation assays. Three sets of experiments were performed: (1) different doses of whole colony irradiation for determination of irradiation effects (110 colonies); (2) pairs of irradiated-nonirradiated isografts of clonal replicates for the potential of reconstruction of the irradiated partners (23 pairs); (3) chimeras of irradiated-nonirradiated partners for analysis of resorption hierarchy. Mortality increased with the irradiation dose. All colonies exposed to more than 5,000 rads died within 19 days, while no colony died below 2,000 rads. The average mortality periods, in days, for doses of 6,000-8,000, 5,000, and 2,500-4,000 rads were 14.4 +/- 3.1 (n = 24), 19.8 +/- 6.0 (n = 15), and 19.6 + 5.1 (n = 22), respectively. Younger colonies (3-6 months old) may survive radiation better than older ones (more than 13 months). Many morphological alterations were recorded in irradiated colonies: ampullar contraction and/or dilation, accumulation of pigment cells within ampullae, abnormal bleeding from blood vessels, sluggish blood circulation, necrotic zones, reduction in bud number, and irregularities in zooid and system structures. With doses of 3,000-4,000 rads and above, irradiation arrested the formation of new buds and interrupted normal takeover

  12. Alveolar rhabdomyosarcoma in children with histomorphological review

    Directory of Open Access Journals (Sweden)

    S. K. Nema

    2014-04-01

    Full Text Available Rhabdomyosarcomas (RMS are aggressive malignant neoplasm of mesenchymal origin, related to skeletal muscle lineage. These are the most common soft tissue tumors in children. The diagnosis is made by microscopic analysis and ancillary techniques like immunohistochemistry, electron microscopy, cytogenetics and molecular biology. We encountered a case of a 03 years old child who presented with a tender, reddish, soft swelling over cheek for three weeks. The FNAC was reported as a small round cell tumor, Probably Primitive Neuroectodermal Tumor (PNET. The biopsy of tumor revealed a small round cell tumor with an alveolar pattern. Tumor giant cells were absent and mitotic figures were infrequent. Hence, differentials of alveolar rhabdomyosarcoma and PNET were rendered. Immunohistochemistry (IHC demonstrated desmin positivity. Thus, a final diagnosis of alveolar rhabdomyosarcoma was offered. [Int J Res Med Sci 2014; 2(2.000: 775-778

  13. Adaptive Multivariate Ridge Regression

    OpenAIRE

    Brown, P.J.; Zidek, J. V.

    1980-01-01

    A multivariate version of the Hoerl-Kennard ridge regression rule is introduced. The choice from among a large class of possible generalizations is guided by Bayesian considerations; the result is implicitly in the work of Lindley and Smith although not actually derived there. The proposed rule, in a variety of equivalent forms is discussed and the choice of its ridge matrix considered. As well, adaptive multivariate ridge rules and closely related empirical Bayes procedures are presented, th...

  14. A radiologic study of the teeth resorption in the area of a ameloblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Yee, Choon Aei; Park, Tae Won [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1980-11-15

    An ameloblastoma produces more extensive resorption of the teeth on which it encroaches than do most of the other lesions. In this study, intraoral and extraoral radiographs of 78 cases of ameloblastoma were observed and the root resorption associated with ameloblastoma was classified into four types of resorption. With these, the following conclusions were obtained. 1. The root resorption was observed in 72 cases of ameloblastoma. (92.3%) 2. In the aspect of resorptive changes of 424 roots observed, 342 roots showed smooth resorption. (80.6%) 3. The 424 roots associated with ameloblastoma revealed the following radiographic features. a) Root apex resorption in contact with the lesion appeared in 189 roots. (44.5%) b) The resorption of roots projected into the lesion appeared in 147 roots. (34.5%) c) Slight resorption of root surface in contact with the lesion was observed in 56 roots. (13.2%) d) Loss of lamina dura and periodontal space without root resorption were observed in 32 roots. (7.7%)

  15. A radiologic study of the teeth resorption in the area of a ameloblastoma

    International Nuclear Information System (INIS)

    An ameloblastoma produces more extensive resorption of the teeth on which it encroaches than do most of the other lesions. In this study, intraoral and extraoral radiographs of 78 cases of ameloblastoma were observed and the root resorption associated with ameloblastoma was classified into four types of resorption. With these, the following conclusions were obtained. 1. The root resorption was observed in 72 cases of ameloblastoma. (92.3%) 2. In the aspect of resorptive changes of 424 roots observed, 342 roots showed smooth resorption. (80.6%) 3. The 424 roots associated with ameloblastoma revealed the following radiographic features. a) Root apex resorption in contact with the lesion appeared in 189 roots. (44.5%) b) The resorption of roots projected into the lesion appeared in 147 roots. (34.5%) c) Slight resorption of root surface in contact with the lesion was observed in 56 roots. (13.2%) d) Loss of lamina dura and periodontal space without root resorption were observed in 32 roots. (7.7%)

  16. Scanning Electron Microscopy Evaluation of Dental Root Resorption Associated With Granuloma.

    Science.gov (United States)

    Chieruzzi, Manila; Pagano, Stefano; De Carolis, Carlo; Eramo, Stefano; Kenny, José M

    2015-10-01

    The inflammatory resorption of dental root apex (i.e., the process of removal of cementum and/or dentine through the activity of resorbing cells) may show different configurations and damage the apical root structure. As knowing the morphology of resorption areas of human teeth is essential for the success of endodontic treatments, we investigated the apical resorption by scanning electron microscopy, focusing on roots with granulomas. A total of 30 teeth (with penetrating carious lesions and chronic periapical lesions) were examined, the apical third of the roots were removed and analyzed to estimate periforaminal and foraminal resorption, shape and morphology of foramen resorption, centering of the periforaminal resorption area, and diameters of each apical foramen. Periforaminal resorption was present in all samples, whereas foraminal resorption was present in 92% of cases (mainly funnel shaped). Lacunae were observed in the foraminal resorption area with an average diameter of 35±14 ?m. The major and minor diameters of the foramina in teeth with resorption were 443 and 313 ?m, respectively (higher than in healthy teeth). This result indicates an expansion of the apical diameters caused by the pathology, which could encourage a different clinical instrumentation for these teeth. PMID:26235380

  17. Age-Related Effects of Advanced Glycation End Products (Ages) in Bone Matrix on Osteoclastic Resorption.

    Science.gov (United States)

    Yang, Xiao; Gandhi, Chintan; Rahman, Md Mizanur; Appleford, Mark; Sun, Lian-Wen; Wang, Xiaodu

    2015-12-01

    Advanced glycation end products (AGEs) accumulate in bone extracellular matrix as people age. Previous studies have shown controversial results regarding the role of in situ AGEs accumulation in osteoclastic resorption. To address this issue, this study cultured human osteoclast cells directly on human cadaveric bone slices from different age groups (young and elderly) to warrant its relevance to in vivo conditions. The cell culture was terminated on the 3rd, 7th, and 10th day, respectively, to assess temporal changes in the number of differentiated osteoclasts, the number and size of osteoclastic resorption pits, the amount of bone resorbed, as well as the amount of matrix AGEs released in the medium by resorption. In addition, the in situ concentration of matrix AGEs at each resorption pit was also estimated based on its AGEs autofluorescent intensity. The results indicated that (1) osteoclastic resorption activities were significantly correlated with the donor age, showing larger but shallower resorption pits on the elderly bone substrates than on the younger ones; (2) osteoclast resorption activities were not significantly dependent on the in situ AGEs concentration in bone matrix, and (3) a correlation was observed between osteoclast activities and the concentration of AGEs released by the resorption. These results suggest that osteoclasts tend to migrate away from initial anchoring sites on elderly bone substrate during resorption compared to younger bone substrates. However, such behavior is not directly related to the in situ concentration of AGEs in bone matrix at the resorption sites. PMID:26204848

  18. Remodeling of alveolar septa after murine pneumonectomy.

    Science.gov (United States)

    Ysasi, Alexandra B; Wagner, Willi L; Bennett, Robert D; Ackermann, Maximilian; Valenzuela, Cristian D; Belle, Janeil; Tsuda, Akira; Konerding, Moritz A; Mentzer, Steven J

    2015-06-15

    In most mammals, removing one lung (pneumonectomy) results in the compensatory growth of the remaining lung. In mice, stereological observations have demonstrated an increase in the number of mature alveoli; however, anatomic evidence of the early phases of alveolar growth has remained elusive. To identify changes in the lung microstructure associated with neoalveolarization, we used tissue histology, electron microscopy, and synchrotron imaging to examine the configuration of the alveolar duct after murine pneumonectomy. Systematic histological examination of the cardiac lobe demonstrated no change in the relative frequency of dihedral angle components (Ends, Bends, and Junctions) (P > 0.05), but a significant decrease in the length of a subset of septal ends ("E"). Septal retraction, observed in 20-30% of the alveolar ducts, was maximal on day 3 after pneumonectomy (P < 0.01) and returned to baseline levels within 3 wk. Consistent with septal retraction, the postpneumonectomy alveolar duct diameter ratio (Dout:Din) was significantly lower 3 days after pneumonectomy compared to all controls except for the detergent-treated lung (P < 0.001). To identify clumped capillaries predicted by septal retraction, vascular casting, analyzed by both scanning electron microscopy and synchrotron imaging, demonstrated matted capillaries that were most prominent 3 days after pneumonectomy. Numerical simulations suggested that septal retraction could reflect increased surface tension within the alveolar duct, resulting in a new equilibrium at a higher total energy and lower surface area. The spatial and temporal association of these microstructural changes with postpneumonectomy lung growth suggests that these changes represent an early phase of alveolar duct remodeling. PMID:26078396

  19. Soft tissue expansion before vertical ridge augmentation: Inflatable silicone balloons or self-filling osmotic tissue expanders?

    Directory of Open Access Journals (Sweden)

    Prasad Vijayrao Dhadse

    2014-01-01

    Full Text Available Recent advances in periodontal plastic surgical procedures allow the clinician to reconstruct deficient alveolar ridges in more predictable ways than previously possible. Placement of implant/s in resorbed ridges poses numerous challenges to the clinician for successful esthetic and functional rehabilitation. The reconstruction frequently utilizes one or combination of periodontal plastic surgical procedures in conjunction with autogenous bone grafting, allogenic bone block grafting, ridge split techniques, distraction osteogenesis, or guided bone regeneration (GBR for most predictable outcomes. Current surgical modalities used in reconstruction of alveolar ridge (horizontal and/or vertical component often involve the need of flap transfer. Moreover, there is compromise in tissue integrity and color match owing to different surgical site and the tissue utilized is insufficient in quantity leading to post surgical graft exposition and/or loss of grafted bone. Soft tissue expansion (STE by implantation of inflatable silicone balloon or self filling osmotic tissue expanders before reconstructive surgery can overcome these disadvantages and certainly holds a promise for effective method for generation of soft tissue thereby achieving predictable augmentation of deficient alveolar ridges for the implant success. This article focuses and compares these distinct tissue expanders for their clinical efficacy of achieving excess tissue that predominantly seems to be prerequisite for ridge augmentation which can be reasonably followed by successful placement of endosseous fixtures.

  20. Descrição fonética eletropalatográfica de fones alveolares / Phonetic description of alveolar phones using electropalatography

    Scientific Electronic Library Online (English)

    Marisa de Sousa Viana, Jesus; Cesar, Reis.

    Full Text Available OBJETIVO: Realizar a descrição articulatória do Português Brasileiro, examinando-se o contato da língua com o palato na produção de fones consonantais. MÉTODOS: Foi utilizada a eletropalatografia (EPG) de consoantes alveolares do Português Brasileiro de um sujeito com fala típica, considerando-se o [...] índice alveolar, pós-alveolar, palatal e velar e a porcentagem de contatos ativados no ponto de máxima constrição, assim como a inspeção visual dos palatogramas. RESULTADOS: Observou-se, conforme o esperado, que todos os fones avaliados têm, no ponto de máxima constrição, maior contato na região alveolar. Os fones /t/, /d/ e /n/ foram os que apresentaram maior contato alveolar, com obstrução total da corrente aérea; os fones fricativos /s/ e /z/ caracterizaram-se pela ausência de contato no eixo longitudinal central; o fone lateral /l/ não apresentou contato no eixo longitudinal lateral e o tapa, /?/, apresentou poucos contatos da língua com o palato e foi produzido com o menor tempo de duração. CONCLUSÃO: Por meio da eletropalatografia, pode-se fazer uma descrição detalhada da forma e da extensão do contato língua-palato nos diferentes fones alveolares do Português. Abstract in english PURPOSE: To describe the articulation of the Brazilian Portuguese, by examining the tongue-palate contact in the production of consonantal phones. METHODS: The electropalatography (EPG) of the alveolar consonants of the Brazilian Portuguese produced by an individual with typical speech was used, con [...] sidering the alveolar, post-alveolar, palatal, and velar rates, as well as the percentage of activated contacts at the point of maximum constriction, and the visual inspection of palatograms. RESULTS: As expected, it was observed that all the examined phones have more contact in the alveolar region at the point of maximum constriction. The phones /t/, /d/ and /n/ showed more alveolar contact, with total obstruction of the air stream; the fricative phones /s/ and /z/ were characterized by the absence of contact at the central longitudinal axis; the lateral phone /l/ did not present contact at the lateral longitudinal axis, and the tap /?/ showed not only few tongue-palate contacts but it was also produced in the shortest duration time. CONCLUSION: The electopalatography allowed a detailed description of the extension of the tongue-palate contact in the different alveolar phones of the Brazilian Portuguese and how they occur.

  1. Em busca de uma causa à parte da Ortodontia: hereditariedade e reabsorção apical em pacientes tratados ortodonticamente. Uma análise crítica do trabalho de Harris, Kineret e Tolley / In search of a cause apart of Orthodontics: heredity and apical resorption in patients treated Orthodontically. A critical analysis of Harris, Kineret, Tolley’s work

    Scientific Electronic Library Online (English)

    Alberto, Consolaro; Maria Fernanda, Martins-Ortiz.

    2004-05-01

    Full Text Available Exclusivamente a partir da equivalência radiográfica do padrão e intensidade de reabsorção dentária em tratamento ortodôntico de 103 irmãos, Harris, Kineret e Tolley12 tentaram impingir um caráter hereditário a este fenômeno sem considerar a morfologia dentária e maxilar, nem tampouco outros fatores [...] envolvidos na etiopatogenia das reabsorções. No trabalho fica claro que entre os objetivos principais dos autores estava atribuir à hereditariedade a ocorrência de reabsorções dentárias durante o tratamento ortodôntico para aliviar em parte as responsabilidades profissionais perante os pacientes e a sociedade. Mas nos parece mais lógico que o profissional devesse habilitar-se para fazer a previsibilidade das reabsorções dentárias com base em seus planejamentos, considerando a morfologia radicular, o tipo de ápice dentário, a proporção coroa-raiz e a morfologia da crista óssea alveolar, bem como evitando escolher, sempre que possível, os procedimentos que mais usualmente estão associados à reabsorção radicular. Se o paciente apresentar-se com morfologias desfavoráveis e ainda assim necessitar de procedimentos associados a um maior risco de reabsorção em seu tratamento, que o mesmo seja informado e conscientizado que as reabsorções dentárias apicais serão um custo biológico para a recuperação de sua estética e função. Considerando: 1) a grande limitação proporcionada pelo diagnóstico de reabsorções apicais em radiografias panorâmicas e telerradiografias em norma lateral (cefalométricas); 2) a ausência de análise da morfologia dentária e da crista óssea alveolar; e 3) principalmente a falta de um grupo controle para comparar se os resultados seriam equivalentes, ou não, em uma população semelhante, sem qualquer parentesco, mas com as mesmas características dentomaxilares; pode-se afirmar que as conclusões do trabalho estão severamente comprometidas em sua credibilidade científica. Tanto a abordagem empregada na discussão quanto as conclusões obtidas pelos autores, sobre correlação entre genótipo, fenótipo e reabsorção dentária, parecem despropositadas, pois não houve estudos envolvendo células, nem tampouco uma metodologia de identificação de genes ou aplicação de qualquer técnica cujos resultados permitissem inferências desta natureza. Abstract in english Harris, Kineret, Tolley12 tried to implicate heritability to root resorption exclusively though radiographic equivalence between the pattern of resorption intensity after orthodontic treatment in 103 siblings. Neither dental nor facial morphology or any other etiopathogenic factor of root resorption [...] was considered, whatsoever.It is clear in this study that the authors´ main goal was to attribute root resorption during orthodontic treatment to heritability in order to lighten the professional’s share of responsibility before patients and society. It seems more logic that the professional should try to predict root resorption when considering on treatment plan the root and alveolar crest morphology, the type of apex, crown-root proportion, and avoiding procedures known to cause more resorption. If a patient presents unfavorable morphology and still needs procedures associated with a higher risk of resorption, than he or she must be warned and informed that apical root resorption will be a biological cost to regain estetics and function. Considering on this paper: (1) the limitations to evaluate apical resorption in panoramic and cephalometric radiographs; (2) the absence of dental and alveolar crest morphology analysis; and (3) the lack of a control group in order to compare if the results would be equivalent in a similar population with no family ties but with same maxilofacial conditions; one can affirm that the scientific credibility of the conclusions are severely damaged. The conclusions drawn by the authors about genotype and phenotype concerning root resorption seem unfounded, since there was no cell analysis or gene identification method to permit such inf

  2. Em busca de uma causa à parte da Ortodontia: hereditariedade e reabsorção apical em pacientes tratados ortodonticamente. Uma análise crítica do trabalho de Harris, Kineret e Tolley In search of a cause apart of Orthodontics: heredity and apical resorption in patients treated Orthodontically. A critical analysis of Harris, Kineret, Tolley’s work

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2004-05-01

    Full Text Available Exclusivamente a partir da equivalência radiográfica do padrão e intensidade de reabsorção dentária em tratamento ortodôntico de 103 irmãos, Harris, Kineret e Tolley12 tentaram impingir um caráter hereditário a este fenômeno sem considerar a morfologia dentária e maxilar, nem tampouco outros fatores envolvidos na etiopatogenia das reabsorções. No trabalho fica claro que entre os objetivos principais dos autores estava atribuir à hereditariedade a ocorrência de reabsorções dentárias durante o tratamento ortodôntico para aliviar em parte as responsabilidades profissionais perante os pacientes e a sociedade. Mas nos parece mais lógico que o profissional devesse habilitar-se para fazer a previsibilidade das reabsorções dentárias com base em seus planejamentos, considerando a morfologia radicular, o tipo de ápice dentário, a proporção coroa-raiz e a morfologia da crista óssea alveolar, bem como evitando escolher, sempre que possível, os procedimentos que mais usualmente estão associados à reabsorção radicular. Se o paciente apresentar-se com morfologias desfavoráveis e ainda assim necessitar de procedimentos associados a um maior risco de reabsorção em seu tratamento, que o mesmo seja informado e conscientizado que as reabsorções dentárias apicais serão um custo biológico para a recuperação de sua estética e função. Considerando: 1 a grande limitação proporcionada pelo diagnóstico de reabsorções apicais em radiografias panorâmicas e telerradiografias em norma lateral (cefalométricas; 2 a ausência de análise da morfologia dentária e da crista óssea alveolar; e 3 principalmente a falta de um grupo controle para comparar se os resultados seriam equivalentes, ou não, em uma população semelhante, sem qualquer parentesco, mas com as mesmas características dentomaxilares; pode-se afirmar que as conclusões do trabalho estão severamente comprometidas em sua credibilidade científica. Tanto a abordagem empregada na discussão quanto as conclusões obtidas pelos autores, sobre correlação entre genótipo, fenótipo e reabsorção dentária, parecem despropositadas, pois não houve estudos envolvendo células, nem tampouco uma metodologia de identificação de genes ou aplicação de qualquer técnica cujos resultados permitissem inferências desta natureza.Harris, Kineret, Tolley12 tried to implicate heritability to root resorption exclusively though radiographic equivalence between the pattern of resorption intensity after orthodontic treatment in 103 siblings. Neither dental nor facial morphology or any other etiopathogenic factor of root resorption was considered, whatsoever.It is clear in this study that the authors´ main goal was to attribute root resorption during orthodontic treatment to heritability in order to lighten the professional’s share of responsibility before patients and society. It seems more logic that the professional should try to predict root resorption when considering on treatment plan the root and alveolar crest morphology, the type of apex, crown-root proportion, and avoiding procedures known to cause more resorption. If a patient presents unfavorable morphology and still needs procedures associated with a higher risk of resorption, than he or she must be warned and informed that apical root resorption will be a biological cost to regain estetics and function. Considering on this paper: (1 the limitations to evaluate apical resorption in panoramic and cephalometric radiographs; (2 the absence of dental and alveolar crest morphology analysis; and (3 the lack of a control group in order to compare if the results would be equivalent in a similar population with no family ties but with same maxilofacial conditions; one can affirm that the scientific credibility of the conclusions are severely damaged. The conclusions drawn by the authors about genotype and phenotype concerning root resorption seem unfounded, since there was no cell analysis or gene identification method to permit such inferences.

  3. Ridge regression revisited

    OpenAIRE

    Boer, P.M.C.; HAFNER, Christian

    2005-01-01

    We argue in this paper that general ridge (GR) regression implies no major complication compared with simple ridge regression. We introduce a generalization of an explicit GR estimator derived by Hemmerle and by Teekens and de Boer and show that this estimator, which is more conservative, performs better than the Hoerl and Kennard estimator in terms of a weighted quadratic loss criterion.

  4. Microlitiasis alveolar pulmonar: caso clínico / Pulmonary alveolar microlithiasis: Report of one case

    Scientific Electronic Library Online (English)

    Cristina, Fernández F; Mauricio, Salinas F; José Andrés, de Grazia K; Juan Carlos, Díaz P.

    2014-05-01

    Full Text Available [...] Abstract in english Pulmonary alveolar microlithiasis is an extremely rare disease characterized by intra-alveolar accumulation of calcified spherical particles (called microliths), due to a mutation of the gene encoding a membrane transport protein of the alveolar surface. Most patients are asymptomatic at diagnosis. [...] The course of the disease is slowly progressive, with development of pulmonary fibrosis and respiratory failure. The "sandstorm" pattern is the characteristic finding of this disease. We report a 39-year-old female presenting with progressive dyspnea. A chest X ray showed ground-glass opacities and a high resolution CT scan showed numerous calcified lung micronodules. A surgical lung biopsy confirmed the diagnosis of pulmonary alveolar microlithiasis.

  5. Stresses in implant-supported overdentures with bone resorption: a 3-D finite element analysis / Tensões em sobredentaduras com reabsorção óssea: análise por elementos finitos tridimensional

    Scientific Electronic Library Online (English)

    Luiz Oscar Honorato, Mariano; Evandro Afonso, Sartori; Josué Ricardo, Broilo; Rosemary Sadami, Shinkai; Leandro, Corso; Rogério José, Marczak.

    Full Text Available OBJETIVO: Avaliar, através da análise por elementos finitos com modelo tridimensional, o efeito da reabsorção óssea na distribuição de tensões em prótese tipo overdenture, em situações de perda óssea ao redor dos implantes e reabsorção do rebordo posterior. METODOLOGIA: Foram construídos modelos tri [...] dimensionais de uma mandíbula e de intermediários protéticos, prótese total, placa resiliente e implante. Os modelos geométricos dos implantes e intermediários protéticos foram montados na região dos caninos, constituindo o modelo 1. Para a construção dos modelos experimentais, o contorno do modelo geométrico da mandíbula foi alterado para simular a perda óssea nos implantes (modelo 2) e a reabsorção do rebordo posterior associada à perda óssea marginal nos implantes (modelo 3). Para gerar a malha de elementos finitos os materiais foram considerados homogêneos, isotrópicos e linearmente elásticos. Uma carga de 100 N foi aplicada indiretamente, sobre uma simulação de bolo alimentar, na região de primeiro molar inferior direito em cada um dos três modelos. Foram analisadas as distribuições de tensão de von Mises em pontos pré-determinados. RESULTADOS: A reabsorção óssea do rebordo posterior associada à perda óssea do osso periimplantar promoveu maior concentração de tensões nos implantes, nos componentes protéticos e no tecido ósseo marginal. Houve maior concentração de tensões no osso periimplantar e nos implantes no mesmo lado de aplicação da carga. CONCLUSÃO: Os resultados sugerem que a perda óssea periimplantar aumenta a concentração de tensões nos implantes, pilares e osso marginal independentemente da reabsorção óssea na crista distal. Abstract in english PURPOSE: This 3D-finite elements method study evaluated the effect of bone resorption on the stress distribution in overdentures with bone loss surrounding implants and resorption of the distal ridge. METHODS: Tridimensional models were built from the images of a computerized tomography of a mandibl [...] e and 3D laser digitalization of implants, abutments, mucosa, and complete denture. The geometric models of implants and abutments were mounted at the canine region to build reference model 1 - absence of bone resorption. To build the test models the mandible geometric solid was modified to simulate 2-mm vertical bone loss surrounding the implants (model 2) and resorption of the distal ridge (model 3). Finite elements models were generated, and a 100 N static load was applied at the first molar region of each model to compare the von Mises stress distributions in selected points. RESULTS: Von Mises stresses increased on the bone surrounding implants and on the prosthetic components in the model with 2-mm vertical bone loss. The combination of 2-mm vertical bone loss and resorption of the distal ridge did not increase the stresses compared with the model with only bone loss surrounding implants. The highest stress concentration at marginal bone and implants occurred on the same side of the vertical load application for all models. CONCLUSION: The results suggest that the bone loss surrounding implants increases stress concentration in dental implants, abutments, and marginal bone independently from the bone resorption of the distal ridge.

  6. [Effectiveness of the resorptive treatment of leptomeningitis (experimental study)].

    Science.gov (United States)

    Safonova, I S

    1977-01-01

    An introduction into the major cistern of the cranial ground of sterile talc to 134 rabbits artificially created a model of leptomeningitis. The talc evoked proliferative reactions of fiber and cellular structures adjacent to the area of pia mater. Treatment by 1 or 2 sessions of lydase, pyrogenal, bijochinol, bijochinol in combination with radiation therapy led to a significant decrease of the fibroplastic changes in the pia mater and liquordynamic pyrogenal. Bijochinol therapy did not exert any special effect. The convened studies confirm the effectiveness of resorptive therapy, thus permitting to recommend this form of therapy for the treatment of patients with arachnoiditis (leptomeningitis). PMID:842235

  7. Association of orthodontic force system and root resorption

    DEFF Research Database (Denmark)

    Roscoe, Marina G; Meira, Josete B C; Cattaneo, Paolo M

    2015-01-01

    INTRODUCTION: In this systematic review, we assessed the literature to determine which evidence level supports the association of orthodontic force system and root resorption. METHODS: PubMed, Cochrane, and Embase databases were searched with no restrictions on year, publication status, or language....... Selection criteria included human studies conducted with fixed orthodontic appliances or aligners, with at least 10 patients and the force system well described. RESULTS: A total of 259 articles were retrieved in the initial search. After the review process, 21 full-text articles met the inclusion criteria...

  8. Selective alveolar corticotomy to intrude overerupted molars.

    Science.gov (United States)

    Oliveira, Dauro Douglas; de Oliveira, Bruno Franco; de Araújo Brito, Helio Henrique; de Souza, Margareth Maria Gomes; Medeiros, Paulo José

    2008-06-01

    Orthodontic intrusion of overerupted molars in adults is challenging for most clinicians. Efficient intrusion can be achieved by combining selective alveolar corticotomies with a modified full-coverage maxillary splint to reduce surgical risks, treatment time, and costs for both orthodontists and patients. PMID:18538256

  9. [Pulmonary alveolar microlithiasis--a clinical case].

    Science.gov (United States)

    Murgoci, G; Galbenu, P; Anastasatu, O; Nichita, E; Ene, V

    1997-01-01

    A new case of alveolar microlithiasis is reported, demanding for the diagnosis besides the radio-clinical investigations, complete respiratory function tests, also the pathologic proof. Authors recall the diagnostic approach and our present ignorance of the pathogenesis of this curious entity; no valid therapy is presently able to check the relentless course toward progressive respiratory failure. PMID:9654968

  10. Evidence of Increased Bone Resorption in Neurofibromatosis Type 1 Using Urinary Pyridinium Crosslink Analysis

    OpenAIRE

    Stevenson, David A.; SCHWARZ, ELISABETH L.; Viskochil, David H; Moyer-Mileur, Laurie J.; Murray, Mary; FIRTH, SEAN D.; D’ASTOUS, JACQUES L.; Carey, John C.; PASQUALI, MARZIA

    2008-01-01

    Although neurofibromatosis type 1 (NF1) is a neuro-cutaneous disorder, skeletal abnormalities such as long-bone dysplasia, scoliosis, sphenoid wing dysplasia, and osteopenia are observed. To investigate the role of bone resorption as a mechanism for the bony abnormalities, we selected urinary pyridinium crosslinks (collagen degradation products excreted in urine) as a measure of bone resorption in NF1. Bone resorption was evaluated by quantitative assessment of the urinary excretion of pyridi...

  11. Feline "odontolysis" in the 1920's: the forgotten histopathological study of feline odontoclastic resorptive lesions (FORL).

    Science.gov (United States)

    Reiter, A M

    1998-03-01

    This article reviews an historic description of feline odontoclastic resorptive lesions (FORL) from the 1920's. Hopewell-Smith describes the complete resorption process of feline permanent premolar teeth in remarkable detail, using 14 excellent photomicrographs. Resorptive lesions in cats were seen in the early part of this century, however the prevalence of this condition in domestic cats appears to have increased concurrently with certain aspects of domestication since the 1960's. PMID:10518871

  12. Conservative management of progressive external inflammatory root resorption after traumatic tooth intrusion

    Directory of Open Access Journals (Sweden)

    Robia Ghafoor

    2013-01-01

    Full Text Available Intrusive luxation is one of the most severe types of dental trauma. The risk of development of inflammatory or replacement root resorption is high if not timely managed. Endodontic intervention is required soon after the occurrence of trauma, in an attempt to prevent or delay inflammatory root resorption. This case report emphasized timely referral for endodontic management of intruded tooth to prevent inflammatory root resorption.

  13. A Comparison of Panoramic, Periapical and Bite Wing Radiographies in Evaluation of Alveolar Bone Loss in Periodiontitis

    Directory of Open Access Journals (Sweden)

    A Haerian Ardakani

    2007-07-01

    Full Text Available Introduction: The height of the alveolar bone, is normally maintained by equilibrium between bone formation and bone resorption, but in periodontal disease more destruction or lack of bone formation will reduce the alveolar bone height. However the radiography is important in diagnosis, treatment plan and detection of quality and quantity of the alveolar bone; although the type of radiography is more important. The purpose of this study is the comparison between panaromic, P.A (Parallel, Bite Wing radiographs in diagnosis of periodontitis. Methods: This study was descriptive cross-Sectional study Periapical (PA, Bitewing (B.W & Panoramic radiographic images in 32 pationent 13 male and 19 female with moderate to advanced periodontitis (mean age 38 year were taken before surgical treatment. Actual hight of defect were measured by a William's probe during surgery, the distance between cemento enamel junction (CEJ and alveolar crest were measured on radiographs using a digital vernie scale as will as. Actual measurements were compared with values taken from panoramic PA, B.W radiographs. For Data analysis Paired t test was used. Results: A total of 314 linear distances from the panoramic PA , B.W, and CEJ/BL were measured. The mean difference between panoramic and actual Measurements (0.115 and 0.28 P=(0.24-0.07, were not satistically significant (P> 0.05. The mean difference between P.A and actual measurements (0.279-0.498 P=(0.0001-0.004 showed a satistically significant difference (P< 0.05. The mean deference between BW and actual Measurements (0.576-0.613 P=(0.24-0.07 were satistically significant (P<0.05. Conclusion: Although, all forms of radiographic images showed agreement in detection of periodontal bone loss, the accuracy of panoramic radiographs was more than PA & BW radiographs'. Specially when the magnification was adjusted in panoramic radiography.

  14. Rapid maxillary expansion in alveolar cleft repaired with a tissue-engineered bone in a canine model.

    Science.gov (United States)

    Huang, Jialiang; Tian, Bo; Chu, Fengting; Yang, Chenjie; Zhao, Jun; Jiang, Xinquan; Qian, Yufen

    2015-08-01

    This study aims to investigate the effects of orthodontic expansion on graft area of a tissue-engineered bone (TEB) BMSCs/?-TCP, and to find an alternative strategy for the therapy of alveolar cleft. A unilateral alveolar cleft canine model was established and then treated with BMSCs/?-TCP under rapid maxillary expansion (RME). Sequential fluorescent labeling, radiography and helical computed tomography were used to evaluate new bone formation and mineralization in the graft area. Hematoxylin-eosin staining and Van Gieson?s picro fuchsin staining were performed for histological and histomorphometric observation. ALP activity, mineralization and the expression of osteogenic differentiation related genes of BMSCs that grew on the ?-TCP scaffold were promoted by their cultivation in osteogenic medium. Based on fact, TEB was constructed. After 8 weeks of treatment with BMSCs/?-TCP followed by RME, new bone formation and mineralization of the dogs were markedly accelerated, and bone resorption was significantly reduced, compared with the untreated dogs, or those only treated with autogenous iliac bone. The treatment with both TEB and RME evidently made the bone trabecula more abundant and the area of bone formation larger. What is more, there were no significant differences between BMSCs/?-TCP group and the group treated with autogenous bone and RME. This study further revealed that TEB was not only a feasible clinical approach for patients with alveolar cleft, but also a potential substituent of autogenous bone, and its combination with RME might be an alternative strategy for the therapy of alveolar cleft. PMID:25913611

  15. Influence of the patients’ sex, type of dental prosthesis and antagonist on residual bone resorption at the level of the premaxilla

    Science.gov (United States)

    Barona-Dorado, Cristina; Martínez-González, María-José-Sandra; López-Quiles-Martínez, Juan; Martínez-González, José-María

    2012-01-01

    Objectives: To analyze the height and width of the ridge at the level of the premaxilla in edentulous patients, evaluating whether the sex of the patient, type of prosthetic rehabilitation and antagonist have an influence. Material and Method: We randomly selected a total of 89 patients, having an average age of 66.21 years old. A total of 308 measurements were made, all of them at the level of the premaxilla, in the intercanine area. As dependent variables, we analyzed the patients’ sex, age and the antagonist: removable (dental) prostheses (RP), fixed (dental) prostheses (FD), natural dentition (ND). As independent variables, we measured the height and residual width in sagittal sections provided by tomographic studies using Dentascan®. Results: We observed a significantly smaller ridge in women versus in men, and in patients whose antagonist was a fixed prosthesis; whereas for the type of prosthesis, we did not observe significant differences between the two categories analyzed. Conclusions: Bone resorption at the level of the premaxilla is a variable process in which a smaller size is observed (height and width) in women and when the antagonist is a fixed prosthesis. Key words: Bone resorption, premaxilla, dental prosthesis, edentulous. PMID:22157661

  16. Progression of root resorption following replantation of human teeth after extended extraoral storage.

    Science.gov (United States)

    Andersson, L; Bodin, I; Sörensen, S

    1989-02-01

    Avulsed human permanent teeth subjected to a minimum of 1 h dry extraoral storage before replantation were followed radiographically for an average of 4.8 years. The depth of root resorption cavities was assessed using a radiographic index, and the rate of root resorption was defined as the index change over time. The frequency of inflammatory and replacement resorption was determined at each observation time. Replacement resorption increased in frequency with time in all patients. In teeth endodontically treated within 3 weeks of replantation, minimal inflammatory resorption was found regardless of the age of the patients. In teeth where endodontic treatment was performed more than 3 weeks after replantation, the frequency of inflammatory resorption was significantly higher in young patients but not in older patients, up to more than 3 years after replantation. The rate of root resorption was found to be related to age. In patients 8-16 years old at the time of avulsion the rate of root resorption was significantly higher compared with patients 17-39 years old. Age had a higher impact on the rate of root resorption compared with the delay in endodontic treatment after replantation. It was concluded that a tooth replanted with a necrotic periodontal membrane will become ankylosed and resorbed within 3-7 years in young patients, whereas a tooth replanted under similar conditions in older patients may remain in function for a considerably longer time. PMID:2598883

  17. Physiological and pathological factors and mechanisms in the process of root resorption in primary teeth

    Directory of Open Access Journals (Sweden)

    Bianca Zimmermann Santos

    2010-07-01

    Full Text Available Introduction: Tooth resorption is essential in the process of root resorption in primary teeth. However, pathological root resorption, mainly the inflammatory one, is a consequence and/or complication of several clinical conditions, such as dental trauma and periapical inflammatory lesions from dental caries, thus becoming a common cause of tooth loss. Objective: To present and discuss a literature review regarding the mechanisms of physiological and inflammatory pathological root resorption in primary teeth, emphasizing their biochemical and cellular events. Literature review: The odontoclasts cells are responsible for resorption of dental tissues, and they are influenced by several stimuli and molecular signals derived from cytokines, neuropeptides, hormones and degradation products released when tissue is injured. However, so far it is not clear what leads to the differentiation of the precursor cells of odontoclasts, what gives them the signal to start the resorption in a specific place and time (especially in primary teeth and why they are activated in some pathological conditions,but not in others.Conclusion: The knowledge regarding molecular mechanisms and factors that regulate the process of root resorption is still meager.Research in this area is of great relevance,since new knowledge about the molecular pathway(s involved in root resorption may allow the development of different therapies, more biological ones, in order to control or prevent resorption, thus preventing tooth loss and its consequences.

  18. Effects of heparin, histamine, and salmon calcitonin on mouse calvarial bone resorption.

    OpenAIRE

    Crisp, A.J.; Wright, J. K.; Hazleman, B L

    1986-01-01

    A quantitative mouse calvarial bone resorption assay was employed to investigate the effects of the mast cell products, heparin and histamine, and of salmon calcitonin. 'Amorphous' heparin, containing a range of molecular weight fractions, inhibited resorption by 15-20% at concentrations of 0.75-5.0 mg/ml. A 'defined' heparin species of mol.wt 13 500 inhibited resorption by 14-28% at 10(-5)-10(-4) mol/l. Histamine inhibited resorption by 19-55% at 10(-3)-10(-2) mol/l. It is proposed that hepa...

  19. [The OPG/RANKL/RANK system and bone resorptive disease].

    Science.gov (United States)

    Liu, Ji-Zhong; Ji, Zong-Ling; Chen, Su-Min

    2003-11-01

    The OPG/RANKL/RANK system plays an important role in osteoclastogenesis and represents a great progress in bone biology. RANKL, which expresses on the surface of osteoblast/stromal cells and activated T cells, binds to RANK on the osteoclastic precursors or mature osteoclasts, and promotes osteoclastogenesis and bone resorption. While osteoprotegerin (OPG), which is expressed by osteoblasts/stromal cells, strongly inhibits bone resorption by binding to its ligand RANKL and thereby blocks the interaction between BANKL and RANK. A number of cytokines and hormones exert their effects on bone metabolism by regulating the OPG/RANKL ratio in the bone marrow microenvironment. RANK is also expressed on mammary epithelial cells and RANKL expression in these cells is induced by pregnancy hormones, RANKL and RANK are essential for the formation of the lactating mammary gland and the transmission of maternal calcium to neonates in mammalian species. Modulation of these systems provides a unique opportunity to develop novel therapeutics to inhibit bone loss in osteoporosis, rheumatoid arthritis, and bone metastasis of cancer. Further research should be focused on the cooperation of OPG/RANKL/RANK system with other signal pathways and the interactions among bone remodeling, immune system and endocrinology system. Currently, the development of OPG analogues or compounds which may stimulate OPG expression is becoming an attractive industry which may be profitable to both patients and manufacturers. PMID:15971575

  20. The Importance of Immediate Bone Block Autograft to Successfully Restore the Function and Aesthetic of the Anterior Alveolar Process and Teeth.

    Science.gov (United States)

    Singer, Lawrence David

    2015-12-01

    Maxillofacial traumatic injuries can damage the jaw, teeth, and soft tissues of the head and neck region. When these injuries occur, best practice is to reconstruct as comprehensively as is clinically prudent at time of injury. Smart and efficient procedures during the initial surgery can minimize subsequent reconstructive procedures in scope and number, minimize expense, and result in a better final aesthetic and functional outcome. Restoration of anterior alveolar jaw fractures with comminuted or avulsed segments becomes a complex prospect when left untreated after initial trauma or injury and can result in alveolar ridge defects that are difficult, costly, and cumbersome to repair. This case report details one 19-year-old woman who had a traumatic injury in these areas and has a best result outcome because of immediate reconstruction efforts involving a bone block autograft to preserve alveolar process anatomy. PMID:24689697

  1. Técnica de Separación de Reborde Alveolar en Región Posterior de Mandíbula con Implante Inmediato / Splint Crest Technique for Alveolar Bone in Posterior Region of Mandible with Immediate Implant

    Scientific Electronic Library Online (English)

    Leandro, Pozzer; Luca, Cavalieri-Pereira; Sergio, Olate; Jose, Albergaria Barbosa; Luciana, Asprino; Marcio, de Moraes.

    Full Text Available La implantología actual ha evolucionado rápidamente diseñando nuevas técnicas para tratar situaciones clínicas criticas; la reabsorción ósea presenta un constante desafío para la instalación de implantes dentales. Se presenta un caso clínico donde se utilizo la técnica de separación alveolar en el s [...] ector posterior de mandíbula en conjunto con la instalación de implantes dentales; la cirugía se desarrollo con anestesia local de forma exitosa. Con un seguimiento de 10 meses se presenta de forma optima demostrando la eficiencia de la técnica. Son discutidos aspectos relevantes de la cirugía así como también los elementos que podrían ayudar a optimizar los resultados postquirúrgicos. Abstract in english Nowadays, dental implantology presents an evolution with new techniques for treatment of critical situation; bone resorption is a challenge for dental implant installation.This paper presents a case with the splint crest technique in the posterior area of mandible with installation of dental implant [...] ; the surgery was done with local anesthesia with success of procedure. A 10 month follow-up show good results presenting the efficiency of this technique.We discussed relevant aspects of the technique and other situations to improve surgical options and results.

  2. Valley and Ridge aquifers

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set represents the extent of the Valley and Ridge aquifers in the states of New York, New Jersey, Pennsylvania, Maryland, Virginia, West Virginia,...

  3. Ridge Regression Signal Processing

    Science.gov (United States)

    Kuhl, Mark R.

    1990-01-01

    The introduction of the Global Positioning System (GPS) into the National Airspace System (NAS) necessitates the development of Receiver Autonomous Integrity Monitoring (RAIM) techniques. In order to guarantee a certain level of integrity, a thorough understanding of modern estimation techniques applied to navigational problems is required. The extended Kalman filter (EKF) is derived and analyzed under poor geometry conditions. It was found that the performance of the EKF is difficult to predict, since the EKF is designed for a Gaussian environment. A novel approach is implemented which incorporates ridge regression to explain the behavior of an EKF in the presence of dynamics under poor geometry conditions. The basic principles of ridge regression theory are presented, followed by the derivation of a linearized recursive ridge estimator. Computer simulations are performed to confirm the underlying theory and to provide a comparative analysis of the EKF and the recursive ridge estimator.

  4. Minimax Ridge Regression Estimation

    OpenAIRE

    Casella, George

    1980-01-01

    The technique of ridge regression, first proposed by Hoerl and Kennard, has become a popular tool for data analysts faced with a high degree of multicollinearity in their data. By using a ridge estimator, one hopes to both stabilize one's estimates (lower the condition number of the design matrix) and improve upon the squared error loss of the least squares estimator. Recently, much attention has been focused on the latter objective. Building on the work of Stein and others, Strawderman and T...

  5. Multiple external-internal resorptions as late effects of Thorium X (224Ra)

    International Nuclear Information System (INIS)

    Multiple external-internal resorptions are infrequent and are related to a variety of etiological factors. Thorium X (224Ra) is believed to cause the dental resorptive changes observed in two patients who had received a series of injections each containing 8 to 70 ?C1 of 224Ra 25 years previously. (author)

  6. Characteristic aspects of alveolar proteinosis diagnosis Aspectos característicos do diagnóstico da proteinose alveolar

    Directory of Open Access Journals (Sweden)

    Thiago Prudente Bártholo

    2012-02-01

    Full Text Available Alveolar proteinosis is an uncommon pulmonary disease characterized by an accumulation of surfactant in terminal airway and alveoli, thereby impairing gas exchange and engendering respiratory insufficiency in some cases. Three clinically and etiologically distinct forms of pulmonary alveolar proteinosis are recognized: congenital, secondary and idiopathic, the latter corresponding to 90% of the cases. In this case report we present a young male patient that was diagnosed with alveolar proteinosis. Computed tomography of the thorax, bronchoscopy and transbronchial biopsy were performed. The histopathologic aspect was characteristic. The patient was discharged in good health conditions and remains asymptomatic to date.Proteinose alveolar é uma doença pulmonar incomum caracterizada pelo acúmulo de surfactante nas vias aéreas terminais e nos alvéolos, alterando a troca gasosa e, em alguns casos, promovendo insuficiência respiratória. Três formas clínicas e etiologicamente distintas de proteinose alveolar são reconhecidas: congênitas, secundárias e idiopáticas (mais de 90% dos casos são de etiologia idiopática. Neste relato, apresentamos um homem jovem que foi diagnosticado com proteinose pulmonar. Tomografia computadorizada de tórax, broncoscopia e biópsia transbrônquica foram realizadas. O aspecto histopatológico foi característico. O paciente teve alta, com boas condições de saúde, e encontra-se assintomático nos dias de hoje.

  7. Phagocytic properties of lung alveolar wall cells

    Directory of Open Access Journals (Sweden)

    Tanaka,Akisuke

    1974-04-01

    Full Text Available For the purpose to define the mechanism of heavy metal intoxication by inhalation, morphologic observations were made on rat lungs after nasal instillation of iron colloid particles of positive and negative electric charges. Histochemical observation was also made on the liver and spleen of these animals. The instilled iron colloid particles reach the alveolar cavity easily, as can be seen in the tissue sections stained by Prussian blue reaction. Alveolar macrophages do take up them avidly both of positive and negative charges, though much less the positive particles than negative ones. In contrast, the alveolar epithelial cells take up solely positive particles by phagocytosis but not negative ones. Electron microscope observation revealed that the positive particles are ingested by Type I epithelial cells by pinocytosis and by Type II cells by phagocytosis as well. Then the iron colloid particles are transferred into the basement membrane by exocytosis. Travelling through the basement membrane they are again taken up by capillary endothelial cells by phagocytosis. Some particles were found in the intercellular clefts of capillary endothelial cells but not any iron colloid particles in the intercellular spaces of epithelial cells and in the capillary lumen. However, the liver and spleen tissues of the animals given iron colloid showed a strong positive iron reaction. On the basis of these observations, the mechanism of acute intoxication by inhaling heavy metal dusts like lead fume is discussed from the view point of selective uptake of alveolar epithelial and capillary endothelial cells for the particles of the positive electric cha'rge.

  8. Unexpected Increase of Alveolar Echincoccosis, Austria, 2011

    OpenAIRE

    Schneider, Renate; Aspöck, Horst; Auer, Herbert

    2013-01-01

    Austria is part of the classical area of central Europe to which alveolar echinococcosis (AE) is endemic. Annual incidences in Austria were 2.4 and 2.8 cases/100,000 population during 1991–2000 and 2001–2010, respectively. Hence, the registration of 13 new AE patients in 2011 was unexpected. Increasing fox populations and past AE underreporting might have caused this increase.

  9. Silica binding and toxicity in alveolar macrophages

    OpenAIRE

    Hamilton, Raymond F.; Thakur, Sheetal A.; Holian, Andrij

    2007-01-01

    Inhalation of the crystalline form of silica is associated with a variety of pathologies from acute lung inflammation to silicosis, in addition to autoimmune disorders and cancer. Basic science researchers looking at the mechanisms involved with the earliest initiators of disease are focused on how the alveolar macrophage (AM) interacts with the inhaled silica particle and the consequences of silica-induced toxicity on the cellular level. Based on experimental results, several rationales have...

  10. Iatrogenic injury to the inferior alveolar nerve

    DEFF Research Database (Denmark)

    Hillerup, Søren

    2008-01-01

    The purpose of this prospective, non-randomised, descriptive study is to characterise the neurosensory deficit and associated neurogenic discomfort in 52 patients with iatrogenic injury to the inferior alveolar nerve (IAN). All patients were examined and followed up according to a protocol assessing tactile, thermal, and positional perception as well as two-point discrimination and pain. In 48 patients with IAN injuries of differing etiologies who did not undergo surgery, 32 patients with injury...

  11. Alveolar Macrophage Cathelicidin Deficiency in Severe Sarcoidosis

    OpenAIRE

    Barna, Barbara P; Culver, Daniel A.; Kanchwala, Ali; Singh, Ravinder J; Huizar, Isham; Abraham, Susamma; Malur, Anagha; Marshall, Irene; Kavuru, Mani S.; Thomassen, Mary Jane

    2012-01-01

    Dysfunctional immune responses characterize sarcoidosis but the status of cathelicidin, a potent immunoregulatory and anti-microbial molecule has not been established in clinical disease activity. Alveolar macrophage cathelicidin expression was determined in biopsy-proven sarcoidosis patients classified clinically as “severe” (requiring systemic treatment) or “non-severe” (never requiring treatment). Sarcoidosis and healthy control bronchoalveolar lavage (BAL) cells were analyzed for mRNA exp...

  12. The influence of mandibular ridge anatomy on treatment outcome with conventional complete dentures

    Scientific Electronic Library Online (English)

    Jaiane A.M, Ribeiro; Camila M.B.M, de Resende; Ana L.C, Lopes; Arcelino, Farias-Neto; Adriana da F.P, Carreiro.

    2014-09-01

    Full Text Available Visto que indicadores de prognostico sao uma ferramenta importante para a selecao de pacientes a serem tratados com protese total, este estudo investigou a influencia da forma e da resiliencia do rebordo alveolar mandibular sobre a retencao e estabilidade de proteses totais convencionais. Noventa e [...] tres pacientes desdentados portadores de proteses totais superior e inferior compuseram a amostra. Os dados foram coletados quanto a forma e resiliencia do rebordo mandibular. As proteses foram avaliadas para a retencao e estabilidade utilizando-se uma ferramenta objetiva e reproduzivel. As associacoes entre as caracteristicas clinicas do rebordo alveolar mandibular e retencao e estabilidade das proteses foram analisados por meio dos testes qui-quadrado e exato de Fisher (a = 0.05). Observou-se associacao significativa entre a forma do rebordo e a estabilidade da protese (p Abstract in english Since prognostic indicators are likely to take on increasing importance as a diagnostic tool for selection of patients for implant provision, this study investigated the influence of the shape and resiliency of the mandibular alveolar ridge on the retention and stability of conventional complete den [...] tures. Ninety- three edentulous patients wearing both maxillary and mandibular conventional complete dentures composed the sample. Data were collected regarding shape and resiliencyof the mandibular residual ridge. Dentures were assessed for retention and stability using an objective and reproducible tool.The associations between the clinical characteristics of the mandibular alveolar ridge and denture retention and stability were analyzed using chi-square and Fisher exact tests (a = 0.05). A significant association between ridge shape and denture stability (p

  13. Management of maxillary alveolar process fractures

    Directory of Open Access Journals (Sweden)

    Shukhrat Boymuradov

    2011-04-01

    Full Text Available Incidence of maxillofacial traumas is reported steadily increasing, maxillary fractures being extremely severe. Maxillary alveolar process (AP and front teeth are traumatized more frequently than any other parts of the maxilla. Deprivation of teeth and AP post-traumatic flaw as well as loss of alveolar height not only create a cosmetic defect but also complicate subsequent prosthetics of the patients. The work was initiated to assess efficacy of “CollapAn L” in comparison with a combination of “Osteon”, an osteoplastic material, and “Colla Guide” resorbable membrane in prevention of AP post-traumatic flaws and deformities. 60 patients aged from 16 to 47 with the comminuted fractures of maxillary AP emergently hospitalized were examined and treated. The findings showed that Combination of “Osteon” and “Colla Guide” resorbable membrane is the one to increase efficacy of the treatment, facilitating preservation of and alveolar crest height and shape. In addition, preservation of bone tissue mineralization helps avoid risk of the bone wound inflammatory morbidity.

  14. Non-Surgical Repair of Internal Resorption with MTA: A Case Report

    Directory of Open Access Journals (Sweden)

    Zahed Mohammadi

    2012-10-01

    Full Text Available Internal resorption is rare in permanent teeth. Treatment is usually performed through warm gutta-percha technique. If the resorptive process perforates the root, treatment may be more difficult and is usually performed via surgical approach. Non-surgical repair of a perforating internal root resorption with MTA was conducted in this case. Before repairing the resorption, a master gutta-percha point was placed in the canal to maintain negotiability of the original canal path. Then, MTA was prepared and applied with a small carrier in the resorption area and compacted. Thereafter gutta-percha was retrieved and the access cavity was closed with a temporary filling material. In the second visit, the root canal was obturated with gutta-percha and AH26 sealer using lateral compaction technique and subsequently, the crown was restored. The symptoms and signs ceased and the result was satisfactory at the 18 month follow-up visit.

  15. Foliar Nutrient Dynamics and Foliar Resorption in Quercus brantii Lindley along an Elevational Gradient

    Directory of Open Access Journals (Sweden)

    Ertugrul Aksekili

    2007-01-01

    Full Text Available Foliar mass per area (mg dm-2 -based nitrogen and phosphorus concentrations, specific leaf mass (mg dm-2 and absolute and proportional resorption in Quercus brantii was investigated along a topographic gradient from 450 to 850 m altitude. Foliar N and P concentrations in Q. brantii exhibited significant differences with respect to topographic position and sampling dates in all of the studied parameters. A sharp decrease was observed from April to September in terms of Specific Leaf Mass (SLM values. However, mass per area-based absolute and proportional N resorption was lowest at 450 m, while absolute and proportional P resorption was lowest at 850 m. Significant correlations were found between mass per area-based leaf nutrient concentration and foliar resorption except for the correlations between absolute P resorption and foliar P concentrations at 450, 650 and 750 m during full-leaf expansion and 850 m during senescence, respectively.

  16. Risk variables of external apical root resorption during orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Maria Carolina Feio Barroso

    2012-04-01

    Full Text Available INTRODUCTION: External apical root resorption (EARR is an adverse outcome of the orthodontic treatment. So far, no single or associated factor has been identified as responsible for EARR due to tooth movement. OBJECTIVE: This study investigated the association of risk variables (age, gender, extraction for orthodontic treatment and Angle classification with EARR and orthodontic treatment. METHOD: The sample (n=72 was divided into two groups according to presence (n=32 or absence (n=40 of EARR in maxillary central and lateral incisors after orthodontic treatment. RESULTS: There were no statistically significant differences in EARR according to age, gender, extraction or type of malocclusion (p>0.05. CONCLUSION: The risk variables examined were not associated with EARR in the study population.

  17. Risk variables of external apical root resorption during orthodontic treatment

    Scientific Electronic Library Online (English)

    Maria Carolina Feio, Barroso; Renan Lana, Devita; Eugênio José Pereira, Lages; Fernando de Oliveira, Costa; Alexandre Fortes, Drummond; Henrique, Pretti; Elizabeth Maria Bastos, Lages.

    2012-04-01

    Full Text Available INTRODUCTION: External apical root resorption (EARR) is an adverse outcome of the orthodontic treatment. So far, no single or associated factor has been identified as responsible for EARR due to tooth movement. OBJECTIVE: This study investigated the association of risk variables (age, gender, extrac [...] tion for orthodontic treatment and Angle classification) with EARR and orthodontic treatment. METHOD: The sample (n=72) was divided into two groups according to presence (n=32) or absence (n=40) of EARR in maxillary central and lateral incisors after orthodontic treatment. RESULTS: There were no statistically significant differences in EARR according to age, gender, extraction or type of malocclusion (p>0.05). CONCLUSION: The risk variables examined were not associated with EARR in the study population.

  18. The chloride channel inhibitor NS3736 [corrected] prevents bone resorption in ovariectomized rats without changing bone formation

    DEFF Research Database (Denmark)

    Schaller, Sophie; Henriksen, Kim; Sveigaard, Christina; Heegaard, Anne-Marie; Hélix, Nathalie; Stahlhut, Martin; Ovejero, Maria C; Johansen, Jens V; Solberg, Helene; Andersen, Thomas L; Hougaard, Dorit; Berryman, Mark; Shiødt, Christine B; Sørensen, Bjørn H; Lichtenberg, Jens; Christophersen, Palle; Foged, Niels T; Delaissé, Jean-Marie; Engsig, Michael T; Karsdal, Morten A

    2004-01-01

    Chloride channel activity is essential for osteoclast function. Consequently, inhibition of the osteoclastic chloride channel should prevent bone resorption. Accordingly, we tested a chloride channel inhibitor on bone turnover and found that it inhibits bone resorption without affecting bone form...

  19. A possible association between early apical resorption of primary teeth and ectodermal characteristics of the permanent dentition

    DEFF Research Database (Denmark)

    Bille, M L B; Kvetny, M J; Kjaer, I

    2008-01-01

    The hypothesis of this study is that children with unexpected early apical resorption of the primary teeth are also predisposed to resorption in the permanent dentition. Accordingly, the aim was to perform a longitudinal study focussing on the permanent teeth in children with unexpected early apical resorption in the primary dentition. Panoramic radiographs of 12 children (7 boys and 5 girls) aged 6 years 4 months to 8 years 9 months with unexpected early apical resorption of primary teeth were ...

  20. Metaphyseal and Diaphyseal Bone Loss in the Tibia Following Transient Muscle Paralysis are Spatiotemporally Distinct Resorption Events

    OpenAIRE

    Ausk, Brandon J.; Huber, Philippe; Srinivasan, Sundar; Bain, Steven D.; Kwon, Ronald Y; McNamara, Erin A.; Poliachik, Sandra L.; Sybrowsky, Christian L.; Gross, Ted S.

    2013-01-01

    When the skeleton is catabolically challenged, there is great variability in the timing and extent of bone resorption observed at cancellous and cortical bone sites. It remains unclear whether this resorptive heterogeneity, which is often evident within a single bone, arises from increased permissiveness of specific sites to bone resorption or localized resorptive events of varied robustness. To explore this question, we used the mouse model of calf paralysis induced bone loss, which results ...

  1. Proteinosis alveolar pulmonar: Una puesta al día

    Scientific Electronic Library Online (English)

    Gabriela, Tabaj; Juan Ignacio, Enghelmayer; Glenda, Ernst; Liliana, Castro Zorrilla; Mirta, Scarinci.

    2014-09-01

    Full Text Available La Proteinosis Alveolar Pulmonar (PAP) es una enfermedad rara, caracterizada por la acumulación de surfactante en el interior del espacio alveolar, resultando en una alteración del intercambio gaseoso. El curso clínico es variable, abarcando desde la resolución espontánea hasta el fallo respiratorio [...] y muerte. Se han descripto tres formas de PAP: genética, secundaria y primaria o idiopática, siendo esta última la más frecuente en la población adulta. Avances en el conocimiento de la fisiopatología de la PAP han demostrado que la forma idiopática es el resultado de la generación de autoanticuerpos anti factor estimulante de colonias granulocito-macrófago (GM-CSF). Todas las formas de PAP resultan en disfunción macrofágica con la acumulación del material lipoproteináceo en el espacio alveolar. La PAP se caracteriza por disnea progresiva, tos seca e hipoxemia. Se encuentran opacidades bilaterales en la radiografía de tórax y la tomografía computada de alta resolución pone de manifiesto vidrio esmerilado con engrosamiento de los septos inter e intralobulillar, conformando el patrón típico en empedrado. Si bien la biopsia quirúrgica es el método de referencia para el diagnóstico definitivo, la combinación de las manifestaciones clínicas características y el lavado broncoalveolar (LBA) con material PAS positivo a menudo son suficientes para establecer el diagnóstico. El tratamiento de elección en primera medida sigue siendo el lavado pulmonar total bajo anestesia general con el objeto de remover el material proteináceo del espacio alveolar y mejorar el intercambio gaseoso. Recientemente, estudios han demostrado que el tratamiento inhalatorio o subcutáneo con GM-CSF podría beneficiar a algunos pacientes con formas idiopáticas de PAP. Abstract in english Pulmonary alveolar proteinosis (PAP) is a rare disorder characterized by the accumulation of surfactant lipids and protein in the alveolar spaces, resulting in impairment in gas exchange. The clinical course can be variable, ranging from spontaneous resolution to respiratory failure and death. There [...] are three forms of PAP: congenital, acquired and idiopathic, being the latter the most prevalent form in the adult population. Advances in the understanding of the pathophysiology of PAP demonstrate that the idiopathic form is due to antigranulocyte macrophage-colony stimulating factor (GM-CSF) antibodies. All the forms of PAP cause macrophage dysfunction leading to accumulation of the proteinaceous material. PAP is characterized by progressive exertional dyspnea and nonproductive cough with hypoxemia. Bilateral infiltrates are typically present on chest radiograph; high-resolution computed tomography reveals diffuse ground-glass opacities and airspace consolidation with interlobular septal thickening in a characteristic “crazy paving” pattern. Although surgical lung biopsy will provide a definitive diagnosis, a combination of typical clinical and imaging features with periodic acid-Schiff (PAS)-positive material on bronchoalveolar lavage and transbronchial biopsies is usually sufficient. The current standard of care is to perform whole lung lavage under anesthesia on these patients to clear the alveolar space to help improving respiratory physiology. Recent studies have demonstrated that GM-CSF (inhalation or subcutaneous) can result in improvement in some patients with idiopathic PAP.

  2. Pulmonary Surfactant Surface Tension Influences Alveolar Capillary Shape and Oxygenation

    OpenAIRE

    Ikegami, Machiko; Weaver, Timothy E.; Grant, Shawn N.; Whitsett, Jeffrey A

    2009-01-01

    Alveolar capillaries are located in close proximity to the alveolar epithelium and beneath the surfactant film. We hypothesized that the shape of alveolar capillaries and accompanying oxygenation are influenced by surfactant surface tension in the alveolus. To prove our hypothesis, surfactant surface tension was regulated by conditional expression of surfactant protein (SP)-B in Sftpb?/? mice, thereby inhibiting surface tension–lowering properties of surfactant in vivo within 24 hours after d...

  3. Roles for claudins in alveolar epithelial barrier function

    OpenAIRE

    Overgaard, Christian E.; Mitchell, Leslie A; Koval, Michael

    2012-01-01

    Terminal airspaces of the lung, alveoli, are sites of gas exchange which are sensitive to disrupted fluid balance. The alveolar epithelium is a heterogeneous monolayer of cells interconnected by tight junctions at sites of cell-cell contact. Paracellular permeability depends on claudin-family tight junction proteins. Of over a dozen alveolar claudins, cldn-3, cldn-4 and cldn-18 are the most highly expressed; other prominent alveolar claudins include cldn-5 and cldn-7. Cldn-3 is primarily expr...

  4. Association of type 2 diabetes mellitus with the reduction of mandibular residual ridge among edentulous patients using panoramic radiographs

    OpenAIRE

    Osama Al-Jabrah

    2011-01-01

    Objective: To evaluate the association between type 2 diabetes mellitus and the reduction of mandibular residual ridge in completely edentulous patients wearing complete dentures and to investigate the ef-fect of gender, age and years of edentulousness / den-ture wearing on ridge resorption on both groups. Methods:Seventy-two (36 men and 36 women) with a mean age 63.5 years (range of 52 to 73 years) com-pletely edentulous denture-wearing patients were included in this study. Of these, there w...

  5. Evolución en el tratamiento de la atrofia alveolar

    Directory of Open Access Journals (Sweden)

    Oscar García-Roco Pérez

    2002-08-01

    Full Text Available Con el objetivo de describir la evolución del tratamiento de la atrofia alveolar se realiza una revisión bibliográfica actualizada de 25 referencias, se destacan las vestibuloplastias, injertos óseos, biomateriales, implantes endóseos, regeneración ósea guiada y la distracción ósea, que corrigen o compensan la atrofia alveolar con sus indicaciones, ventajas y desventajas.An updated literature review of 25 references was made to describe the development in the treatment of dental alveolar atrophy. Some procedures that correct or compensate alveolar atrophies such as vestibuloplasty, bone grafting, biomaterials, endo-bone implants, guided bone regeneration and bone distraction. Their indications, advantages and disadvantages are set forth.

  6. Evolución en el tratamiento de la atrofia alveolar

    Scientific Electronic Library Online (English)

    Oscar, García-Roco Pérez; Miguel, Arredondo López.

    2002-08-01

    Full Text Available Con el objetivo de describir la evolución del tratamiento de la atrofia alveolar se realiza una revisión bibliográfica actualizada de 25 referencias, se destacan las vestibuloplastias, injertos óseos, biomateriales, implantes endóseos, regeneración ósea guiada y la distracción ósea, que corrigen o c [...] ompensan la atrofia alveolar con sus indicaciones, ventajas y desventajas. Abstract in english An updated literature review of 25 references was made to describe the development in the treatment of dental alveolar atrophy. Some procedures that correct or compensate alveolar atrophies such as vestibuloplasty, bone grafting, biomaterials, endo-bone implants, guided bone regeneration and bone di [...] straction. Their indications, advantages and disadvantages are set forth.

  7. Bimaxillary protrusion with an atrophic alveolar defect: orthodontics, autogenous chin-block graft, soft tissue augmentation, and an implant.

    Science.gov (United States)

    Chiu, Grace S C; Chang, Chris H N; Roberts, W Eugene

    2015-01-01

    Bimaxillary protrusion in a 28-year-old woman was complicated by multiple missing, restoratively compromised, or hopeless teeth. The maxillary right central incisor had a history of avulsion and replantation that subsequently evolved into generalized external root resorption with Class III mobility and severe loss of the supporting periodontium. This complex malocclusion had a discrepancy index of 21, and 8 additional points were scored for the atrophic dental implant site (maxillary right central incisor). The comprehensive treatment plan included extraction of 4 teeth (both maxillary first premolars, the maxillary right central incisor, and the mandibular right first molar), orthodontic closure of all spaces except for the future implant site (maxillary right central incisor), augmentation of the alveolar defect with an autogenous chin-block graft, enhancement of the gingival biotype with a connective tissue graft, and an implant-supported prosthesis. Orthodontists must understand the limitations of bone grafts. Augmented alveolar defects are slow to completely turn over to living bone, so they are usually good sites for implants but respond poorly to orthodontic space closure. However, postsurgical orthodontic treatment is often indicated to optimally finish the esthetic zone before placing the final prosthesis. The latter was effectively performed for this patient, resulting in a total treatment time of about 36 months for comprehensive interdisciplinary care. An excellent functional and esthetic result was achieved. PMID:25533077

  8. Bone resorption in incompletely impacted mandibular third molars and acute pericoronitis

    Directory of Open Access Journals (Sweden)

    Minoru Yamaoka

    2009-04-01

    Full Text Available Minoru Yamaoka, Yusuke Ono, Masahiro Takahashi, Ryosuke Doto, Kouichi Yasuda, Takashi Uematsu, Kiyofumi FurusawaMatsumoto Dental University, School of Dentistry, Shiojiri, Nagano, JapanAbstract: Acute pericoronitis (AP arises frequently in incompletely impacted mandibular third molars, but it remains unknown whether bone resorption in aging is associated with acute inflammation of the third molar. We conducted an experiment to compare the ratio of bone resorption to root length in the distal surface of the second molar (A, the proximal surface (B, and distal surface (C in mesio-angular, incompletely impacted third molars in 27 young and 58 older adults with AP and 77 young and 79 older adults without a history of AP. Bone resorption in A, B, and C in older adults with AP demonstrated a significantly higher ratio when compared to those without AP, whereas there was no difference between those with and without AP in young adults except for B in women. However, there were no differences between bone resorption in B with AP in young and older women, and between bone resorption in C with AP in young and older adults. These indicate that AP and bone resorption are associated with incompletely impacted mandibular third molars in older adults.Keywords: bone resorption, pericoronitis, mandible, acute inflammation, elderly

  9. Root resorption after dental traumas: classification and clinical, radiographic and histologic aspects

    Directory of Open Access Journals (Sweden)

    Bruno Oliveira de Aguiar Santos

    2011-10-01

    Full Text Available Introduction: One of the most common sequelae observed after dental trauma is root resorption. Objective: The aim of this study was to classify and discuss the external root resorption after a dental trauma, based on a literature review. Literature review: A bibliographic search was performed in the following databases: Medline, PubMed, and Lilacs, from 1997 to 2010. The following descriptors were used: Root resorption, Dental trauma and Classification. From a total of 152 articles found, 25 were selected: 24 in English and 1 in Spanish. Classic articles were also used in our study. External root resorption after dental traumas can be divided into superficial, inflammatory and replacement. It can also be verified in primary dentition as physiological and atypical resorptions. Conclusion: Each type of resorption presents clinical features as well as radiographic and histological aspects. Therefore, the dentist should know these characteristics to perform an early diagnosis and appropriate treatment, minimizing the sequelae related to this problem. Moreover, in primary dentition, the differential diagnosis between physiological and pathological resorption is important to avoid over-treatment.

  10. Mode of progression of subperiosteal resorption in the hyperparathyroidism of chronic renal failure

    Energy Technology Data Exchange (ETDEWEB)

    Meema, H.E.; Oreopoulos, D.G.

    1983-09-01

    Subperiosteal resorption in finger phalanges is usually thought to be the result of osteoclastic bone resorption on the periosteal surface of bone, progressive centripetally with creation of the serrated appearances and ''lace-like'' patterns in periosteal cortical bone. Our longitudinal microradioscopic observations in patients with secondary hyperparathyroidism of chronic renal failure have revealed evidence of another pathogenetic mechanism: by the enlargement of intracortical juxtaperiosteal resorption spaces, the remaining thin layer of bone is broken down from inside the bone, i.e., a centrifugal rather then centripetal process.

  11. The mode of progression of subperiosteal resorption in the hyperparathyroidism of chronic renal future

    International Nuclear Information System (INIS)

    Subperiosteal resorption in finger phalanges is usually thought to be the result of osteoclastic bone resorption on the periosteal surface of bone, progressive centripetally with creation of the serrated appearances and ''lace-like'' patterns in periosteal cortical bone. Our longitudinal microradioscopic observations in patients with secondary hyperparathyroidism of chronic renal failure have revealed evidence of another pathogenetic mechanism: by the enlargement of intracortical juxtaperiosteal resorption spaces, the remaining thin layer of bone is broken down from inside the bone, i.e., a centrifugal rather then centripetal process. (orig.)

  12. PERIAPICAL RESORPTIVE PROCESSES IN CHRONIC APICAL PERIODONTITIS: AN OVERVIEW AND DISCUSSION OF THE LITERATURE.

    Directory of Open Access Journals (Sweden)

    Angela Gusiyska

    2014-10-01

    Full Text Available Introduction: Root resorption is a biological phenomenon, characterized by processes of cement and/or dentine depletion, resulting from the physiological or pathological activity of resorptive cells. Purpose: The aim of this article is to review of the literature on the peculiarities of the periapical resorptive processes. Conclusion: The absence of a physiological narrowing is challenging to the achievement of satisfactory early and late therapeutic results. It makes probable either the overpressing of necrotic, infected material when preparing the endodontic space or the overpressing of the sealer when sealing the root canal.

  13. Ion transporters involved in acidification of the resorption lacuna in osteoclasts

    DEFF Research Database (Denmark)

    Henriksen, K.; Sorensen, M.G.; Jensen, V.K.; Nosjean, O.; Karsdal, M.A.; Dziegiel, Morten Hanefeld

    2008-01-01

    Osteoclasts possess a large amount of ion transporters, which participate in bone resorption; of these, the vacuolar-adenosine trisphosphatase (V-ATPase) and the chloride-proton antiporter ClC-7 acidify the resorption lacuna. However, whether other ion transporters participate in this process is...... currently not well understood. We used a battery of ion channel inhibitors, human osteoclasts, and their subcellular compartments to perform an unbiased analysis of the importance of the different ion transporters for acidification of the resorption lacuna in osteoclasts. CD14(+) monocytes from human...

  14. Quartz Resorption as a Geospeedometer in Peralkaline Rhyolites

    Science.gov (United States)

    Janebo, M.; Caricchi, L.; Rust, A.

    2010-12-01

    Magma ascent rate affects eruptive style and intensity as it determines time available for syn-eruptive crystallization, vesiculation and permeable gas loss. The width of hornblende reaction rims has previously been used to estimate ascent rates for eruptions of andesitic volcanoes. Reactions between quartz and the coexisting melt could provide a similar proxy for peralkaline silicic magmas. Mayor Island, a peralkaline rhyolitic volcano in New Zealand, was used as a case study to investigate the use of quartz resorption as a geospeedometer. During the last 130 ka, Mayor Island has exhibited a wide range of eruptions, both with regards to intensity and volume. Previous studies have determined the pre-eruptive temperature to be around 750°C and pressure to be 100-125 MPa, and proposed that the magma chamber is saturated in water (Barclay et al., 1996). Neither the composition of the magma (72-74 wt% SiO2) nor the water content (4.4 wt%) have changed significantly between the different styles of eruptions, and the wide range of eruptive style was therefore attributed to variations in the ascent rate. In general, the quartz phenocrysts from the effusive eruptions are rounded, whereas those from the explosive eruptions are euhedral. Scaillet and Macdonald (2001) established that there are realistic conditions for which quartz in peralkaline rhyolites goes from stable to unstable to stable again during decompression. In this study, the stability fields of quartz were determined for a Mayor Island magma composition using an externally heated cold-seal pressure vessel. The rate of quartz resorption was assessed by carrying out time-series experiments. The pre-eruptive conditions were determined to be about 700-750°C from feldspar thermometry and phase equilibria. The results indicate that the magma was water under-saturated and consequently stored at higher pressures than previously calculated. The time-series experiments imply that magma that erupt explosively did not spend more than a couple of days at pressure between 150 and 50 MPa. REFERENCES Barclay, J., Carroll, M. R., Houghton, B. F. and Wilson, C. J. N. (1996). Pre-eruptive volatile content and degassing history of an evolving peralkaline volcano. Journal of Volcanology and Geothermal Research 74: 75-87. Scaillet, B. and Macdonald, R. (2001). Phase relations of peralkaline silicic magmas and petrogenetic implications. Journal of Petrology 42(4): 825-845.

  15. Nostril Base Augmentation Effect of Alveolar Bone Graft

    Directory of Open Access Journals (Sweden)

    Woojin Lee

    2013-09-01

    Full Text Available Background The aims of alveolar bone grafting are closure of the fistula, stabilization ofthe maxillary arch, support for the roots of the teeth adjacent to the cleft on each side.We observed nostril base augmentation in patients with alveolar clefts after alveolar bonegrafting. The purpose of this study was to evaluate the nostril base augmentation effect ofsecondary alveolar bone grafting in patients with unilateral alveolar cleft.Methods Records of 15 children with alveolar clefts who underwent secondary alveolar bonegrafting with autogenous iliac cancellous bone between March of 2011 and May of 2012 werereviewed. Preoperative and postoperative worm’s-eye view photographs and reconstructedthree-dimensional computed tomography (CT scans were used for photogrammetry. Thedepression of the nostril base and thickness of the philtrum on the cleft side were measuredin comparison to the normal side. The depression of the cleft side pyriform aperture wasmeasured in comparison to the normal side on reconstructed three-dimensional CT.Results Significant changes were seen in the nostril base (P=0.005, the philtrum length(P=0.013, and the angle (P=0.006. The CT measurements showed significant changes in thepyriform aperture (P<0.001 and the angle (P<0.001.Conclusions An alveolar bone graft not only fills the gap in the alveolar process but alsoaugments the nostril base after surgery. In this study, only an alveolar bone graft was performedto prevent bias from other procedures. Nostril base augmentation can be achieved byperforming alveolar bone grafts in children, in whom invasive methods are not advised.

  16. Experiment K-310: The effect of space flight on ostenogenesis and dentinogenesis in the mandible of rats. Supplement 1: The effects of space flight on alveolar bone modeling and remodeling in the rat mandible

    Science.gov (United States)

    Van, P. T.; Vignery, A.; Bacon, R.

    1981-01-01

    The histomorphometric study of alveolar bone, a non-weight-bearing bone submitted mainly to the mechanical stimulations of mastication, showed that space flight decreases the remodeling activity but does not induce a negative balance between resorption and formation. The most dramatic effect of space flight has been observed along the periosteal surface, and especially in areas not covered with masticatory muscles, where bone formation almost stopped completely during the flight period. This bone, having been submitted to the same mechanical forces in the flight animals and the controls, leads to the conclusion that factors other than mechanical loading might be involved in the decreased bone formation during flight.

  17. Ridge from strings

    Energy Technology Data Exchange (ETDEWEB)

    Braun, M.A.; Vechernin, V.V. [Saint-Petersburg State University, Dept. of High Energy Physics, Saint-Petersburg (Russian Federation); Pajares, C. [University of Santiago de Compostela, Dept. of Particles, Santiago de Compostela (Spain)

    2015-04-01

    In the colour string picture with fusion and percolation it is shown that long-range azimuthal-rapidity correlations (ridge) can arise from the superposition of many events with exchange of clusters of different number of strings and not from a single event. Relation of the ridge with the flow harmonics coefficients is derived. By direct Monte Carlo simulations, in the technique previously used to calculate these coefficients, ridge correlations are calculated for AA, pA and pp collisions. The azimuthal anisotropy follows from the assumed quenching of the emitted particles in the strong colour fields inside string clusters. It is confirmed that in pp collisions the ridge structure only appears in rare events with abnormally high multiplicity. Comparison with the experimental data shows a good agreement. Good agreement is also found for pPb collisions. For AA collisions a reasonable agreement is found for both near-side and away-side angular correlations although it worsens at intermediate angles. (orig.)

  18. Vertical Root Fracture: Preservation of the Alveolar Ridge Using Immediate Implants

    Science.gov (United States)

    Oya, Edmar de Oliveira; Pallos, Debora; Schwartz-Filho, Humberto Osvaldo; Brandt, William Cunha; Sendyk, Wilson Roberto; Roman-Torres, Caio Vinicius Gonçalves

    2014-01-01

    Teeth with vertical root fracture (VRF) have complete or incomplete fractures that begin in the root and extend toward the occlusal surface. The most frequent causes of VRF originate from physical trauma, occlusal prematurity, inadequate endodontic treatment, and iatrogenic causes. Diagnose is difficult and delay can cause stomatognathic system problem. The purpose of this case report was to evaluate immediate implant placement after extraction of teeth with vertical root fracture. For the 1st case, the VRF in 1st left lower molar was confirmed during surgical flap and at the same time, the tooth was removed and immediate implant was placed. For the 2nd case, the VRF 1st left lower molar was confirmed during endodontic access and at the same appointment, the tooth was removed and the immediate implant is placed. Several studies have shown that immediate implants have similar success rates when compared with late implants. Consider that this approach is a safe procedure with favorable prognosis. In cases of VRF, the main factor to be considered is the presence of adequate bone support and immediate implants can preserve the vertical bone height, adding the fact that good patient compliance reduces the number of surgical interventions and promotes the functionality of stomatognathic system. PMID:24715996

  19. Displacement of endodontic instruments in inferior alveolar canal

    Directory of Open Access Journals (Sweden)

    Nitasha Gandhi

    2011-01-01

    Full Text Available Endodontic instrument breakage is a common occurrence during root canal treatment but the displacement of the separated instrument into the inferior alveolar canal is rare and has never been reported. We hereby present an unusual case of displacement of a separated instrument in the inferior alveolar canal and its retrieval by a simple technique.

  20. Tongue-Palate Contact of Perceptually Acceptable Alveolar Stops

    Science.gov (United States)

    Lee, Alice; Gibbon, Fiona E.; O'Donovan, Cliona

    2013-01-01

    Increased tongue-palate contact for perceptually acceptable alveolar stops has been observed in children with speech sound disorders (SSD). This is a retrospective study that further investigated this issue by using quantitative measures to compare the target alveolar stops /t/, /d/ and /n/ produced in words by nine children with SSD (20 tokens of…

  1. Diffuse alveolar haemorrhage associated with aerosol propellant use.

    Science.gov (United States)

    Kelchen, Phillip; Jamous, Fady; Huntington, Mark K

    2013-01-01

    Diffuse alveolar haemorrhage (DAH) is a clinical syndrome resulting from injury to the alveolar microcirculation, most commonly associated with not only autoimmune disorders or connective tissue disease, but also a variety of infections, neoplasms and toxins. We report here a case of an otherwise healthy young man with DAH attributable to an inhalation injury resulting from use of aerosol spray paint. PMID:23955981

  2. Chest ultrasound findings in pulmonary alveolar microlithiasis.

    Science.gov (United States)

    Rea, Gaetano; Sperandeo, Marco; Sorrentino, Nunzia; Stanziola, Anna Agnese; D'Amato, Maria; Bocchino, Marialuisa

    2015-10-01

    Pulmonary alveolar microlithiasis (PAM) is a rare disorder of unknown etiology affecting people at any age. It is characterized by multiple and microscopic calcium deposits diffusely localized within the alveoli. Thorax high-resolution computed tomography is considered the gold standard for PAM imaging. Herein we report for the first time the use of trans-thoracic ultrasound (TUS) examination in a young severely obese PAM female patient, diagnosed at the age of 10, and referred to our clinic for re-staging purposes at the age of 36. Unlike expected, no reverberation or additional artifacts were appreciated on TUS examination despite the severity of the interstitial/alveolar involvement seen on conventional CT imaging. To date, no ring-down or comet-tail artifacts were detected. The only TUS finding was an increased thickness and irregular profile, more evident in the dorsal lower lung regions, of the hyper-echoic pleural line. TUS has recently aroused increasing interest among clinicians and radiologists as a useful noninvasive diagnostic tool for studying pleuro-pulmonary diseases, including interstitial lung diseases (ILDs). The peculiarity of our case is represented by the discrepancy between TUS and CT findings. Further efforts to address the usefulness and US patterns in diffuse ILDs, with the inclusion of rare disorders, are needed. PMID:26576988

  3. Pulmonary alveolar proteinosis in SCID mice.

    Science.gov (United States)

    Jennings, V M; Dillehay, D L; Webb, S K; Brown, L A

    1995-09-01

    Pulmonary alveolar proteinosis (PAP) is an uncommon disorder of unknown origin in which the alveoli are filled with lipoproteinaceous material, including surfactant. We have characterized a spontaneously occurring lesion in the lungs of CB.17 scid/scid mice which resembles PAP in humans. Lungs from 45 severe combined immunodeficient (SCID) mice were evaluated by light and electron microscopy and immunohistochemistry. Lung lavage fluid was evaluated biochemically and for the presence of surfactant protein A (SP-A) and B (SP-B) by enzyme-linked immunosorbent assay and Western blot. Light microscopy showed varying amounts of a homogeneous to granular proteinaceous material in alveolar spaces. This material was eosinophilic by hematoxylin and eosin stain and was periodic acid-Schiff (PAS) positive. Ultrastructurally, the material was predominantly homogeneous with areas of a lamellated pattern that resembled surfactant. Biochemical analysis revealed 2.7- and 3.6-fold increases in the surfactant-associated phospholipids phosphatidylcholine and disaturated phosphatidylcholine respectively, when affected SCID mice were compared with control mice. Immunohistochemical staining of lung tissue and Western blot and enzyme-linked immunosorbent assay of lavage fluid showed marked increases in SP-A and SP-B in comparison with controls. These results suggest that SCID mice have a defect in surfactant homeostasis that resembles PAP in humans and may serve as an animal model in further elucidating the pathogenesis of this disease. PMID:7654386

  4. Uncomplicated impression techniques for hypermobile alveolar mucosa: A hope for the hopeless

    Directory of Open Access Journals (Sweden)

    Prince Kumar

    2012-01-01

    Full Text Available Context: Alveolar mucosa over the jaw bones in edentulous patients has varying thickness and mobility at different areas and is often imprecise at the time of impression making. Such impressions in the finished dentures cause inflammation and instability of the complete dentures. Aim: To present three methods for selective pressure impressions for complete denture treatment in patients who had different kinds of localization and abnormalities of the thickness of alveolar ridges mucosa. Materials and Methods: Three different impression techniques were used for selective pressure impressions in 15 completely edentulous patients based on the location of flabby tissue and special tray modifications. The patients expressed comfort and satisfaction during the usage of the new dentures, compared with the previous one fabricated with the new impression technique. Conclusion: The suggested methods eliminate the excessive displacement of the soft tissues at the secondary impression; thus, a physiologic and anatomic registration of the attached and the unattached tissue of the denture-bearing areas is attained.

  5. Response of Bone Resorption Markers to Aristolochia longa Intake by Algerian Breast Cancer Postmenopausal Women.

    Science.gov (United States)

    Benarba, Bachir; Meddah, Boumedienne; Tir Touil, Aicha

    2014-01-01

    Aristolochia longa is widely used in traditional medicine in Algeria to treat breast cancer. The aim of the present study was to investigate the response of bone resorption markers to A. longa intake by Algerian breast cancer postmenopausal women. According to the A. longa intake, breast cancer patients were grouped into A. longa group (Al) (n = 54) and non-A. longa group (non-Al) (n = 24). 32 women constituted the control group. Bone resorption markers (from urine) pyridinoline (PYD) and deoxypyridinoline (DPD) were determined by HPLC. Serum and urinary creatinine, uric acid, and urea were measured. 1?g of A. longa intake resulted in significant rise of renal serum markers and a pronounced increase of bone resorption markers. The intake of A. longa roots is detrimental for kidney function and resulted in high bone resorption, maybe due to the reduction in renal function caused by the aristolochic acids contained in the roots. PMID:24876833

  6. Influence of diphenylhydantoin on lysosomal enzyme release during bone resorption in vitro

    International Nuclear Information System (INIS)

    The effect of diphenylhydantoin (DPH) on the release of lysosomal enzymes during resorption of cultured mouse calvarial bone was studied. The enzyme activities of ?-glucuronidase and ?-galactosidase in the culture medium was taken as indicators for lysosomal enzyme release. In concentrations 50 ?g/ml or higher, DPH inhibited the release of ?-glucuronidase and ?-galactosidase in parallel with bone resorption as indicated by reduced release of 4Ca, Ca2, Psub(i) and hydroxyproline. The release of the cytosolic enzyme lactate dehydrogenase was not influenced by concentrations of DPH up to 50 ?g/ml but higher concentrations caused an increased release indicating cell injury. When bone resorption was stimulated by prostaglandin E2, DPH(50 ?g/ml) also reduced the mobilization of bone mineral and the release of ?- glucuronidase without influencing the release of lactate dehydrogenase. It is suggested that DPH by interfering with cellular release processes reduces the resorption on bone. (author)

  7. Complete replacement resorption after replantation of maxillary incisors: report of case.

    Science.gov (United States)

    Kandemir, S; Alpoz, E; Caliskan, M K; Alpoz, A R

    1999-01-01

    This article describes the treatment of a 17-year-old patient with complete root resorption of the maxillary permanent central and lateral incisors following avulsion and replantation seven years ago. The most important factor influencing the prognosis of replanted teeth is the status of the periodontal ligament (PDL). As a result of replantation, the PDL cells necrosed and tooth replacement resorption occurred. The main factors, which affected the resorption after replantation and survival of PDL cells, could be summarize as; dry extraoral time greater than 30 minutes, the kept tooth in a dry environment, touching the cementum surface, and splint treatment for a prolonged time. Since complete root resorption was found in our case, these factors probably also occurred. PMID:10551136

  8. LEPTIN REGULATION OF BONE RESORPTION BY THE SYMPATHETIC NERVOUS SYSTEM AND CART

    Science.gov (United States)

    Bone remodelling, the mechanism by which vertebrates regulate bone mass, comprises two phases, namely resorption by osteoclasts and formation by osteoblasts; osteoblasts are multifunctional cells also controlling osteoclast differentiation. Sympathetic signalling via beta2-adrenergic receptors (Adrb...

  9. Response of Bone Resorption Markers to Aristolochia longa Intake by Algerian Breast Cancer Postmenopausal Women

    Science.gov (United States)

    Benarba, Bachir; Meddah, Boumedienne; Tir Touil, Aicha

    2014-01-01

    Aristolochia longa is widely used in traditional medicine in Algeria to treat breast cancer. The aim of the present study was to investigate the response of bone resorption markers to A. longa intake by Algerian breast cancer postmenopausal women. According to the A. longa intake, breast cancer patients were grouped into A. longa group (Al) (n = 54) and non-A. longa group (non-Al) (n = 24). 32 women constituted the control group. Bone resorption markers (from urine) pyridinoline (PYD) and deoxypyridinoline (DPD) were determined by HPLC. Serum and urinary creatinine, uric acid, and urea were measured. 1?g of A. longa intake resulted in significant rise of renal serum markers and a pronounced increase of bone resorption markers. The intake of A. longa roots is detrimental for kidney function and resulted in high bone resorption, maybe due to the reduction in renal function caused by the aristolochic acids contained in the roots. PMID:24876833

  10. Calculating a Stepwise Ridge Regression.

    Science.gov (United States)

    Morris, John D.

    1986-01-01

    Although methods for using ordinary least squares regression computer programs to calculate a ridge regression are available, the calculation of a stepwise ridge regression requires a special purpose algorithm and computer program. The correct stepwise ridge regression procedure is given, and a parallel FORTRAN computer program is described.…

  11. Radiolabeled microsphere measurements of alveolar bone blood flow in dogs

    International Nuclear Information System (INIS)

    Radiolabeled microspheres were injected into the left cardiac ventricle in healthy adult dogs to quantify blood in maxillary and mandibular alveolar bone. Heart rate, arterial blood pressure and pulse contour were monitored throughout each experiment. Blood flow in maxillary alveolar bone was more than 30 % greater (p<.001) than in mandibular alveolar bone. Alveolar bone blood flow (mean +- S.D.) measured as ml/min per gram was 0.12 +- .02 in the maxilla compared to 0.09 +- .02 in the mandible. The cardiovascular parameters monitored were constant immediately prior to the injection of microspheres and remained unchanged during and following injection. It is possible that radiolabeled microspheres can be used to quantify the circulatory changes in alveolar bone during the development of destructive periodontal disease in dogs. (author)

  12. Treatment to pulmonary alveolar proteinosis with total bronchoalveolar lavage

    International Nuclear Information System (INIS)

    The pulmonary alveolar proteinosis is a rare disease with variable course and characterized by the accumulation of surfactant in the alveoli. By the treatment it was used the alveolar lavage with good results. We present the experience accumulated in the Las Americas clinic of Medellin city with the treatment of three patients with diagnosis of pulmonary alveolar proteinosis by alveolar lavage. We realized seven lavages, two of them bilateral and sequential. We didn't 't have important complications and in all cases we got good clinical and physiological results. Two patients had relapsed six and seven months after the first lavage and they needed a second lavage. We conclude that the pulmonary lavage is a secure and effective procedure in the treatment of the pulmonary alveolar proteinosis and the modality of bilateral sequential lavage is a good alternative and less expensive

  13. Acute hypoxia and osteoclast activity: a balance between enhanced resorption and increased apoptosis.

    OpenAIRE

    Knowles, HJ; Athanasou, NA

    2009-01-01

    Osteoclasts are the primary mediators of pathological bone resorption in many conditions in which micro-environmental hypoxia is associated with disease progression. However, effects of hypoxia on human osteoclast activity have not been reported. Mature human osteoclasts were differentiated from peripheral blood or obtained from giant cell tumour of bone. Osteoclasts were exposed to a constant hypoxic environment and then assessed for parameters including resorption (toluidine blue staining o...

  14. Glucocorticoid-Induced Changes in the Geometry of Osteoclast Resorption Cavities Affect Trabecular Bone Stiffness

    DEFF Research Database (Denmark)

    Vanderoost, Jef; Søe, Kent; Merrild, Ditte Marie Horslev; Delaissé, Jean-Marie; van Lenthe, G Harry

    2012-01-01

    Bone fracture risk can increase through bone microstructural changes observed in bone pathologies, such as glucocorticoid-induced osteoporosis. Resorption cavities present one of these microstructural aspects. We recently found that glucocorticoids (GCs) affect the shape of the resorption cavities. Specifically, we found that in the presence of GC osteoclasts (OCs) cultured on bone slices make more trenchlike cavities, compared to rather round cavities in the absence of GCs, while the total erod...

  15. Predisposing factors to severe external root resorption associated to orthodontic treatment

    OpenAIRE

    Gracemia Vasconcelos Picanço; Karina Maria Salvatore de Freitas; Rodrigo Hermont Cançado; Fabricio Pinelli Valarelli; Paulo Roberto Barroso Picanço; Camila Pontes Feijão

    2013-01-01

    OBJECTIVE: The aim of this study was to evaluate predisposing factors among patients who developed moderate or severe external root resorption (Malmgren's grades 3 and 4), on the maxillary incisors, during fixed orthodontic treatment in the permanent dentition. METHODS: Ninety-nine patients who underwent orthodontic treatment with fixed edgewise appliances were selected. Patients were divided into two groups: G1 - 50 patients with no root resorption or presenting only apical irregularities (M...

  16. Dissociation between bone resorption and bone formation in osteopenic transgenic mice

    OpenAIRE

    Corral, David A.; Amling, Michael; Priemel, Matthias; Loyer, Evelyn; Fuchs, Sebastien; Ducy, Patricia; Baron, Roland; Karsenty, Gerard

    1998-01-01

    Bone mass is maintained constant in vertebrates through bone remodeling (BR). BR is characterized by osteoclastic resorption of preexisting bone followed by de novo bone formation by osteoblasts. This sequence of events and the fact that bone mass remains constant in physiological situation lead to the assumption that resorption and formation are regulated by each other during BR. Recent evidence shows that cells of the osteoblastic lineage are involved in osteoclast differentiation. However,...

  17. Human recombinant transforming growth factor alpha stimulates bone resorption and inhibits formation in vitro.

    OpenAIRE

    Ibbotson, K J; Harrod, J; Gowen, M; D'Souza, S.; Smith, D. D.; Winkler, M E; Derynck, R; Mundy, G. R.

    1986-01-01

    Human recombinant transforming growth factor alpha (TGF alpha), which binds to the epidermal growth factor (EGF) receptor and causes several biological effects similar to those caused by EGF, was compared with murine EGF for its effects on a number of parameters of bone cell metabolism. TGF alpha stimulated bone resorption in two organ culture systems, the fetal rat long bone and neonatal mouse calvarial systems. TGF alpha stimulated bone resorption at concentrations as low as 0.1 ng/ml. TGF ...

  18. Convergent responses of nitrogen and phosphorus resorption to nitrogen inputs in a semiarid grassland

    Science.gov (United States)

    Lü, Xiao-Tao; Reed, Sasha; Yu, Qiang; He, Nian-Peng; Wang, Zheng-Wen; Han, Xing-Guo

    2013-01-01

    Human activities have significantly altered nitrogen (N) availability in most terrestrial ecosystems, with consequences for community composition and ecosystem functioning. Although studies of how changes in N availability affect biodiversity and community composition are relatively common, much less remains known about the effects of N inputs on the coupled biogeochemical cycling of N and phosphorus (P), and still fewer data exist regarding how increased N inputs affect the internal cycling of these two elements in plants. Nutrient resorption is an important driver of plant nutrient economies and of the quality of litter plants produce. Accordingly, resorption patterns have marked ecological implications for plant population and community fitness, as well as for ecosystem nutrient cycling. In a semiarid grassland in northern China, we studied the effects of a wide range of N inputs on foliar nutrient resorption of two dominant grasses, Leymus chinensis and Stipa grandis. After 4 years of treatments, N and P availability in soil and N and P concentrations in green and senesced grass leaves increased with increasing rates of N addition. Foliar N and P resorption significantly decreased along the N addition gradient, implying a resorption-mediated, positive plant–soil feedback induced by N inputs. Furthermore, N : P resorption ratios were negatively correlated with the rates of N addition, indicating the sensitivity of plant N and P stoichiometry to N inputs. Taken together, the results demonstrate that N additions accelerate ecosystem uptake and turnover of both N and P in the temperate steppe and that N and P cycles are coupled in dynamic ways. The convergence of N and P resorption in response to N inputs emphasizes the importance of nutrient resorption as a pathway by which plants and ecosystems adjust in the face of increasing N availability.

  19. Element uptake, accumulation, and resorption in leaves of mangrove species with different mechanisms of salt regulation

    OpenAIRE

    E. Medina; Fernandez, W.; F. Barboza

    2015-01-01

    Element uptake from substrate and resorption capacity of nutrients before leaf shedding are frequently species-specific and difficult to determine in natural settings. We sampled populations of Rhizophora mangle (salt-excluding species) and Laguncularia racemosa (salt-secreting species) in a coastal lagoon in the upper section of the Maracaibo strait in western Venezuela to estimate accumulation and resorption of mineral elements. Leaves collected fortnightly during 4~months ...

  20. Effects of berberine on differentiation and bone resorption of osteoclasts derived from rat bone marrow cells

    Directory of Open Access Journals (Sweden)

    Peng WEI

    2009-04-01

    Full Text Available Objective: To observe the effects of berberine on osteoclastic differentiation and bone resorption action in vitro, and to investigate the cellular mechanism of its inhibitory effects on bone resorption.Methods: The multinucleated osteoclasts (MNCs were derived by 1,25-dihydroxyvitamin D3 and dexamethasone from bone marrow cells in the coculture system with primary osteoblastic cells. The tartrate-resistant acid phosphatase (TRAP staining and image analysis of bone resorption pit on dental slices were used to identify osteoclast. The activity of TRAP was measured by p-nitrophenyl sodium phosphate assay. The bone resorption pit area on the bone slices formed by osteoclasts was measured by computer image processing.Results: At the concentrations of 0.1, 1 and 10 ?mol/L, berberine dose-dependently suppressed the formation of TRAP-positive multinucleated cells, the TRAP activity and the osteoclastic bone resorption. The strongest inhibitory effect was exhibited at the concentration of 10 ?mol/L, with the inhibiting rate of 60.45%, 42.12% and 72.69% respectively.Conclusion: Berberine can decrease bone loss through inhibition of osteoclast formation, differentiation and bone resorption.

  1. Resorption rate assessment of adipose tissue-engineered constructs by intravital magnetic resonance imaging.

    Science.gov (United States)

    Torio-Padron, N; Paul, D; von Elverfeldt, D; Stark, G B; Huotari, A M

    2011-01-01

    Engineering of adipose tissue by implantation of preadipocytes within biodegradable materials has already been extensively reported. However, a method that allows to accurately determine the resorption rate of adipose tissue constructs has not been described to date. The purpose of this study was to determine whether the non-invasive and non-destructive technique of magnetic resonance imaging (MRI) could be used to assess the resorption rate of adipose tissue substitutes after injection of human preadipocytes within fibrin into athymic nude mice. Different concentrations of undifferentiated preadipocytes were injected within fibrin into athymic nude mice. Two days, 3 months and 6 months post-implantation, the mice were anaesthetised and an MRI was performed using a 9.4 Tesla device in order to determine both volume and resorption rate of the implants. Subsequently, the specimens were explanted and qualitative analysis of adipose tissue formation was performed by histological examination. After implantation, a progressive resorption of all constructs was macroscopically observed. Implants could be easily visualised and delimited from the surrounding tissues by MRI. Magnetic resonance analysis demonstrated a resorption rate of the implants of 99-100% at 6 months, which was also confirmed by histological analysis. In the remaining implants, formation of human adipose tissue could be immunohistologically confirmed. Here, we show that MRI provides an efficient and non-invasive method for the assessment of implant resorption in adipose tissue engineering. PMID:20471340

  2. External root resorption after orthodontic treatment: a study of contributing factors

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Yun Hoa; Cho, Bong Hae [School of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    2011-03-15

    The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

  3. An original procedure for quantitation of cutaneous resorption of sebum.

    Science.gov (United States)

    Blanc, D; Saint-Leger, D; Brandt, J; Constans, S; Agache, P

    1989-01-01

    This paper describes an original in vivo device to investigate and quantify cutaneous resorption of sebum. Such a phenomenon was explored using a photometric determination of residual skin surface lipids at different times following initial deposits of known amounts of artificial sebum on demarcated areas. The technique was carried out on seven healthy subjects. The chosen area was the anterior aspect of the forearm, owing to the very low sebum production of this site, less than the sensitivity of the measuring instrument. The kinetics of absorption of applied sebum turned out to be hyperbolic-like and well correlated with experimental results (r = 0.992), allowing a mathematical determination of the initial velocity of penetration of sebum into the skin, reaching 20 micrograms/cm2.min for a standard program including a mean initial deposit of 116 micrograms/cm2. This kinetics actually does not fit with a true percutaneous absorption of lipids but is compatible with that of absorption into the stratum corneum. It conveys the faster absorption of the latter for sebum, a well-known but not so far quantified property of stratum corneum. The model here described is not at once transposable to skin areas with high sebum production since, quite obviously in such zones, the stratum corneum is permanently saturated with skin surface lipids. Therefore, the conclusions of this work cannot be correlated with the regreasing parameters studied so far on the forehead, but they provide interesting data about the evolution of sebum following its output onto the skin surface and therefore a better understanding of sebaceous physiology. PMID:2802665

  4. Ridge regression processing

    Science.gov (United States)

    Kuhl, Mark R.

    1990-01-01

    Current navigation requirements depend on a geometric dilution of precision (GDOP) criterion. As long as the GDOP stays below a specific value, navigation requirements are met. The GDOP will exceed the specified value when the measurement geometry becomes too collinear. A new signal processing technique, called Ridge Regression Processing, can reduce the effects of nearly collinear measurement geometry; thereby reducing the inflation of the measurement errors. It is shown that the Ridge signal processor gives a consistently better mean squared error (MSE) in position than the Ordinary Least Mean Squares (OLS) estimator. The applicability of this technique is currently being investigated to improve the following areas: receiver autonomous integrity monitoring (RAIM), coverage requirements, availability requirements, and precision approaches.

  5. Hemorragia alveolar associada a nefrite lúpica Alveolar hemorrhage associated with lupus nephritis

    Directory of Open Access Journals (Sweden)

    Ricardo Henrique de Oliveira Braga Teixeira

    2003-12-01

    Full Text Available Hemorragia alveolar, como causa de insuficiência respiratória, é pouco freqüente, com diversas etiologias possíveis. Entre elas, o lúpus eritematoso sistêmico, que se apresenta geralmente como síndrome pulmão-rim, possui alta morbimortalidade. Acredita-se que a patogênese da microangiopatia, tanto renal como pulmonar, esteja associada ao depósito de imunocomplexos, que ativariam as vias de apoptose celular. Relatam-se dois casos de pacientes com nefrite lúpica que evoluíram com hemorragia alveolar associada à insuficiência respiratória necessitando de ventilação mecânica com evoluções totalmente distintas frente às terapias farmacológicas. O achado de anticorpos antimembrana basal em um dos casos evidencia a multiplicidade de mecanismos fisiopatológicos possivelmente envolvidos, que poderiam justificar as respostas heterogêneas frente aos tratamentos disponíveis.Alveolar hemorrhage leading to respiratory failure is uncommon. Various etiologies have been reported, including systemic lupus erythematosus, which generally presents as pulmonary-renal syndrome. It is believed that the pathogenesis of microangiopathy is related to deposits of immune complexes that lead to activation of cellular apoptosis. The authors report two cases of alveolar hemorrhage and respiratory failure, both requiring mechanical ventilation. The two cases had opposite outcomes after pharmacological therapy. The presence of anti-glomerular basement membrane antibodies in one of the cases demonstrates the multiplicity of physiopathological mechanisms that may be involved. This multiplicity of mechanisms provides a possible explanation for the heterogeneous responses to the available treatments.

  6. Clinical and histological evaluation of alloderm GBR and BioOss in the treatment of Siebert's class I ridge deficiency

    OpenAIRE

    Sudarsan, Sabitha; Arun, K.V.; M S Priya; Arun, Ramya

    2008-01-01

    Complete prosthetic rehabilitation using implants require the presence of adequate dimensions of alveolar bone. Ridge augmentation procedures include the use of guided bone regeneration (GBR) procedures where the barrier membrane provides cell occlusion and space for the regenerating tissues. Alloderm GBR has been introduced for the purpose of augmenting bone and has been postulated to have the additionally ability to integrate into soft tissues. Twenty-two patients with Siebert's class I rid...

  7. Fate of autologous and fresh-frozen allogeneic block bone grafts used for ridge augmentation. A CBCT-based analysis

    DEFF Research Database (Denmark)

    Spin-Neto, Rubens; Stavropoulos, Andreas; Pereira, Luís Antônio Violin Dias; Marcantonio, Elcio; Wenzel, Ann

    2013-01-01

    OBJECTIVES: To evaluate dimensional changes in autologous (AT) and fresh-frozen allogeneic (AL) block bone grafts 6 months after alveolar ridge augmentation. MATERIAL AND METHODS: Twenty-six partially or totally edentulous patients treated either with fresh-frozen AL bone or AT bone onlay block grafts prior to implant placement (13 patients in each group), were included in this analysis. Patients received CBCT (i-CAT Classic) examinations prior to surgery and 14 days and 6 months after grafting....

  8. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation

    International Nuclear Information System (INIS)

    This study was performed to evaluate the incidence and degree of external apical root resorption of maxillary incisors after orthodontic treatment and to evaluate particular associated factors related to external apical root resorption. The records and maxillary incisor periapical radiographs of 181 patients were investigated. Crown and root lengths were measured and compared on the pre- and post-treatment periapical radiographs. Crown length was measured from the center of the incisal edge to the midpoint of the cemento-enamel junction (CEJ). Root length was measured from the CEJ midpoint to the root apex. A correction factor for the enlargement difference was used to calculate root resorption. The periapical radiographs of 564 teeth showed that the average root resorption was 1.39±1.27 (8.24±7.22%) and 1.69±1.14 mm (10.16±6.78%) for the maxillary central and lateral incisors, respectively. The results showed that the dilacerated or pointed roots, maxillary premolar extraction cases, and treatment duration were highly significant factors for root resorption (p<0.001). Allergic condition was a significant factor at p<0.01. Age at the start of treatment, large overjet, and history of facial trauma were also factors significantly associated with root resorption (p<0.05). There was no statistically significant difference in root resorption among the factors of gender, overbite, tongue-thrusting habit, types of malocclusion, and types of bracket. These results suggested that orthodontic treatment should be carefully performed in pre-treatment extraction patients who have pointed or dilacerated roots and need long treatment duration.

  9. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Nanekrungsan, Kamonporn [Dept. of Dentistry, Overbrook Hospital, Chiang Rai (Thailand); Patanaporn, Virush; Janhom, Apirum; Korwanich, Narumanus [Dept. of Chiang Mai University, Chiang Mai (Thailand)

    2012-09-15

    This study was performed to evaluate the incidence and degree of external apical root resorption of maxillary incisors after orthodontic treatment and to evaluate particular associated factors related to external apical root resorption. The records and maxillary incisor periapical radiographs of 181 patients were investigated. Crown and root lengths were measured and compared on the pre- and post-treatment periapical radiographs. Crown length was measured from the center of the incisal edge to the midpoint of the cemento-enamel junction (CEJ). Root length was measured from the CEJ midpoint to the root apex. A correction factor for the enlargement difference was used to calculate root resorption. The periapical radiographs of 564 teeth showed that the average root resorption was 1.39{+-}1.27 (8.24{+-}7.22%) and 1.69{+-}1.14 mm (10.16{+-}6.78%) for the maxillary central and lateral incisors, respectively. The results showed that the dilacerated or pointed roots, maxillary premolar extraction cases, and treatment duration were highly significant factors for root resorption (p<0.001). Allergic condition was a significant factor at p<0.01. Age at the start of treatment, large overjet, and history of facial trauma were also factors significantly associated with root resorption (p<0.05). There was no statistically significant difference in root resorption among the factors of gender, overbite, tongue-thrusting habit, types of malocclusion, and types of bracket. These results suggested that orthodontic treatment should be carefully performed in pre-treatment extraction patients who have pointed or dilacerated roots and need long treatment duration.

  10. Resorption Rate Tunable Bioceramic: Si, Zn-Modified Tricalcium Phosphate

    Energy Technology Data Exchange (ETDEWEB)

    Xiang Wei

    2006-08-09

    This dissertation is organized in an alternate format. Several manuscripts which have already been published or are to be submitted for publication have been included as separate chapters. Chapter 1 is a general introduction which describes the dissertation organization and introduces the human bone and ceramic materials as bone substitute. Chapter 2 is the background and literature review on dissolution behavior of calcium phosphate, and discussion of motivation for this research. Chapter 3 is a manuscript entitled ''Si,Zn-modified tricalcium phosphate: a phase composition and crystal structure study'', which was published in ''Key Engineering Materials'' [1]. Chapter 4 gives more crystal structure details by neutron powder diffraction, which identifies the position for Si and Zn substitution and explains the stabilization mechanism of the structure. A manuscript entitled ''Crystal structure analysis of Si, Zn-modified Tricalcium phosphate by Neutron Powder Diffraction'' will be submitted to Biomaterials [2]. Chapter 5 is a manuscript, entitled ''Dissolution behavior and cytotoxicity test of Si, Zn-modified tricalcium phosphate'', which is to be submitted to Biomaterials [3]. This paper discusses the additives effect on the dissolution behavior of TCP, and cytotoxicity test result is also included. Chapter 6 is the study of hydrolysis process of {alpha}-tricalcium phosphate in the simulated body fluid, and the phase development during drying process is discussed. A manuscript entitled ''Hydrolysis of {alpha}-tricalcium phosphate in simulated body fluid and phase transformation during drying process'' is to be submitted to Biomaterials [4]. Ozan Ugurlu is included as co-authors in these two papers due to his TEM contributions. Appendix A is the general introduction of the materials synthesis, crystal structure and preliminary dissolution result. A manuscript entitled ''Resorption rate tunable bioceramic: Si and Zn-modified tricalcium phosphate'' was published in Ceramic Engineering and Science Proceedings (the 29th International Conference on Advanced Ceramics and Composites - Advances in Bioceramics and Biocomposites) [5].

  11. Treatment of multiple traumatized anterior teeth associated with an alveolar bone fracture in a 15-year-old school boy: a 2.5-year follow up.

    Science.gov (United States)

    Berrezouga, L; Kammoun, D; Bhouri, L; Alaya, Ben T; Belkhir, M S

    2011-04-01

    We report a case of multiple dental traumas in a 15-year-old school boy who was hit by a stone. Clinical examinations revealed the avulsion of teeth 21, 22, and 23, an uncomplicated crown fracture of tooth 41, and a complicated crown fracture (CCF) of teeth 11, 31, and 33. An alveolar bone fracture and a root fracture in the apical third of tooth 23 were as well noted on radiographs. The avulsed teeth were replanted and rigidly splinted after an extraoral dry time of 90 min. Endodontic treatments were performed on teeth with CCFs. The dental morphology was restored using polyethylene fiber-reinforced composite resin. Endodontic obturations were performed on replanted teeth after the arrest of external root resorptions by a long-term calcium hydroxide dressing. Esthetics and function were recovered with a 2.5-year follow-up period. PMID:21281442

  12. One-visit RCT of Maxillary Incisors with Extensive Inflammatory Root Resorption and Periradicular Lesions: A Case Report

    OpenAIRE

    Maryam Ahmadyar; Saeed Asgary

    2011-01-01

    ABSTRACT: Inflammatory external root resorption (IERR) is a pathological phenomenon of microbial origin. This study reports a case of external apical inflammatory root resorption of maxillary incisors associated with periradicular lesions in a 22 year old female, which was successfully treated by one-visit root canal therapy (RCT). Radiographic investigation revealed periapical radiolucencies in the upper incisors associated with varying degrees of external inflammatory root resorption of tee...

  13. The effects of low-level laser therapy on orthodontically induced root resorption.

    Science.gov (United States)

    Altan, A Burcu; Bicakci, A Altug; Mutaf, H Ilhan; Ozkut, Mahmut; Inan, V Sevinc

    2015-11-01

    The aim of this study was to evaluate the preventive and/or reparative effects of low-level laser therapy (LLLT) on orthodontically induced inflammatory root resorption (OIIRR) in rats. Thirty rats were divided into four groups (short-term control (SC), short-term laser (SL), long-term control (LC), long-term laser (LL)). In all groups, the left first molar was moved mesially for 11 days. At the end of this period, the rats in groups SC and SL were killed in order to observe the resorption lacunas and to evaluate whether LLLT had any positive effect on root resorption. The groups LC and LL were remained for a healing period of 14 days in order to observe spontaneous repair of the resorption areas and investigate whether LLLT had reparative effects on root resorption. A Ga-Al-As diode laser (Doris, CTL-1106MX, Warsaw, Poland) with a wavelength of 820 nm was used. In SL group, the first molars were irradiated with the dose of 4.8 J/cm2 (50 mW, 12 s, 0.6 J) on every other day during force application. In LL group, the irradiation period was started on the day of appliance removal and the first molars were irradiated with the dose of 4.8 J/cm2 on every other day for the next 14 days. LLLT significantly increased the number of osteoblasts and fibroblasts, and inflammatory response in SL group in comparison with SC group (P?=?.001). The amount of resorption did not represent any difference between the two groups (P?=?.16). In LL group, LLLT significantly increased the number of fibroblasts and decreased the amount of resorption in comparison with LC group (P?=?.001; P?=?.02). Both parameters indicating the reparative and the resorptive processes were found to be increased by LLLT applied during orthodontic force load. LLLT applied after termination of the orthodontic force significantly alleyed resorption and enhanced/accelerated the healing of OIIRR. LLLT has significant reparative effects on OIIRR while it is not possible to say that it definitely has a preventive effect. PMID:25633918

  14. Lecture notes on ridge regression

    OpenAIRE

    van Wieringen, Wessel N.

    2015-01-01

    The linear regression model cannot be fitted to high-dimensional data, as the high-dimensionality brings about empirical non-identifiability. Penalized regression overcomes this non-identifiability by augmentation of the loss function by a penalty (i.e. a function of regression coefficients). The ridge penalty is the sum of squared regression coefficients, giving rise to ridge regression. Here many aspect of ridge regression are reviewed e.g. moments, mean squared error, its equivalence to co...

  15. Bacillus anthracis Lethal Toxin Reduces Human Alveolar Epithelial Barrier Function

    OpenAIRE

    Langer, Marybeth; Duggan, Elizabeth Stewart; Booth, John Leland; Patel, Vineet Indrajit; Zander, Ryan A.; Silasi-Mansat, Robert; Ramani, Vijay; Veres, Tibor Zoltan; Prenzler, Frauke; Sewald, Katherina; Williams, Daniel M.; Coggeshall, Kenneth Mark; Awasthi, Shanjana; Lupu, Florea; Burian, Dennis

    2012-01-01

    The lung is the site of entry for Bacillus anthracis in inhalation anthrax, the deadliest form of the disease. Bacillus anthracis produces virulence toxins required for disease. Alveolar macrophages were considered the primary target of the Bacillus anthracis virulence factor lethal toxin because lethal toxin inhibits mouse macrophages through cleavage of MEK signaling pathway components, but we have reported that human alveolar macrophages are not a target of lethal toxin. Our current result...

  16. Dynamics of surfactant release in alveolar type II?cells

    OpenAIRE

    Haller, Thomas; Ortmayr, Jörg; Friedrich, Franz; Völkl, Harald; Dietl, Paul

    1998-01-01

    Pulmonary surfactant, secreted via exocytosis of lamellar bodies (LB) by alveolar type II (AT II) cells, maintains low alveolar surface tension and is therefore essential for normal lung function. Here we describe real-time monitoring of exocytotic activity in these cells by visualizing and quantifying LB fusion with the plasma membrane (PM). Two approaches were used. First, fluorescence of LysoTracker Green DND-26 (LTG) in LB disappeared when the dye was released after exocytosis. Second, ph...

  17. Solid variant of alveolar rhabdomyosarcoma with patent ductus arteriosus

    Directory of Open Access Journals (Sweden)

    Archana Chirag Buch

    2014-01-01

    Full Text Available Alveolar rhabdomyosarcoma is a high-grade malignant soft tissue tumor of mesenchymal origin. It is a rare tumor with an annual incidence of one per million. It is generally seen between 10 and 25 years of age. We present a rare case of solid variant of alveolar rhabdomyosarcoma in a 6-month-old child with patent ductus arteriosus. There was no evidence of lung or lymph node metastasis. She was treated by wide local excision.

  18. Familial occurrence of pulmonary alveolar microlithiasis in 3 siblings.

    OpenAIRE

    Alia S. Al-Alawi

    2006-01-01

    ABSTRACT Pulmonary alveolar microlithiasis (PAM) is a rare disease of unknown etiology characterized by intra-alveolar calcium deposits. More than 500 cases were reported in the literature. The disorder affects people at every age beginning from the early childhood. It occurs probably as a result of autosomal recessive transmission. Familial occurrence is often found with family history of the disease being present in up to 50% of the reported cases. We report PAM in 3 siblings.

  19. Hormonal regulation of alveolarization: structure-function correlation

    OpenAIRE

    Godinez Marye H; Godinez Rodolfo I; Butler Stephan J; Zhao Hengjiang; Foley Joseph P; Zhang Huayan; Garber Samuel J; Gow Andrew J; Savani Rashmin C

    2006-01-01

    Abstract Background Dexamethasone (Dex) limits and all-trans-retinoic acid (RA) promotes alveolarization. While structural changes resulting from such hormonal exposures are known, their functional consequences are unclear. Methods Neonatal rats were treated with Dex and/or RA during the first two weeks of life or were given RA after previous exposure to Dex. Morphology was assessed by light microscopy and radial alveolar counts. Function was evaluated by plethysmography at d13, pressure volu...

  20. Alveolar lymphangioma in infants: report of two cases.

    LENUS (Irish Health Repository)

    FitzGerald, Kirsten

    2009-06-01

    The alveolar lymphangioma is a benign but relatively rare condition found only in the oral cavities of black infants. Dentists practising in Ireland may be unaware of this condition due to its racial specificity. This paper presents two case reports of multiple alveolar lymphangiomas found in black infants in a children\\'s hospital in Ireland. The epidemiology, aetiology, clinical presentation, histology, and management options are discussed. The photographs should aid the practitioner in recognising these lesions.

  1. Alveolar lymphangioma in infants: report of two cases.

    LENUS (Irish Health Repository)

    FitzGerald, Kirsten

    2012-02-01

    The alveolar lymphangioma is a benign but relatively rare condition found only in the oral cavities of black infants. Dentists practising in Ireland may be unaware of this condition due to its racial specificity. This paper presents two case reports of multiple alveolar lymphangiomas found in black infants in a children\\'s hospital in Ireland. The epidemiology, aetiology, clinical presentation, histology, and management options are discussed. The photographs should aid the practitioner in recognising these lesions.

  2. Horizontal alveolar bone loss: A periodontal orphan

    Directory of Open Access Journals (Sweden)

    Jayakumar A

    2010-01-01

    Full Text Available Background: Attempts to successfully regenerate lost alveolar bone have always been a clinician?s dream. Angular defects, at least, have a fairer chance, but the same cannot be said about horizontal bone loss. The purpose of the present study was to evaluate the prevalence of horizontal alveolar bone loss and vertical bone defects in periodontal patients; and later, to correlate it with the treatment modalities available in the literature for horizontal and vertical bone defects. Materials and Methods: The study was conducted in two parts. Part I was the radiographic evaluation of 150 orthopantomographs (OPGs (of patients diagnosed with chronic periodontitis and seeking periodontal care, which were digitized and read using the AutoCAD 2006 software. All the periodontitis-affected teeth were categorized as teeth with vertical defects (if the defect angle was ?45° and defect depth was ?3 mm or as having horizontal bone loss. Part II of the study comprised search of the literature on treatment modalities for horizontal and vertical bone loss in four selected periodontal journals. Results: Out of the 150 OPGs studied, 54 (36% OPGs showed one or more vertical defects. Totally, 3,371 teeth were studied, out of which horizontal bone loss was found in 3,107 (92.2% teeth, and vertical defects were found only in 264 (7.8% of the teeth, which was statistically significant (P<.001. Search of the selected journals revealed 477 papers have addressed the treatment modalities for vertical and horizontal types of bone loss specifically. Out of the 477 papers, 461 (96.3% have addressed vertical bone loss, and 18 (3.7% have addressed treatment options for horizontal bone loss. Two papers have addressed both types of bone loss and are included in both categories. Conclusion: Horizontal bone loss is more prevalent than vertical bone loss but has been sidelined by researchers as very few papers have been published on the subject of regenerative treatment modalities for this type of bone loss. This study should be an impetus for greater attention to an otherwise ubiquitous periodontal challenge.

  3. Spontaneous pulmonary alveolar proteinosis in captive "moustached tamarins" (Saguinus mystax).

    Science.gov (United States)

    Michaud, C R; Ragland, D R; Shea, K I; Zerfas, P M; Kastenmayer, R J; St Claire, M C; Elkins, W R; Gozalo, A S

    2012-07-01

    Pulmonary alveolar proteinosis is a rare human disease characterized by accumulation of surfactant in alveoli without generating an inflammatory response. Lung lesions resembling pulmonary alveolar proteinosis were observed in 7 adult tamarins (5 males and 2 females). Gross lesions were characterized by areas of discoloration, slight bulging over the lung parenchyma, and occasional consolidation. Histologic examination of tamarin lung samples revealed intra-alveolar accumulation of amorphous, amphophilic, periodic acid-Schiff-positive, finely granular to dense material. In some cases, type II pneumocyte hypertrophy and hyperplasia were observed with pleural and septal thickening and fibrosis. Large numbers of intra-alveolar foamy macrophages were noted surrounding and/or in the vicinity of the lesions. Immunohistochemical analysis of the lung lesions using polyclonal (surfactant proteins A, B, and C) and monoclonal (surfactant protein D) antibodies revealed the granular material to be composed largely of surfactant protein B, followed by surfactant protein A. Surfactant proteins C and D were present in lesser quantities, with the latter observed surrounding the lipoproteinaceous deposits. Transmission electron microscopy of the affected lungs showed numerous, irregularly shaped osmiophilic lamellar bodies in type II pneumocytes. The cytoplasm in alveolar macrophages was expanded, containing ingested surfactant with swollen mitochondria and rough endoplasmic reticulum. Thoracic radiographs, available in 1 animal, depicted the lesions as small multifocal opacities randomly distributed in cranial and diaphragmatic lung lobes. This is, to the authors' knowledge, the first report of spontaneous pulmonary alveolar proteinosis in nonhuman primates. PMID:21734058

  4. [The interdisciplinary fixed restoration of an edentulous maxilla with a marked resorption of the alveolar crest. A case report. Part II: the definitive restoration].

    Science.gov (United States)

    Teubner, Eckart; Pietrobon, Nic; Lorenzon, Andreas; Marinello, Carlo P

    2009-01-01

    Different materials and methods can be used for edentulous maxillae rehabilitations. A precise fit between the implant and the framework is assumed. Hence, often implant suprastructures made by conventional lost wax techniques lack such a fit and a secondary modification is necessary. Alternatively the CNC-milling technique provides implant frameworks with a passive fit made of titanium and recently also of zirconia. This article describes the fabrication of a fixed complete dental prosthesis supported by seven implants in an edentulous maxilla. Two prostheses were fabricated, one made of a titanium framework veneered with resin and one made experimentally of a zirconia framework veneered with ceramics. The clinical and technical steps are documented and discussed. PMID:19579837

  5. Mechanisms of in Vivo Degradation and Resorption of Calcium Phosphate Based Biomaterials

    Directory of Open Access Journals (Sweden)

    Zeeshan Sheikh

    2015-11-01

    Full Text Available Calcium phosphate ceramic materials are extensively used for bone replacement and regeneration in orthopedic, dental, and maxillofacial surgical applications. In order for these biomaterials to work effectively it is imperative that they undergo the process of degradation and resorption in vivo. This allows for the space to be created for the new bone tissue to form and infiltrate within the implanted graft material. Several factors affect the biodegradation and resorption of calcium phosphate materials after implantation. Various cell types are involved in the degradation process by phagocytic mechanisms (monocytes/macrophages, fibroblasts, osteoblasts or via an acidic mechanism to reduce the micro-environmental pH which results in demineralization of the cement matrix and resorption via osteoclasts. These cells exert their degradation effects directly or indirectly through the cytokine growth factor secretion and their sensitivity and response to these biomolecules. This article discusses the mechanisms of calcium phosphate material degradation in vivo.

  6. Microlitíase alveolar pulmonar em gêmeos univitelinos: relato de dois casos Pulmonary alveolar microlithiasis in monozygotic twins: report of two case

    Directory of Open Access Journals (Sweden)

    Sizenildo da Silva Figueirêdo

    2002-07-01

    Full Text Available Os autores apresentam dois casos de microlitíase alveolar pulmonar em gêmeos monozigóticos. Os principais achados obtidos em exames radiográficos e de tomografia computadorizada (técnica de alta resolução são enfatizados, com base em breve revisão literária.The authors report two cases of pulmonary alveolar microlithiasis affecting monozygotic twins. The main findings observed on plain x-ray films and high-resolution computed tomography are discussed and compared with data from a brief literature review.

  7. Microlitíase alveolar pulmonar em gêmeos univitelinos: relato de dois casos / Pulmonary alveolar microlithiasis in monozygotic twins: report of two case

    Scientific Electronic Library Online (English)

    Sizenildo da Silva, Figueirêdo; Luiza Helena Vilela, Ribeiro; Bruno Barcelos da, Nóbrega; Kim-Ir-Sen Santos, Teixeira; Maurício Sérgio Brasil, Leite; Albino Alegro, Oliveira.

    2002-07-01

    Full Text Available Os autores apresentam dois casos de microlitíase alveolar pulmonar em gêmeos monozigóticos. Os principais achados obtidos em exames radiográficos e de tomografia computadorizada (técnica de alta resolução) são enfatizados, com base em breve revisão literária. [...] Abstract in english The authors report two cases of pulmonary alveolar microlithiasis affecting monozygotic twins. The main findings observed on plain x-ray films and high-resolution computed tomography are discussed and compared with data from a brief literature review. [...

  8. Comparative evaluation of the efficacy of the cyclooxygenase pathway inhibitor and nitric oxide synthase inhibitor in the reduction of alveolar bone loss in ligature induced periodontitis in rats: An experimental study

    Directory of Open Access Journals (Sweden)

    Rekha Jagadish

    2014-01-01

    Full Text Available Background: Alveolar bone loss is the most striking feature of periodontal disease. The aim of this study was to investigate the effect of a cyclooxygenase (COX pathway inhibitor and nitric oxide synthase (NOS inhibitor in the reduction of alveolar bone loss in an experimental periodontal disease (EPD model. Materials and Methods: The study was conducted on 60 Wistar rats divided into three groups of 20 rats each and then subjected to a ligature placement around the left maxillary second molars. Group 1 rats were treated with COX inhibitor (diclofenac sodium 10 mg/kg/d, group 2 with NOS inhibitor (aminoguanidine hydrochloride 10 mg/kg/d and group 3 served as controls, receiving only saline, intraperitoneally 1h before EPD induction and daily until the sacrifice on the 11 th day. Leukogram was performed before ligation, at 6 h and at the first, seventh and 11 th days after EPD induction. After sacrifice, all the excised maxillae were subjected to morphometric and histometric analysis to measure the alveolar bone loss. Histopathological analysis was carried out to estimate cell influx, alveolar bone and cementum integrity. Results: Induction of experimental periodontitis in the rat model produced pronounced leucocytosis, which was significantly reduced by the administration of diclofenac sodium and aminoguanidine on the 11 th day. In morphometric and histometric examinations, both the test drugs significantly (P < 0.05 inhibited the alveolar bone loss as compared with the control group. Conclusion: Both COX inhibitor and NOS inhibitor are equally effective in inhibiting the inflammatory bone resorption in an experimental periodontitis model.

  9. Elevación del piso del seno maxilar a través de la cresta ósea alveolar, mediante el uso de osteotomos: Reporte de caso clínico

    Scientific Electronic Library Online (English)

    E, Di Natale.

    2009-06-01

    Full Text Available En el presente artículo se describe la técnica de aumento del piso del seno maxilar a través del reborde alveolar, mediante el uso de osteotomos en combinación con procedimientos de regeneración ósea guiada y uso de biomateriales de relleno. Se reporta el caso de una paciente femenina de 65 años de [...] edad, con disminución de altura ósea del reborde alveolar, debido a la neumatización de los senos maxilares, asociada con moderada reabsorción ósea, a quien se le colocó a nivel del primer molar superior izquierdo implantes 3,5 x 11 mm IMTEC Endure Internal Hex System y se aplicó la técnica descrita de aumento del piso del seno maxilar. Mediante esta técnica es posible la elevación atraumática de la membrana sinusal, con bajo riesgo de lesionarla. Abstract in english In the present article, the technique of maxillary sinus floor increase through the alveolar ridge by using osteotomes in combination with bone regeneration guided procedures and the use of biomaterial fillings is described. It is reported the case of a 65 year old, female patient, with a decrease o [...] f alveolar ridge bone height due to the pneumatization of the maxillary sinus, associated with moderate bone re-absorption. The procedure consisted on the placement of a 3.5 x 11 mm IMTEC Endure Internal Hex System implant, at the level of the superior left first molar and the application of the technique described before (maxillary sinus floor increase). By using this technique, an atraumatic elevation of the sinus membrane is possible with low risk of injuring it.

  10. Láminas alveolares para la construcción económica

    Directory of Open Access Journals (Sweden)

    Delarue, J. M.

    1986-07-01

    Full Text Available This article shows an experience of self-construction carried out at the Pedagogical Architecture Unit nº1, France, in order to test a cloth and gypsum structure principie adapted to the production of low cost construction in Developing Countries. This constructive principle have the following main interests: - This technique makes use of traditional local materials suitable for several uses: self construction by dwellers, constructions made by little craft undertakings, industrialized prefabrication in little production units. - Possibility to produce a multiplicity of components deserving different constructive roles, specially alveolar elements that can be used as ventilated roofings.Este artículo relata una experiencia de auto-construcción realizada en la Universidad Pedagógica de Arquitectura nº 1, Francia, con el fin de ensayar un principio de estructura de lona y yeso adaptada a la producción de construcciones baratas en los Países en vías de Desarrollo. Este principio constructivo presenta los siguientes intereses principales: - Técnica que utiliza materiales tradicionales, baratos y locales, adaptables a varios niveles de empleos: auto-construcción por los usuarios, construcción por pequeñas empresas artesanales, prefabricación industrializada en pequeñas unidades de producción. - Posibilidad de realizar multiplicidad de componentes que cumplen varias funciones constructivas y en particular los elementos alveolados que pueden constituir cubiertas ventiladas.

  11. [Alveolar soft part sarcoma in pediatric patients].

    Science.gov (United States)

    Paillard, Catherine; Coulomb, Aurore; Helfre, Sylvie; Orbach, Daniel

    2015-09-01

    Alveolar soft part sarcoma, ASPS, is a rare malignant tumor, with preferential primary localization in limbs, usually occurring in adolescents and young adults. This sarcoma, well defined histologically and at molecular level, has an indolent course, but a high potential metastatic pulmonary and cerebral evolution, sometimes late. ASPS is characterized by an almost specific translocation t(X, 17)(p11;25) which creates a fusion protein, APSL-TFE3, acting as an aberrant transcription factor. An in-bloc resection of the primary tumor is the treatment of choice in cases of localized disease. Conventional chemotherapy is generally ineffective. The role of radiotherapy is discussed in case of micro- or macroscopical incomplete residue. It seems to reduce local recurrence, but did not influence overall survival. The 5 years survival rate in children, adolescents and young adults is close to 80% in case of localized disease but poorer in presence of metastases. Recently, systemic anti-tumoral treatments have been focused on the use of targeted therapies. Anti-angiogenic drugs and tyrosine kinase inhibitors are the most promising approaches, but require further study. Prognostic risk factors in the literature are age (>10Y), tumor size (>5cm) and presence of metastases. This article reviews the clinical manifestations, diagnosis modalities, radiographic characteristics and therapeutic strategy of this disease in the pediatric population. PMID:26235420

  12. Cardiovascular risk in pulmonary alveolar proteinosis.

    Science.gov (United States)

    Manali, Effrosyni D; Papadaki, Georgia; Konstantonis, Dimitrios; Tsangaris, Iraklis; Papaioannou, Andriana I; Kolilekas, Likurgos; Schams, Andrea; Kagouridis, Konstantinos; Karakatsani, Anna; Orfanos, Stylianos; Griese, Matthias; Papiris, Spyros A

    2016-02-01

    We hypothesized that cardiovascular events and/or indices of cardiac dysfunction may be increased in pulmonary alveolar proteinosis (PAP). Systemic and pulmonary arterial hypertension, arrhythmias, pulmonary embolism, stroke and ischemic heart attack were reported. Patients underwent serum anti-GM-CSF antibodies, disease severity score (DSS), Doppler transthoracic echocardiograph, glucose, thyroid hormones, lipids, troponin and pro-Brain natriuretic peptide (BNP) examination. Thirteen patients (8 female) were studied, median age of 47. Pro-BNP inversely related to DLCO% and TLC%; troponin directly related to DSS, age, P(A-a)O2, left atrium-, left ventricle-end-diastole diameter and BMI. On multiple regression analysis DSS was the only parameter significantly and strongly related with troponin (R(2) = 0.776, p = 0.007). No cardiovascular event was reported during follow-up. In PAP cardiovascular risk indices relate to lung disease severity. Therefore, PAP patients could be at increased risk for cardiovascular events. Quantitation of its magnitude and potential links to lungs' physiologic derangement will be addressed in future studies. PMID:26558331

  13. Orthodontic treatment in patient with idiopathic root resorption: A case report

    Scientific Electronic Library Online (English)

    Diego, Rey; Rosana Martínez, Smit; Liliana, Gamboa.

    2015-02-01

    Full Text Available A reabsorção radicular externa idiopática é uma rara condição patológica, normalmente detectada como um achado fortuito radiológico. Trata-se de um processo multifatorial, relacionado a diversos fatores locais e sistêmicos. Se um fator etiológico não for identificado, a reabsorção radicular é classi [...] ficada como idiopática. Apresentamos o caso de uma paciente do sexo feminino com reabsorção radicular idiopática, que procurou tratamento ortodôntico para corrigir uma má oclusão. Esse tipo de reabsorção começa apicalmente e evolui coronalmente, provocando o encurtamento gradual e o arredondamento da raiz remanescente. Os pacientes com essa condição não são os candidatos ideais para o tratamento ortodôntico, no entanto, o objetivo desse relato é descrever um caso incomum de reabsorção radicular idiopática que envolveu toda a dentição. Além disso, pretende-se apresentar o tratamento ortodôntico da paciente. Também são descritos o progresso e a conclusão do tratamento ortodôntico, assim como os satisfatórios resultados finais. Abstract in english Multiple idiopathic external root resorption is a rare pathological condition usually detected as an incidental radiographic finding. External root resorption of permanent teeth is a multifactorial process related to several local and systemic factors. If an etiological factor cannot be identified f [...] or root resorption, the term "idiopathic" is applied. This report presents a case of multiple idiopathic apical root resorption. The condition was found in a young female patient seeking orthodontic treatment due to malocclusion. This kind of resorption starts apically and progresses coronally, causing a gradual shortening and rounding of the remaining root. Patients with this condition are not the ideal candidates for orthodontic treatment; however, the aim of this report is to describe an unusual case of idiopathic root resorption involving the entire dentition, and to present the orthodontic treatment of this patient. It describes the progress and completion of orthodontic therapy with satisfactory end results.

  14. Comparison between two tomographic sections in the diagnosis of external root resorption

    Scientific Electronic Library Online (English)

    Cláudio Afonso, Lermen; Gabriela Salatino, Liedke; Heloísa Emília Dias da, Silveira; Heraldo Luis Dias da, Silveira; Alessandro André, Mazzola; José Antônio Poli de, Figueiredo.

    2010-06-01

    Full Text Available OBJECTIVES: To assess the accuracy of coronal and sagittal CT sections to detect cavities simulating root resorption. MATERIAL AND METHODS: 60 mandibular incisors were embedded in plaster bases, and cavities with 0.6, 1.2 or 1.8 mm in diameter and 0.3, 0.6 or 0.9 mm in depth (small, medium and large [...] cavities) were drilled on the buccal surfaces with high-speed round burs with diameters of 0.6, 1.2 and 1.8 mm to simulate external inflammatory root resorption. Simulations in the cervical, middle and apical thirds of each tooth root were made randomly. The Dental Scan software was used to obtain 1-mm-thick axial images from direct scanning, which were reconstructed in the coronal and sagittal planes using 3D software (Syngo FastView). Each series was loaded into the software. Fourteen images of each tooth were reconstructed in the coronal plane and 14 in the sagittal plane. A total of 1,652 images were obtained for analysis. Series information, tooth number and the plane reconstructed were stored. The images generated were saved on a CD-ROM together with the visualization software (Syngo FastView). Images were analyzed by a previously calibrated blinded, radiologist. Cochran's Q test was conducted separately for each region analyzed followed by pair-wise comparison by the McNemar test (p=0.05). RESULTS: No statistically significant difference (p>0.05) was observed in the diagnosis of simulated resorption between the apical, middle, and coronal thirds. When the axial plane was assessed separately, diagnoses were statistically different (p0.05) between planes, irrespective of the third in which the resorptions were located. CONCLUSION: When tomographic sections are requested for the diagnosis of buccal or lingual external root resorption, sagittal sections afford the best image characterization of the resorption process.

  15. Comparison between two tomographic sections in the diagnosis of external root resorption

    Directory of Open Access Journals (Sweden)

    Cláudio Afonso Lermen

    2010-06-01

    Full Text Available OBJECTIVES: To assess the accuracy of coronal and sagittal CT sections to detect cavities simulating root resorption. MATERIAL AND METHODS: 60 mandibular incisors were embedded in plaster bases, and cavities with 0.6, 1.2 or 1.8 mm in diameter and 0.3, 0.6 or 0.9 mm in depth (small, medium and large cavities were drilled on the buccal surfaces with high-speed round burs with diameters of 0.6, 1.2 and 1.8 mm to simulate external inflammatory root resorption. Simulations in the cervical, middle and apical thirds of each tooth root were made randomly. The Dental Scan software was used to obtain 1-mm-thick axial images from direct scanning, which were reconstructed in the coronal and sagittal planes using 3D software (Syngo FastView. Each series was loaded into the software. Fourteen images of each tooth were reconstructed in the coronal plane and 14 in the sagittal plane. A total of 1,652 images were obtained for analysis. Series information, tooth number and the plane reconstructed were stored. The images generated were saved on a CD-ROM together with the visualization software (Syngo FastView. Images were analyzed by a previously calibrated blinded, radiologist. Cochran's Q test was conducted separately for each region analyzed followed by pair-wise comparison by the McNemar test (p=0.05. RESULTS: No statistically significant difference (p>0.05 was observed in the diagnosis of simulated resorption between the apical, middle, and coronal thirds. When the axial plane was assessed separately, diagnoses were statistically different (p0.05 between planes, irrespective of the third in which the resorptions were located. CONCLUSION: When tomographic sections are requested for the diagnosis of buccal or lingual external root resorption, sagittal sections afford the best image characterization of the resorption process.

  16. Potential and realized nutrient resorption in serpentine and non-serpentine chaparral shrubs and trees.

    Science.gov (United States)

    Drenovsky, Rebecca E; Koehler, Catherine E; Skelly, Kathryn; Richards, James H

    2013-01-01

    Low-nutrient adapted species have numerous mechanisms that aid in nutrient conservation. Hypothetically, species adapted to nutrient-poor soils should have tighter internal nutrient recycling, as evidenced by greater resorption. However, literature results are mixed. We suggest methodological factors may limit our understanding of this process. We hypothesized that plants adapted to serpentine soils would be more proficient in resorbing N and P than plants adapted to non-serpentine soils, although there would be differences among functional groups within each soil type. For six growing seasons, we sampled senescent leaf tissue from the dominant and co-dominant shrubs and trees found in serpentine and non-serpentine chaparral communities in the California Coast Range. Our study also explicitly included congener pairs found on both soil types. Most species were highly N proficient, but species adapted to serpentine soils were more P proficient. Surprisingly, two of the three potential N-fixing species were also highly N proficient. Evergreen Quercus congeners were more N proficient than their deciduous congener pairs, although there was no difference in P resorption proficiency. Overall, large inter-annual variation was observed among most species sampled, but at least in some years, maximum potential resorption likely was reached. However, climate (temperature and precipitation) was not strongly correlated with either N or P resorption proficiency. Our data suggest that controlling for phylogeny can aid in interpretation of resorption patterns. More importantly, our study clearly shows that resorption patterns can only be discerned through long-term datasets, of which few exist in the literature. PMID:22744742

  17. The Effect of Ovariectomy and Orchiectomy on Orthodontic Tooth Movement and Root Resorption in Wistar Rats

    Directory of Open Access Journals (Sweden)

    Massoud Seifi

    2015-12-01

    Full Text Available Statement of the Problem: Root resorption (RR after orthodontic tooth movement (OTM is known as a multifactorial complication of orthodontic treatments. Hormonal deficiencies and their effect on bone turnover are reported to have influences on the rate of tooth movement and root resorption. Purpose: This study was designed to evaluate the effect of female and male steroid sex hormones on tooth movement and root resorption. Materials and Method: Orthodontic appliances were placed on the right maxillary first molars of 10 ovariectomized female and 10 orchiectomized male Wistar rats as experimental groups and 10 female and 10 male healthy Wistar rats as control groups. NiTi closed-coil springs (9mm, Medium, 011"×.030", Ortho Technology®; Tampa, Florida were placed between the right incisors and the first right maxillary molars to induce tipping movement in the first molars with the application of a 60g force. After 21 days, the rats were sacrificed and tooth movement was measured by using a digital caliper (Guanglu, China. Orthodontic induced root resorption (OIRR was assessed by histomorphometric analysis after hematoxylin and eosin staining of sections of the mesial root. Results: The rate of tooth movement was significantly higher in all female rats, with the root resorption being lower in the experimental group. The rate of tooth movement in experimental male rats was significantly higher than the control group (p= 0.001 and the rate of root resorption was significantly lower in the experimental group (p= 0.001. Conclusion: It seems that alterations in plasma levels of estrogen, progesterone, and testosterone hormones can influence the rate of OTM and RR. The acceleration in tooth movement increased OTM and decreased RR.

  18. Influence of radiation resorption on criteria of the existence of local thermodynamic equilibrium

    Energy Technology Data Exchange (ETDEWEB)

    Denisova, N.V.; Preobrazhenskii, N.G.; Sevast' yanenko, V.G.

    1986-12-01

    The emission of radiation from a plasma volume upsets the Boltzmann equilibrium. A number of authors have proposed criteria for approximate testing of the existence of local thermodynamic equilibrium on the basis of collision and radiation processes. However, those criteria give excessive values, because they do not take into account radiation resorption, which can moderate the test conditions. The present article is concerned with the influence of radiation resorption on the criterion of the existence of local thermodynamic equilibrium in a low-temperature plasma. The domain of existence of local thermodynamic equilibrium (in the sense of Saha-Boltzmann equilibrium) is calculated for electric arcs.

  19. [Clinical evaluation of external radicular resorption in non-vital teeth submitted to bleaching].

    Science.gov (United States)

    Loguercio, Alessandro Dourado; Souza, Daniela; Floor, Adriana Soares; Mesko, Mauro; Barbosa, Alcebíades Nunes; Busato, Adair Luiz Stefanello

    2002-01-01

    The purpose of this study was to evaluate the presence of external resorption in non-vital teeth submitted to bleaching. The evaluated patients had at least one non-vital tooth, which had been bleached between 1986 and 1996. All teeth were submitted to bleaching with hydrogen peroxide and sodium perborate, as described by Busato et al.5,6. From 193 patients recalled for clinical and radiographic evaluation of bleached teeth, only 43 attended (54 teeth). The average time elapsed after bleaching was 3.5 years. The results revealed that none of the examined teeth had any degree of external cervical resorption. PMID:12131986

  20. The clinical study of the early soft tissue healing and marginal bone resorption after non-submerged implants

    International Nuclear Information System (INIS)

    Objective: To compare the amount of early marginal bone resorption in the first three months after non-submerged implants and to explore the relationship between the amount of early marginal bone resorption and the soft tissue healing in the first month. Method: ITI with non-submerged implants were implanted in 33 patients. Digital panoramic radiographs were taken during the operation, one month and three months later. The amount of marginal bone resorption was measured in the first, second and the third month after implant operation. The soft tissue healing was observed after 10 days. Results: There was significant difference (P<0.01) in the amount of early marginal bone resorption between one month and three months later. The early marginal bone resorption in the first month after implantation kept correlation with the soft tissue healing on 10th day(r=0.794, P<0.01). Conclusion: The amount of early marginal bone resorption in the first month exceeds that in the second and the third months after implant operation, and the soft tissue healing affects the amount of early marginal bone resorption in the first month. Biological seal is the critical factor influencing the early marginal bone resorption. (authors)

  1. Effectiveness of Lateral Bone Augmentation on the Alveolar Crest Dimension: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Sanz-Sánchez, I; Ortiz-Vigón, A; Sanz-Martín, I; Figuero, E; Sanz, M

    2015-09-01

    Lateral ridge augmentation procedures are aimed to reconstruct deficient alveolar ridges or to build up peri-implant dehiscence and fenestrations. The objective of this systematic review was to assess the efficacy of these interventions by analyzing data from 40 clinical studies evaluating bone augmentation through either the staged or the simultaneous approach. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guideline for systematic reviews was used. The primary outcomes were the changes at reentry, in the ridge width, and in the vertical and horizontal dimensions of the peri-implant defect, measured in millimeters, in the staged and simultaneous approaches, respectively. The results of the meta-analysis showed, for the simultaneous approach, a statistically significant defect height reduction when all treatments were analyzed together (weighted mean difference [WMD] = -4.28 mm; 95% confidence interval: [CI] -4.88, -3.69; P statistically significant horizontal gain when all treatment groups were combined (WMD = 3.90 mm; 95% CI: 3.52, 4.28; P 95%) for the implants placed on the regenerated sites. Nonexposed sites gained significantly more in the simultaneous and staged approaches (WMD = 1.1 and 3.1 mm). PMID:26215467

  2. Serological diagnosis of canine alveolar echinococcosis.

    Science.gov (United States)

    Staebler, Sandra; Grimm, Felix; Glaus, Tony; Kapel, Christian M O; Haller, Markus; Hasler, Andreas; Hanosset, Régis; Deplazes, Peter

    2006-11-01

    Canine alveolar echinococcosis (AE) is a rare liver disease caused by the larval stage (metacestode) of E. multilocularis. Its diagnosis so far is rather difficult and invasive. Imaging techniques for the diagnosis have been described recently and in this study, the serological diagnosis of canine AE was evaluated in 30 dogs with confirmed AE using ELISA based on seven different antigens (E. multilocularis-antigens: Em2G11, EmII/3-10, protoscolex (EmP), excretory/secretory and adult integument (EmAd/I); E. granulosus antigens: hydatid fluid (EgHF) and antigen B (EgAgB)) and by the detection of circulating Em2G11-antigen. EmII/3-10 and Em2G11-based tests detected AE in 50 and 53%. The combined serological investigation for specific circulating Em2G11-antigen and specific antibodies against this antigen showed a sensitivity of 77%. This strategy is useful in animals with large parasite masses and ascites. The highest sensitivities for AE were obtained by the EmAd/I and the EmP antigens (97 and 93% sensitivity) with high specificities in the control group of 76 dogs (100 and 98.7%, respectively). Heterologous E. granulosus antigens (EgHF and EgAgB) showed low sensitivities (43 and 50%, respectively) with high numbers of unspecific reactions (>16%) in the control group. In the follow-up of four dogs, the serological reaction patterns against the antigens Em2G11, EmP and EmAd/I showed some correlations with the development of the parasite mass. Intestinal infections cannot be differentiated from AE by most antigens (except EmII/3-10) and have to be excluded by the absence of coproantigens or DNA of E. multilocularis in faecal samples. PMID:16822617

  3. Alveolar Edema Fluid Clearance and Acute Lung Injury

    Science.gov (United States)

    Berthiaume, Yves; Matthay, Michael A.

    2009-01-01

    Although lung-protective ventilation strategies have substantially reduced mortality of acute lung injury patients there is still a need for new therapies that can further decrease mortality in patients with acute lung injury. Studies of epithelial ion and fluid transport across the distal pulmonary epithelia have provided important new concepts regarding potential new therapies for acute lung injury. Overall, there is convincing evidence that the alveolar epithelium is not only a tight epithelial barrier that resists the movement of edema fluid into the alveoli, but it is also actively involved in the transport of ions and solutes, a process that is essential for edema fluid clearance and the resolution of acute lung injury. The objective of this article is to consider some areas of recent progress in the field of alveolar fluid transport under normal and pathologic conditions. Vectorial ion transport across the alveolar and distal airway epithelia is the primary determinant of alveolar fluid clearance. The general paradigm is that active Na+ and Cl? transport drives net alveolar fluid clearance, as demonstrated in several different species, including the human lung. Although these transport processes can be impaired in severe lung injury, multiple experimental studies suggest that upregulation of Na+ and Cl? transport might be an effective therapy in acute lung injury. We will review mechanisms involved in pharmacological modulation of ion transport in lung injury with a special focus on the use of ?-adrenergic agonists which has generated considerable interest and is a promising therapy for clinical acute lung injury. PMID:17604701

  4. Acute cigarette smoke exposure increases alveolar permeability in rabbits

    International Nuclear Information System (INIS)

    The authors measured lung clearance of aerosolized technetium-labeled diethylenetriamine pentaacetic acid (/sup 99m/TcDTPA) as an index of alveolar epithelial permeability in rabbits exposed to cigarette smoke. Eighteen rabbits were randomly assigned to 3 equal-size groups: control, all smoke exposure (ASE), and limited smoke exposure (LSE). Cigarette or sham smoke was delivered by syringe in a series of 5, 10, 20, and 30 tidal volume breaths with a 20-min counting period between each subset of breaths to determine /sup 99m/TcDTPA biologic half-life (T1/2). Mean T1/2 minimum was significantly lower for ASE and LSE rabbits than by control rabbits. They observed a significant difference at 20 and 30 breath exposures between the control and ASE group mean values for T1/2, arterial blood pressure, and peak airway pressure. A combination of light and electron microscopy showed focal alveolar edema and hemorrhage in the ASE and LSE groups but no alveolar-capillary membrane damage. In summary, acute cigarette smoke exposure increases alveolar permeability as measured by /sup 99m/TcDTPA clearance, but there was no detectable ultrastructural alteration of the alveolar-capillary membrane

  5. The effect of exogenous surfactant on alveolar interdependence.

    Science.gov (United States)

    Salito, Caterina; Aliverti, Andrea; Mazzuca, Enrico; Rivolta, Ilaria; Miserocchi, Giuseppe

    2015-05-01

    To investigate the nature of alveolar mechanical interdependence, we purposefully disturbed the equilibrium condition by administering exogenous surfactant in physiological non-surfactant deprived conditions. Changes in alveolar morphology induced by intra-tracheal delivery of CUROSURF were evaluated after opening a pleural window allowing in-vivo microscopic imaging of sub-pleural alveoli in 6 male anesthetized, tracheotomized and mechanically ventilated rabbits. Surfactant instillation increased the surface area of alveoli smaller than 20,000 ?m(2) up to ? 50% at 15 min after instillation, reflecting a lowering of surface tension due to local surfactant enrichment. Conversely, for alveoli greater than 20,000 ?m(2), surface area decreased by ? 5%. Opposite changes in alveolar surface are interpreted as reflecting a new inter-alveolar mechanical equilibrium modified by local surfactant distribution and by a decrease in lung distending pressure. We propose that smaller alveoli, representing the majority of alveolar population, might mostly contribute to improve the oxygenation index following surfactant replacement therapy in case of surfactant deficiency. PMID:25600053

  6. Nitrogen Resorption and Nitrogen Use Efficiency in Cacao Agroforestry Systems Managed Differently in Central Sulawesi

    Directory of Open Access Journals (Sweden)

    TRIADIATI

    2007-12-01

    Full Text Available Cacao agroforestry is a traditional form of agriculture practiced by the people of Central Sulawesi. These agroforestry systems vary from a simple system following selective cutting of forest trees, to a more sophisticated planting design. The cacao was planted under remaining forest covers (CF1, under planted trees (CF2, and between shade trees Gliricidia sepium (CP. The objectives of this study were to quantify nitrogen use efficiency (N NUE and nitrogen resorption in cacao agroforestry systems. The N NUE at the ecosystem scale (N NUEES for the cacao agroforestry systems were compared with the natural forest. The results showed that CP produced the highest litterfall and cacao foliar nitrogen. CP and CF1 produced litterfall and the nitrogen resorption that not were significantly different. In contrast, CF2 produced the lowest litterfall, hence required lower nitrogen supply. The nitrogen resorption of CF2 was less than that of CF1 and CP. However, N NUE in cacao plant (N NUEC of CF2 was higher than that of the CP. The N NUEES of either CF1 or CF2 were similar to that of the natural forest, but higher than that of the CP. Using shade trees in cacao plantations increased foliar nitrogen concentration, nitrogen resorption, N NUEC and N NUEES; thus, might be one reason for a higher productivity of cacao in unshaded systems.

  7. Identifying enamel diffusion properties in feline teeth affected with resorptive lesions

    Directory of Open Access Journals (Sweden)

    Živkovi? R.

    2011-01-01

    Full Text Available Various factors have been suggested in the pathogenesis of feline resorptive lesions, such as periodontal disease, dietary factors, mechanical stress, developmental tooth defects, breed and viral disease, although none of these factors have been definitively proven to be the direct cause. It was recently published that normally enamel in cats is significantly thinner at the cemento-enamel junction, and both enamel and dentine are significantly less mineralized than elsewhere on the tooth. However, it is still unclear what anatomical features of the tooth surface are associated with a predisposition for resorptive lesions, and what is the initiating cause for the clastic activity afterwards. The present study was undertaken with the aim to describe enamel properties of transport and distribution of organic molecules in intact feline teeth and teeth affected with resorptive lesions. The results indicate that damaged enamel is prone to a greater bilateral diffusion process, leading to continuous disruption of the enamel structure. Also, teeth that are subjected to occlusal stress are at greater risk of destruction because micro fractures produce disarrangements in feline dental tissue diffusion homeostasis. The relationship between these features with feline dental resorptive lesions requires further studies.

  8. On the assessment of radionuclide resorption from the gastro-intestinal tract of the blood

    International Nuclear Information System (INIS)

    A comparison of the resorption rates measured for the radionuclides Ce, Co, Pu, Ru, Sr and Zn as well as the vitamin B12 with the recommendations for calculation given by the SSK showed that the values used by the SSK partly are too low by orders of magnitude. The dose factors therefore no longer correspond to the international level of science. (DG)

  9. Immunohistochemical expression of biglycan and decorin in the pulp tissue of human primary teeth during resorption

    Scientific Electronic Library Online (English)

    Monique Saveriano De, Benedetto; Filipe Modolo, Siqueira; Marcelo Betti, Mascaro; Vera Cavalcanti, Araujo; Marcelo Jose Strazzeri, Bonecker.

    2013-09-01

    Full Text Available Primary teeth are interesting models that can be used to study physiological and pathological processes involving cells and extracellular matrices in hard and soft tissues. This study investigated the expression and distribution of biglycan and decorin-the non-collagenous components of the extracell [...] ular matrix-in primary teeth tissue, during physiological root resorption. Thirty healthy human primary teeth were grouped together according to root length: Group I - two-thirds root length, Group II - one-third root length, and Group III - teeth with no root. The streptavidin-biotin-peroxidase immunohistochemical method was used with antibodies against the previously named antigens. The proteoglycans studied were found in the pulp and dentin extracellular matrix in all groups without any differences in the proteins, among the groups. Biglycan was observed mainly in predentin and in pulp connective tissue in the resorption area. In addition, decorin was observed mainly in pulp connective tissue, but near the resorption area. Biglycan and decorin were distributed differentially in the dental tissues. The present immunohistocytochemical data, combined with previously reported data, suggest that these proteoglycans could be involved in regulating the physiological resorption process in healthy primary teeth.

  10. Association of orthodontic force system and root resorption : A systematic review

    DEFF Research Database (Denmark)

    Roscoe, Marina G; Meira, Josete B C

    2015-01-01

    INTRODUCTION: In this systematic review, we assessed the literature to determine which evidence level supports the association of orthodontic force system and root resorption. METHODS: PubMed, Cochrane, and Embase databases were searched with no restrictions on year, publication status, or language. Selection criteria included human studies conducted with fixed orthodontic appliances or aligners, with at least 10 patients and the force system well described. RESULTS: A total of 259 articles were retrieved in the initial search. After the review process, 21 full-text articles met the inclusion criteria. Sample sizes ranged from 10 to 73 patients. Most articles were classified as having high evidence levels and low risks of bias. CONCLUSIONS: Although a meta-analysis was not performed, from the available literature, it seems that positive correlations exist between increased force levels and increased root resorption, as well as between increased treatment time and increased root resorption. Moreover, a pause in tooth movement seems to be beneficial in reducing root resorption because it allows the resorbed cementum to heal. The absence of a control group, selection criteria of patients, and adequate examinations before and after treatment are the most common methodology flaws.

  11. Tetracycline and Calcium Kinetics Are Comparable for Estimating Bone Resorption in Rats 1 2 3

    Science.gov (United States)

    Zhao, Yongdong; Cheong, Jennifer M. K.; Lee, WangHee; Wastney, Meryl; Martin, Berdine R.; Weaver, Connie M.

    2010-01-01

    3H-tetracycline (3H-TC) is thought to be superior to calcium (Ca) isotopic tracers for estimating bone resorption rates due to the less redeposition upon release in animal models. However, these 2 tracers have not been compared directly using complete kinetic studies with sampling of blood, urine, feces, and bone. Our goal was to compare the 2 isotopes for evaluating bone turnover. We firstly developed a model for 3H-TC kinetics in 4-mo-old female rats (n = 3) by measuring the tracer in serum, urine, and feces over 4 d. Then, 9-mo-old ovariectomized (OVX) rats (n = 6) were given both 45Ca and 3H-TC subcutaneously. Urine was collected in 24-h pools and assayed for both tracers. Rats were killed 7 and 46 d after the dose and whole skeleton was harvested. We calculated bone resorption rates by modeling the 45Ca and 3H-TC data in urine and bone. 3H-TC kinetics revealed that, like Ca, there are 2 exchangeable compartments between serum and bone. An additional pool was required to account for bone mass of Ca. Bone resorption rates determined from urinary 45Ca and 3H-TC did not differ significantly. The tracers 45Ca and 3H-TC can be used interchangeably to determine bone resorption rates in OVX rats. Thus, both labels can be used to screen dietary and other interventions for beneficial effects on bone. PMID:20668254

  12. Osteoprotegerin deficiency attenuates strontium-mediated inhibition of osteoclastogenesis and bone resorption.

    Science.gov (United States)

    Peng, Songlin; Liu, X Sherry; Zhou, Guangqian; Li, Zhaoyang; Luk, Keith D K; Guo, X Edward; Lu, W William

    2011-06-01

    Strontium (Sr) exerts an anabolic and antiresorptive effect on bone, but the mechanism remains unknown. Osteoprotegerin (OPG) expressed by osteoblasts plays an important role in regulating bone homeostasis by inhibiting osteoclastogenesis and bone resorption. This study aims at evaluating the role of OPG in Sr-mediated inhibition of osteoclastogenesis and bone resorption. Six-week-old Opg knockout (KO) male mice and their wild-type (WT) littermates were treated orally with vehicle (Veh) or Sr compound (4 mmol/kg) daily for 8 weeks. Bone mass and microstructure in the lumbar spine (L(4)) and proximal tibia were analyzed with micro-computed tomography (µCT). Bone remodeling was evaluated with serum biochemical analysis and static and dynamic bone histomorphometry. Osteoclast differentiation potential and gene expression were analyzed in bone marrow cells. The findings demonstrate that Sr compound treatment results in greater bone volume and trabecular number than Veh treatment in WT mice. The anabolic response of trabecular bone to Sr treatment is attenuated in KO mice. Although Sr treatment significantly decreases in vitro osteoclastogenesis and bone resorption in WT mice, these effects are attenuated in KO mice. Furthermore, Sr treatment profoundly increases Opg gene expression in the tibias and OPG protein levels in the sera of WT mice. This study concludes that the inhibition of osteoclastogenesis and bone resorption is possibly associated with OPG upregulation by Sr treatment. PMID:21611968

  13. Effect of glucagon-like peptide-2 exposure on bone resorption

    DEFF Research Database (Denmark)

    Askov-Hansen, Carsten; Jeppesen, Palle B; Lund, Pernille; Hartmann, Bolette; Holst, Jens Juul; Henriksen, Dennis B

    2013-01-01

    In healthy subjects, subcutaneous injections of GLP-2 have been shown to elicit dose-related decrease in the bone resorption marker, carboxy-terminal telopeptide of type I collagen (CTX), and have been proposed for the treatment of osteoporosis. This study investigated the relation between GLP-2 ...

  14. Subligamentary resorption of bone at the caudal end of the lateral clavicula in secondary hyperparathyroidism

    International Nuclear Information System (INIS)

    Next to the less frequently found hyperostosis and soft tissue calcinations, the main radiological signs indicating hyperparathyroidism are intracortical and subperiostal resorption of bone, and osteolysis. Their different manifestations in the X-ray picture lead to the diagnoses discussed in this article. (orig.)

  15. Ocean Ridges and Oxygen

    Science.gov (United States)

    Langmuir, C. H.

    2014-12-01

    The history of oxygen and the fluxes and feedbacks that lead to its evolution through time remain poorly constrained. It is not clear whether oxygen has had discrete steady state levels at different times in Earth's history, or whether oxygen evolution is more progressive, with trigger points that lead to discrete changes in markers such as mass independent sulfur isotopes. Whatever this history may have been, ocean ridges play an important and poorly recognized part in the overall mass balance of oxidants and reductants that contribute to electron mass balance and the oxygen budget. One example is the current steady state O2 in the atmosphere. The carbon isotope data suggest that the fraction of carbon has increased in the Phanerozoic, and CO2 outgassing followed by organic matter burial should continually supply more O2 to the surface reservoirs. Why is O2 not then increasing? A traditional answer to this question would relate to variations in the fraction of burial of organic matter, but this fraction appears to have been relatively high throughout the Phanerozoic. Furthermore, subduction of carbon in the 1/5 organic/carbonate proportions would contribute further to an increasingly oxidized surface. What is needed is a flux of oxidized material out of the system. One solution would be a modern oxidized flux to the mantle. The current outgassing flux of CO2 is ~3.4*1012 moles per year. If 20% of that becomes stored organic carbon, that is a flux of .68*1012 moles per year of reduced carbon. The current flux of oxidized iron in subducting ocean crust is ~2*1012 moles per year of O2 equivalents, based on the Fe3+/Fe2+ ratios in old ocean crust compared to fresh basalts at the ridge axis. This flux more than accounts for the incremental oxidizing power produced by modern life. It also suggests a possible feedback through oxygenation of the ocean. A reduced deep ocean would inhibit oxidation of ocean crust, in which case there would be no subduction flux of oxidized material, and oxygen could rise. Once the ocean becomes fully oxidized, a substantial subduction flux operates as a negative feedback. Plate tectonic geochemical cycles may have played a very significant role in the oxygen balance in both the ancient and modern Earth.

  16. Mid-oceanic ridge system

    Digital Repository Service at National Institute of Oceanography (India)

    Ramprasad, T.

    Content-Type text/plain; charset=UTF-8 196 Mid-Oceanic ridge system T. Ramprasad National Institute of Oceanography, Dona Paula, Goa-403 004. rprasad@nio.org The global mid-ocean ridge system is the largest single volcanic feature.... Seamounts and hot spots Seamounts are individual volcanoes on the ocean floor. They are distinct from the plate-boundary volcanic system of the mid-ocean ridges, because seamounts tend to be circular or conical. A circular collapse caldera is often...

  17. Assessment of global morphological and topological changes in trabecular structure under the bone resorption process

    Science.gov (United States)

    Sidorenko, Irina N.; Bauer, Jan; Monetti, Roberto; Baum, Thomas; Rummeny, Ernst J.; Eckstein, Felix; Matsuura, Maiko; Lochmueller, Eva-Maria; Zysset, Philippe K.; Raeth, Christoph W.

    2012-03-01

    Osteoporosis is a frequent skeletal disease characterised both by loss of bone mineral mass and deterioration of cancellous bone micro-architecture. It can be caused by mechanical disuse, estrogen deficiency or natural age-related resorption process. Numerical analysis of high-resolution images of the trabecular network is recognised as a powerful tool for assessment of structural characteristics. Using ?CT images of 73 thoracic and 78 lumbar human vertebral specimens in vitro with isotropic resolution of 26?m we simulate bone atrophy as random resorption of bone surface voxels. Global morphological and topological characteristics provided by four Minkowski Functionals (MF) are calculated for two numerical resorption models with and without conservation of global topological connectivity of the trabecular network, which simulates different types of bone loss in osteoporosis, as it has been described in males and females. Diagnostic performance of morphological and topological characteristics as a function of relative bone loss is evaluated by a correlation analysis with respect to experimentally measured Maximum Compressive Strength (MCS). In both resorption models the second MF, which coincides with bone surface fraction BS/TV, demonstrates almost constant value of Pearson's correlation coefficient with respect to the relative bone loss ?BV/TV. This morphological characteristic does not vary considerably under age-related random resorption and can be used for predicting bone strength in the elderly. The third and fourth MF demonstrate an increasing correlation coefficients with MCS after applying random bone surface thinning without preserving topological connectivity, what can be used for improvement of evaluation of the current state of the structure.

  18. CT staging of alveolar echinococcosis of the liver

    International Nuclear Information System (INIS)

    The purpose of this study was to assess the usefulness of a new staging scheme for alveolar echinococcosis of the liver. A total of 28 patients with hepatic alveolar echinococcosis underwent CT examinations and were staged according to the proposed staging scheme (stage 1: lesion measuring less than 3 cm in diameter; stage 2: lesion greater than 3 cm, confined to less than three hepatic segments; stage 3a: lesion with invasion of more than three hepatic segments; stage 3b: invasion of liver hilum or suprahepatic vena cava; stage 4: invasion of surrounding organs and/or distant metastasis). Of the patients 16 underwent laparotomy, and results of the radiologic staging were correlated with surgical data. The CT findings correlated well with surgical findings. Patients were followed-up for a period of 6 months to 7 years. We concluded that the proposed staging scheme seemed to be useful for the therapeutic planning of patients with alveolar echinococcosis of the liver. (orig.)

  19. [Pulmonary alveolar proteinosis noted in a patient with thymoma].

    Science.gov (United States)

    Matsunaga, Kazuko; Nagata, Nobuhiko; Iwata, Yasuhiro; Kumazoe, Hiroyuki; Komori, Masashi; Shigyo, Mutsumi; Wakamatsu, Kentarou; Kajiki, Akira; Kitahara, Yoshinari

    2008-06-01

    A 74-year-old woman had general fatigue and mild fever in August 2004. Her chest X-ray showed slight ground glass opacities in the upper and middle lung fields of both lungs. Though she was prescribed antibacterial drugs, the abnormal shadows on chest X-ray did not improve. The chest CT showed ground glass opacities and reticular shadows with thickened alveolar septa (crazy-paving appearance) in both lungs, and a clearly defined mass in the anterior mediastinum. She underwent thymo-thymectomy with wedge resection of the upper lobe of the left lung. Anterior mediastinum tumor was pathologically diagnosed as thymoma. Lung biopsy demonstrated alveoli filled with SP-A positive granular materials, and we diagnosed pulmonary alveolar proteinosis. About 1 month after operation, the shadows on chest CT showed improvement. We think there might be some relationship between thymoma and pulmonary alveolar proteinosis. PMID:18592998

  20. Acute pulmonary alveolar proteinosis due to exposure to cotton dust

    Directory of Open Access Journals (Sweden)

    Thind Gurcharan

    2009-01-01

    Full Text Available Secondary pulmonary alveolar proteinosis (PAP is rare but may occur in association with malignancy, certain infections, and exposure to inorganic or organic dust and some toxic fumes. This case report describes the second recorded case of PAP due to exposure to cotton dust. A 24-year-old man developed PAP after working as a spinner for eight years without respiratory protection. He was admitted as an emergency patient with very severe dyspnea for four months and cough for several years. Chest X-ray showed bilateral diffuse alveolar consolidation. He died 16 days later, and a diagnosis of acute pulmonary alveolar proteinosis was made at autopsy. The histopathology demonstrated alveoli and respiratory bronchioles filled with characteristic periodic acid Schiff-positive material, which also revealed birefringent bodies of cotton dust under polarized light. Secondary PAP can be fatal and present with acute respiratory failure. The occupational history and characteristic pathology can alert clinicians to the diagnosis.

  1. Alveolar rhabdomyosarcoma involving the mandibular ramus and its surrounding tissues

    International Nuclear Information System (INIS)

    Rhabdomyosarcoma, when it occurs in the head and neck, is primarily found in children. Alveolar rhabdomyosarcoma is rarely seen in the oral lesion, comparing to the embryonal and the pleomorphic variants. This is a report of a case of alveolar rhabdomyosarcoma in the mandible in a ten-year old girl who complained of a non-painful swelling on the right cheek. The right lower 1st molar was mobile. Her radiographs revealed an extensive radiolucency with somewhat irregular border on the right mandibular ramus. The right mandibular 1st and 2nd molars lost their lamina dura and were floating. CT images revealed smooth-outlined soft tissue mass occupying the pterygomandibular space, the infratemporal space, and the masseteric muscle with thinning and perforation of the right mandibular angle and ramus. Histopathological and immunohistochemical findings established the final diagnosis of alveolar rhabdomyosarcoma.

  2. Alveolar rhabdomyosarcoma involving the mandibular ramus and its surrounding tissues

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Suk Ja; Kang, Byung Cheol [Chonnam National University College of Medicine, Gwangju (Korea, Republic of)

    2004-06-15

    Rhabdomyosarcoma, when it occurs in the head and neck, is primarily found in children. Alveolar rhabdomyosarcoma is rarely seen in the oral lesion, comparing to the embryonal and the pleomorphic variants. This is a report of a case of alveolar rhabdomyosarcoma in the mandible in a ten-year old girl who complained of a non-painful swelling on the right cheek. The right lower 1st molar was mobile. Her radiographs revealed an extensive radiolucency with somewhat irregular border on the right mandibular ramus. The right mandibular 1st and 2nd molars lost their lamina dura and were floating. CT images revealed smooth-outlined soft tissue mass occupying the pterygomandibular space, the infratemporal space, and the masseteric muscle with thinning and perforation of the right mandibular angle and ramus. Histopathological and immunohistochemical findings established the final diagnosis of alveolar rhabdomyosarcoma.

  3. CT staging of alveolar echinococcosis of the liver

    Energy Technology Data Exchange (ETDEWEB)

    Rozanes, I. [Dept. of Radiology, Istanbul Medical Faculty (Turkey); Acunas, B. [Dept. of Radiology, Istanbul Medical Faculty (Turkey); Emre, A. [Hepatobiliary Surgery Unit, Dept. of General Surgery, Istanbul Medical Faculty (Turkey); Alper, A. [Hepatobiliary Surgery Unit, Dept. of General Surgery, Istanbul Medical Faculty (Turkey); Sayi, I. [Dept. of Radiology, Istanbul Medical Faculty (Turkey); Minareci, Oe. [Dept. of Radiology, Istanbul Medical Faculty (Turkey); Acarli, K. [Hepatobiliary Surgery Unit, Dept. of General Surgery, Istanbul Medical Faculty (Turkey); Hazar, H. [Hepatobiliary Surgery Unit, Dept. of General Surgery, Istanbul Medical Faculty (Turkey); Ariogul, O. [Hepatobiliary Surgery Unit, Dept. of General Surgery, Istanbul Medical Faculty (Turkey)

    1995-11-01

    The purpose of this study was to assess the usefulness of a new staging scheme for alveolar echinococcosis of the liver. A total of 28 patients with hepatic alveolar echinococcosis underwent CT examinations and were staged according to the proposed staging scheme (stage 1: lesion measuring less than 3 cm in diameter; stage 2: lesion greater than 3 cm, confined to less than three hepatic segments; stage 3a: lesion with invasion of more than three hepatic segments; stage 3b: invasion of liver hilum or suprahepatic vena cava; stage 4: invasion of surrounding organs and/or distant metastasis). Of the patients 16 underwent laparotomy, and results of the radiologic staging were correlated with surgical data. The CT findings correlated well with surgical findings. Patients were followed-up for a period of 6 months to 7 years. We concluded that the proposed staging scheme seemed to be useful for the therapeutic planning of patients with alveolar echinococcosis of the liver. (orig.)

  4. Reconstruction of alveolar defects in patients with cleft lip and palate - 111 consecutive patients

    DEFF Research Database (Denmark)

    Andersen, Kristian

    2012-01-01

    Reconstruction of alveolar defects in patients with cleft lip and palate - 111 consecutive patients......Reconstruction of alveolar defects in patients with cleft lip and palate - 111 consecutive patients...

  5. Growth of a tectonic ridge

    Energy Technology Data Exchange (ETDEWEB)

    Fleming, R.W.; Messerich, J.A. [Geological Survey, Denver, CO (United States); Johnson, A.M. [Purdue Univ., West Lafayette, IN (United States). Dept. of Earth and Atmospheric Sciences

    1997-12-31

    The 28 June 1992 Landers, California, earthquake of M 7.6 created an impressive record of surface rupture and ground deformation. Fractures extend over a length of more than 80 km including zones of right-lateral shift, steps in the fault zones, fault intersections and vertical changes. Among the vertical changes was the growth of a tectonic ridge described here. In this paper the authors describe the Emerson fault zone and the Tortoise Hill ridge including the relations between the fault zone and the ridge. They present data on the horizontal deformation at several scales associated with activity within the ridge and belt of shear zones and show the differential vertical uplifts. And, they conclude with a discussion of potential models for the observed deformation.

  6. Imaging diagnosis--pulmonary alveolar proteinosis in a dog.

    Science.gov (United States)

    Cummings, Annelise C; Spaulding, Kathy A; Scott, Katherine D; Edwards, John F

    2013-01-01

    A young dog was presented for cyanosis and right heart failure. Radiographic and CT characteristics included right heart/pulmonary artery enlargement, hepatomegaly, abdominal effusion, and severe, generalized air-space filling. Focal increased opacities were present in the peripheral lung, as were multiple pulmonary blebs and bullae. Echocardiographic findings were consistent with cor pulmonale and pulmonary hypertension. Bronchoscopic findings were consistent with chronic inflammation. Pulmonary alveolar proteinosis (PAP) was confirmed at necropsy. Pulmonary alveolar proteinosis is an interstitial lung disease that results in accumulation of phospholipoproteinaceous material and should be included as a differential diagnosis for dogs with these clinical and imaging characteristics. PMID:23600448

  7. Alveolar epithelial permeability in bronchial asthma in children

    International Nuclear Information System (INIS)

    To evaluate alveolar epithelial permeability (kep) in children with bronchial asthma, 99mTc-DTPA (diethylene triamine penta acetate) aerosol lung inhalation scintigraphies were performed. There was no correlation between the kep value and the severity of asthma. On the other hand, out of 10 cases which had no aerosol deposition defect in the lung field, 4 showed high kep values on the whole lung field and 7 had high kep value areas, particularly apparent in the upper lung field. These results suggest that even when the central airway lesions are mild, severe damage exists in the alveolar region of the peripheral airway. (author)

  8. A supra-cellular model for coupling of bone resorption to formation during remodeling : Lessons from two bone resorption inhibitors affecting bone formation differently

    DEFF Research Database (Denmark)

    Jensen, Pia Rosgaard; Levin Andersen, Thomas

    2014-01-01

    The bone matrix is maintained functional through the combined action of bone resorbing osteoclasts and bone forming osteoblasts, in so-called bone remodeling units. The coupling of these two activities is critical for securing bone replenishment and involves osteogenic factors released by the osteoclasts. However, the osteoclasts are separated from the mature bone forming osteoblasts in time and space. Therefore the target cell of these osteoclastic factors has remained unknown. Recent explorations of the physical microenvironment of osteoclasts revealed a cell layer lining the bone marrow and forming a canopy over the whole remodeling surface, spanning from the osteoclasts to the bone forming osteoblasts. Several observations show that these canopy cells are a source of osteoblast progenitors, and we hypothesized therefore that they are the likely cells targeted by the osteogenic factors of the osteoclasts. Here we provide evidence supporting this hypothesis, by comparing the osteoclast-canopy interface in response to two types of bone resorption inhibitors in rabbit lumbar vertebrae. The bisphosphonate alendronate, an inhibitor leading to low bone formation levels, reduces the extent of canopy coverage above osteoclasts. This effect is in accordance with its toxic action on periosteoclastic cells. In contrast, odanacatib, an inhibitor preserving bone formation, increases the extent of the osteoclast-canopy interface. Interestingly, these distinct effects correlate with how fast bone formation follows resorption during these respective treatments. Furthermore, canopy cells exhibit uPARAP/Endo180, a receptor able to bind the collagen made available by osteoclasts, and reported to mediate osteoblast recruitment. Overall these observations support a mechanism where the recruitment of bone forming osteoblasts from the canopy is induced by osteoclastic factors, thereby favoring initiation of bone formation. They lead to a model where the osteoclast-canopy interface is the physical site where coupling of bone resorption to bone formation occurs.

  9. A supra-cellular model for coupling of bone resorption to formation during remodeling: lessons from two bone resorption inhibitors affecting bone formation differently.

    Science.gov (United States)

    Jensen, Pia Rosgaard; Andersen, Thomas Levin; Pennypacker, Brenda L; Duong, Le T; Engelholm, Lars H; Delaissé, Jean-Marie

    2014-01-10

    The bone matrix is maintained functional through the combined action of bone resorbing osteoclasts and bone forming osteoblasts, in so-called bone remodeling units. The coupling of these two activities is critical for securing bone replenishment and involves osteogenic factors released by the osteoclasts. However, the osteoclasts are separated from the mature bone forming osteoblasts in time and space. Therefore the target cell of these osteoclastic factors has remained unknown. Recent explorations of the physical microenvironment of osteoclasts revealed a cell layer lining the bone marrow and forming a canopy over the whole remodeling surface, spanning from the osteoclasts to the bone forming osteoblasts. Several observations show that these canopy cells are a source of osteoblast progenitors, and we hypothesized therefore that they are the likely cells targeted by the osteogenic factors of the osteoclasts. Here we provide evidence supporting this hypothesis, by comparing the osteoclast-canopy interface in response to two types of bone resorption inhibitors in rabbit lumbar vertebrae. The bisphosphonate alendronate, an inhibitor leading to low bone formation levels, reduces the extent of canopy coverage above osteoclasts. This effect is in accordance with its toxic action on periosteoclastic cells. In contrast, odanacatib, an inhibitor preserving bone formation, increases the extent of the osteoclast-canopy interface. Interestingly, these distinct effects correlate with how fast bone formation follows resorption during these respective treatments. Furthermore, canopy cells exhibit uPARAP/Endo180, a receptor able to bind the collagen made available by osteoclasts, and reported to mediate osteoblast recruitment. Overall these observations support a mechanism where the recruitment of bone forming osteoblasts from the canopy is induced by osteoclastic factors, thereby favoring initiation of bone formation. They lead to a model where the osteoclast-canopy interface is the physical site where coupling of bone resorption to bone formation occurs. PMID:24333871

  10. A supra-cellular model for coupling of bone resorption to formation during remodeling : lessons from two bone resorption inhibitors affecting bone formation differently

    DEFF Research Database (Denmark)

    Jensen, Pia Rosgaard; Andersen, Thomas Levin

    2014-01-01

    The bone matrix is maintained functional through the combined action of bone resorbing osteoclasts and bone forming osteoblasts, in so-called bone remodeling units. The coupling of these two activities is critical for securing bone replenishment and involves osteogenic factors released by the osteoclasts. However, the osteoclasts are separated from the mature bone forming osteoblasts in time and space. Therefore the target cell of these osteoclastic factors has remained unknown. Recent explorations of the physical microenvironment of osteoclasts revealed a cell layer lining the bone marrow and forming a canopy over the whole remodeling surface, spanning from the osteoclasts to the bone forming osteoblasts. Several observations show that these canopy cells are a source of osteoblast progenitors, and we hypothesized therefore that they are the likely cells targeted by the osteogenic factors of the osteoclasts. Here we provide evidence supporting this hypothesis, by comparing the osteoclast-canopy interface in response to two types of bone resorption inhibitors in rabbit lumbar vertebrae. The bisphosphonate alendronate, an inhibitor leading to low bone formation levels, reduces the extent of canopy coverage above osteoclasts. This effect is in accordance with its toxic action on periosteoclastic cells. In contrast, odanacatib, an inhibitor preserving bone formation, increases the extent of the osteoclast-canopy interface. Interestingly, these distinct effects correlate with how fast bone formation follows resorption during these respective treatments. Furthermore, canopy cells exhibit uPARAP/Endo180, a receptor able to bind the collagen made available by osteoclasts, and reported to mediate osteoblast recruitment. Overall these observations support a mechanism where the recruitment of bone forming osteoblasts from the canopy is induced by osteoclastic factors, thereby favoring initiation of bone formation. They lead to a model where the osteoclast-canopy interface is the physical site where coupling of bone resorption to bone formation occurs.

  11. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

    OpenAIRE

    Gintaras Juodzbalys; Hom-Lay Wang; Gintautas Sabalys

    2011-01-01

    Objectives: The purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were inferior alveolar nerve injury, inferior alveolar nerve injuries, inferior alveolar nerv...

  12. Histological and histomorphometrical comparative study of ?-tricalcium phosphate block grafts and periosteal expansion osteogenesis for alveolar bone augmentation.

    Science.gov (United States)

    Yamauchi, K; Takahashi, T; Funaki, K; Hamada, Y; Yamashita, Y

    2010-10-01

    This study evaluated local tissue reaction around the ?-tricalcium phosphate (?-TCP) block and compared results with ?-TCP block grafting and periosteal expansion osteogenesis (PEO). The mandibular premolars were extracted from five dogs and buccal corticotomy was performed. Narrow alveolar ridge models were created at 4 weeks. The ?-TCP block graft, such as veneer graft, was used on the right side and PEO using ?-TCP block on the left side. Changes of alveolar width, histological findings and histomorphometrical analysis were evaluated. There were no problems with materials at any of the sites at any time. In both groups, the width increased after surgery and results were stable 8 weeks after surgery. Newly formed bone tissue was observed inside the ?-TCP block in both sides. Histological findings differed especially at the division between mandibular bone and ?-TCP block. Histomorphometric analyses revealed that ?-TCP had been absorbed (mean decrease 28%) and new bone had formed (mean increase 43%) at 8 weeks postoperatively on both sides. The ?-TCP block worked as a space-maker under the soft tissue, including the periosteum, and acted as a substitute for original bone. This bone substitute was effective material for bone augmentation in both methods. PMID:20615666

  13. Custom-Made Computer-Aided-Design/Computer-Aided-Manufacturing Biphasic Calcium-Phosphate Scaffold for Augmentation of an Atrophic Mandibular Anterior Ridge

    OpenAIRE

    Mangano, Francesco Guido; Zecca, Piero Antonio; van Noort, Ric; Apresyan, Samvel; Iezzi, Giovanna; Piattelli, Adriano; Macchi, Aldo; Mangano, Carlo

    2015-01-01

    This report documents the clinical, radiographic, and histologic outcome of a custom-made computer-aided-design/computer-aided-manufactured (CAD/CAM) scaffold used for the alveolar ridge augmentation of a severely atrophic anterior mandible. Computed tomographic (CT) images of an atrophic anterior mandible were acquired and modified into a 3-dimensional (3D) reconstruction model; this was transferred to a CAD program, where a custom-made scaffold was designed. CAM software generated a set of ...

  14. Graft incorporation and implant osseointegration following the use of autologous and fresh-frozen allogeneic block bone grafts for lateral ridge augmentation

    DEFF Research Database (Denmark)

    Spin-Neto, Rubens; Stavropoulos, Andreas; Coletti, Felipe Leite; Faeda, Rafael Silveira; Pereira, Luís Antônio Violin Dias; Marcantonio, Elcio

    2013-01-01

    OBJECTIVES: To compare autogenous bone (AT) and fresh-frozen allogeneic bone (AL) in terms of histomorphometrical graft incorporation and implant osseointegration after grafting for lateral ridge augmentation in humans. MATERIALS AND METHODS: Thirty-four patients were treated with either AL (20 patients) or AT (14 patients) onlay grafts. During implant installation surgery 6 months after grafting, cylindrical biopsies were harvested perpendicularly to the lateral aspect of the augmented alveolar...

  15. Alterations in osteoclast function and phenotype induced by different inhibitors of bone resorption - implications for osteoclast quality

    Directory of Open Access Journals (Sweden)

    Leeming Diana J

    2010-06-01

    Full Text Available Abstract Background Normal osteoclasts resorb bone by secretion of acid and proteases. Recent studies of patients with loss of function mutations affecting either of these processes have indicated a divergence in osteoclastic phenotypes. These difference in osteoclast phenotypes may directly or indirectly have secondary effects on bone remodeling, a process which is of importance for the pathogenesis of both osteoporosis and osteoarthritis. We treated human osteoclasts with different inhibitors and characterized their resulting function. Methods Human CD14 + monocytes were differentiated into mature osteoclasts using RANKL and M-CSF. The osteoclasts were cultured on bone in the presence or absence of various inhibitors: Inhibitors of acidification (bafilomycin A1, diphyllin, ethoxyzolamide, inhibitors of proteolysis (E64, GM6001, or a bisphosphonate (ibandronate. Osteoclast numbers and bone resorption were monitored by measurements of TRACP activity, the release of calcium, CTX-I and ICTP, as well as by counting resorption pits. Results All inhibitors of acidification were equally potent with respect to inhibition of both organic and inorganic resorption. In contrast, inhibition of proteolysis by E64 potently reduced organic resorption, but only modestly suppressed inorganic resorption. GM6001 alone did not greatly affect bone resorption. However, when GM6001 and E64 were combined, a complete abrogation of organic bone resorption was observed, without a great effect on inorganic resorption. Ibandronate abrogated both organic and inorganic resorption at all concentrations tested [0.3-100 ?M], however, this treatment dramatically reduced TRACP activity. Conclusions We present evidence highlighting important differences with respect to osteoclast function, when comparing the different types of osteoclast inhibitors. Each class of osteoclast inhibitors will lead to different alterations in osteoclast quality, which secondarily may lead to different bone qualities.

  16. Fibroblast Growth Factor Receptors Control Epithelial–Mesenchymal Interactions Necessary for Alveolar Elastogenesis

    OpenAIRE

    Srisuma, Sorachai; Bhattacharya, Soumyaroop; Simon, Dawn M; Solleti, Siva K.; Tyagi, Shivraj; Starcher, Barry; Thomas J. Mariani

    2010-01-01

    Rationale: The mechanisms contributing to alveolar formation are poorly understood. A better understanding of these processes will improve efforts to ameliorate lung disease of the newborn and promote alveolar repair in the adult. Previous studies have identified impaired alveogenesis in mice bearing compound mutations of fibroblast growth factor (FGF) receptors (FGFRs) 3 and 4, indicating that these receptors cooperatively promote postnatal alveolar formation.

  17. DMPD: Silica binding and toxicity in alveolar macrophages. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 18226603 Silica ... binding and toxicity in alveolar macrophages. Hamilton RF Jr, Thakur SA, Holian ... ub 2007 Dec 27. (.png) (.svg) (.html) (.csml) Show Silica ... binding and toxicity in alveolar macrophages. Pubm ... edID 18226603 Title Silica ... binding and toxicity in alveolar macrophages. Auth ...

  18. Unsuspected pulmonary alveolar proteinosis in a patient with acquired immunodeficiency syndrome: a case report

    OpenAIRE

    Niazi Masooma; DeLaCruz Angel E; Tejwani Dimple; Diaz-Fuentes Gilda

    2011-01-01

    Abstract Introduction Diffuse lung infiltrates are a common finding in patients with acquired immunodeficiency syndrome and causes range from infectious processes to malignancies or interstitial lung diseases. Pulmonary alveolar proteinosis is a rare pulmonary disorder rarely reported in patients infected with human immunodeficiency virus. Secondary pulmonary alveolar proteinosis is associated with conditions involving functional impairment or reduced numbers of alveolar macrophages. It can b...

  19. Alveolar osseous defect in rat for cell therapy: preliminary report / Defeito ósseo alveolar em ratos para terapia celular: estudo preliminar

    Scientific Electronic Library Online (English)

    Cassio Eduardo, Raposo-Amaral; Gerson Shigeru, Kobayashi; Ana Beatriz, Almeida; Daniela F., Bueno; Fatima Rodrigues de Souza e, Freitas; Luiz Carlos, Vulcano; Maria Rita, Passos-Bueno; Nivaldo, Alonso.

    2010-08-01

    Full Text Available OBJETIVO: Reproduzir um novo modelo de defeito ósseo alveolar em ratos Wistar que será utilizado para terapia genética e estudos com células tronco. Adicionalmente, outro objetivo do presente estudo foi determinar o pico de regeneração óssea do defeito criado na região alveolar do modelo experimenta [...] l. MÉTODOS: Os animais foram aleatoriamente divididos em dois grupos de sete animais. Através de uma incisão gengivobucal foi criado um defeito ósseo medindo 28 mm² de área na região alveolar dos ratos. Os ratos foram sacrificados após duas semanas (n=7) e quatro semanas (n=7) da cirurgia. RESULTADOS: A área média do defeito alveolar após duas semanas de cirurgia foi de 22.27 ± 1.31 mm² e a área média do defeito alveolar após quatro semanas de cirurgia foi de 9.03 ± 1.17 mm². A taxa de formação óssea foi de 5.73 ± 1.31 mm² após duas semanas de cirurgia e de 19 ± 1.17 mm² após quatro semanas de cirurgia. Foi observada diferença estatisticamente significante na taxa de formação óssea entre o grupo dos animais sacrificados com duas e quatro semanas (p=0.003). CONCLUSÃO: Este estudo demonstrou que a maior taxa de regeneração óssea ocorreu no período entre duas e quatro semanas após a cirurgia de criação do defeito ósseo alveolar, portanto esta observação sugere que o período de tempo de quatro semanas será suficiente para avaliar a capacidade de células tronco em regenerar osso em ratos Wistar com defeito ósseo alveolar. Abstract in english PURPOSE: To study were to reproduce an alveolar bone defect model in Wistar rats to be used for testing the efficacy of stem cell therapies. Additionally, we also aimed to determine the osteogenesis process of this osseous defect in the 1 month period post-surgery. METHODS: The animals were randomly [...] divided into two groups of 7 animals each. A gingivobuccal incision was made, and a bone defect of 28 mm² of area was performed in the alveolar region. Animals were killed at 2 weeks after surgery (n=7) and 4 weeks after surgery (n=7). RESULTS: The average area of the alveolar defect at time point of 2 weeks was 22.27 ± 1.31 mm² and the average area of alveolar defect at time point of 4 weeks was 9.03 ± 1.17 mm². The average amount of bone formation at time point of 2 weeks was 5.73 ± 1.31 mm² and the average amount of bone formation at time point of 4 weeks was 19 ± 1.17 mm². Statistically significant differences between the amount of bone formation at 2 weeks and 4 weeks after surgery were seen (p=0.003). CONCLUSION: The highest rate of ossification occurred mostly from 2 to 4 weeks after surgery. This observation suggests that 4 weeks after the bone defect creation should be a satisfactory timing to assess the potential of bone inductive stem cells to accelerate bone regeneration in Wistar rats.

  20. Alveolar osseous defect in rat for cell therapy: preliminary report Defeito ósseo alveolar em ratos para terapia celular: estudo preliminar

    Directory of Open Access Journals (Sweden)

    Cassio Eduardo Raposo-Amaral

    2010-08-01

    Full Text Available PURPOSE: To study were to reproduce an alveolar bone defect model in Wistar rats to be used for testing the efficacy of stem cell therapies. Additionally, we also aimed to determine the osteogenesis process of this osseous defect in the 1 month period post-surgery. METHODS: The animals were randomly divided into two groups of 7 animals each. A gingivobuccal incision was made, and a bone defect of 28 mm² of area was performed in the alveolar region. Animals were killed at 2 weeks after surgery (n=7 and 4 weeks after surgery (n=7. RESULTS: The average area of the alveolar defect at time point of 2 weeks was 22.27 ± 1.31 mm² and the average area of alveolar defect at time point of 4 weeks was 9.03 ± 1.17 mm². The average amount of bone formation at time point of 2 weeks was 5.73 ± 1.31 mm² and the average amount of bone formation at time point of 4 weeks was 19 ± 1.17 mm². Statistically significant differences between the amount of bone formation at 2 weeks and 4 weeks after surgery were seen (p=0.003. CONCLUSION: The highest rate of ossification occurred mostly from 2 to 4 weeks after surgery. This observation suggests that 4 weeks after the bone defect creation should be a satisfactory timing to assess the potential of bone inductive stem cells to accelerate bone regeneration in Wistar rats.OBJETIVO: Reproduzir um novo modelo de defeito ósseo alveolar em ratos Wistar que será utilizado para terapia genética e estudos com células tronco. Adicionalmente, outro objetivo do presente estudo foi determinar o pico de regeneração óssea do defeito criado na região alveolar do modelo experimental. MÉTODOS: Os animais foram aleatoriamente divididos em dois grupos de sete animais. Através de uma incisão gengivobucal foi criado um defeito ósseo medindo 28 mm² de área na região alveolar dos ratos. Os ratos foram sacrificados após duas semanas (n=7 e quatro semanas (n=7 da cirurgia. RESULTADOS: A área média do defeito alveolar após duas semanas de cirurgia foi de 22.27 ± 1.31 mm² e a área média do defeito alveolar após quatro semanas de cirurgia foi de 9.03 ± 1.17 mm². A taxa de formação óssea foi de 5.73 ± 1.31 mm² após duas semanas de cirurgia e de 19 ± 1.17 mm² após quatro semanas de cirurgia. Foi observada diferença estatisticamente significante na taxa de formação óssea entre o grupo dos animais sacrificados com duas e quatro semanas (p=0.003. CONCLUSÃO: Este estudo demonstrou que a maior taxa de regeneração óssea ocorreu no período entre duas e quatro semanas após a cirurgia de criação do defeito ósseo alveolar, portanto esta observação sugere que o período de tempo de quatro semanas será suficiente para avaliar a capacidade de células tronco em regenerar osso em ratos Wistar com defeito ósseo alveolar.

  1. Diffuse alveolar haemorrhage secondary to propylthiouracil-induced vasculitis.

    Science.gov (United States)

    Ferreira, Catarina; Costa, Teresa; Marques, Ana Vieira

    2015-01-01

    Propylthiouracil is a drug used to treat hyperthyroidism. It can cause several side effects including pulmonary disorders that, although rare, can be severe. The authors describe the case of a woman treated with propylthiouracil who developed diffuse alveolar haemorrhage with severe respiratory failure and anaemia, which improved with discontinuation of the antithyroid drug and on starting systemic corticosteroid therapy. PMID:25661751

  2. CT scan patterns of pulmonary alveolar proteinosis in children

    International Nuclear Information System (INIS)

    Background. To study computed tomographic (CT) findings in children with pulmonary alveolar proteinosis (PAP) more extensively. Objective. To describe the CT features at the time of diagnosis and after therapeutic broncho-alveolar lavage (BAL). Materials and methods. We retrospectively reviewed the CT scans of five children (aged 3 months to 4 years) examined because of incidental bronchitis (n = 1), disease in a sibling (n = 1) and relapsing fever, cough and dyspnoea (n = 3). Each patient had an initial CT scan. Two asymptomatic cases were not treated but were followed up by plain chest films. The other three had BAL and follow-up CT. Results. Initial CT in all cases showed a diffuse reticulomicronodular pattern associated in three cases with posterior bilateral alveolar infiltrates. CT in the two asymptomatic patients remained unchanged or slightly improved without BAL. After BAL, a variable decrease of lung infiltrates was observed. Conclusions. Correlation between the extent of alveolar consolidation and severity of disease was found. Anatomical and pathological considerations allow us to consider that the classical reticulomicronodular pattern is not due to an interstitial infiltration but to alveoli filled with the abnormal material characteristic of PAP. (orig.)

  3. Anti-GM-CSF antibodies in paediatric pulmonary alveolar proteinosis

    OpenAIRE

    Latzin, P; Tredano, M.; Wust, Y; de Blic, J; Nicolai, T.; Bewig, B; Stanzel, F.; Kohler, D.; Bahuau, M.; Griese, M

    2005-01-01

    Background: Auto-antibodies against granulocyte-macrophage colony stimulating factor (GM-CSF) may be central to the pathogenesis of adult sporadic pulmonary alveolar proteinosis (PAP). The role of anti-GM-CSF auto-antibodies in paediatric forms of PAP is as yet unclear.

  4. Contribution of the tooth bud mesenchyme to alveolar bone.

    Czech Academy of Sciences Publication Activity Database

    Diep, L.; Matalová, Eva; Mitsiadis, T. A.; Tucker, A. S.

    312B, ?. 5 (2009), 510-517. ISSN 1552-5007 R&D Projects: GA ?R GC524/08/J032; GA AV ?R KJB500450802 Institutional research plan: CEZ:AV0Z50450515 Keywords : tooth * alveolar bone * bud Subject RIV: FF - HEENT, Dentistry Impact factor: 2.938, year: 2009

  5. Increased alveolar soluble annexin V promotes lung inflammation and fibrosis.

    Science.gov (United States)

    Buckley, Susan; Shi, Wei; Xu, Wei; Frey, Mark R; Moats, Rex; Pardo, Annie; Selman, Moises; Warburton, David

    2015-11-01

    The causes underlying the self-perpetuating nature of idiopathic pulmonary fibrosis (IPF), a progressive and usually lethal disease, remain unknown. We hypothesised that alveolar soluble annexin V contributes to lung fibrosis, based on the observation that human IPF bronchoalveolar lavage fluid (BALF) containing high annexin V levels promoted fibroblast involvement in alveolar epithelial wound healing that was reduced when annexin V was depleted from the BALF.Conditioned medium from annexin V-treated alveolar epithelial type 2 cells (AEC2), but not annexin V per se, induced proliferation of human fibroblasts and contained pro-fibrotic, IPF-associated proteins, as well as pro-inflammatory cytokines that were found to correlate tightly (r>0.95) with annexin V levels in human BALF. ErbB2 receptor tyrosine kinase in AECs was activated by annexin V, and blockade reduced the fibrotic potential of annexin V-treated AEC-conditioned medium. In vivo, aerosol delivery of annexin V to mouse lung induced inflammation, fibrosis and increased hydroxyproline, with activation of Wnt, transforming growth factor-?, mitogen-activated protein kinase and nuclear factor-?B signalling pathways, as seen in IPF.Chronically increased alveolar annexin V levels, as reflected in increased IPF BALF levels, may contribute to the progression of IPF by inducing the release of pro-fibrotic mediators. PMID:26160872

  6. Pulmonary alveolar proteinosis and cement dust: a case report.

    Science.gov (United States)

    McCunney, R J; Godefroi, R

    1989-03-01

    Pulmonary alveolar proteinosis developed in a 29-year-old white man within 2 years of working as a cement truck driver. Pulmonary alveolar proteinosis (PAP), an uncommon respiratory disorder characterized by the accumulation of phospholipid material within the alveoli, has been described in association with exposure to silica, aluminum oxide, and a variety of dusts and fumes. Although a link between exposure to Portland cement and PAP has not been previously noted, this type of cement contains nearly 20% silica. Lung biopsy material, originally used to diagnose PAP, was reviewed under electron dispersive spectroscopy. Analysis indicated the presence of silica particles within the alveolar fluid and macrophages. A number of items support a causal relationship between exposure to cement dust and PAP: (1) the temporal sequence between assuming job duties and the development of the illness, (2) improvement following removal from further exposure, (3) dusty, unprotected working conditions, (4) the presence of silica within the cement, and (5) the alveolar fluid from periodic acid-Schiff-positive lung tissue. PMID:2918407

  7. Alveolar occupation infiltrations, eosinophilia in peripheral blood and bronchoalveolar lavage

    International Nuclear Information System (INIS)

    A case of a patient of 25 years old is shown with the antecedent of no potable water consumption who entered for having pulmonary symptoms, fever, presence of alveolar occupation infiltrations and eosinophilia in peripheral blood treatment with antiparasitary started with a significant improvement of the symptoms, infiltrations and eosinophilia. It is considered eosinophilic pneumonia diagnostic by parasitary infection (Loefffers Syndrome)

  8. Alveolar occupation infiltrations, eosinophilia in peripheral blood and bronchoalveolar lavage

    International Nuclear Information System (INIS)

    A case of a patient of 25 years old is shown with the antecedent of no potable water consumption who entered for having pulmonary symptoms. Fever, presence of alveolar occupation infiltrations and eosinophilia in peripheral blood a treatment with antiparasitary started with a significant improvement of the symptoms, infiltrations and eosinophilia. it is considered eosinophilic pneumonia diagnostic by parasitary infection (Loeffler's syndrome)

  9. Is there correlation between alveolar and systemic bone density?

    Scientific Electronic Library Online (English)

    Paula Cabrini, Scheibel; Adilson Luiz, Ramos; Lilian Cristina Vessoni, Iwaki.

    2013-10-01

    Full Text Available OBJETIVO: avaliar a correlação entre a densidade óssea alveolar maxilomandibular e a densidade mineral óssea sistêmica. MÉTODOS: a absorciometria duoenergética por raios X do osso alveolar maxilomandibular (região anterior e posterior), dos sítios sistêmicos padrões (coluna lombar e fêmur) e da terc [...] eira vértebra cervical foi realizada em 23 mulheres de meia idade. Radiografias periapicais dos incisivos superiores também foram obtidas com uma escala de alumínio como referência para a leitura digital da densidade óssea da região apical. RESULTADOS: o teste de correlação de Spearman revelou que a densidade da região apical foi correlacionada com a do colo femoral (r = 0,433; p Abstract in english OBJECTIVE: The present study assessed the correlation between maxillomandibular alveolar bone density and systemic bone mineral density (BMD). METHODS: Dual-energy X-ray absorptiometry of the anterior and posterior maxillomandibular alveolar bone, of the standard sites for the measurement of BMD (lu [...] mbar spine and femur) and the third cervical vertebra was performed on 23 middle-aged women. Periapical radiographs were also obtained, with an aluminum step-wedge as reference for the digital reading of apical bone density of the upper incisors. RESULTS: Spearman's correlations coefficients revealed that density in the apical region was correlated with that of the femoral neck (r = 0.433; p

  10. Sensitivity of MRI in detecting alveolar infiltrates. Experimental studies

    International Nuclear Information System (INIS)

    Purpose: An experimental study using porcine lung explants and a dedicated chest phantom to evaluate the signal intensity of artificial alveolar infiltrates with T1- and T2-weighted MRI sequences. Material and Methods: 10 porcine lung explants were intubated, transferred into the cavity of a MRI-compatible chest phantom and inflated by continuous evacuation of the artificial pleural space. All lungs were examined with MRI at 1.5 T before and after intra-tracheal instillation of either 100 or 200 ml gelatine-stabilised liquid to simulate alveolar infiltrates. MR-examination comprised gradient echo (2D- and 3D-GRE) and fast spin echo sequences (T2-TSE and T2-HASTE). The signal intensity of lung parenchyma was evaluated at representative cross sections using a standardised scheme. Control studies were acquired with helical CT. Results: The instilled liquid caused patchy confluent alveolar infiltrates resembling the findings in patients with pneumonia or ARDS. CT revealed typical ground-glass opacities. Before the application of the liquid, only T2-HASTE and T2-TSE displayed lung parenchyma signals with a signal/noise ratio of 3.62 and 1.39, respectively. After application of the liquid, both T2-weighted sequences showed clearly visible infiltrates with an increase in signal intensity of approx. 30% at 100 ml (p2-weighted sequences detects artificial alveolar infiltrates with high signal intensity and may be a highly sensitive tool to detect pneumonia in patients. (orig.)

  11. Carpenter Ridge Tuff, CO

    Science.gov (United States)

    Bachmann, Olivier; Deering, Chad D.; Lipman, Peter W.; Plummer, Charles

    2014-06-01

    The ~1,000 km3 Carpenter Ridge Tuff (CRT), erupted at 27.55 Ma during the mid-tertiary ignimbrite flare-up in the western USA, is among the largest known strongly zoned ash-flow tuffs. It consists primarily of densely welded crystal-poor rhyolite with a pronounced, highly evolved chemical signature (high Rb/Sr, low Ba, Zr, Eu), but thickly ponded intracaldera CRT is capped by a more crystal-rich, less silicic facies. In the outflow ignimbrite, this upper zone is defined mainly by densely welded crystal-rich juvenile clasts of trachydacite composition, with higher Fe-Ti oxide temperatures, and is characterized by extremely high Ba (to 7,500 ppm), Zr, Sr, and positive Eu anomalies. Rare mafic clasts (51-53 wt% SiO2) with Ba contents to 4,000-5,000 ppm and positive Eu anomalies are also present. Much of the major and trace-element variations in the CRT juvenile clasts can be reproduced via in situ differentiation by interstitial melt extraction from a crystal-rich, upper-crustal mush zone, with the trachydacite, crystal-rich clasts representing the remobilized crystal cumulate left behind by the melt extraction process. Late recharge events, represented by the rare mafic clasts and high-Al amphiboles in some samples, mixed in with parts of the crystal cumulate and generated additional scatter in the whole-rock data. Recharge was important in thermally remobilizing the silicic crystal cumulate by partially melting the near-solidus phases, as supported by: (1) ubiquitous wormy/sieve textures and reverse zoning patterns in feldspars and biotites, (2) absence of quartz in this very silicic unit stored at depths of >4-5 km, and (3) heterogeneous melt compositions in the trachydacite fiamme and mafic clasts, particularly in Ba, indicating local enrichment of this element due mostly to sanidine and biotite melting. The injection of hot, juvenile magma into the upper-crustal cumulate also imparted the observed thermal gradient to the deposits and the mixing overprint that partly masks the in situ differentiation process. The CRT provides a particularly clear perspective on processes of in situ crystal-liquid separation into a lower crystal-rich zone and an upper eruptible cap, which appears common in incrementally built upper-crustal magma reservoirs of high-flux magmatic provinces.

  12. Effects of Nonsurgical Periodontal Treatment on the Alveolar Bone Density

    Scientific Electronic Library Online (English)

    Fabiana Cervo de, Barros; Flávia Farah, Braga; Ricardo Guimarães, Fischer; Carlos Marcelo da Silva, Figueredo.

    2014-04-01

    Full Text Available O objetivo desse estudo foi avaliar os efeitos do tratamento periodontal não cirúrgico na densidade do osso alveolar e na altura óssea alveolar usando radiografias digitais diretas. Dezenove pacientes (média de idade 36±7,3 anos) com pacientes com periodontite crônica generalizada foram examinados n [...] o tempo 0 e aos 90 (90AT) e 180 (180AT) dias após o tratamento periodontal não cirúrgico. Dois grupos de sítios foram radiografados, 39 com profundidade de bolsa a sondagem (PBS)?3 mm e nível de inserção clínica (NIC)?1 mm (sítios rasos) e 62 com PBS?5 mm and NIC?3 mm (sítios profundos). A densidade foi avaliada considerando as regiões ósseas de interesse na crista óssea alveolar (ROI I) e no osso medular (ROI II). A altura óssea compreendia a distância entre a crista óssea alveolar e a junção cemento-esmalte. Os sítios profundos mostraram um significante aumento na densidade óssea na ROI I tendo p Abstract in english The aim of this study was to evaluate the effects of nonsurgical periodontal treatment on alveolar bone density (ABD) and bone height (BH) using direct digital radiography. Nineteen patients (mean age: 36±7.3 years) with generalized chronic periodontitis were examined at baseline, 90 (90AT) and 180 [...] (180AT) days after nonsurgical periodontal therapy. Radiographs were taken from two sites with specific characteristics: 39 sites with probing pocket depth (PPD)?3 mm and clinical attachment level (CAL)?1 mm (shallow sites); and 62 sites with PPD?5 mm and CAL?3 mm (deep sites). The ABD was assessed considering the bone regions of interest at the alveolar bone crest (ROI I) and at the medullar bone (ROI II). The BH was assessed considering the distance from the alveolar bone crest to the cementoenamel junction. Mann-Whitney test was used for the overall demographic data, Wilcoxon test was used to compare the baseline, 90AT and 180AT data as well as to compare the groups and subgroups within the same evaluation period. The significance level was set at 5%. The deep sites showed a significant increase of ABD in ROI I at 90AT (p

  13. Probable Limitations of Osteoblasts Isolation from the Periosteum and Alveolar Bone in a Dog Model

    Directory of Open Access Journals (Sweden)

    Sourena Vahabi

    2014-06-01

    Full Text Available Background & Objective: Bone defects in jaws create major problems for oral and maxillofacial surgery. To overcome the limitations of Autografts tissue engineering uses autogenus cells and synthetic scaffolds. Type of cells or cell sources have an important effect on the construction which is produced. The aim of this study was to evaluate the feasibility and probable limitations of osteoblast isolation from the periosteum and alveolar bone in an animal model and to compare their probable results quantitatively. Materials & Methods: Bone and periosteal samples were harvested from interdental septum and retromolar area of 4 dogs. Because no cell was grown new samples were harvested from edentulous ridge and buccal mandibular periosteum. Since no cell was isolated in next step samples were harvested from buccal area of maxillary premolars and explants in cell culture medium. After 2 weeks adherent cells reaching 80% confluent; cells were counted and passaged in cell culture flasks. Results: Despite first good proliferation of periosteal cells of all dogs in P0, their growth was stopped and they become senescence after one week. Conclusion: The key problems in culture techniques are cell senescence and de-differentiation leading to lose the ability of proliferation. It seems there are probable reasons for isolating of osteoblasts including thermal damage of cells, contamination of culture with fibroblasts, inconsistency of medium and cell requirements, enzymatic damage from enzymes used for cell passage and high donor ages.

  14. Spontaneous resorption of extruded iliac crest graft ina case of high cervical myelopathy

    Directory of Open Access Journals (Sweden)

    Chatleya A,

    2008-01-01

    Full Text Available AbstractA 38 year old male patient presented to us with complaints of parasthesias in all four limbs with spastic quadriparesis. Magnetic resonance imaging of cervical spine revealed central disc herniation at C2-C3 level with significant cord compression. He was operated for C2-C3 Smith-Robinson anterior cervical discectomy. An autogenous tricortical iliac crest graft of 1.5×1.0 cm was snugly fitted into the disc space. Postoperative check X-ray of the cervical spine showed extrusion of the graft. The patient was managed conservatively. Repeat X-ray of the cervical spine after follow-up of 6 weeks showed resorption of the graft. The distinct strategy of management in this case along with a brief review of literature is discussed.Key words: High cervical myelopathy: Extruded graft: Resorption

  15. Management of recurrent fracture of central incisor with internal resorption using light transmitting (luminex post

    Directory of Open Access Journals (Sweden)

    Hariharan V

    2010-01-01

    Full Text Available The normal root canal anatomy may be altered in various pathological processes and making it very difficult and at times impossible to achieve ideal obturation by normal methods. Internal resorption is one among them. There are several treatment protocols advised for this pathological condition. A crown-root fracture is defined as a fracture involving enamel, dentin and cementum and accounts for 5% of all traumatic injuries to the permanent dentition. In anterior teeth, these fractures are usually caused by direct trauma and often complicated in fully erupted teeth. In cases where the fracture line extends down along the long axis of the root, extraction of the tooth is indicated. The purpose of this report is to present the use of light transmitting post system to reinforce the crown root fractured maxillary central incisor due to trauma and internal resorption.

  16. Nitrogen and phosphorus resorption in a neotropical rain forest of a nutrient-rich soil

    Directory of Open Access Journals (Sweden)

    José Luis Martínez-Sánchez

    2005-09-01

    Full Text Available In tropical forests with nutrient-rich soil tree’s nutrient resorption from senesced leaves has not always been observed to be low. Perhaps this lack of consistence is partly owing to the nutrient resorption methods used. The aim of the study was to analyse N and P resorption proficiency from tropical rain forest trees in a nutrient-rich soil. It was hypothesised that trees would exhibit low nutrient resorption in a nutrient-rich soil. The soil concentrations of total N and extractable P, among other physical and chemical characteristics, were analysed in 30 samples in the soil surface (10 cm of three undisturbed forest plots at ‘Estación de Biología Los Tuxtlas’ on the east coast of Mexico (18°34’ - 18°36’ N, 95°04’ - 95°09’ W. N and P resorption proficiency were determined from senescing leaves in 11 dominant tree species. Nitrogen was analysed by microkjeldahl digestion with sulphuric acid and distilled with boric acid, and phosphorus was analysed by digestion with nitric acid and perchloric acid. Soil was rich in total N (0.50%, n = 30 and extractable P (4.11 µg g-1, n = 30. As expected, trees showed incomplete N (1.13%, n = 11 and P (0.11%, n = 11 resorption. With a more accurate method of nutrient resorption assessment, it is possible to prove that a forest community with a nutrient-rich soil can have low levels of N and P resorption. Rev. Biol. Trop. 53(3-4: 353-359. Epub 2005 Oct 3.En las selvas tropicales con suelos fértiles se ha observado que la reabsorción de nutrientes de los arboles de las hojas seniles no siempre es baja. Esta falta de consistencia en el resultado es talvez debida en parte a la metodología de reabsorción de nutrientes utilizada. El objetivo de este estudio fue analizar la reabsorción final de N y P de arboles de la selva húmeda tropical en un suelo rico en nutrientes. La hipótesis planteada fue que en un suelo rico en nutrientes los arboles presentarían una baja reabsorción final de nutrientes. En 30 muestras del suelo superficial (10 cm de tres sitios de la selva no perturbada, se analizó entre otras características físicas y químicas, la concentración de N total y P extraíble. A través de la concentración de N y P en hojas seniles, se determinó la reabsorción real de 11 especies dominantes de arboles de esta selva. El N se analizó por digestión microkjeldahl con ácido sulfúrico y destilación con ácido bórico, y el P se analizó por digestión con ácido nítrico y destilación con perclórico. El suelo fue rico en N total (0.50%, n = 30 y P extraíble (4.11 µg g-1, n = 30. Tal como se esperaba, los arboles mostraron una reabsorción incompleta para el N (1.13%, n = 11 y P (0.11%, n = 11.

  17. Glucocorticoids maintain human osteoclasts in the active mode of their resorption cycle

    DEFF Research Database (Denmark)

    Søe, Kent; Delaissé, Jean-Marie

    2010-01-01

    glucocorticoids deeply modify this resorptive behavior. First, glucocorticoids gradually induce excavations with a trenchlike morphology while reducing the time-dependent increase in excavation numbers. This indicates that glucocorticoids make osteoclasts elongate the excavations they initiated rather than...... migrating to a new resorption site, as in control conditions. Second, the round excavations in control conditions contain undegraded demineralized collagen as repeatedly reported earlier, whereas the excavations with a trenchlike morphology generated under glucocorticoid exposure appear devoid of leftovers...... of demineralized collagen. This indicates that collagenolysis proceeds generally at a lower rate than demineralization under control conditions, whereas collagenolysis rates are increased up to the level of demineralization rates in the presence of glucocorticoids. Taking these observations together...

  18. Endovascular Embolization of Varicoceles: Resorption of Tungsten Coils in the Spermatic Vein

    International Nuclear Information System (INIS)

    Purpose: To investigate whether resorption of tungsten coils occurs in patients with varicoceles treated by endovascular embolization of the spermatic vein.Methods: Patients who had previously had varicocele embolization were requested by letter to attend the radiology department. Blood levels of tungsten were compared with a group of controls. Fluoroscopic images of the coils were taken and compared with those obtained during the original procedures.Results: Nineteen patients attended, whose procedure had been done 19-57 months previously (mean 40 months). Blood levels of tungsten were raised in 18 patients compared with the controls. Radiographic evidence of loss of substance of the coils was seen in four patients.Conclusion: Tungsten coil resorption occurs in varicocele embolization. In view of the unknown long-term effects of raised blood tungsten levels and the availability of alternative embolization agents, we feel that it is unwise to persist in the use of tungsten coils in this application

  19. Study on bone resorption behavior of osteoclast under drug effect using 41Ca tracing

    Science.gov (United States)

    Kejun, Dong; Liyan, Lu; Ming, He; Yinggen, Ouyang; Yan, Xue; Chaoli, Li; Shaoyong, Wu; Xianggao, Wang; Hongtao, Shen; Jianjun, Gao; Wei, Wang; Dafu, Chen; Yonggang, Xing; Jian, Yuan; Shan, Jiang

    2013-01-01

    The mechanisms governing calcium fluxes during bone remodeling processes in Osteoporosis (OP) patients are poorly known. Understanding the changes of Osteoclasts (OC) during this dynamic transition is important to prevent and cure OP. The exploration of long-lived 41Ca (T1/2 = 1.04 × 105 years) tracer combined with AMS measurements leads to the possibility of monitoring the bone resorption behavior of OC in OP patients. In this work, the behavior of OC with the administration of Strontium Ranelate (SR), a drug for OP, was studied by using 41Ca labeled hydroxyapatite (HAP) to simulate the bone. AMS on the HI-13 tandem accelerator at CIAE was used to determine trace amounts of 41Ca. The results show that the technique of 41Ca tracing with AMS can be used to quantitatively monitor the behavior of OC in bone resorption under the effects of drugs. Experimental details and preliminary results will be presented.

  20. Study on bone resorption behavior of osteoclast under drug effect using 41Ca tracing

    International Nuclear Information System (INIS)

    The mechanisms governing calcium fluxes during bone remodeling processes in Osteoporosis (OP) patients are poorly known. Understanding the changes of Osteoclasts (OC) during this dynamic transition is important to prevent and cure OP. The exploration of long-lived 41Ca (T1/2 = 1.04 × 105 years) tracer combined with AMS measurements leads to the possibility of monitoring the bone resorption behavior of OC in OP patients. In this work, the behavior of OC with the administration of Strontium Ranelate (SR), a drug for OP, was studied by using 41Ca labeled hydroxyapatite (HAP) to simulate the bone. AMS on the HI-13 tandem accelerator at CIAE was used to determine trace amounts of 41Ca. The results show that the technique of 41Ca tracing with AMS can be used to quantitatively monitor the behavior of OC in bone resorption under the effects of drugs. Experimental details and preliminary results will be presented.

  1. Nitrogen and phosphorus resorption in a neotropical rain forest of a nutrient-rich soil

    Scientific Electronic Library Online (English)

    José Luis, Martínez-Sánchez.

    2005-09-01

    Full Text Available En las selvas tropicales con suelos fértiles se ha observado que la reabsorción de nutrientes de los arboles de las hojas seniles no siempre es baja. Esta falta de consistencia en el resultado es talvez debida en parte a la metodología de reabsorción de nutrientes utilizada. El objetivo de este estu [...] dio fue analizar la reabsorción final de N y P de arboles de la selva húmeda tropical en un suelo rico en nutrientes. La hipótesis planteada fue que en un suelo rico en nutrientes los arboles presentarían una baja reabsorción final de nutrientes. En 30 muestras del suelo superficial (10 cm) de tres sitios de la selva no perturbada, se analizó entre otras características físicas y químicas, la concentración de N total y P extraíble. A través de la concentración de N y P en hojas seniles, se determinó la reabsorción real de 11 especies dominantes de arboles de esta selva. El N se analizó por digestión microkjeldahl con ácido sulfúrico y destilación con ácido bórico, y el P se analizó por digestión con ácido nítrico y destilación con perclórico. El suelo fue rico en N total (0.50%, n = 30) y P extraíble (4.11 µg g-1, n = 30). Tal como se esperaba, los arboles mostraron una reabsorción incompleta para el N (1.13%, n = 11) y P (0.11%, n = 11). Abstract in english In tropical forests with nutrient-rich soil tree’s nutrient resorption from senesced leaves has not always been observed to be low. Perhaps this lack of consistence is partly owing to the nutrient resorption methods used. The aim of the study was to analyse N and P resorption proficiency from tropic [...] al rain forest trees in a nutrient-rich soil. It was hypothesised that trees would exhibit low nutrient resorption in a nutrient-rich soil. The soil concentrations of total N and extractable P, among other physical and chemical characteristics, were analysed in 30 samples in the soil surface (10 cm) of three undisturbed forest plots at ‘Estación de Biología Los Tuxtlas’ on the east coast of Mexico (18°34’ - 18°36’ N, 95°04’ - 95°09’ W). N and P resorption proficiency were determined from senescing leaves in 11 dominant tree species. Nitrogen was analysed by microkjeldahl digestion with sulphuric acid and distilled with boric acid, and phosphorus was analysed by digestion with nitric acid and perchloric acid. Soil was rich in total N (0.50%, n = 30) and extractable P (4.11 µg g-1, n = 30). As expected, trees showed incomplete N (1.13%, n = 11) and P (0.11%, n = 11) resorption. With a more accurate method of nutrient resorption assessment, it is possible to prove that a forest community with a nutrient-rich soil can have low levels of N and P resorption. Rev. Biol. Trop. 53(3-4): 353-359. Epub 2005 Oct 3.

  2. Etiology and prevention of external cervical root resorption associated to teeth bleaching

    Directory of Open Access Journals (Sweden)

    Eliane Mendes da SILVA

    2010-03-01

    Full Text Available Introduction and objective: Esthetic dentistry has been prioritizedand the desire for whiter teeth has been increasingly present in dental offices, since whiter teeth tend to indicate health, beauty, youth and a more attractive smile. Teeth bleaching is a conservative method widely used to restore the original color of darkened teeth. However, possible relations with the external cervical root resorption have concerned many researchers and clinicians. Literature review: There are many mechanisms that can activate the external cervical root resorption, such as: chemical and physical action of the bleaching materials used, morphology of the cementoenamel junction associated to the immune system, material concentration, traumas and bleaching technique used. Conclusion: Therefore, considering many factors that are still not conclusive, preventing deleterious effects on teeth and support structures, care must be taken when choosing bleaching agent and bleaching technique, as well as when selecting each case, beyond a proper restoration after teeth bleaching.

  3. Influencing of resorption and side-effects of salicylic acid by complexing with β-cyclodextrin

    International Nuclear Information System (INIS)

    After oral administration of 14C-labelled salicylic acid and its β-cyclodextrin complex to rats, the radioactivity level of the blood reached its maximum during the first 2 h. The blood level obtained with the complex is somewhat but not significantly lower than with free acid. Since the resorption of cyclodextrin is a considerably slower process, it is very likely that the resorption of salicylic acid takes place in the form of free acid after dissociation of the complex. The urinary excretion cumulative curves showed that the free salicylic acid was completely excreted, while about 10% of the salicylic acid administered in the form of complex is lost. The cyclodextrin complex formation increased the pK values of all hydroxybenzoic acids. Direct observations revealed that complex formation decreased the stomach-irritating effect of salicylic acid. The ratio of radioactivity was nearly the same in the organs of animals treated by both free salicylic and cyclodextrin complex. (author)

  4. Prostaglandin content in blood and lung tissue during alveolar hypoxia.

    Science.gov (United States)

    Wiberg, T; Vaage, J; Bjertnaes, L; Hauge, A; Gautvik, K M

    1978-02-01

    The aim of the present work was to investigate whether prostaglandins (PGs) are synthetized and released from isolated blood-perfused rat and cat lungs secondary to vasoconstriction induced by alveolar hypoxia. The lungs were perfused with autologous blood with constant volume inflow via the pulmonary artery in a recirculating system. They were ventilated with constant volume positive pressure, and acute alveolar hypoxia was induced by ventilation with a gas containing 2% O2. A superfusion bioassay technique was used to measure PG-like activity in the perfusate from the lungs, the blood being re-oxygenated before reaching the assay tissues. The oxygenator prevented the perfusate hypoxia induced by ventilation hypoxia to affect the bioassay tissues. The assay tissues were rat stomach strip, rat colon and chick rectum. They were sensitive to calibrating doses of 0.5--1 ng/ml PGE2 and 1--2 ng/ml PGF2alpha. In another series of experiments PGs of the F-series were measured in lung tissue from normoxic and hypoxic lungs with radioimmunoassay technique. No increase in PG-like activity could be detected in the venous effluent by means of bioassay during hypoxia, nor was the lung tissue content of immunoactive PGF increased by hypoxia. The present findings indicate that alveolar hypoxia does not stimulate PG-synthesis in lungs, refuting that PGs are important mediators of the pulmonary vasoconstrictor response to alveolar hypoxia. It is concluded that PGs play no significant role in producing the pressor response to alveolar hypoxia. PMID:343502

  5. Resorption of apatite-wollastonite containing glass-ceramic and beta-tricalcium phosphate in vivo.

    OpenAIRE

    Teramoto,Hidefumi; Kawai, Akira; Sugihara, Shinsuke; Yoshida,Aki; Inoue, Hajime

    2005-01-01

    Apatite-wollastonite containing glass ceramic is considered to be difficult to resorb, but we experienced the disappearance of the porous type of Apatite-wollastonite glass ceramic particles . In this study, the resorption of porous apatite-wollastonite glass-ceramic implanted in the femurs of rabbits was investigated, and the process was compared with beta-tricalcium phosphate, a resorbable ceramics. Porous apatite-wollastonite glass-ceramic (70, 80, and 90% porosity) and beta-trica...

  6. Nitrogen Resorption and Nitrogen Use Efficiency in Cacao Agroforestry Systems Managed Differently in Central Sulawesi

    OpenAIRE

    TRIADIATI; SOEKISMAN TJITROSEMITO; EDI GUHARDJA; SUDARSONO; IBNUL QAYIM; CHRISTOPH LEUSCHNER

    2007-01-01

    Cacao agroforestry is a traditional form of agriculture practiced by the people of Central Sulawesi. These agroforestry systems vary from a simple system following selective cutting of forest trees, to a more sophisticated planting design. The cacao was planted under remaining forest covers (CF1), under planted trees (CF2), and between shade trees Gliricidia sepium (CP). The objectives of this study were to quantify nitrogen use efficiency (N NUE) and nitrogen resorption in cacao agroforestry...

  7. Management of recurrent fracture of central incisor with internal resorption using light transmitting (luminex) post

    OpenAIRE

    Hariharan V; Nandlal B; Srilatha K

    2010-01-01

    The normal root canal anatomy may be altered in various pathological processes and making it very difficult and at times impossible to achieve ideal obturation by normal methods. Internal resorption is one among them. There are several treatment protocols advised for this pathological condition. A crown-root fracture is defined as a fracture involving enamel, dentin and cementum and accounts for 5% of all traumatic injuries to the permanent dentition. In anterior teeth, these fractures...

  8. Gallium a unique anti-resorptive agent in bone: Preclinical studies on its mechanisms of action

    International Nuclear Information System (INIS)

    The discovery of gallium as a new and unique agent for the treatment of metabolic bone disorders was in part fortuitous. Gallium is an exciting new therapeutic agent for the treatment of pathologic states characterized by accelerated bone resorption. Compared to other therapeutic metal compounds containing platinum or germanium, gallium affects its antiresorptive action without any evidence of a cytotoxic effect on bone cells. Gallium is unique amongst all therapeutically available antiresorptive agents in that it favors bone formation. 18 refs., 1 fig

  9. Effect of Nanocrystalline Hydroxyapatite Socket Preservation on Orthodontically Induced Inflammatory Root Resorption

    Directory of Open Access Journals (Sweden)

    Massoud Seifi

    2015-01-01

    Full Text Available Objective: Orthodontically induced inflammatory root resorption (OIIRR is considered to be an important sequel associated with orthodontic tooth movement (OTM. OTM after Socket preservation enhances the periodontal condition before orthodontic space closure. The purpose of this study is to investigate the histologic effects of NanoBone®, a new highly nonsintered porous nano-crystalline hydroxyapatite bone on root resorption following OTM. Materials and Methods: This experimental study was conducted on four male dogs. In each dog, four defects were created at the mesial aspects of the maxillary and mandibular first premolars. The defects were filled with NanoBone®. We used the NiTi closed coil for mesial movement of the first premolar tooth. When the experimental teeth moved approximately halfway into the defects, after two months, the animals were sacrificed and we harvested the area of interest. The first premolar root and adjacent tissues were histologically evaluated. The three-way ANOVA statistical test was used for comparison. Results: The mean root resorption in the synthetic bone substitute group was 22.87 ± 11.25×10-4 mm2 in the maxilla and 21.41 ± 11.25×10-4 mm2 in the mandible. Statistically, there was no significant difference compared to the control group (p>0.05. Conclusion: The use of a substitution graft in the nano particle has some positive effects in accessing healthy periodontal tissue following orthodontic procedures without significant influence on root resorption (RR. Histological evaluation in the present study showed osteoblastic activity and remodeling environment of nanoparticles in NanoBone®.

  10. Aggressive adenomatoid odontogenic tumor of mandible showing root resorption: A histological case report

    OpenAIRE

    Saluja, Ramandeep; Kaur, Gurkiran; Singh, Preetinder

    2013-01-01

    Adenomatoid odontogenic tumor (AOT) is a benign odontogenic tumor with slow but progressive growth. The three variants: Follicular, extra follicular (both central type), and peripheral present with identical histologic findings. This case report describes a patient with a large AOT in the mandible of the extra follicular type which is the less common of the two central types. It also strikes as an unusual case as it shows significant root resorption of the involved displaced teeth which is no...

  11. THE BENEFIT OF SOY BEAN- CHOCOLATE BEVERAGE ON BONE RESORPTION IN POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS

    OpenAIRE

    Ainun Rani, Nur; Astuti, Nurpudji; Rasyid, Haerani; Bahar, Burhanuddin

    2011-01-01

    THE BENEFIT OF SOY BEAN- CHOCOLATE BEVERAGE ON BONE RESORPTION IN POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS Nur Ainun Rani1, Nurpudji A. Taslim,1,2 Haerani Rasyid1,2, Burhanuddin Bahar3 Department of Clinical Nutrition Faculty of Medicine 1, Department of Nutrition2 Faculty of Medicine, Faculty of Public Health3, Hasanuddin University, Makassar ABSTRACT Background Soybeans and chocolate contain isoflavones, which is the active substance which is recommended as an hormone replacem...

  12. Bone resorption is affected by follicular phase length in female rotating shift workers.

    OpenAIRE

    Lohstroh, Pete N; Chen, Jiangang; Ba, Jianming; Ryan, Louise M.; Xu, Xiping; Overstreet, James W.; Lasley, Bill L.

    2003-01-01

    Stressors as subtle as night work or shift work can lead to irregular menstrual cycles, and changes in reproductive hormone profiles can adversely affect bone health. This study was conducted to determine if stresses associated with the disruption of regular work schedule can induce alterations in ovarian function which, in turn, are associated with transient bone resorption. Urine samples from 12 rotating shift workers from a textile mill in Anqing, China, were collected in 1996-1998 during ...

  13. Tetracycline and Calcium Kinetics Are Comparable for Estimating Bone Resorption in Rats 1 2 3

    OpenAIRE

    Zhao, Yongdong; Cheong, Jennifer M. K.; Lee, WangHee; Wastney, Meryl; Berdine R. Martin; Connie M. Weaver

    2010-01-01

    3H-tetracycline (3H-TC) is thought to be superior to calcium (Ca) isotopic tracers for estimating bone resorption rates due to the less redeposition upon release in animal models. However, these 2 tracers have not been compared directly using complete kinetic studies with sampling of blood, urine, feces, and bone. Our goal was to compare the 2 isotopes for evaluating bone turnover. We firstly developed a model for 3H-TC kineti...

  14. Comparison of growth-induced resorption and denervation-induced resorption on the release of [3H]tetracycline, 45calcium, and [3H]collagen from whole bones of growing rats

    International Nuclear Information System (INIS)

    The major effect of immobilization during growth is a smaller bone mass induced by either an increased bone resorption or a decreased bone formation. Using a method of analyzing radioisotopic loss of [3H]tetracycline and [3H]collagen from bone prelabeled in vivo, we compared the amount of bone resorption due to immobilization with bone resorption induced by growth. One hind limb was denervated in growing male rats, 6 weeks of age, that had been chronically prelabeled with [3H]tetracycline, 45calcium, and [3H]proline. The total radioactivity of the whole femur and tibia/fibula from the denervated limb was compared with that from bones of the control limb at 0, 1, 2, 4, and 8 weeks after denervation. The effect of growth on bone formation was measured by net increases in bone length, volume, and mass of matrix and mineral. Experimental bones had a significantly smaller volume and mass. Bone resorption was much greater during growth modeling than during denervation. The additional bone resorption induced by denervation was a small fraction (one-fourth) of the resorption induced by growth. Denervation during growth resulted in less bone being formed due to a smaller gain in matrix and mineral mass as a result of a reduction in bone formation

  15. Does increased local bone resorption secondary to breast and prostate cancer result in increased cartilage degradation?

    International Nuclear Information System (INIS)

    Breast and prostate cancer patients often develop lesions of locally high bone turnover, when the primary tumor metastasizes to the bone causing an abnormal high bone resorption at this site. The objective of the present study was to determine whether local increased bone turnover in breast and prostate cancer patients is associated with an increase in cartilage degradation and to test in vitro whether osteoclasts or cathepsin K alone generate CTXII from human bone. The study included 132 breast and prostate cancer patient, where presence of bone metastases was graded according to the Soloway score. Total bone resorption (CTXItotal) and cartilage degradation (CTXII) were determined. Breast and prostate cancer patients with bone metastases revealed significant increased levels of CTXItotal at Soloway scores 1 and higher compared to patients without bone metastases (p < 0.001). CTXII was statistically elevated at score 3 and 4 (p < 0.01). CTXII/CTXItotal significantly decreased at score 3 and 4 (p < 0.001). Levels of CTXItotal, CTXII and CTXII/CTXItotal changed +900%, +130%, and -90%, respectively at Soloway score 4 compared to score 0. The in vitro experiments revealed that osteoclasts released CTXI fragments but not CTXII from bone specimens. The same was observed for cathepsin K. Data suggest that an uncoupling between bone resorption and cartilage degradation occurs in breast and lung cancer patient

  16. Management of an internal root resorption on a permanent tooth. A case report.

    Directory of Open Access Journals (Sweden)

    Alejandra Maldonado

    2015-08-01

    Full Text Available Internal root resorption (IRR is a rare pulp disease. Its etiology involves late pulpal inflammations and trauma, among others. IRR may also show some symptoms, and is usually detected by X-rays. However, its diagnosis is significantly improved by the use of cone beam computed tomography (CBCT. The objective of this case report was to account for the diagnosis and management of an internal root resorption without perforation. The patient, a 26-year-old male, went to the School of Dentistry at Universidad Andres Bello, Concepción, without having symptoms in the tooth 1.1. Anamnesis revealed the presence of previous symptoms. CBCT examination showed absence of bowl-shaped calcified dentin tissue on the inner walls of the root canal with apical lesion but without perforation of surrounding tissues. Endodontic treatment was performed using the following methods: irrigation of the root canal with 2% chlorhexidine (CHX using a Max-i-probe cannula and simultaneous cavitation of the irrigant Then calcium hydroxide (CH was applied as intracanal medication for a week and Schilder’s technique for vertical compaction was used. The patient was checked after one week and then after six months. He did not have any symptoms. Early diagnosis using modern imaging equipment, appropriate use of ultrasound for chemomechanical debridement and thermoplastic filling techniques contribute to a more favorable prognosis of patients with internal root resorption.

  17. Dioscin inhibits osteoclast differentiation and bone resorption though down-regulating the Akt signaling cascades

    Energy Technology Data Exchange (ETDEWEB)

    Qu, Xinhua; Zhai, Zanjing; Liu, Xuqiang; Li, Haowei [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China); Ouyang, Zhengxiao [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China); Department of Orthopaedics, Hunan Provincial Tumor Hospital and Tumor Hospital of Xiangya School of Medicine, Central South University, Changsha (China); Wu, Chuanlong [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China); Liu, Guangwang [Department of Orthopaedic Surgery, The Central Hospital of Xuzhou, Affiliated Hospital of Medical Collage of Southeast University, Xuzhou (China); Fan, Qiming; Tang, Tingting [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China); Qin, An, E-mail: dr.qinan@gmail.com [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China); Dai, Kerong, E-mail: krdai@163.com [Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai (China)

    2014-01-10

    Highlights: •A natural-derived compound, dioscin, suppresses osteoclast formation and bone resorption. •Dioscin inhibits osteolytic bone loss in vivo. •Dioscin impairs the Akt signaling cascades pathways during osteoclastogenesis. •Dioscin have therapeutic value in treating osteoclast-related diseases. -- Abstract: Bone resorption is the unique function of osteoclasts (OCs) and is critical for both bone homeostasis and pathologic bone diseases including osteoporosis, rheumatoid arthritis and tumor bone metastasis. Thus, searching for natural compounds that may suppress osteoclast formation and/or function is promising for the treatment of osteoclast-related diseases. In this study, we for the first time demonstrated that dioscin suppressed RANKL-mediated osteoclast differentiation and bone resorption in vitro in a dose-dependent manner. The suppressive effect of dioscin is supported by the reduced expression of osteoclast-specific markers. Further molecular analysis revealed that dioscin abrogated AKT phosphorylation, which subsequently impaired RANKL-induced nuclear factor-kappaB (NF-?B) signaling pathway and inhibited NFATc1 transcriptional activity. Moreover, in vivo studies further verified the bone protection activity of dioscin in osteolytic animal model. Together our data demonstrate that dioscin suppressed RANKL-induced osteoclast formation and function through Akt signaling cascades. Therefore, dioscin is a potential natural agent for the treatment of osteoclast-related diseases.

  18. Experimental studies on the resorption and translocation of 14C-aldimorph in selected plant species

    International Nuclear Information System (INIS)

    Experimental studies were performed with 14C-labelled 4-n-dodecyl-trans-2,6-dimethyl morpholine and both isolated plant segments and intact seedlings of Hordeum distichon L. and Sinapis alba L. to elucidate resorption and transportation of the fungicidal substance aldimorph. The compound is quickly resorbed by isolated roots and leaves during the initial phase, and accumulated in plant tissue. In the steady state of influx/efflux equilibrium, the root concentration factor amounts to 10 with barley roots and the tissue concentration factor is 3 with mustard cotyledons. The relationship between the resorption of active substance and the concentration of ambient solution was found to be linear, thus corroborating a postulated resorption by diffusion. The morpholine derivative also penetrates into the leaf tissue of intact barley seedlings within few hours and at rather high rates. Nevertheless, according to translocation studies aldimorph has to be considered only moderately mobile. However, metabolites originated in the plant, especially during longer trial periods, show markedly improved translocation properties compared with the mother compound. (author)

  19. Resorción dentaria interna: Presentación de un caso / Internal dental resorption: Case report

    Scientific Electronic Library Online (English)

    Amparo, Pérez Borrego; Zaida T, Ilisastigui Ortueta; Alina, López Ilisastigui; Hidelisa, Valdés Domech; Nellysel, García Pérez.

    2010-06-01

    Full Text Available La resorción dentaria es un proceso de destrucción de los tejidos calcificados del diente, en ocasiones afecta la parte externa y en otras oportunidades el interior del mismo. En la resorción interna, hay destrucción de dentina y se forma en esa zona un tejido de granulación muy vascularizado. Su or [...] igen no está definido y estas lesiones podemos considerarlas como no regresivas y, por lo general, determinan la pérdida del órgano dentario. Abstract in english Resorption can be defined as the loss substances from any mineralized tissue, mediated by their own cell or humoral systems. The four mineralized tissues of our body are: bone, cement, dentin and enamel. Dental resorption is a process of destruction of the calcified tissues of the teeth, sometimes d [...] isturbing the outer part and some others their inner part. Internal resorption shows destruction of dentin, appearing in the area a well vascularized granulating tissue. Its origin is not yet defined and these lesions can be regarded as non regressive, which usually lead to the loss of the tooth.

  20. Management-related outcomes and radiographic findings of idiopathic condylar resorption: a systematic review.

    Science.gov (United States)

    Sansare, K; Raghav, M; Mallya, S M; Karjodkar, F

    2015-02-01

    Idiopathic condylar resorption (ICR) is progressive resorption of the condyle of unknown aetiology. There is no consensus on the approaches for diagnostic imaging and management of this disease. The objective of this systematic review was to examine the best practices for imaging and to appraise the success of surgical and non-surgical therapy of ICR. Eleven search engines were queried via explicit literature searches for studies describing ICR, published until 2012. Two authors independently extracted data using predetermined characteristics. Studies that identified patients as having either ICR or progressive condylar resorption and that described the radiographic findings or treatment options were included. Seventeen studies contributing 178 cases met the eligibility criteria. The major radiographic findings, as assessed mostly by two-dimensional imaging, included decreased ramus height, decreased condylar height, altered volume of the condyle, decreased SNB angle and mandibular plane angle, and a retrognathic profile. Treatments included occlusal splints with orthodontic treatment, condylectomy with costochondral graft, and other surgical approaches. This systematic review was limited by the lack of meta-analysis. Nevertheless, we identified the need for future investigations: characterization of findings on three-dimensional imaging and its contribution to treatment planning, outcomes of non-surgical and pharmacological management of ICR, and randomized trials and comparative studies with longer follow-up periods. PMID:25270187

  1. Resorción dentaria interna: Presentación de un caso Internal dental resorption: Case report

    Directory of Open Access Journals (Sweden)

    Amparo Pérez Borrego

    2010-06-01

    Full Text Available La resorción dentaria es un proceso de destrucción de los tejidos calcificados del diente, en ocasiones afecta la parte externa y en otras oportunidades el interior del mismo. En la resorción interna, hay destrucción de dentina y se forma en esa zona un tejido de granulación muy vascularizado. Su origen no está definido y estas lesiones podemos considerarlas como no regresivas y, por lo general, determinan la pérdida del órgano dentario.Resorption can be defined as the loss substances from any mineralized tissue, mediated by their own cell or humoral systems. The four mineralized tissues of our body are: bone, cement, dentin and enamel. Dental resorption is a process of destruction of the calcified tissues of the teeth, sometimes disturbing the outer part and some others their inner part. Internal resorption shows destruction of dentin, appearing in the area a well vascularized granulating tissue. Its origin is not yet defined and these lesions can be regarded as non regressive, which usually lead to the loss of the tooth.

  2. Resorption of apatite-wollastonite containing glass-ceramic and beta-tricalcium phosphate in vivo.

    Directory of Open Access Journals (Sweden)

    Teramoto,Hidefumi

    2005-10-01

    Full Text Available

    Apatite-wollastonite containing glass ceramic is considered to be difficult to resorb, but we experienced the disappearance of the porous type of Apatite-wollastonite glass ceramic particles . In this study, the resorption of porous apatite-wollastonite glass-ceramic implanted in the femurs of rabbits was investigated, and the process was compared with beta-tricalcium phosphate, a resorbable ceramics. Porous apatite-wollastonite glass-ceramic (70, 80, and 90% porosity and beta-tricalcium phosphate (75% porosity were implanted in the femurs of Japanese white rabbits. Samples were harvested and examined 0, 4, 8, 12, 24 and 36 weeks after implantation. Quantitative analysis of the radiographic and histologic findings was performed with NIH Image software. Radiographic examination demonstrated that the radiopacity and size of the porous apatite-wollastonite glassceramic cylinders decreased gradually after implantation. Histologic examination revealed that the surface area of the apatite-wollastonite glass-ceramic cylinders decreased continuously, and approached 20% of the original area 36 weeks after implantation. However, the resorption rate of porous apatite-wollastonite glass-ceramic was slower than that of beta-tricalcium phosphate. Toluidine blue staining showed abundant new bone formation on the surface of the apatite-wollastonite glassceramic matrix. Considering its mechanical strength, gradual resorption characteristics, and good osteochonductive activity, porous apatite-wollastonite glass-ceramic appears to be a suitable artificial bone substitutes.

  3. The estimation of the resorption of radionuclides from the gastro-intestinal tract into blood

    International Nuclear Information System (INIS)

    Taking a look at the international literature, resorption rates for the transfer of the following radionuclides from stomach-intestinal tract into the blood have been determined: Cerium, cobalt (also as vitamin B 12), plutonium, ruthenium, strontium and zinc. It was found that the resorption rates determined in experiments and measurements, partly varies by several orders of dimension and are dependent on numerous parameters. A comparison of the measured resorption rates for the single radionuclides with the values based on the recommendations of the radiation protection commission showed that the values used by the radiation protection commission are in many cases too low, partly by several orders of dimension. One may thus conclude that the dose factors given in the fundamental calculation of the radiation protection commission do no longer correspond with the international state of science. In interest of an exact estimation of the radiation burden caused by the nuclear power plant Biblis, we therefore recommend to recheck the further parameters relevant for dose factors and a new calculation of the dose factors within the framework of the model study radioecology Biblis. (orig./MG)

  4. Investigation of microscopic bone resorption in cortical Bone Multicellular Units using a lattice-based computational model

    CERN Document Server

    Buenzli, P R; Pivonka, P; Smith, D W; Cummings, P T

    2011-01-01

    Bone resorption by osteoclasts is an essential phase in the bone remodelling cycle as it creates the physiological conditions for subsequent bone formation. While several properties of osteoclastic bone resorption in cortical Bone Multicellular Units (BMU) have been assessed experimentally, the precise spatio-temporal dynamics, movement pattern, apoptotic state (single nuclei vs. whole cell) of the osteoclasts remain to be eludicated. Furthermore, the individual effects that these behaviours confer on the shape and extent of the resorption cavity are unclear. In this paper, we develop a lattice-based computational model focused on bone resorption in cortical BMUs to address these questions. Our model takes into account the interaction of osteoclasts with the bone matrix, the interaction of osteoclasts with each other, the production of osteoclasts from the tip of a growing blood vessel, and the renewal of osteoclasts' nuclei by cell fusion. All these features are shown to strongly affect the geometrical prope...

  5. Morphological characteristics of frontal sinus and nasal bone focusing on bone resorption and apposition in hypophosphatemic rickets

    DEFF Research Database (Denmark)

    Gjørup, Hans; Kjaer, I; Sonnesen, L; Beck-Nielsen, Signe; Haubek, D

    2013-01-01

    To characterize the size and the morphology of the frontal sinus (i.e., structure evolved by bone resorption) and the nasal bone (i.e., structure evolved by bone formation) in adults with hypophosphatemic rickets (HR) compared with controls....

  6. Three-dimensional analysis of alveolar wall destruction in the early stage of pulmonary emphysema.

    Science.gov (United States)

    Kobayashi, Yukihiro; Uehara, Takeshi; Kawasaki, Kenji; Sugano, Mitsutoshi; Matsumoto, Takehisa; Matsumoto, Gou; Honda, Takayuki

    2015-03-01

    The morphological mechanism of alveolar wall destruction during pulmonary emphysema has not been clarified. The aim of this study was to elucidate this process three-dimensionally. Lung specimens from five patients with pulmonary emphysema were used, and five controls with normal alveolar structure were also examined. Sections 150 ?m thick were stained with hematoxylin and eosin, elastica, and silver impregnation, and immunostained with selected antibodies. We examined these sections three-dimensionally using a laser confocal microscope and a light microscope. There were only a few Kohn's pores and no fenestrae in the normal alveoli from the controls. In the lungs of the emphysema patients a small rupture appeared in the extremely thin alveolar wall among the alveolar capillaries. This rupture enlarged to form a circle surrounded by the capillaries, which was called an alveolar fenestra. Two neighboring fenestrae fused by breakdown of the collapsed or cord-like capillary between them to form a large fenestra. The large fenestrae fused repeatedly to become larger, and these were bordered by thick elastic fibers constructing an alveolar framework. Alveolar wall destruction during emphysema could start from small ruptures of the alveolar wall that become fenestrae surrounded by capillaries, which fuse repeatedly to become larger fenestrae rimmed with elastic fibers. The alveolar capillary network could initially prevent enlargement of the fenestrae, and the thick elastic fibers constituting the alveolar framework could secondarily prevent destruction of the alveolar wall structure. PMID:25220884

  7. The chloride channel inhibitor NS3736 [corrected] prevents bone resorption in ovariectomized rats without changing bone formation

    DEFF Research Database (Denmark)

    Schaller, Sophie; Henriksen, Kim; Sveigaard, Christina; Heegaard, Anne-Marie; Hélix, Nathalie; Stahlhut, Martin; Ovejero, Maria C; Johansen, Jens V; Solberg, Helene; Andersen, Thomas L; Hougaard, Dorit; Berryman, Mark; Shiødt, Christine B; Sørensen, Bjørn H; Lichtenberg, Jens; Christophersen, Palle; Foged, Niels T; Delaissé, Jean-Marie; Engsig, Michael T; Karsdal, Morten A

    2004-01-01

    Chloride channel activity is essential for osteoclast function. Consequently, inhibition of the osteoclastic chloride channel should prevent bone resorption. Accordingly, we tested a chloride channel inhibitor on bone turnover and found that it inhibits bone resorption without affecting bone formation. This study indicates that chloride channel inhibitors are highly promising for treatment of osteoporosis. INTRODUCTION: The chloride channel inhibitor, NS3736, blocked osteoclastic acidification a...

  8. Two distinct effects of recombinant human tumor necrosis factor-. alpha. on osteoclast development and subsequent resorption of mineralized matrix

    Energy Technology Data Exchange (ETDEWEB)

    van der Pluijm, G.; Most, W.; van der Wee-Pals, L.; de Groot, H.; Papapoulos, S.; Loewik, C. (Department of Endocrinology and Metabolic Diseases, University Hospital, Leiden (Netherlands))

    1991-09-01

    The multifunctional cytokine tumor necrosis factor-{alpha} (TNF {alpha}) stimulates osteoclastic resorption. It is not known which steps in osteoclast formation are affected by TNF {alpha}. The authors have investigated the effects of recombinant human TNF {alpha} (rhTNF {alpha}) on osteoclast development and osteoclastic resorption in two different in vitro resorption systems which are each characterized by a different stage of development of the osteoclast. The effects were further compared to those of bovine PTH-(1-84). rhTNF {alpha} at concentrations between 0.01-50 ng/ml (3 {times} 10(-13) to 1.5 {times} 10(-9) M) did not alter the activity of mature osteoclasts, measured as 45Ca release in fetal mouse radii. In the osteoclast precursor-dependent system (fetal mouse metacarpals) rhTNF {alpha} had a biphasic effect. It stimulated resorption dose-dependently from 0.01 ng/ml onward, with a maximal response at 0.5 ng/ml. At concentrations above 10 ng/ml rhTNF {alpha}, resorption was inhibited. In experiments in which irradiation was used to block replication, it was found that TNF {alpha} stimulates the proliferation of osteoclast progenitors at both low and high concentrations. As a result, at relatively low concentrations, more osteoclasts were formed in the calcified matrix, coinciding with an increased release of 45Ca. However, at relatively high concentrations, the increase in osteoclast progenitors did not lead to increased resorption, since the putative osteoclast progenitors were arrested in the periosteum. In comparison, bovine PTH-(1-84) stimulated resorption independent of proliferation by enhancing the differentiation of postmitotic osteoclast precursors and activating mature osteoclasts. In conclusion, the effects of TNF {alpha} on osteoclastic resorption are dependent on the stage of osteoclast development and the concentrations applied.

  9. A theory for bone resorption based on the local rupture of osteocytes cells connections: A finite element study

    OpenAIRE

    Ridha Hambli; Khalid H. Almitani; Abdessalem Chamekh; Hechmi Toumi; Tavares, João Manuel R.S.

    2015-01-01

    In this work, a bone damage resorption finite element model based on the disruption of the inhibitory signal transmitted between osteocytes cells in bone due to damage accumulation is developed and discussed. A strain-based stimulus function coupled to a damage-dependent spatialfunction is proposed to represent the connection between two osteocytes embedded in the bone tissue. The signal is transmitted to the bone surface to activate bone resorption. The proposed modelis based on the idea tha...

  10. Two distinct effects of recombinant human tumor necrosis factor-? on osteoclast development and subsequent resorption of mineralized matrix

    International Nuclear Information System (INIS)

    The multifunctional cytokine tumor necrosis factor-? (TNF ?) stimulates osteoclastic resorption. It is not known which steps in osteoclast formation are affected by TNF ?. The authors have investigated the effects of recombinant human TNF ? (rhTNF ?) on osteoclast development and osteoclastic resorption in two different in vitro resorption systems which are each characterized by a different stage of development of the osteoclast. The effects were further compared to those of bovine PTH-(1-84). rhTNF ? at concentrations between 0.01-50 ng/ml (3 x 10(-13) to 1.5 x 10(-9) M) did not alter the activity of mature osteoclasts, measured as 45Ca release in fetal mouse radii. In the osteoclast precursor-dependent system (fetal mouse metacarpals) rhTNF ? had a biphasic effect. It stimulated resorption dose-dependently from 0.01 ng/ml onward, with a maximal response at 0.5 ng/ml. At concentrations above 10 ng/ml rhTNF ?, resorption was inhibited. In experiments in which irradiation was used to block replication, it was found that TNF ? stimulates the proliferation of osteoclast progenitors at both low and high concentrations. As a result, at relatively low concentrations, more osteoclasts were formed in the calcified matrix, coinciding with an increased release of 45Ca. However, at relatively high concentrations, the increase in osteoclast progenitors did not lead to increased resorption, since the putative osteoclast progenitors were arrested in the periosteum. In comparison, bovine PTH-(1-84) stimulated resorption independent of proliferation by enhancing the differentiation of postmitotic osteoclast precursors and activating mature osteoclasts. In conclusion, the effects of TNF ? on osteoclastic resorption are dependent on the stage of osteoclast development and the concentrations applied

  11. Single-session use of mineral trioxide aggregate as an apical barrier in a case of external root resorption.

    Science.gov (United States)

    Araújo, Roberta A; Silveira, Cláudia F M; Cunha, Rodrigo S; De Martin, Alexandre S; Fontana, Carlos E; Bueno, Carlos E S

    2010-06-01

    External root resorption may occur as a consequence of trauma, orthodontic treatment, bacterial infection or incomplete sealing of the root canal system (bacterial re-infection), and lead to crater formation on the resorbed apex. This would deform the root apex surface, and cause loss of apical constriction. Depending on the extent of the resorptive process, different treatment regimens have been proposed. A 34-year-old male patient presented with an intra-radicular retainer and an inadequate filling on tooth #21, as well as a radiographic image suggesting periapical bone rarefaction. After root canal retreatment, the defect was accessed coronally. The resorption area was chemo-mechanically debrided and since the apical end was very wide, a calcium sulphate matrix was made. Mineral trioxide aggregate (MTA) was used to fill the resorptive defect, and the coronal access was temporarily sealed. After 24 h, the quality of the apical seal was evaluated with the aid of an operating microscope, and then the root canal system was filled. A 12-month follow-up radiograph showed adequate repair of the resorption. Clinically, the tooth was asymptomatic. We concluded that MTA can be successfully used to avoid overextension of the filling material when treating a tooth with external resorption. PMID:20587960

  12. Screening of protein kinase inhibitors identifies PKC inhibitors as inhibitors of osteoclastic acid secretion and bone resorption

    Directory of Open Access Journals (Sweden)

    Boutin Jean A

    2010-10-01

    Full Text Available Abstract Background Bone resorption is initiated by osteoclastic acidification of the resorption lacunae. This process is mediated by secretion of protons through the V-ATPase and chloride through the chloride antiporter ClC-7. To shed light on the intracellular signalling controlling extracellular acidification, we screened a protein kinase inhibitor library in human osteoclasts. Methods Human osteoclasts were generated from CD14+ monocytes. The effect of different kinase inhibitors on lysosomal acidification in human osteoclasts was investigated using acridine orange for different incubation times (45 minutes, 4 and 24 hours. The inhibitors were tested in an acid influx assay using microsomes isolated from human osteoclasts. Bone resorption by human osteoclasts on bone slices was measured by calcium release. Cell viability was measured using AlamarBlue. Results Of the 51 compounds investigated only few inhibitors were positive in both acidification and resorption assays. Rottlerin, GF109203X, Hypericin and Ro31-8220 inhibited acid influx in microsomes and bone resorption, while Sphingosine and Palmitoyl-DL-carnitine-Cl showed low levels of inhibition. Rottlerin inhibited lysosomal acidification in human osteoclasts potently. Conclusions In conclusion, a group of inhibitors all indicated to inhibit PKC reduced acidification in human osteoclasts, and thereby bone resorption, indicating that acid secretion by osteoclasts may be specifically regulated by PKC in osteoclasts.

  13. The application of X-ray microtomography for the assessement of root resorption caused by the orthodontic treatment of premolars

    Directory of Open Access Journals (Sweden)

    Monika Sawicka

    2012-01-01

    Full Text Available The purpose of this study was to demonstrate potential application of micro-computed tomography in the morphometric analysis of the root resorption in extracted human first premolars subjected to the orthodontic force. In one patient treated in the orthodontic clinic two mandibular first premolars subjected to orthodontic force for 4 weeks and one control tooth were selected for micro-computed tomographic analysis. The hardware device used in this study was a desktop X-ray microfocus CT scanner (SkyScan 1072. The morphology of root’s surfaces was assessed by TView and Computer Tomography Analyzer (CTAn softwares (SkyScan, bvba which allowed analysis of all microscans, identification of root resorption craters and measurement of their length, width and volume. Microscans showed in details the surface morphology of the investigated teeth. The analysis of microscans allowed to detect 3 root resorption cavities in each of the orthodontically moved tooth and only one resorption crater in the control tooth. The volumes of the resorption craters in orthodontically-treated teeth were much larger than in a control tooth. Micro-computed tomography is a reproducible technique for the three-dimensional non-invasive assessment of root’s morphology ex vivo. TView and CTan softwares are useful in accurate morphometric measurements of root’s resorption.

  14. Inhibition of Osteoclastogenesis and Bone Resorption in vitro and in vivo by a prenylflavonoid xanthohumol from hops.

    Science.gov (United States)

    Li, Jing; Zeng, Li; Xie, Juan; Yue, Zhiying; Deng, Huayun; Ma, Xueyun; Zheng, Chunbing; Wu, Xiushan; Luo, Jian; Liu, Mingyao

    2015-01-01

    Excessive RANKL signaling leads to superfluous osteoclast formation and bone resorption, is widespread in the pathologic bone loss and destruction. Therefore, targeting RANKL or its signaling pathway has been a promising and successful strategy for this osteoclast-related diseases. In this study, we examined the effects of xanthohumol (XN), an abundant prenylflavonoid from hops plant, on osteoclastogenesis, osteoclast resorption, and RANKL-induced signaling pathway using both in vitro and in vivo assay systems. In mouse and human, XN inhibited osteoclast differentiation and osteoclast formation at the early stage. Furthermore, XN inhibited osteoclast actin-ring formation and bone resorption in a dose-dependent manner. In ovariectomized-induced bone loss mouse model and RANKL-injection-induced bone resorption model, we found that administration of XN markedly inhibited bone loss and resorption by suppressing osteoclast activity. At the molecular level, XN disrupted the association of RANK and TRAF6, resulted in the inhibition of NF-?B and Ca(2+)/NFATc1 signaling pathway during osteoclastogenesis. As a results, XN suppressed the expression of osteoclastogenesis-related marker genes, including CtsK, Nfatc1, Trap, Ctr. Therefore, our data demonstrated that XN inhibits osteoclastogenesis and bone resorption through RANK/TRAF6 signaling pathways. XN could be a promising drug candidate in the treatment of osteoclast-related diseases such as postmenopausal osteoporosis. PMID:26620037

  15. A theory for bone resorption based on the local rupture of osteocytes cells connections: A finite element study.

    Science.gov (United States)

    Ridha, Hambli; Almitani, Khalid H; Chamekh, Abdessalem; Toumi, Hechmi; Tavares, Joao Manuel R S

    2015-04-01

    In this work, a bone damage resorption finite element model based on the disruption of the inhibitory signal transmitted between osteocytes cells in bone due to damage accumulation is developed and discussed. A strain-based stimulus function coupled to a damage-dependent spatial function is proposed to represent the connection between two osteocytes embedded in the bone tissue. The signal is transmitted to the bone surface to activate bone resorption. The proposed model is based on the idea that the osteocyte signal reduction is not related to the reduction of the stimulus sensed locally by osteocytes due to damage, but to the difficulties for the signal in travelling along a disrupted area due to microcracks that can destroy connections of the intercellular network between osteocytes and bone-lining cells. To check the potential of the proposed model to predict the damage resorption process, two bone resorption mechano-regulation rules corresponding to two mechanotransduction approaches have been implemented and tested: (1) Bone resorption based on a coupled strain-damage stimulus function without ruptured osteocyte connections (NROC); and (2) Bone resorption based on a strain stimulus function with ruptured osteocyte connections (ROC). The comparison between the results obtained by both models, shows that the proposed model based on ruptured osteocytes connections predicts realistic results in conformity with previously published findings concerning the fatigue damage repair in bone. PMID:25640868

  16. The clinical meaning of external cervical resorption in maxillary canine: transoperative dental trauma

    Scientific Electronic Library Online (English)

    Alberto, Consolaro; Mauricio de Almeida, Cardoso; Carolina Dornelas C. M. de, Almeida; Ingrid Araújo Oliveira, Souza; Leopoldino, Capelloza Filho.

    2014-12-01

    Full Text Available A reabsorção cervical externa em caninos superiores com vitalidade pulpar em sua quase totalidade está associada a traumatismo dentário decorrente de procedimentos cirúrgicos associado à preparação desse dente para ser tracionado ortodonticamente. Nessa preparação pode se manipular cirurgicamente a [...] junção amelocementária ou luxar o dente com forças excessivas ou com testes de movimentação além dos limites de tolerância estrutural do ligamento periodontal e tecidos cervicais. A exposição dentinária na junção amelocementária é o estopim para se iniciar uma reabsorção cervical externa a partir de uma inflamação induzida na região seguida de reconhecimento antigênico das proteínas dentinárias. A reabsorção cervical externa é indolor, não induz pulpites e tem uma evolução lenta. Em geral, a lesão está associada e recoberta por tecidos moles gengivais que mantêm, por longos períodos, os aspectos clínicos normais, induzindo diagnósticos tardios, quando o processo se aproxima dos limites pulpares. O tratamento endodôntico está indicado apenas em função de procedimentos operatórios que se fazem necessários no espaço pulpar; caso contrário, a reabsorção cervical externa deve ser tratada de forma conservadora, protegendo a polpa dentária e restaurando a função e estética do dente que permanecerá com sua polpa normal. Infelizmente, não sabemos, com base em pesquisas de casuísticas bem estabelecidas, qual é a frequência da reabsorção cervical externa associada a caninos ortodonticamente tracionados. Abstract in english External Cervical Resorption in maxillary canines with pulp vitality is frequently associated with dental trauma resulting from surgical procedures carried out to prepare the teeth for further orthodontic traction. Preparation procedures might surgically manipulate the cementoenamel junction or caus [...] e luxation of teeth due to applying excessive force or movement tests beyond the tolerance limits of periodontal ligament and cervical tissue structures. Dentin exposure at the cementoenamel junction triggers External Cervical Resorption as a result of inflammation followed by antigen recognition of dentin proteins. External Cervical Resorption is painless, does not induce pulpitis and develops slowly. The lesion is generally associated with and covered by gingival soft tissues which disguise normal clinical aspects, thereby leading to late diagnosis when the process is near pulp threshold. Endodontic treatment is recommended only if surgical procedures are rendered necessary in the pulp space; otherwise, External Cervical Resorption should be treated by conservative means: protecting the dental pulp and restoring function and esthetics of teeth whose pulp will remain in normal conditions. Unfortunately, there is a lack of well-grounded research evincing how often External Cervical Resorption associated with canines subjected to orthodontic traction occurs.

  17. Severe root resorption resulting from orthodontic treatment: Prevalence and risk factors

    Scientific Electronic Library Online (English)

    Caroline Pelagio Raick, Maués; Rizomar Ramos do, Nascimento; Oswaldo de Vasconcellos, Vilella.

    2015-02-01

    Full Text Available OBJETIVO: avaliar a prevalência de reabsorções radiculares externas severas e identificar prováveis fatores de risco decorrentes do tratamento ortodôntico. MÉTODOS: utilizou-se uma amostra selecionada aleatoriamente, composta de radiografias periapicais de incisivos superiores e inferiores, obtidas [...] no mesmo centro radiológico, de pré- e pós-tratamento ortodôntico ativo, de 129 pacientes, de ambos os sexos, tratados por meio da técnica Edgewise Standard. Dois examinadores mensuraram e definiram a reabsorção radicular de acordo com índice proposto por Levander et al., e o grau de reabsorção foi registrado, definindo a reabsorção em quatro graus de severidade. Para avaliar a reprodutibilidade intra- e interexaminadores, adotou-se o índice de coeficiente kappa ponderado. O teste chi-quadrado (?2) foi adotado para avaliar a relação entre a quantidade de reabsorção radicular e o sexo dos pacientes, arcada dentária (superior ou inferior), tratamentos com ou sem extrações, duração do tratamento, forma radicular, estágio do ápice radicular (aberto ou fechado), overjet e overbite no início do tratamento. RESULTADOS: os incisivos centrais superiores apresentaram a maior porcentagem de reabsorção radicular severa, seguidos dos incisivos laterais superiores e dos incisivos laterais inferiores. Entre 959 dentes avaliados, 28 (2,9%) apresentaram reabsorção radicular severa. Os fatores de risco relacionados foram: dentes localizados na região anterossuperior, overjet maior ou igual a 5mm ao início do tratamento, tratamentos envolvendo extrações dentárias, tempo prolongado de terapia e formação radicular completa à época do início do tratamento ortodôntico. CONCLUSÃO: o estudo demonstrou que cuidados devem ser tomados em tratamentos ortodônticos envolvendo extrações, com grande retração de incisivos superiores, tratamentos prolongados e/ou ápice radicular completamente formado no início da terapia ortodôntica. Abstract in english OBJECTIVE: To assess the prevalence of severe external root resorption and its potential risk factors resulting from orthodontic treatment. METHODS: A randomly selected sample was used. It comprised conventional periapical radiographs taken in the same radiology center for maxillary and mandibular [...] incisors before and after active orthodontic treatment of 129 patients, males and females, treated by means of the Standard Edgewise technique. Two examiners measured and defined root resorption according to the index proposed by Levander et al. The degree of external apical root resorption was registered defining resorption in four degrees of severity. To assess intra and inter-rater reproducibility, kappa coefficient was used. Chi-square test was used to assess the relationship between the amount of root resorption and patient's sex, dental arch (maxillary or mandibular), treatment with or without extractions, treatment duration, root apex stage (open or closed), root shape, as well as overjet and overbite at treatment onset. RESULTS: Maxillary central incisors had the highest percentage of severe root resorption, followed by maxillary lateral incisors and mandibular lateral incisors. Out of 959 teeth, 28 (2.9%) presented severe root resorption. The following risk factors were observed: anterior maxillary teeth, overjet greater than or equal to 5 mm at treatment onset, treatment with extractions, prolonged therapy, and degree of apex formation at treatment onset. CONCLUSION: This study showed that care must be taken in orthodontic treatment involving extractions, great retraction of maxillary incisors, prolonged therapy, and/or completely formed apex at orthodontic treatment onset.

  18. Leukotriene B4 receptors on guinea pig alveolar eosinophils

    Energy Technology Data Exchange (ETDEWEB)

    Maghni, K.; de Brum-Fernandes, A.J.; Foeldes-Filep, E.G.; Gaudry, M.; Borgeat, P.; Sirois, P. (Department of Pharmacology, Faculty of Medicine University of Sherbrooke, Quebec (Canada))

    1991-09-01

    The existence of receptors for LTB4 on highly purified guinea pig alveolar eosinophils was investigated. Massive infiltration of eosinophils in alveolar spaces was induced in guinea pigs by i.v. injections of Sephadex beads G50 (16 mg/kg). Alveolar eosinophils (50 {times} 10(6) cells) were purified to approximately 98% by Percoll continuous density gradient centrifugation. The binding studies indicated that alveolar eosinophils bind LTB4 in a saturable, reversible and specific manner. Scatchard analysis indicated the existence of high-affinity binding sites (Kd1 = 1.00 {plus minus} 0.22 nM; Bmax1 = 966 {plus minus} 266 sites/cell) and low-affinity binding sites (Kd2 = 62.5 {plus minus} 8.9 nM; Bmax2 = 5557 {plus minus} 757 sites/cell). The metabolism of LTB4 by alveolar eosinophils in binding conditions was assessed by RP-HPLC and no significant degradation of (3H)LTB4 was observed. LTB4 dose-dependently stimulated eosinophil migration in both chemokinesis and chemotaxis assays with an EC50 value of 1.30 {plus minus} 0.14 and 18.14 {plus minus} 1.57 nM, respectively. LTB4 caused a dose-dependent increase in the production of superoxide anion with an apparent EC50 value of 50 {times} 10(-9) M in the authors experimental conditions. LTB4 also induced a dose-dependent increase in the generation of TxA2 with an EC50 value of 46.2 {times} 10(-9) M. Taken together, their results demonstrated that guinea pig alveolar eosinophils express two classes of specific receptors for LTB4. The high-affinity binding sites seem associated to chemokinesis and chemotaxis whereas the low-affinity binding sites seem associated to superoxide anion production and generation of TxA2. The existence of LTB4 receptors in eosinophils could explain the presence of these cells in hypersensitivity reactions.

  19. Ridge Regression for Interactive Models.

    Science.gov (United States)

    Tate, Richard L.

    1988-01-01

    An exploratory study of the value of ridge regression for interactive models is reported. Assuming that the linear terms in a simple interactive model are centered to eliminate non-essential multicollinearity, a variety of common models, representing both ordinal and disordinal interactions, are shown to have "orientations" that are favorable to…

  20. Anomalies in the Foundations of Ridge Regression

    CERN Document Server

    Jensen, D R

    2007-01-01

    Anomalies persist in the foundations of ridge regression as set forth in Hoerl and Kennard (1970) and subsequently. Conventional ridge estimators and their properties do not follow on constraining lengths of solution vectors using LaGrange's method, as claimed. Estimators so constrained have singular distributions; the proposed solutions are not necessarily minimizing; and heretofore undiscovered bounds are exhibited for the ridge parameter. None of the considerable literature on estimation, prediction, cross--validation, choice of ridge parameter, and related issues, collectively known as ridge regression, is consistent with constrained optimization, nor with corresponding inequality constraints. The problem is traced to a misapplication of LaGrange's principle, failure to recognize the singularity of distributions, and misplaced links between constraints and the ridge parameter. Other principles, based on condition numbers, are seen to validate both conventional ridge and surrogate ridge regression to be de...

  1. Influence of ridge inclination and implant localization on the association of mandibular Kennedy class I removable partial denture.

    Science.gov (United States)

    Cunha, Lígia Del' Arco Pignatta; Pellizzer, Eduardo Piza; Verri, Fellippo Ramos; Falcón-Antenucci, Rosse Mary; Goiato, Marcelo Coelho

    2011-05-01

    The aim of this study was to evaluate the tendency of displacement of the supporting structures of the distal extension removable partial denture (DERPD) associated to the implant with different inclinations of alveolar ridge and implant localizations through a two-dimensional finite-element method. Sixteen mandibular models were fabricated, presenting horizontal, distally descending, distally ascending, or descending-ascending ridges. All models presented the left canine and were rehabilitated with conventional DERPD or implant-retained prosthesis with the ERA system. The models were obtained by the AutoCAD software and transferred to the finite-element software ANSYS 9.0 for analysis. A force of 50 N was applied on the cusp tips of the teeth, with 5 points of loading of 10 N. The results were visualized by displacement maps. For all ridge inclinations, the assembly of the DERPD with distal plate retained by an anterior implant exhibited the lowest requisition of the supporting structures. The highest tendency of displacement occurred in the model with distally ascending ridge with incisal rest. It was concluded that the association of the implant decreased the displacement of the DERPD, and the anterior positioning of the implant associated to the DERPD with the distal plate preserved the supporting structures for all ridges. PMID:21558932

  2. Post-neonatal drop in alveolar SP-A expression

    DEFF Research Database (Denmark)

    Stray-Pedersen, Arne; Vege, Ashild; Stray-Pedersen, Asbjorg; Holmskov, Uffe; Rognum, Torleiv Ole

    2008-01-01

    BACKGROUND: Surfactant protein A (SP-A) is synthesized in the lung and is a part of the innate immune system. The aim of this study was to evaluate the expression of SP-A in lung tissue from fetuses, infants, children and adults with special regard to sudden infant death syndrome (SIDS). METHODS: A...... total of 160 cases were studied; 19 fetuses and neonates, 59 SIDS and 49 explained infant deaths below 1 year of age, 19 toddlers and 14 adults. Immunohistochemical detection of SP-A using monoclonal antibodies was performed by microscopy of lung tissue specimens collected at autopsy. A scoring system...... was developed enabling semi-quantitative estimation of staining intensity and distribution. RESULTS: SP-A was detected in the terminal bronchioles and alveolar spaces of fetuses >35 weeks gestation. The intra-alveolar SP-A expression increased in the perinatal period followed by a marked drop in...

  3. Diffuse alveolar hemorrhage resulting from Pauci-immune pulmonary capillaritis

    Directory of Open Access Journals (Sweden)

    Andreia Salarini Monteiro

    2003-08-01

    Full Text Available A 27 year-old female patient, cocaine user, presenting hemoptysis and progressive dyspnea with onset 48 hours prior to hospital admission, without any other signs or symptoms. Serum tests for infectious diseases, collagen disorders and vasculitis were negative. Urinalysis was normal. Computed tomography of the chest showed diffuse alveolar infiltrate, affecting mainly the lower left lobe. A thoracoscopic lung biopsy was performed to clarify the diagnosis. The histopathological findings showed capillaritis and diffuse intra-alveolar hemorrhage. Treated with steroid and cyclophosphamide pulse therapy, a good clinical and radiographical response was obtained. The recently described pauci-immune pulmonary capillaritis is characterized by the presence of isolated pulmonary capillaritis and negative serum testing for auto-immune diseases.

  4. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

    Directory of Open Access Journals (Sweden)

    Gintaras Juodzbalys

    2011-01-01

    Full Text Available Objectives: The purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were inferior alveolar nerve injury, inferior alveolar nerve injuries, inferior alveolar nerve injury implant, inferior alveolar nerve damage, inferior alveolar nerve paresthesia and inferior alveolar nerve repair. The search was restricted to English language articles, published from 1972 to November 2010. Additionally, a manual search in the major anatomy, dental implant, periodontal and oral surgery journals and books were performed. The publications there selected by including clinical, human anatomy and physiology studies.Results: In total 136 literature sources were obtained and reviewed. Aetiological factors of inferior alveolar nerve injury, risk factors, mechanism, clinical sensory nerve examination methods, clinical symptoms and treatment were discussed. Guidelines were created to illustrate the methods used to prevent and manage inferior alveolar nerve injury before or after dental implant placement.Conclusions: The damage of inferior alveolar nerve during the dental implant placement can be a serious complication. Clinician should recognise and exclude aetiological factors leading to nerve injury. Proper presurgery planning, timely diagnosis and treatment are the key to avoid nerve sensory disturbances management.

  5. Oxidative Stress, Cell Death, and Other Damage to Alveolar Epithelial Cells Induced by Cigarette Smoke

    Directory of Open Access Journals (Sweden)

    Nagai A

    2003-09-01

    Full Text Available Abstract Cigarette smoking is a major risk factor in the development of various lung diseases, including pulmonary emphysema, pulmonary fibrosis, and lung cancer. The mechanisms of these diseases include alterations in alveolar epithelial cells, which are essential in the maintenance of normal alveolar architecture and function. Following cigarette smoking, alterations in alveolar epithelial cells induce an increase in epithelial permeability, a decrease in surfactant production, the inappropriate production of inflammatory cytokines and growth factors, and an increased risk of lung cancer. However, the most deleterious effect of cigarette smoke on alveolar epithelial cells is cell death, i.e., either apoptosis or necrosis depending on the magnitude of cigarette smoke exposure. Cell death induced by cigarette smoke exposure can largely be accounted for by an enhancement in oxidative stress. In fact, cigarette smoke contains and generates many reactive oxygen species that damage alveolar epithelial cells. Whether apoptosis and/or necrosis in alveolar epithelial cells is enhanced in healthy cigarette smokers is presently unclear. However, recent evidence indicates that the apoptosis of alveolar epithelial cells and alveolar endothelial cells is involved in the pathogenesis of pulmonary emphysema, an important cigarette smoke-induced lung disease characterized by the loss of alveolar structures. This review will discuss oxidative stress, cell death, and other damage to alveolar epithelial cells induced by cigarette smoke.

  6. Chloride transport-driven alveolar fluid secretion is a major contributor to cardiogenic lung edema.

    Science.gov (United States)

    Solymosi, Esther A; Kaestle-Gembardt, Stefanie M; Vadász, István; Wang, Liming; Neye, Nils; Chupin, Cécile Julie Adrienne; Rozowsky, Simon; Ruehl, Ramona; Tabuchi, Arata; Schulz, Holger; Kapus, Andras; Morty, Rory E; Kuebler, Wolfgang M

    2013-06-18

    Alveolar fluid clearance driven by active epithelial Na(+) and secondary Cl(-) absorption counteracts edema formation in the intact lung. Recently, we showed that impairment of alveolar fluid clearance because of inhibition of epithelial Na(+) channels (ENaCs) promotes cardiogenic lung edema. Concomitantly, we observed a reversal of alveolar fluid clearance, suggesting that reversed transepithelial ion transport may promote lung edema by driving active alveolar fluid secretion. We, therefore, hypothesized that alveolar ion and fluid secretion may constitute a pathomechanism in lung edema and aimed to identify underlying molecular pathways. In isolated perfused lungs, alveolar fluid clearance and secretion were determined by a double-indicator dilution technique. Transepithelial Cl(-) secretion and alveolar Cl(-) influx were quantified by radionuclide tracing and alveolar Cl(-) imaging, respectively. Elevated hydrostatic pressure induced ouabain-sensitive alveolar fluid secretion that coincided with transepithelial Cl(-) secretion and alveolar Cl(-) influx. Inhibition of either cystic fibrosis transmembrane conductance regulator (CFTR) or Na(+)-K(+)-Cl(-) cotransporters (NKCC) blocked alveolar fluid secretion, and lungs of CFTR(-/-) mice were protected from hydrostatic edema. Inhibition of ENaC by amiloride reproduced alveolar fluid and Cl(-) secretion that were again CFTR-, NKCC-, and Na(+)-K(+)-ATPase-dependent. Our findings show a reversal of transepithelial Cl(-) and fluid flux from absorptive to secretory mode at hydrostatic stress. Alveolar Cl(-) and fluid secretion are triggered by ENaC inhibition and mediated by NKCC and CFTR. Our results characterize an innovative mechanism of cardiogenic edema formation and identify NKCC1 as a unique therapeutic target in cardiogenic lung edema. PMID:23645634

  7. GM-CSF and uPA are required for Porphyromonas gingivalis-induced alveolar bone loss in a mouse periodontitis model.

    Science.gov (United States)

    Lam, Roselind S; O'Brien-Simpson, Neil M; Hamilton, John A; Lenzo, Jason C; Holden, James A; Brammar, Gail C; Orth, Rebecca K; Tan, Yan; Walsh, Katrina A; Fleetwood, Andrew J; Reynolds, Eric C

    2015-09-01

    Granulocyte-macrophage colony-stimulating factor (GM-CSF) and urokinase-type plasminogen activator (uPA) can contribute to the progression of chronic inflammatory diseases with possible involvement of macrophages. In this study, we investigated the role of both GM-CSF and uPA in Porphyromonas gingivalis-induced experimental periodontitis using GM-CSF-/- and uPA-/- mice. Intra-oral inoculation of wild-type (WT) C57BL/6 mice with P. gingivalis resulted in establishment of the pathogen in plaque and a significant increase in alveolar bone resorption. The infected mice also exhibited a CD11b(+) CD86(+) macrophage infiltrate into the gingival tissue, as well as P. gingivalis-specific pro-inflammatory cytokine and predominantly IgG2b antibody responses. In comparison, intra-oral inoculation of P. gingivalis did not induce bone resorption and there was significantly less P. gingivalis recovered from plaque in GM-CSF-/- and uPA-/- mice. Furthermore, P. gingivalis did not induce a macrophage gingival infiltrate or activate isolated peritoneal macrophages from the gene-deficient mice. Pro-inflammatory P. gingivalis-specific T-cell cytokine responses and serum interferon-gamma (IFN-?) and IgG2b concentrations were significantly lower in GM-CSF-/- mice. In uPA-/- mice, T-cell responses were lower but serum IFN-? and IgG2b levels were comparable with WT mice levels. These results suggest that GM-CSF and uPA are both involved in the progression of experimental periodontitis, possibly via a macrophage-dependent mechanism(s). PMID:25753270

  8. Acute pulmonary alveolar proteinosis due to exposure to cotton dust

    OpenAIRE

    Thind Gurcharan

    2009-01-01

    Secondary pulmonary alveolar proteinosis (PAP) is rare but may occur in association with malignancy, certain infections, and exposure to inorganic or organic dust and some toxic fumes. This case report describes the second recorded case of PAP due to exposure to cotton dust. A 24-year-old man developed PAP after working as a spinner for eight years without respiratory protection. He was admitted as an emergency patient with very severe dyspnea for four months and cough for several years. Ches...

  9. Alveolar Edema Fluid Clearance and Acute Lung Injury

    OpenAIRE

    Berthiaume, Yves; Matthay, Michael A.

    2007-01-01

    Although lung-protective ventilation strategies have substantially reduced mortality of acute lung injury patients there is still a need for new therapies that can further decrease mortality in patients with acute lung injury. Studies of epithelial ion and fluid transport across the distal pulmonary epithelia have provided important new concepts regarding potential new therapies for acute lung injury. Overall, there is convincing evidence that the alveolar epithelium is not only a tight epith...

  10. Virulent Coxiella burnetii Pathotypes Productively Infect Primary Human Alveolar Macrophages

    OpenAIRE

    Graham, Joseph G.; MacDonald, Laura J.; Hussain, S. Kauser; Sharma, Uma M.; Kurten, Richard C; Voth, Daniel E

    2013-01-01

    The intracellular bacterial pathogen Coxiella burnetii is a category B select agent that causes human Q fever. In vivo, C. burnetii targets alveolar macrophages wherein the pathogen replicates in a lysosome-like parasitophorous vacuole (PV). In vitro, C. burnetii infects a variety of cultured cell lines that have collectively been used to model the pathogen’s infectious cycle. However, differences in the cellular response to infection have been observed, and virulent C. burnetii isolate infec...

  11. Effects of nonsurgical periodontal treatment on the alveolar bone density.

    Science.gov (United States)

    de Barros, Fabiana Cervo; Braga, Flávia Farah; Fischer, Ricardo Guimarães; Figueredo, Carlos Marcelo da Silva

    2014-01-01

    The aim of this study was to evaluate the effects of nonsurgical periodontal treatment on alveolar bone density (ABD) and bone height (BH) using direct digital radiography. Nineteen patients (mean age: 36 ± 7.3 years) with generalized chronic periodontitis were examined at baseline, 90 (90 AT) and 180 (180 AT) days after nonsurgical periodontal therapy. Radiographs were taken from two sites with specific characteristics: 39 sites with probing pocket depth (PPD) ? 3 mm and clinical attachment level (CAL) ? 1 mm (shallow sites); and 62 sites with PPD ? 5 mm and CAL ? 3 mm (deep sites). The ABD was assessed considering the bone regions of interest at the alveolar bone crest (ROI I) and at the medullar bone (ROI II). The BH was assessed considering the distance from the alveolar bone crest to the cementoenamel junction. Mann-Whitney test was used for the overall demographic data, Wilcoxon test was used to compare the baseline, 90 AT and 180 AT data as well as to compare the groups and subgroups within the same evaluation period. The significance level was set at 5%. The deep sites showed a significant increase of ABD in ROI I at 90 AT (p<0.007) and at 180 AT (p<0.005). ABD decrease was seen in ROI II at 180 AT (p<0.04) while BH reduced only in shallow sites at 90 AT. In conclusion, an increase in ABD was observed in deep sites of patients with generalized chronic periodontitis. However, no significant change in alveolar BH was observed in these sites. PMID:25140711

  12. A case of pulmonary alveolar microlithiasis with Cor Pulmonale

    OpenAIRE

    Chen, Wen; Gu, Tao

    2012-01-01

    Pulmonary alveolar microlithiasis (PAM) is a rare disease characterized by the formation and deposition of microliths within the alveoli and a paucity of symptoms in contrast to the imaging findings. It has familial tendency and is thought to be an autosomal recessive disorder with the mutation in the SLC34A2 gene. We describe a case of PAM with Cor Pulmonale. Ultrasonic cardiogram showed pulmonary hypertension (82 mmHg). Chest radiography revealed diffuse, bilateral sandstorm-like micronodul...

  13. Human alveolar epithelial type II cells in primary culture

    OpenAIRE

    Mao, Pu; Wu, Songling; Li, Jianchun; FU, WEI; He, Weiqun; Liu, Xiaoqing; Slutsky , Arthur S; Zhang, Haibo; LI, YIMIN

    2015-01-01

    Alveolar epithelial type II (AEII) cells are a key structure and defender in the lung but also are the targets in many lung diseases, including acute respiratory distress syndrome, ventilator-induced lung injury, and pulmonary fibrosis. We sought to establish an optimized method for high yielding and long maintenance of characteristics of primary human AEII cells to facilitate the investigation of the mechanisms of lung diseases at the cellular and molecular levels. Adult human peripheral nor...

  14. Chronic Alcohol Ingestion Changes the Landscape of the Alveolar Epithelium

    OpenAIRE

    Downs, Charles A; David Trac; Elizabeth M. Brewer; Lou Ann Brown; Helms, My N.

    2013-01-01

    Similar to effects of alcohol on the heart, liver, and brain, the effects of ethanol (EtOH) on lung injury are preventable. Unlike other vital organ systems, however, the lethal effects of alcohol on the lung are underappreciated, perhaps because there are no signs of overt pulmonary disorder until a secondary insult, such as a bacterial infection or injury, occurs in the lung. This paper provides overview of the complex changes in the alveolar environment known to occur following both chroni...

  15. Alveolar Surfactant Homeostasis and the Pathogenesis of Pulmonary Disease

    OpenAIRE

    Whitsett, Jeffrey A; Wert, Susan E.; Weaver, Timothy E.

    2010-01-01

    The alveolar region of the lung creates an extensive epithelial surface that mediates the transfer of oxygen and carbon dioxide required for respiration after birth. Maintenance of pulmonary function depends on the function of type II epithelial cells that synthesize and secrete pulmonary surfactant lipids and proteins, reducing the collapsing forces created at the air-liquid interface in the alveoli. Genetic and acquired disorders associated with the surfactant system cause both acute and ch...

  16. Preventive treatment of alveolar pulmonary edema of cardiogenic origin

    OpenAIRE

    Gideon Charach; Michael Shochat; Alexander Rabinovich; Oded Ayzenberg; Jacob George; Lior Charach; Pavel Rabinovich

    2012-01-01

    Objective To evaluate the efficacy of preventive treatment (PT) on alveolar pulmonary edema (APE) of cardiogenic origin using a monitor based on principles of internal thoracic impedance (ITI) measurements. Methods We conducted blinded clinical trials on patients with ST-elevation myocardial infarction (STEMI) and monitored whether the condition would progress to APE. ITI was measured non- invasively by the Edema Guard Monitor (EGM, model RS-207) every 30 min. The measurement threshold for ...

  17. Mesenchymal stem cell transplantation for diffuse alveolar hemorrhage in SLE

    OpenAIRE

    Liang, J; Gu, F; Wang, H.; Hua, B.; Hou, Y.; Shi, S.; Lu, L.; Sun, L.

    2010-01-01

    Background. A 19-year-old girl was diagnosed with systemic lupus erythematosus, based on findings of arthritis, malar rash, positive antinuclear antibody test and high levels of antibodies to double-stranded DNA. Two months after diagnosis, the patient presented with a sudden drop in blood hemoglobin level. Several days later, she developed bloody sputum, rapidly progressive dyspnea and hypoxemia. High-resolution CT showed diffuse alveolar infiltrates in both lung fields.Investigations. Physi...

  18. In vitro dissolution of uranium oxide by baboon alveolar macrophages.

    OpenAIRE

    Poncy, J L; Metivier, H.; Dhilly, M; Verry, M; Masse, R.

    1992-01-01

    In vitro cellular dissolution tests for insoluble forms of uranium oxide are technically difficult with conventional methodology using adherent alveolar macrophages. The limited number of cells per flask and the slow dissolution rate in a large volume of nutritive medium are obvious restricting factors. Macrophages in suspension cannot be substituted because they represent different and poorly reproducible functional subtypes with regard to activation and enzyme secretion. Preliminary results...

  19. European Echinococcosis Registry: Human Alveolar Echinococcosis, Europe, 1982–2000

    OpenAIRE

    KERN Petra; Bardonnet, Karine; Renner, Elisabeth; Auer, Herbert; Pawlowski, Zbigniew; Ammann, Rudolf W; Vuitton, Dominique A.; Kern, Peter

    2003-01-01

    Surveillance for alveolar echinococcosis in central Europe was initiated in 1998. On a voluntary basis, 559 patients were reported to the registry. Most cases originated from rural communities in regions from eastern France to western Austria; single cases were reported far away from the disease-“endemic” zone throughout central Europe. Of 210 patients, 61.4% were involved in vocational or part-time farming, gardening, forestry, or hunting. Patients were diagnosed at a mean age of 52.5 years;...

  20. Inferior Alveolar Nerve Transposition Using a Piezosurgery Device with Simultaneous Implant Insertion / Transposición del Nervio Alveolar Inferior Utilizando un Dispositivo Piezoeléctrico con Inserción Simultánea de Implantes

    Scientific Electronic Library Online (English)

    Lucas, Martins de Castro-Silva; Marcio, de Moraes; Valfrido Antonio, Pereira-Filho; Mário Francisco, Real Gabrielli.

    Full Text Available Implant rehabilitation of the edentulous mandible tends to be complicated by the presence of bone atrophy. In cases of moderate to severe mandibular atrophy the bone height between the alveolar crest and inferior alveolar nerve (IAN) is small and sometimes limited to only a few millimeters. Implant [...] placement in such situations is very difficult and implies the risk of inferior alveolar nerve damage. Piezosurgery is being recently used as an alternative to obtain greater accuracy and safety. The advantages of using piezosurgery in inferior alveolar nerve transposition are: (a) the lowest risk of injury the IAN; (b) less intraoperative bleeding and reduction of postoperative swelling, (c) less thermal damage the bone surfaces and to the IAN. We present a case of mandibular atrophy in which inferior alveolar nerve transposition and implant placement were carried out using a piezosurgery device

  1. Alveolar echinococcosis of the liver. Findings of magnetic resonance imaging

    International Nuclear Information System (INIS)

    The purpose of the present study was to evaluate the findings of MR imaging obtained in patients with Echinococcus multilocularis involving the liver. For 10 patients with alveolar echinococcosis of the liver, the MR findings were compared with the histopathologic findings after biopsy or surgery. Conventional T1-weighted spin echo, T2-weighted spin echo and T1-weighted spin echo after Gd-DTPA were employed. The signal from the lesions of alveolar liver echinococcosis on T1-weighted images was hypointense in 16 of 23 lesions (69.6%), hyperintense in 4 (17.4%), and isointense in 3 (13.0%). The signal from the lesions on T2-weighted images was hyperintense in 20 lesions (87.0%), hypointense in 2 (8.7%), and isointense in one (4.3%). On using Gd-DTPA, 7 of 21 lesions (33.3%) were observed with rim enhancement, and 14 lesions (66.7%) were non-enhanced. We describe our clinical experience together with the various findings of MR imaging as observed in the patients with alveolar echinococcosis of the liver. MR imaging excels in visualizing a low-intensity rim and small cystic foci, with liquefaction necrotic foci displaying a variety of signal intensities. After Gd-DTPA administration, the surrounding inflammatory granulomatous foci could be more clearly visualized. (author)

  2. Pulmonary alveolar microlithiasis: review of the 1022 cases reported worldwide

    Directory of Open Access Journals (Sweden)

    Giuseppe Castellana

    2015-12-01

    Full Text Available Pulmonary alveolar microlithiasis (PAM is a rare disease characterised by the widespread intra-alveolar accumulation of minute calculi called microliths. It is caused by mutation of the SLC34A2 gene encoding the type IIb sodium phosphate cotransporter in alveolar type II cells. The present study explores the epidemiological, familial, genetic, clinical, diagnostic, radiological and therapeutic aspects with the aim of contributing to a better understanding of this uncommon disease. We searched articles on PAM published up to December 2014 and 544 papers were found, accounting for 1022 cases. PAM is present in all continents and in many nations, in particular in Turkey, China, Japan, India, Italy and the USA. Familiality is frequent. The clinical course is not uniform and the causes of this clinical variability seem to be largely nongenetic. The optimal diagnostic procedure is the association of chest high-resolution computed tomography (HRCT with bronchoalveolar lavage, but a chest radiograph may suffice in families in which a case has already been diagnosed. Moreover, chest radiography and HRCT allow the classification of the evolutionary phase of the disease and its severity. At present lung transplantation is the only effective therapy. However, better knowledge of the gene responsible offers hope for new therapies.

  3. Strength of pulmonary vascular response to regional alveolar hypoxia

    International Nuclear Information System (INIS)

    Regional alveolar hypoxia in the lung induces regional pulmonary vasoconstriction which diverts blood flow from the hypoxic area. However, the predominant determinant of the distribution of perfusion in the normal erect lung is gravity so that more perfusion occurs at the base than at the apex. To determine the strength of the regional alveolar hypoxic response in diverting flow with or against the gravity gradient a divided tracheal cannula was placed in anesthetized dogs and unilateral alveolar hypoxia created by ventilating one lung with nitrogen while ventilating the other lung with oxygen to preserve normal systemic oxygenation. Scintigrams of the distribution of perfusion obtained with intravenous 13N and the MGH positron camera revealed a 34 and 32 percent decrease in perfusion to the hypoxic lung in the supine and erect positions and a 26 percent decrease in the decubitus position with the hypoxic lung dependent (P = 0.94 from supine shift), indicating nearly equal vasoconstriction with shift of perfusion away from the hypoxic lung in all positions. Analysis of regional shifts in perfusion revealed an equal vasoconstrictor response from apex to base in the supine position but a greater response in the lower lung zones in the erect position where perfusion was also greatest

  4. Effects of elastase and cigarette smoke on alveolar epithelial permeability

    International Nuclear Information System (INIS)

    To determine whether instilled porcine pancreatic elastase (PPE) increases alveolar epithelial permeability, the authors measured alveolar epithelium permeability X surface area (PS) for [14C]sucrose and 125I-bovine serum albumin in isolated perfused lungs from hamsters previously exposed to PPE and/or cigarette smoke. Saline (0.5 ml) with 0, 5, or 20 units PPE was instilled intratracheally in anesthetized hamsters. Those exposed to smoke for 4-6 wk received 0 or 5 units; PS was measured 3 h later. Nonsmokers received 0, 5, or 20 units; PS was measured 3 h, 24 h, or 5 days later. Control PS values were (cm3/s X 10(-4), +/- SE) 0.84 +/- 0.11 for sucrose and 0.030 +/- 0.006 for BSA. Three and 24 h following 20 units PPE, (PS)sucrose was twice the control valve. (PS)BSA was four times control at 3 h but not significantly increased at 24 h. Five days after PPE both were back to control levels. Five units PPE or smoke exposure alone caused no PS changes. Smoke exposure and 5 units PPE caused (PS)sucrose to increase markedly (1.85 +/- 0.32); (PS)BSA was not significantly increased (0.076 +/- 0.026). Thus, instilled PPE causes reversible increases in alveolar epithelial PS; cigarette smoking potentiates this effect

  5. Massive Alveolar Hemorrhage During Wegener Granulomatosis: a Case Report

    Directory of Open Access Journals (Sweden)

    Gökhan Perincek

    2011-11-01

    Full Text Available This is a presentation of Wegener Granulomatosis (WG disease. Even though the lungs are rarely affected. massive alveolar hemorrhage is seen which leads to mortality. The patient was a 28 year old man. His illness was diagnosed as WG and glomerulonephritis a year previously and he was treated by administration of methylprednisolone orally. He had been treated irregularly. He applied to the emergency service with hemoptysis and asthma complaints two days earlier. After the results of his examination Hb: 3.6 gr/dl, Htc:10.3%, Üre:131 mg /dl, kreatini: 7.7 mg/dl, pH: 7.41, pO2: 55 mmHg, pCO2:33 mmHg, and being diagnosed as alveolar consolidation on lung X-ray, he was taken to the intensive care unit with a diagnosis of a massive alveolar hemorrhagei. He was intubated and attached to mechanical ventilation. He was treated with parenteral 1 mg/kg/day methylprednisolone and, siklofosfamid 2 mg/kg/day. He was extubated on the 21st day. He was taken to the chest service department on 24th day. He is still being treated.

  6. Reduction in bone resorption by exogenous glucagon-like peptide-2 administration requires an intact gastrointestinal tract

    DEFF Research Database (Denmark)

    Gottschalck, Ida B; Jeppesen, Palle B

    2008-01-01

    OBJECTIVE: Biochemical markers for bone resorption (s-CTX) are reduced by food intake, whereas markers for bone formation seem to be unaffected by meal status. Glucagon-like peptide-2 (GLP-2) is a peptide secreted from endocrine L cells in the intestinal mucosa in relation to food-intake. Subcutaneous GLP-2 treatment has been shown to reduce bone resorption in postmenopausal women. The objective of this study was to investigate the ability of exogenous GLP-2 to reduce bone resorption in patients with jejunostomy or ileostomy and to elucidate whether an intact gastrointestinal tract and the ability to secrete GLP-2 are required for meal-induced inhibition of bone resorption. MATERIAL AND METHODS: Fifteen control subjects, 13 colectomized patients with an ileostomy and 12 colectomized patients with a jejunostomy (remnant small bowel 89 +/- 53 cm) were given: a) a subcutaneous injection of 1600 microg GLP-2, b) placebo and c) 3.8 MJ of a breakfast meal. Blood was sampled for measurements of s-CTX, s-osteocalcin and GLP-2 for 4 h after each intervention. RESULTS: After the GLP-2 injection, only control subjects showed a significant reduction in s-CTX (24% +/- 13%, p = 0.05, 120 min) compared with baseline values. Patients with an ileostomy had a preserved endogenous postprandial GLP-2 secretion, which was absent in patients with a jejunostomy. Consumption of a meal reduced s-CTX in all groups but significantly less so in the jejunostomy group. CONCLUSIONS: Reductions in bone resorption by exogenous GLP-2 require an intact gastrointestinal tract. The decreased meal-induced inhibition of bone resorption in the jejunostomy patients, who lack a GLP-2 response, supports the view that GLP-2 plays a role in postprandial reduction in bone resorption.

  7. Studies of the mechanism by which the mechanical failure of polymethylmethacrylate leads to bone resorption.

    Science.gov (United States)

    Horowitz, S M; Doty, S B; Lane, J M; Burstein, A H

    1993-06-01

    The purpose of this study was to examine the relationship between the mechanical failure of polymethylmethacrylate and bone resorption at the bone-cement interface of a prosthesis. Evaluation of tissue that had been retrieved from the cement-bone interface of eighteen femoral components of total hip prostheses that were loose without associated infection revealed that a critical factor associated with bone resorption was the presence of particles that were small enough (one to twelve micrometers) to be phagocytized by macrophages. To study this phenomenon in vitro, macrophages in tissue culture were exposed to three preparations of polymethylmethacrylate cement. A novel method of cement preparation was used with control for solid and soluble contaminants, which provided a sensitive and specific technique for the determination of which mediators were released from the macrophages. Electron microscopy demonstrated phagocytosis of particles of less than twelve micrometers in size, regardless of the type of cement preparation. Exposure to all three cement preparations resulted in toxicity, as reflected by inhibition of 3H-thymidine incorporation. Exposure also led to increased release of tumor necrosis factor, but none of the three preparations resulted in release of prostaglandin E2. Division of the cement preparations into two groups on the basis of the size of the particles demonstrated that exposure to particles that were small enough to be phagocytized led to inhibition of 3H-thymidine incorporation and release of tumor necrosis factor, while exposure to particles that were too large to be phagocytized did not. Neither exposure to small particles nor exposure to large particles of cement led to release of prostaglandin E2. Our results show that when the mechanical failure of cement produces particles that are small enough to be phagocytized, phagocytosis of the particles results in the increased production of tumor necrosis factor by the macrophages, which may in turn lead to bone resorption and prosthetic loosening. These small particles also decrease 3H-thymidine uptake by the macrophages. PMID:8314821

  8. Accuracy of Digital Subtraction Radiography in detection of artificial external root resorption (in vitro

    Directory of Open Access Journals (Sweden)

    R Ghafari

    2008-01-01

    Full Text Available Introduction: External root resorption refers to the loss of cementum and/or dentin from the rootof the teeth. 40% mineral loss occur in conventional radiographies but digital subtractionradiography is capable of localizing a lesion with only 1-5% mineral loss. This in vitro study aimedto determine the accuracy of digital subtraction radiography in diagnosis of simulated external rootresorption.Methods and Materials: Ten premolar teeth with clinically intact roots were used were fixed insuitable place between the X-ray tube and CCD sensor. Direct digital radiographs were obtainedbefore and after each lesion was created by 1/2, 1, 2, 4 and 6 round dental burs at facial andproximal surfaces; then digital subtraction images were obtained and observers evaluated all of theimages and sensitivity and specificity and accuracy were calculated. Results were compared by J2test.Results: The sensitivity of digital subtraction and direct digital methods in detecting proximaldefects were 97.34% and 93.92% respectively (p value = 0.16. The sensitivity of digital subtractionand direct digital radiography in facial surfaces were 98% and 92.6% respectively (p value =0.03. The specificity of direct digital and subtraction methods in proximal surfaces were 91.92%and 96.52% (p value = 0.08 and in facial surfaces were 91.92% and 99.26% respectively (p value= 0.002. The accuracy of digital subtraction radiography in detecting facial lesion wassignificantly superior to direct digital radiography.Conclusion: Digital subtraction radiography was superior to direct digital radiography indetecting small external root resorptive defects.Key words: External root resorption, Digital subtraction radiography, Direct digital radiography

  9. Inhibited osteoclastic bone resorption through alendronate treatment in rats reduces severe osteoarthritis progression.

    Science.gov (United States)

    Siebelt, M; Waarsing, J H; Groen, H C; Müller, C; Koelewijn, S J; de Blois, E; Verhaar, J A N; de Jong, M; Weinans, H

    2014-09-01

    Osteoarthritis (OA) is a non-rheumatoid joint disease characterized by progressive degeneration of extra-cellular cartilage matrix (ECM), enhanced subchondral bone remodeling, osteophyte formation and synovial thickening. Alendronate (ALN) is a potent inhibitor of osteoclastic bone resorption and results in reduced bone remodeling. This study investigated the effects of pre-emptive use of ALN on OA related osteoclastic subchondral bone resorption in an in vivo rat model for severe OA. Using multi-modality imaging we measured effects of ALN treatment within cartilage and synovium. Severe osteoarthritis was induced in left rat knees using papain injections in combination with a moderate running protocol. Twenty rats were treated with subcutaneous ALN injections and compared to twenty untreated controls. Animals were longitudinally monitored for 12weeks with in vivo ?CT to measure subchondral bone changes and SPECT/CT to determine synovial macrophage activation using a folate-based radiotracer. Articular cartilage was analyzed at 6 and 12weeks with ex vivo contrast enhanced ?CT and histology to measure sulfated-glycosaminoglycan (sGAG) content and cartilage thickness. ALN treatment successfully inhibited subchondral bone remodeling. As a result we found less subchondral plate porosity and reduced osteophytosis. ALN treatment did not reduce subchondral sclerosis. However, after the OA induction phase, ALN treatment protected cartilage ECM from degradation and reduced synovial macrophage activation. Surprisingly, ALN treatment also improved sGAG content of tibia cartilage in healthy joints. Our data was consistent with the hypothesis that osteoclastic bone resorption might play an important role in OA and may be a driving force for progression of the disease. However, our study suggest that this effect might not solely be effects on osteoclastic activity, since ALN treatment also influenced macrophage functioning. Additionally, ALN treatment and physical activity exercised a positive effect in healthy control joints, which increased cartilage sGAG content. More research on this topic might lead to novel insights as to improve cartilage quality. PMID:24933343

  10. Passive and active in vitro resorption of calcium and magnesium phosphate cements by osteoclastic cells.

    Science.gov (United States)

    Grossardt, Christian; Ewald, Andrea; Grover, Liam M; Barralet, Jake E; Gbureck, Uwe

    2010-12-01

    Biocements are clinically applied materials for bone replacement in non-load-bearing defects. Depending on their final composition, cements can be either resorbed or remain stable at the implantation site. Degradation can occur by two different mechanisms, by simple dissolution (passive) or after osteoclastic bone remodeling (active). This study investigated both the passive and active in vitro resorption behavior of brushite (CaHPO₄ · 2H₂O), monetite (CaHPO₄), calcium-deficient hydroxyapatite (CDHA; Ca₉(PO₄)₅HPO₄OH), and struvite (MgNH₄PO₄ · 6H₂O) cements. Passive resorption was measured by incubating the cement samples in a cell culture medium, whereas active resorption was determined during the surface culture of multinuclear osteoclastic cells derived from RAW 264.7 macrophages. Osteoclast formation was confirmed by showing tartrate resistant acid phosphatase (TRAP) activity on CDHA, brushite, and monetite surfaces, as well as by measuring calcitonin receptor (CT-R) expression as an osteoclast-specific protein by Western blot analysis for struvite ceramics. An absence of passive degradation and only marginally active degradation of phosphates brushite and monetite, active degradation was predominant with a cumulative Ca²+ release of 2.02 (1.20) μmol during 13 days, whereas passive degradation released only 0.788 (0.04) μmol calcium ions into the medium. The struvite cement was the most degradable with a passive (active) release of 9.26 (2.92) Mg²+ ions and a total weight loss of 4.7% over 13 days of the study. PMID:20673025

  11. Monocyte chemotactic protein-1 mediates prostate cancer-induced bone resorption.

    Science.gov (United States)

    Lu, Yi; Cai, Zhong; Xiao, Guozhi; Keller, Evan T; Mizokami, Atsushi; Yao, Zhi; Roodman, G David; Zhang, Jian

    2007-04-15

    Prostate cancer preferentially metastasizes to bone, resulting in high mortality. Strategies to inhibit prostate cancer metastasis include targeting both tumor-induced osteoblastic lesions and underlying osteoclastic activities. We and others have previously shown that blocking receptor activator of nuclear factor-kappaB ligand (RANKL) partially blocks tumor establishment and progression in bone in murine models. However, levels of RANKL in the cell lines used in these studies were very low, suggesting that soluble factors other than RANKL may mediate the cancer-induced osteoclast activity. To identify these factors, a human cytokine antibody array was used to measure cytokine expression in conditioned medium collected from primary prostate epithelial cells (PrEC), prostate cancer LNCaP and its derivative C4-2B, and PC3 cells. All prostate cancer cells produced high amounts of monocyte chemotactic protein-1 (MCP-1) compared with PrEC cells. Furthermore, levels of interleukin (IL)-6, IL-8, GROalpha, ENA-78, and CXCL-16 were higher in PC3 than LNCaP. These results were confirmed by ELISA. Finally, human bone marrow mononuclear cells (HBMC) were cultured with PC3 conditioned medium. Although both recombinant human MCP-1 and IL-8 directly stimulated HBMC differentiation into osteoclast-like cells, IL-8, but not MCP-1, induced bone resorption on dentin slices with 21 days of culture in the absence of RANKL. However, the conditioned medium-induced bone resorption was inhibited by MCP-1 neutralizing antibody and was further synergistically inhibited with IL-8 antibody, indicating that MCP-1, in addition to IL-8, mediates tumor-induced osteoclastogenesis and bone resorption. MCP-1 may promote preosteoclast cell fusion, forming multinucleated tartrate-resistant acid phosphatase-positive osteoclast-like cells. This study may provide novel therapeutic targets for treatment of prostate cancer skeletal metastasis. PMID:17440076

  12. Comparison of the changes of alveolar bone thickness in maxillary incisor area in extraction and non-extraction cases: computerized tomography evaluation

    Scientific Electronic Library Online (English)

    Paulo Roberto Barroso, Picanço; Fabricio Pinelli, Valarelli; Rodrigo Hermont, Cançado; Karina Maria Salvatore de, Freitas; Gracemia Vasconcelos, Picanço.

    2013-10-01

    Full Text Available OBJETIVO: comparar, por meio de tomografia computadorizada, a alteração da espessura óssea alveolar na região de incisivos superiores durante o tratamento ortodôntico, com e sem extração dentária. MÉTODOS: foram avaliados 12 pacientes, divididos em dois grupos: G1, seis pacientes tratados com extraç [...] ões de dois primeiros pré-molares superiores, com idade média inicial de 15,83 anos, e tratados por um tempo médio de 2,53 anos; G2, seis pacientes tratados sem extrações, com idade média inicial de 18,26 anos e tratados por um período de 2,39 anos. Foram utilizadas tomografias computadorizadas, telerradiografias em norma lateral e radiografias periapicais ao início (T1) e após 18 meses de tratamento (T2), desde que o espaço da extração já estivesse fechado nos casos tratados com extrações. A comparação intragrupo foi realizada por meio do teste t dependente, e a comparação intergrupos por meio do com o teste t independente. RESULTADOS: o grupo 1 apresentou uma retração e verticalização do incisivo central, enquanto o grupo 2 apresentou uma vestibularização desse dente. Além disso, o grupo 1 apresentou maior aumento da espessura óssea cervical vestibular durante o tratamento, quando comparado ao grupo 2. A incidência de reabsorção radicular não apresentou diferenças significativas entre os grupos. CONCLUSÕES: não houve alteração nas espessuras ósseas alveolares quando comparados casos tratados com e sem extrações, com exceção da espessura óssea vestibular na região cervical dos incisivos superiores. Abstract in english OBJECTIVE: To compare, through computed tomography, alveolar bone thickness changes at the maxillary incisors area during orthodontic treatment with and without tooth extraction. METHODS: Twelve patients were evaluated. They were divided into 2 groups: G1 - 6 patients treated with extraction of righ [...] t and left maxillary first premolars, with mean initial age of 15.83 years and mean treatment length of 2.53 years; G2 - 6 patients treated without extraction, with mean initial age of 18.26 years and mean treatment length of 2.39 years. Computed tomographies, lateral cephalograms and periapical radiographs were used at the beginning of the treatment (T1) and 18 months after the treatment had started (T2). Extraction space closure occurred in the extraction cases. Intragroup and intergroup comparisons were performed by dependent and independent t test, respectively. RESULTS: In G1, the central incisor was retracted and uprighted, while in G2 this tooth showed vestibularization. Additionally, G1 presented a higher increase of labial alveolar bone thickness at the cervical third in comparison with G2. The incidence of root resorption did not present significant differences between groups. CONCLUSION: There were no changes in alveolar bone thickness when extraction and nonextraction cases were compared, except for the labial alveolar bone thickness at the cervical third of maxillary incisors.

  13. Avaliação da função de macrófagos alveolares em cavalos clinicamente sadios Evaluation of alveolar macrophage function in healthy horses

    OpenAIRE

    Mori, E.; C.M.C. Mori; W. R. Fernandes

    2001-01-01

    Devido à importância dos macrófagos alveolares (MA) nos mecanismos de defesa pulmonar, foram realizados estudos para avaliar a atividade desses fagócitos em cavalos hígidos. Foram realizados lavados broncoalveolares (LBA) em cinco cavalos clinicamente sadios. A citologia foi realizada pela citocentrifugação das amostras e posterior confecção de lâminas coradas pelo método de Rosenfeld. Todas as amostras do LBA foram centrifugadas e a concentração celular foi ajustada para 2×10(6) células/ml, ...

  14. Elemental analysis of lung tissue particles and intracellular iron content of alveolar macrophages in pulmonary alveolar proteinosis

    Directory of Open Access Journals (Sweden)

    Ohkubo Takeru

    2011-06-01

    Full Text Available Abstract Background Pulmonary alveolar proteinosis (PAP is a rare disease occurred by idiopathic (autoimmune or secondary to particle inhalation. The in-air microparticle induced X-ray emission (in-air micro-PIXE system performs elemental analysis of materials by irradiation with a proton microbeam, and allows visualization of the spatial distribution and quantitation of various elements with very low background noise. The aim of this study was to assess the secondary PAP due to inhalation of harmful particles by employing in-air micro-PIXE analysis for particles and intracellular iron in parafin-embedded lung tissue specimens obtained from a PAP patient comparing with normal lung tissue from a non-PAP patient. The iron inside alveolar macrophages was stained with Berlin blue, and its distribution was compared with that on micro-PIXE images. Results The elements composing particles and their locations in the PAP specimens could be identified by in-air micro-PIXE analysis, with magnesium (Mg, aluminum (Al, silicon (Si, phosphorus (P, sulfur (S, scandium (Sc, potassium (K, calcium (Ca, titanium (Ti, chromium (Cr, copper (Cu, manganase (Mn, iron (Fe, and zinc (Zn being detected. Si was the major component of the particles. Serial sections stained by Berlin blue revealed accumulation of sideromacrophages that had phagocytosed the particles. The intracellular iron content of alveolar macrophage from the surfactant-rich area in PAP was higher than normal lung tissue in control lung by both in-air micro-PIXE analysis and Berlin blue staining. Conclusion The present study demonstrated the efficacy of in-air micro-PIXE for analyzing the distribution and composition of lung particles. The intracellular iron content of single cells was determined by simultaneous two-dimensional and elemental analysis of paraffin-embedded lung tissue sections. The results suggest that secondary PAP is associated with exposure to inhaled particles and accumulation of iron in alveolar macrophages.

  15. Is the Resorption of Grafted Fat Reduced in Cell-Assisted Lipotransfer for Breast Augmentation?

    Science.gov (United States)

    Wang, Lin; Luo, Xuan; Lu, Yi; Fan, Zhi-Hong; Hu, Xiang

    2015-08-01

    Cell-assisted lipotransfer (CAL) is a cotransplantation of adipose tissue and stromal vascular fraction (SVF) including adipose-derived stem cells. But although CAL can get satisfactory outcomes in breast augmentation, the resorption of the grafted fat is still unclear. A total of 12 patients received breast augmentation using CAL. All of them completed 6 months of follow-up. In 1 mini-CAL case, 500-mL liposuction fluid was used to harvest the SVF cells. In 11 full-CAL cases, 250-mL aspirated fat was needed apart from 500-mL liposuction fluid. The percentage of adipose-derived stem cells in SVF cells was detected using flow cytometry and their multilineage potential ability was assessed with in vitro induction. The volumes of breasts and pectoral muscle were measured, and radiological image change was analyzed using magnetic resonance imaging before the operation and 3 and 6 months after the operation. Additionally, the subjective evaluation on the cosmetic outcomes was determined by surgeons and patients. Adipose-derived stem cells in SVF cells accounted for 40.27% and 3.34% in full-CAL cases and mini-CAL cases, respectively. Postoperative atrophy occurred within the first 3 months. At the 6 months postoperatively, breast volume is augmented, ranging from 60.71 to 197 mL, with a mean value of 125.35 (45.49) mL. The ultimate resorption of grafted fat at the 6 months postoperatively is 51.84% (16.74%). Newly formed cysts and nodules were detected in 2 cases. No calcification was found in all magnetic resonance images. Only 1 patient was unsatisfied with the cosmetic outcome. Our preliminary study displayed a satisfactory augmented volume with little complications using CAL for breast augmentation. But the resorption at the 6 months postoperatively [51.84% (16.74%)] showed no significant advantage over non-CAL technique (40%-60% reported), which suggested that SVF cells harvested from 250-mL aspirated fat and 500-mL liposuction fluid were insufficient to average 250-mL grafted fat for each breast in this study. More SVF cells are needed to achieve lower resorption. PMID:24691331

  16. External resorption presenting as an intracoronal radiolucent lesion in a pre-eruptive tooth.

    LENUS (Irish Health Repository)

    McNamara, C M

    1997-09-01

    A large intracoronal radiolucent lesion in an unerupted permanent molar was found during the routine assessment of a young male Caucasian prior to orthodontic treatment. The tooth was extracted. Histological examination indicated the lesion was caused by external resorption. The defect extended widely into the enamel and dentine, and was repaired in part by bone. The pulp chamber was not involved. The aetiology of these lesions is often obscure but in this case it appeared to have originated in the floor of two developmental pits on the occlusal surface of the tooth.

  17. Aggressive adenomatoid odontogenic tumor of mandible showing root resorption: A histological case report.

    Science.gov (United States)

    Saluja, Ramandeep; Kaur, Gurkiran; Singh, Preetinder

    2013-03-01

    Adenomatoid odontogenic tumor (AOT) is a benign odontogenic tumor with slow but progressive growth. The three variants: Follicular, extra follicular (both central type), and peripheral present with identical histologic findings. This case report describes a patient with a large AOT in the mandible of the extra follicular type which is the less common of the two central types. It also strikes as an unusual case as it shows significant root resorption of the involved displaced teeth which is not generally reported in AOT's. PMID:23946750

  18. Iron resorption and iron stores in piglets after intramuscular injection of 59Fe-iron dextran

    International Nuclear Information System (INIS)

    Iron resorption from intramuscular injection of an iron dextran complex (Fedex) is almost complete in piglets one week after injection. The excess of resorbed iron is stored in liver and spleen. The stored iron is made available for the growing pig since half of the iron recorded on the 14th day after injection is used during the third week. The remaining iron stores might well be enough to cover the needs for the fourth week also, although it is not absolutely necessary for the pigs at this age. (orig.)

  19. Discontinuity of life conditions at the transition from the Roman imperial age to the early middle ages: Example from central Italy evaluated by pathological dento-alveolar lesions.

    Science.gov (United States)

    Manzi, Giorgio; Salvadei, Loretana; Vienna, Alessandro; Passarello, Pietro

    1999-01-01

    Teeth are highly informative in the study of past human populations. In particular, the occurrence of lesions in the masticatory apparatus relates diseases, diet, and living conditions. The dental pathology of three skeletal samples from the north-central part of Latium (central Italy) is reported. Two of them belong to the Roman Imperial Age (1st-3rd century AD): the first (including 942 permanent teeth and 1,085 tooth sockets) represents the rural town of Lucus Feroniae and is mainly composed of slaves and/or war veterans, whereas the second (872 permanent teeth and 1,325 tooth sockets) comes from the Isola Sacra necropolis at Portus Romae and represents the "middle class" segment of an urban population. The medieval sample (912 teeth and 1,097 tooth sockets), dated to the 7th century AD, belongs to the Lombard necropolis of La Selvicciola. All of the samples were examined for caries, abscesses, antemortem tooth loss, calculus, alveolar resorption, attrition, and enamel hypoplasia; standard methods were used to identify, classify, and quantify these conditions. The results reveal different patterns of dental and alveolar lesions for the three populations, indicating a different combination of dietary factors and hygienic conditions in the Roman samples compared to the Lombard series. As evidenced by multivariate correspondece analysis, the Romans show afffinites between each other, whereas the Medieval sample appears associated with the incidence of caries and the pathological conditions related to them, thus indicating increase of these lesions and deterioration of the quality of life in the transition to the early Middle Ages. These data agree with the respective archeological characterizations of the necropolises and the hypothetical social composition of each population. Am. J. Hum. Biol. 11:327-341. Copyright 1999 Wiley-Liss, Inc. PMID:11533954

  20. Status of Blue Ridge Reservoir

    Energy Technology Data Exchange (ETDEWEB)

    1990-09-01

    This is one in a series of reports prepared by the Tennessee Valley Authority (TVA) for those interested in the conditions of TVA reservoirs. This overview of Blue Ridge Reservoir summarizes reservoir and watershed characteristics, reservoir uses and use impairments, water quality and aquatic biological conditions, and activities of reservoir management agencies. This information was extracted from the most current reports and data available, as well as interview with water resource professionals in various federal, state, and local agencies. Blue Ridge Reservoir is a single-purpose hydropower generating project. When consistent with this primary objective, the reservoir is also operated to benefit secondary objectives including water quality, recreation, fish and aquatic habitat, development of shoreline, aesthetic quality, and other public and private uses that support overall regional economic growth and development. 8 refs., 1 fig.

  1. Acute Lung Injury Edema Fluid Decreases Net Fluid Transport across Human Alveolar Epithelial Type II Cells*

    OpenAIRE

    Lee, Jae W.; Fang, Xiaohui; Dolganov, Gregory; Fremont, Richard D; Julie A. Bastarache; Ware, Lorraine B.; Matthay, Michael A.

    2007-01-01

    Most patients with acute lung injury (ALI) have reduced alveolar fluid clearance that has been associated with higher mortality. Several mechanisms may contribute to the decrease in alveolar fluid clearance. In this study, we tested the hypothesis that pulmonary edema fluid from patients with ALI might reduce the expression of ion transport genes responsible for vectorial fluid transport in primary cultures of human alveolar epithelial type II cells. Following exposure to ALI pulmonary edema ...

  2. Claudin-4 augments alveolar epithelial barrier function and is induced in acute lung injury

    OpenAIRE

    Wray, Charlie; Ying MAO; Pan, Jue; Chandrasena, Anita; Piasta, Frank; Frank, James A

    2009-01-01

    Intact alveolar barrier function is associated with better outcomes in acute lung injury patients; however, the regulation of alveolar epithelial paracellular transport during lung injury has not been extensively investigated. This study was undertaken to determine whether changes in tight junction claudin expression affect alveolar epithelial barrier properties and to determine the mechanisms of altered expression. In anesthetized mice exposed to ventilator-induced lung injury, claudin-4 was...

  3. TRPV4-mediated disruption of the alveolar septal barrier: A novel mechanism of acute lung injury

    OpenAIRE

    Diego F. Alvarez; King, Judy A.; Weber, David; Addison, Emile; Liedtke, Wolfgang; Townsley, Mary I

    2006-01-01

    Acute lung injury disrupts the alveolar septal barrier, leading to patchy alveolar flooding and hypoxemia. While calcium entry into endothelial cells is critical for loss of barrier integrity, the cation channels participating in disruption of this barrier in acute lung injury have not been identified. We hypothesized that activation of the vanilloid transient receptor potential channel TRPV4 disrupts the alveolar septal barrier. Expression of TRPV4 was confirmed via immunohistochemistry in t...

  4. KL-6, a Human MUC1 Mucin, as a prognostic marker for diffuse alveolar hemorrhage syndrome

    OpenAIRE

    Kida Yoshiko; Ohshimo Shinichiro; Ota Kohei; Tamura Tomoko; Otani Tadatsugu; Une Kazunobu; Sadamori Takuma; Iwasaki Yasumasa; Bonella Francesco; Hattori Noboru; Hirohashi Nobuyuki; Guzman Josune; Costabel Ulrich; Kohno Nobuoki; Tanigawa Koichi

    2012-01-01

    Abstract Background Diffuse alveolar hemorrhage syndrome is a life threatening condition with diverse etiologies. Sensitive prognostic markers for diffuse alveolar hemorrhage have not been well investigated. Serum KL-6 is a biomarker for various interstitial lung disease associated with disease activity and prognosis. The purpose of the present study was to evaluate the clinical utility of serum KL-6 level as a prognostic marker for diffuse alveolar hemorrhage. Methods We retrospectively coll...

  5. Microarray studies on effects of Pneumocystis carinii infection on global gene expression in alveolar macrophages

    OpenAIRE

    Liao Chung-Ping; Xuei Xiaoling; Liu Yunlong; Cheng Bi-Hua; Lu Debao; Lasbury Mark E; Durant Pamela J; Lee Chao-Hung

    2010-01-01

    Abstract Background Pneumocystis pneumonia is a common opportunistic disease in AIDS patients. The alveolar macrophage is an important effector cell in the clearance of Pneumocystis organisms by phagocytosis. However, both the number and phagocytic activity of alveolar macrophages are decreased in Pneumocystis infected hosts. To understand how Pneumocystis inactivates alveolar macrophages, Affymetrix GeneChip® RG-U34A DNA microarrays were used to study the difference in global gene expression...

  6. Identification of hydrogen peroxide as a Streptococcus pneumoniae toxin for rat alveolar epithelial cells.

    OpenAIRE

    Duane, P G; Rubins, J B; Weisel, H R; Janoff, E N

    1993-01-01

    Streptococcus pneumoniae infections of the lung are associated with significant damage to the alveolar epithelium. Host phagocytes and pneumolysin, a cytolytic toxin of S. pneumoniae, are believed to contribute to this cellular damage, yet experiments in which these elements are absent demonstrate the presence of an additional soluble S. pneumoniae factor that is toxic to alveolar epithelium. We examined the effects of S. pneumoniae-associated alveolar epithelial cell injury by factors other ...

  7. Essential Role for Neutrophils but not Alveolar Macrophages at Early Time Points following Aspergillus fumigatus Infection

    OpenAIRE

    Mircescu, Monica M.; Lipuma, Lauren; Van Rooijen, Nico; Pamer, Eric G; Hohl, Tobias M

    2009-01-01

    Alveolar macrophages and neutrophils mediate innate immune defense against the opportunistic fungal pathogen Aspergillus fumigatus and are believed to be essential for host survival following inhalation of fungal spores (conidia). Although alveolar macrophages are postulated to kill inhaled conidia and neutrophils are believed to act against hyphae, the relative contribution of alveolar macrophages and neutrophils to early defense against A. fumigatus remain incompletely defined. To more prec...

  8. Cyclic Stretch–Induced Oxidative Stress Increases Pulmonary Alveolar Epithelial Permeability

    OpenAIRE

    Davidovich, Nurit; DiPaolo, Brian C.; Lawrence, Gladys G.; Chhour, Peter; Yehya, Nadir; Margulies, Susan S

    2013-01-01

    Mechanical ventilation with high tidal volumes has been associated with pulmonary alveolar flooding. Understanding the mechanisms underlying cyclic stretch–induced increases in alveolar epithelial permeability may be important in designing preventive measures for acute lung injury. In this work, we assessed whether cyclic stretch leads to the generation of reactive oxygen species in type I–like alveolar epithelial cells, which increase monolayer permeability via activation of NF-?B and extrac...

  9. Recombinant Human Factor VIIa for Alveolar Hemorrhage Following Allogeneic Stem Cell Transplantation

    OpenAIRE

    Elinoff, Jason M; Bagci, Ulas; Moriyama, Brad; Dreiling, Jennifer L.; Foster, Brent; Gormley, Nicole J.; Salit, Rachel B.; Cai, Rongman; SUN, JUNFENG; Beri, Andrea; Reda, Debra J.; Fakhrejahani, Farhad; Battiwalla, Minoo; Baird, Kristin; Cuellar-Rodriguez, Jennifer M.

    2014-01-01

    The mortality rate of alveolar hemorrhage following allogeneic hematopoietic stem cell transplantation is greater than 60% with supportive care and high dose steroids. We performed a retrospective cohort analysis to assess the benefits and risks of rFVIIa as a therapeutic adjunct for alveolar hemorrhage. From 2005 to 2012, 57 episodes of alveolar hemorrhage occurred in 37 patients. Fourteen episodes (in 14 patients) were treated with steroids alone and 43 episodes (in 23 patients) were treate...

  10. N-N-dimethylformamide concentration in environmental and alveolar air in an artificial leather factory.

    OpenAIRE

    Brugnone, F; Perbellini, L; Gaffuri, E

    1980-01-01

    N-N-Dimethylformamide was determined every hour during the eight hours of the work shift in the alveolar air of eight workers employed in an artificial leather factory and in the breathing zone of the eight workers. The alveolar ventilation of each worker was measured for 10 minutes during the work shift. Alveolar dimethylformamide concentration (Ca) was correlated with the environmental concentration (Ci) in six of the eight workers. The amount of dimethylformamide retained per litre of vent...

  11. Acid phosphatase activity may affect the tuber swelling by partially regulating sucrose-mediated sugar resorption in potato.

    Science.gov (United States)

    Wang, Da-Yong; Lian, Yong; Zhu, De-Wei

    2008-06-01

    APase activity is involved in regulating many physiological and developmental events by affecting the resorption process. In this study, we investigate the role of APase activity in tuber development in potato. APase activities were mainly localized in cytoplasm, gaps among cells and stroma of amyloplasts of parenchyma cells at the stage of tuber swelling. AP1, encoding a putative APase, was also highly expressed in swelling tubers and a low level of expression was observed in elongated stolons and matured tubers. Inhibition of APase activity by applying Brefeldin A, an inhibitor of APase production and secretion, significantly suppressed the tuber swelling and moderately affected the stolon elongation and the tuberization frequency. During tuber development, sucrose serves as the main soluble sugar for long-distance transportation and resorption. Moreover, inhibition of APase activity by Brefeldin A markedly reduced the sucrose content in tubers and further decreased the starch accumulation, suggesting that the function of APase in regulating the tuber swelling might be at least partially mediated by the sugar resorption. Exogenous sucrose treatments further indicate the important role of sucrose-mediated sugar resorption in tuber swelling. These results suggest that the APase activity might affect the tuber swelling by partially regulating the sucrose-mediated sugar resorption. PMID:18713414

  12. The influence of tibial component fixation techniques on resorption of supporting bone stock after total knee replacement.

    Science.gov (United States)

    Chong, Desmond Y R; Hansen, Ulrich N; van der Venne, Rene; Verdonschot, Nico; Amis, Andrew A

    2011-03-15

    Periprosthetic bone resorption after tibial prosthesis implantation remains a concern for long-term fixation performance. The fixation techniques may inherently aggravate the "stress-shielding" effect of the implant, leading to weakened bone foundation. In this study, two cemented tibial fixation cases (fully cemented and hybrid cementing with cement applied under the tibial tray leaving the stem uncemented) and three cementless cases relying on bony ingrowth (no, partial and fully ingrown) were modelled using the finite element method with a strain-adaptive remodelling theory incorporated to predict the change in the bone apparent density after prosthesis implantation. When the models were loaded with physiological knee joint loads, the predicted patterns of bone resorption correlated well with reported densitometry results. The modelling results showed that the firm anchorage fixation formed between the prosthesis and the bone for the fully cemented and fully ingrown cases greatly increased the amount of proximal bone resorption. Bone resorption in tibial fixations with a less secure anchorage (hybrid cementing, partial and no ingrowth) occurred at almost half the rate of the changes around the fixations with a firm anchorage. The results suggested that the hybrid cementing fixation or the cementless fixation with partial bony ingrowth (into the porous-coated prosthesis surface) is preferred for preserving proximal tibial bone stock, which should help to maintain post-operative fixation stability. Specifically, the hybrid cementing fixation induced the least amount of bone resorption. PMID:21236431

  13. Bose enhancement and the ridge

    CERN Document Server

    Altinoluk, Tolga; Beuf, Guillaume; Kovner, Alex; Lublinsky, Michael

    2015-01-01

    We point out that Bose enhancement in a hadronic wave function generically leads to correlations between produced particles. We show explicitly, by calculating the projectile density matrix in the Color Glass Condensate approach to high-energy hadronic collisions, that the Bose enhancement of gluons in the projectile leads to azimuthal collimation of long range rapidity correlations of the produced particles, the so-called ridge correlations.

  14. Bose enhancement and the ridge

    Directory of Open Access Journals (Sweden)

    Tolga Altinoluk

    2015-12-01

    Full Text Available We point out that Bose enhancement in a hadronic wave function generically leads to correlations between produced particles. We show explicitly, by calculating the projectile density matrix in the Color Glass Condensate approach to high-energy hadronic collisions, that the Bose enhancement of gluons in the projectile leads to azimuthal collimation of long range rapidity correlations of the produced particles, the so-called ridge correlations.

  15. Bose enhancement and the ridge

    Science.gov (United States)

    Altinoluk, Tolga; Armesto, Néstor; Beuf, Guillaume; Kovner, Alex; Lublinsky, Michael

    2015-12-01

    We point out that Bose enhancement in a hadronic wave function generically leads to correlations between produced particles. We show explicitly, by calculating the projectile density matrix in the Color Glass Condensate approach to high-energy hadronic collisions, that the Bose enhancement of gluons in the projectile leads to azimuthal collimation of long range rapidity correlations of the produced particles, the so-called ridge correlations.

  16. Oak Ridge National Laboratory Review

    Energy Technology Data Exchange (ETDEWEB)

    Krause, C.; Pearce, J.; Zucker, A. (eds.)

    1992-01-01

    This report presents brief descriptions of the following programs at Oak Ridge National Laboratory: The effects of pollution and climate change on forests; automation to improve the safety and efficiency of rearming battle tanks; new technologies for DNA sequencing; ORNL probes the human genome; ORNL as a supercomputer research center; paving the way to superconcrete made with polystyrene; a new look at supercritical water used in waste treatment; and small mammals as environmental monitors.

  17. Methodological approach for the evaluation of homologous bone graft use in post-extractive atrophic alveolar ridges

    Directory of Open Access Journals (Sweden)

    B. Musante

    2013-01-01

    Full Text Available The aim of this study is to investigate the in vivo efficacy of Puros® cancellous particulate allograft bone in the regeneration of post-extractive sites. Twelve molar or premolar sites were selected. Seven days after minimally invasive tooth extraction, Puros® cancellous particulate allografts were inserted into the elected sites. TC Cone-Beam investigation and at 4 months from surgery; bone height and width were evaluated. Five months after surgery, biopsy samples of the regenerated sites were taken and histologically analyzed to qualitatively evaluate bone regeneration. TC analysis showed, a mean bone gain of 4.1 mm in height and 2.02 mm in width. The histological analysis of the samples showed intense bone metabolic activity with active osteoblasts on the implant surface, at the level of the native bone-graft interface and in the grafted area. The radiographic and histological analyses demonstrate an optimal bonen regeneration, both in terms of quality and quantity using Puros®.

  18. O conceito de reabsorções dentárias ou As reabsorções dentárias não são multifatoriais, nem complexas, controvertidas ou polêmicas! The concept of root resorptions: root resorptions are not multifactorial, complex, controversial or polemical!

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    2011-08-01

    Full Text Available Os mecanismos das reabsorções dentárias são conhecidos e suas causas bem definidas. Clinicamente são assintomáticas e não induzem alterações pulpares, periapicais e periodontais, sendo geralmente consequências delas. As reabsorções dentárias são alterações locais e adquiridas e não representam manifestações dentárias de doenças sistêmicas. As reabsorções dentárias ocorrem quando as estruturas de proteção dos dentes em relação à remodelação óssea são eliminados, especialmente os cementoblastos e restos epiteliais de Malassez.The mechanisms of root resorptions are known, and their causes are well defined. They are clinically asymptomatic and do not induce pulp, periapical or periodontal changes; rather, they are usually consequences of these phenomena. Root resorptions are local and acquired defects, and not dental signs of systemic diseases. Root resorptions occur when structures that protect teeth from bone remodeling, particularly cementoblasts and epithelial rests of Malassez, are eliminated.

  19. Self-renewal of pulmonary alveolar macrophages: evidence from radiation chimera studies

    Energy Technology Data Exchange (ETDEWEB)

    Tarling, J.D.; Lin, H.S.; Hsu, S.

    1987-11-01

    Radiation-induced chimeric mice were used to study the origin of pulmonary alveolar macrophages. Unlike in other studies, these radiation chimeras were prepared by using a special fractionated irradiation regimen to minimize the killing of alveolar macrophage colony-forming cells, putative local stem cells. For this study CBA mice with or without T6 chromosome marker were used. Under this experimental condition, the majority of alveolar macrophages in mitosis are of host origin even after 45 weeks. These data suggest that alveolar macrophages are a self-renewing population under normal steady-state conditions.

  20. Effects of epidermal growth factor on bone formation and resorption in vivo

    International Nuclear Information System (INIS)

    The effects of mouse epidermal growth factor (EGF) on bone formation and resorption were examined in male mice. EGF administration (2-200 ng.g-1.day-1 ip for 7 days) induced a dose-dependent rise in plasma EGF levels that remained within physiological range. Histomorphometric analysis of caudal vertebrae showed that EGF (20 and 200 ng.g-1.day-1) reduced the endosteal matrix and mineral appositional rates after 5 days of treatment as measured by double [3H]proline labeling and double tetracycline labeling, respectively. This effect was transitory and was not observed after 7 days of EGF administration. EGF administered for 7 days induced a dose-dependent increase in the periosteal osteoblastic and tetracycline double-labeled surfaces. At high dosage (200 ng.g-1.day-1) EGF administration increased the osteoclastic surface and the number of acid phosphatase-stained osteoclasts, although plasma calcium remained normal. The results show that EGF administration at physiological doses induces distinct effects on endosteal and periosteal bone formation and that the effects are dependent on EGF dosage and duration of treatment. This study indicates that EGF at physiological dosage stimulates periosteal bone formation and increases endosteal bone resorption in the growing mouse