ABSTRACT
The use of odontological or orthopedic metal implants requires the availability of techniques to estimate tissue response to the corrosion processes. In previous experimental studies we showed the deposition of corrosion products not only locally (Olmedo et al., Implant Dent 2003; 12: 75-80) but also systemically (Olmedo et al., J Mater Sci: Mater in Medic 2002; 13: 793-796) in organs such as liver, spleen and lung. The aim of the present study was to propose a method to quantitatively assess the tissue deposits of the corrosion products of the materials used to manufacture implants. The samples (liver and lung) were embedded in paraffin, and the histological sections were submitted to thickness standardization. The quantitative evaluation of the deposits was performed in an MPM-800 (Carl Zeiss)* microscope. The light microscopy images were digitalized and then analyzed employing the DNA-IBAS-Kontron software that allows for the identification and evaluation of cells loaded with corrosion products (objective 20x). The following end-points were assessed: total field area, number of deposits of corrosion products, partial and total area of the deposits, and the ratio between volume of the deposits and tissue volume. The method proposed serves to quantitatively evaluate, at light microscopy level, the deposition of corrosion products in tissues.
ABSTRACT
Ploidy analysis is an aid in the diagnosis and evaluation of prognosis of tumors. Image analysis is a relatively simple technique to assess ploidy that can be carried out with accessible equipment. However, it requires the use of accurate technical procedures to avoid methodological errors that may bias the measurements. We previously developed two procedures that are simple to apply in routine work and serve to correct the errors derived from the measurement of large nuclei that are not fully contained in the thickness of the section and those derived from non-specific background readings. In the present study we applied these corrections to the retrospective ploidy analysis of a series of 67 patients with oral carcinoma with a follow-up time of 18 months. Thirty-four patients were alive at the end of the study, 33 were deceased. The ploidy values and the malignancy indices corresponding to the deceased and live patients with TNM stage III and IV carcinomas at the time of biopsy were significantly different. There were no significant differences in ploidy values between live and deceased patients with TNM stage I and II at the time of biopsy. The corrections improved the sensitivity of the method and thus the statistical significance of the data. These data suggest that the method proposed may be of use to estimate lesion evolution, in particular in patients with advanced oral squamous cell carcinomas.
ABSTRACT
The aim of the present study was to analyze the role of the gingival-periodontal component in the presence of blood in saliva. We studied a population of 184 adult patients composed of 101 totally edentulous patients with no oral mucosa lesions and 83 dentulous patients with clinically healthy gums. Saliva samples obtained by spontaneous salivation were collected in sterile containers. Qualitative and quantitative evaluation of each of the samples was performed. 67
of the dentulous patients tested positive for hemoglobin in saliva. None of the patients in the totally edentulous group exhibited hemoglobin in saliva. These data suggest that the periodontal condition is an essential factor for the presence of hemoglobin in saliva.
ABSTRACT
We have developed an experimental model for the study of the response of the periodontal ligament and bone to intrusive orthodontics forces in rats. Thirty-five Wistar rats, body weight 250 gr., were grouped as follows: control (GI), 48 hs (GII), 96 hs (GIII), 7 days (GIV). A steel band was cemented to the first upper right molar with a welded spring running to the occlusal surface of the second molar to exert a vertical force of 15 gr. The left side of treated animals was also used as control. The animals were sacrificed at the corresponding treatment times. Radiographs of the left and right halves of the jawbones were taken with an ultrafine grain industrial film. Seven measurements of the width of the periodontal ligament were taken. The data reveal narrowing of the periodontal ligament at the peri-apex and the furcation area for the animals in Group II. Conversely, Group III and IV animals exhibited widening of the periodontal ligament, particularly in the animals submitted to the force for 7 days. Statistical analysis of the data by Students paired t test showed that the difference for the latter group was statistically significant (p < 0.05). The data for the horizontal measurements do not afford conclusive results. The present results confirm the value of the model to study the response to vertical intrusive forces.
ABSTRACT
Demineralization of bone has been linked to the action of osteocytes via the process of osteocytic osteolysis. The aim of this study was to assess the influence of mechanical forces produced during orthodontic movements on the osteocytic lacunae. Orthodontic movements were achieved employing a device constructed [quot ]ad hoc[quot ] for rats that exerts a force of approximately 70 gr. The experimental animals and the corresponding controls were killed 48 and 96 hours after the onset of the experiment. Histologic sections oriented along the bucco-palatine axis were employed to measure the area of osteocytic lacunae to infer information on volume in keeping with standard stereological concepts. Regions alongside resorption areas of cortical bone and resting areas of palatine bone were evaluated. Osteocytic lacunae associated to erosive surfaces were rounded and rose markedly in area after the application of the orthodontic force (58.4 +/- 6 mm2). Elongated lacunae were present in relation to resting areas (24.8 +/- 2 mm2). The present study shows an association between the increase in size of osteocytic lacunae and the resorption fronts induced by the application of orthodontic forces. This finding would suggest that the osteocyte would participate in the resorption process of bone submitted to pressure.
ABSTRACT
Corrosion phenomena would appear to play a decisive role in metallic implant long term behaviour. This study presents a method to correlate results obtained in [quot ]in vivo[quot ] and [quot ]in vitro[quot ] studies on materials used for metallic implants. Samples of titanium and copper immersed in saline solution (pH 7.4 and 5.2) were used for the [quot ]in vitro[quot ] study. Implants of these same materials were placed in rat tibiae following the method previously described by Cabrini et al. The animals were killed 14 days post-implantation, the tibiae were resected, radiographed and embedded in acrylic resin. Polarization curves revealed high corrosion in copper implants and low corrosion in titanium implants. It is important to point out that the titanium samples suffered slightly higher corrosion when immersed in a lower pH medium (pH 5.2), as in chronic inflammatory processes. A passive film was found on titanium samples as opposed to the strong corrosion observed in the copper implants. Microscopy revealed osseointegration around titanium implants and a severe inflammatory reaction with abscesses surrounding the copper implants. The method presented herein would allow to correlate [quot ]in vivo[quot ] and [quot ]in vitro[quot ] studies on corrosion in different implant materials and establish their relation with cell response.
ABSTRACT
El estudio del material del implante en relación con el tejido vivo (hueso y/o médula) es de especial importancia. En esta presentación deseamos resumir una serie de datos experimentales obtenidos del estudio de diferentes materiales y condiciones que han posibilitado disponer de una metodología que puede ser aplicada sobre un número significativo de muestras, obteniéndose medidas y datos a nivel microscópico y con valor estadístico
Subject(s)
Argentina , Prostheses and Implants , Bone Substitutes , Interphase , OsseointegrationABSTRACT
In a previous study we analyzed the behaviour of Zircalloy 4 particles employed in patients with significant loss of periodontal bone support which threatened the permanence in situ of the tooth. We herein present the results obtained after regular examination over a 2-year period of 6 patients submitted to this treatment. Our results reveal that all patients exhibited excellent gingivo-periodontal health with an increase in clinical insertion of 7 mm +/- 1 and a marked reduction in motility from 3 to 1. None of the cases featured added inflammation or expulsion of the implant material. In one of the cases it was possible to study the histology of the area by punch biopsy with a disposable needle (Sherwood-Medical). Analysis of the sample revealed the presence of bone tissue in intimate contact with implanted metallic particles of Zircalloy 4, producing osseointegration. This osseointegration would lead to filling of the periodontal bone defect. Macrophages loaded with metallic particles were found in the vicinity of particles which were not osseointegrated. These features may correspond to superficial areas related with soft tissue as observed in our study on alveolar filling in rats with the same type of particles.
ABSTRACT
Metallic dental and orthopedic implants are essential therapeutic tool. The biologic success of an implant involves intimate contact between the implant and vital bone tissue, an event which has been termed osseointegration. The aim of the present study was to study the biocompatibility and biomechanic properties of different implant materials. Zircalloy 4 metallic cones (1.8 mm base x 2 mm height) were implanted in the diaphysis of the tibiae of 6 Wistar rats (90 g body weight) under i.p. Ethyl Urethane anesthesia. The animals were killed 30 days postimplantation, the tibiae were resected, and radiographed. One side chosen at random was used for the biomechanical study; whereas the other implant of each animal was processed for embedding in methyl-methacrylate. The bond of the implanted material to bone tissue was monitored immediately after resecting the tibiae by applying an extraction force to the base of the cone via a device designed ad hoc connected to a testing machine. Histological and radiographic analyses revealed the presence of bone tissue in contact with the implant surface. A force of about 35 g was necessary to separate the implant from the bone tissue. The system proposed renders possible the study of biocompatibility in histologic terms and in terms capacity to bond to bone tissue and could be a valuable research tool and the basis for quality control of all types of material, metallic or otherwise, used in endosseous implants.
ABSTRACT
Acute and chronic uranium intoxication leads to the inhibition of bone formation and impaired bone modeling and remodeling. As these are processes directly involved in bone growth the aim of this paper is to present a biometric study of bone growth--tibiae and mandibles of rats intoxicated with uranium. Wistar ratios weighing 60-80 g were used as follows, a) one intraperitoneal injection (IPI, 2 mg/Kg of body weight)) of uranyl nitrate; b) 30 daily applications on the dorsal skin of aliquots of a mixture of U308, concentrated at 2
and at 4
--percutaneous absorption(PA)-. Tibia and mandible length were smaller in both experimental groups than in their respective controls. Some of the mandibular parameters were lower in intoxicated animals than their controls which in turn results in the alteration of the mandibular shape. We conclude that impairment in bone growth can be achieved by uranium intoxication.