Roughness and wettability of titanium implant surfaces modify the salivary pellicle composition.

This study reports the differences in the protein composition of salivary pellicles formed under in situ conditions on two Titanium (Ti) surfaces, with different roughness and wettability. Smooth pretreatment Ti surfaces (Ti-PT) with an average roughness (Ra) of 0.45 µm and a water contact angle (WCA) of 92.4°, as well as a more rough sandblasted, large grit, acid-etched treatment Ti surfaces (Ti-SLA) with a Ra of 3.3 µm and WCA of 131.8°, were tested. The salivary pellicles were quantitatively analyzed by bicinchoninic acid assays, and the protein identification was performed by Nano-LC-MS/MS (nano mass spectrometry). Protein levels of 2.5, and 9.1 µg/ml were quantified from the detached salivary pellicle formed on the Ti-PT and Ti-SLA surfaces, respectively. Using Nano-LC-MS/MS, a total of 597 proteins were identified on all the substrates tested; 43 proteins were identified only on the Ti-PT, and 226 proteins were adsorbed solely on the Ti-SLA substrates. The physicochemical characteristics of the Ti implant surfaces modified the amount and the identity of the salivary proteome of the pellicles formed, confirming the high selectivity of the protein pellicle formed on a surface once is exposed in the oral cavity.

Green synthesis of ZnO nanoparticles using a Dysphania ambrosioides extract. Structural characterization and antibacterial properties.

The Structural properties of Zinc oxide nanoparticles (ZnO-NPs) as well as their antibacterial properties against Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli and Pseudomonas aeruginosa; as well as bacteria that are usually found in the mouth of humans and are related to dental conditions, such as Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Streptococcus mutans and Streptococcus sanguinis, are presented in this report. ZnO-NPs were grown by green synthesis, using the Mexican plant Dysphania ambrosioides known in Mexico as "epazote", which was used by native populations of Mexico as a dewormer, is currently used widely in traditional Mexican cuisine and is rich in organic compounds as flavonoids and terpenes which may favor the synthesis of nanoparticles (NPs). ZnO-NPs were synthesized by the mentioned technology and were compared with commercial ZnO-NPs as a reference. Synthesized and commercial ZnO-NPs were characterized by X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), transmission electron microscopy (TEM), X-ray energy dispersive spectroscopy (EDS), Fourier transformed infrared spectroscopy (FTIR) and thermogravimetry (TG). Antibacterial properties were evaluated using a disc diffusion test (Kirby-Bauer method). The results indicate that ZnO-NPs were synthesized in the size range of 5-30 nm. The presence of the ZnO crystalline phase was identified by high resolution transmission electron microscopy (HRTEM) and XRD analysis. The commercial ZnO-NPs were in the size range of 15-35 nm. The antibacterial test indicates that most of the bacterial strains used in this study were sensitive to synthesized and commercial NPs, with Prevotella intermedia being the most sensitive to ZnO-NPs.

Antibacterial activity of a glass ionomer cement doped with copper nanoparticles.

Copper nanoparticles (NCu) were synthetized and added to commercial glass ionomer cement, to evaluate in vitro its antibacterial activity against oral cavity strains. The NCu were synthesized by copper acetate reduction with L-ascorbic acid and characterized by FTIR, Raman, XPS, XRD and TEM. Then, commercial glass ionomer cement (GIC) was modified (MGIC) with various concentrations of NCu and physicochemically characterized. Cell viability was tested against human dental pulp fibroblasts (HDPFs) by Alamar-Blue assay and antibacterial test was performed against S. mutans and S. sanguinis by colony forming unit (CFU) growth method. Synthesized NCu rendered a mixture of both metallic copper and cuprous oxide (Cu2O). HDPF viability reduces with exposure time to the extracts (68-72% viability) and MGIC with 2-4 wt% NCu showed antimicrobial activity against the two tested strains.

Antibacterial composite membranes of polycaprolactone/gelatin loaded with zinc oxide nanoparticles for guided tissue regeneration.

The bacterial colonization of absorbable membranes used for guided tissue regeneration (GTR), as well as their rapid degradation that can cause their rupture, are considered the major reasons for clinical failure. To address this, composite membranes of polycaprolactone (PCL) and gelatin (Gel) loaded with zinc oxide nanoparticles (ZnO-NPs; 1, 3 and 6 wt% relative to PCL content) were fabricated by electrospinning. To fabricate homogeneous fibrillar membranes, acetic acid was used as a sole common solvent to enhance the miscibility of PCL and Gel in the electrospinning solutions. The effects of ZnO-NPs in the physico-chemical, mechanical and in vitro biological properties of composite membranes were studied. The composite membranes showed adequate mechanical properties to offer a satisfactory clinical manipulation and an excellent conformability to the defect site while their degradation rate seemed to be appropriate to allow successful regeneration of periodontal defects. The presence of ZnO-NPs in the composite membranes significantly decreased the planktonic and the biofilm growth of the Staphylococcus aureus over time. Finally, the viability of human osteoblasts and human gingival fibroblasts exposed to the composite membranes with 1 and 3 wt% of ZnO-NPs indicated that those membranes are not expected to negatively influence the ability of periodontal cells to repopulate the defect site during GTR treatments. The results here obtained suggest that composite membranes of PCL and Gel loaded with ZnO-NPs have the potential to be used as structurally stable GTR membranes with local antibacterial properties intended for enhancing clinical treatments.

Empiema por toxoplasmosis / Empyema due to toxoplasmosis

Resumen La toxoplasmosis es una enfermedad ocasionada por Toxoplasma gondii, que habitualmente causa enfermedad asintomática en humanos inmunocompetentes; en pacientes inmunodeprimidos las manifestaciones son atípicas y severas. Este artículo describe el caso de una joven de 14 años previamente sana con diagnóstico de empiema por Toxoplasma gondii mediante observación directa del protozoo en líquido pleural y en biopsia pulmonar, que se curó con lavado y decorticación, así como con tratamiento médico con trimetoprim con sulfametoxazol.

Abstract Toxoplasmosis is a disease caused by Toxoplasma gondii, which usually causes asymptomatic disease in immunocompetent humans; in immunocompromised patients, the manifestations are atypical and severe. This article describes the case of a 14-year-old girl, previously healthy with diagnosis of empyema by Toxoplasma gondii by direct observation of the protozoon in pleural fluid and lung biopsy, which was resolved with washing and decortication as well as medical management with trimethoprim with sulfamethoxazole.

Adhesion of Streptococcus mutans and Streptococcus sanguinis on Er:YAG Laser-Irradiated Dental Enamel: Effect of Surface Roughness.

Objective: To determine surface roughness caused by Er:YAG laser irradiation and its effect on the increase in bacterial adhesion. Background: Er:YAG laser was proposed as a strategic device to reduce caries by its ability to generate chemical and structural changes in tooth enamel; in turn, it produces undesirable effects on the tooth surface that could increase its roughness and allow a greater accumulation of microorganisms. Methods: Eighty-four samples of human enamel were divided into seven groups (n = 12): G1_control (no laser irradiation); G2_100/H2O, G3_200/H2O, and G4_300/H2O were irradiated with Er:YAG laser (12.7, 25.5, and 38.2 J/cm2, respectively) under water irrigation. In addition, G5_100, G6_200, and G7_300 were irradiated with the energy densities described above and no water irrigation. Surface roughness measurements were recorded before and after treatment using a profilometer. Afterward, three samples per group were incubated in a microorganism suspension for the tetrazolium salt (XTT) assay. Biofilm morphology was observed using scanning electron microscopy and confocal laser scanning microscope. One-way analysis of variance and t-tests were performed for statistical analysis (p < 0.05). Results: There were no statistically significant differences in roughness values in the G5_100 group before and after treatment, but there were statistically significant differences observed in the other groups evaluated (p < 0.05). No significant differences in adhesion of both strains were detected in irradiated groups compared with G1_control. Conclusions: The increase in roughness on dental enamel surfaces was proportional to the irradiation conditions. However, the increase in surface roughness caused by Er:YAG laser irradiation did not affect Streptococcus mutans and S. sanguinis adhesion.

Quiste hepático gigante resuelto por laparoscopia / Giant non-árasitic liver cyst resolved by laparoscopy

Introducción. Los quistes simples no parasitarios del hígado, son malformaciones congénitas revestidas de epitelio cuboide o escamoso, que pueden ser únicos o múltiples.Caso clínico. Se presenta el caso de un paciente del sexo femenino de 8 años de edad, que ingresó con el diagnóstico de masa abdominal. Se sometió a protocolo de estudio reportando el ultrasonido (USG) y la tomografía axial computada (TAC) abdominal una gran imagen quística dependiente del hígado. Por medio de laparoscopia se efectuó destechamiento del quiste y colecistectomía por estar involucrada la vesícula. El resultado es satisfactorio a 3 años.Conclusiones. Laparoscopia se debe considerar como una buena alternativa de manejo curativo en los quistes hepáticos.