Periapical tissue reactions to calcium hydroxide and MTA after external root resorption as a sequela of delayed tooth replantation

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Peripheral Ossifying Fibroma

The peripheral ossifying fibroma (POF) is a common gingival growth usually arising from the interdental papilla. The anterior maxilla is the most common location of involvement. The etiology and pathogenesis of POF remains unknown. Some investigators consider it a neoplastic process, whereas others argue that it is a reactive process; in either case, the lesion is thought to arise from cells in the periodontal ligament. Trauma or local irritants, such as dental plaque, calculus, microorganisms, masticatory force, ill-fitting dentures, and poor quality restorations, have been implicated in the etiology of POF. The recommended treatment is the excisional biopsy; however, it can leave a defect if the procedure is not followed by a subepithelial connective tissue graft. The main objective of this article was to present a clinical case of excisional biopsy of a POF followed by a subepithelial connective tissue graft to correct the defect caused by the biopsy. The biopsy defect was satisfactorily repaired, and the lesion has not recurred after 6 years of follow-up.

Analysis of the healing process in delayed tooth replantation after root canal filling with calcium hydroxide, Sealapex and Endofill: a microscopic study in rats

The major concern in the therapeutics of tooth replantation refers to the occurrence of root resorption and different approaches have been proposed to prevent or treat these complications. The purpose of this study was to evaluate tissue response to delayed replantation of anterior rat teeth treated endodontically using calcium hydroxide, Sealapex, and Endofill without the placement of gutta-percha cones. Thirty rats had their right upper incisor extracted and maintained in dry storage for 60 min. After removal of the dental papilla, enamel organ, pulp tissue, and periodontal ligament remnants, the teeth were immersed in 2% sodium fluoride phosphate acidulated, pH 5.5, for 10 min. The root canals were dried with absorbent paper points and the teeth were assigned to three groups (n = 10) according to the filling material. Group I - calcium hydroxide and propyleneglycol paste, Group II - Sealapex, and Group III - Endofill. The sockets were irrigated with saline and the teeth were replanted. Replacement resorption, inflammatory resorption and ankylosis were observed in all groups. Although the occurrence of inflammatory resorption was less frequent in Group I, there were no statistically significant differences among the groups. It may be concluded that compared to the paste, filling the root canals with Sealapex and Endofill sealers without the placement of gutta-percha cones did not provide better results.

Effect of root surface treatment with propolis and fluoride in delayed tooth replantation in rats

Replantation is an acceptable option for treatment of an avulsed permanent tooth. Nevertheless, an extended extraoral period damages the periodontal ligament and results in external root resorption. The purpose of this study was to assess by histologic and histometric analysis, the influence of propolis 15% (natural resinous substance collected by Apis mellifera bees from various plants) and the fluoride solution used as root surface treatment on the healing process after delayed tooth replantation. Thirty Wistar (Rattus norvegicus albinus) rats were submitted to extraction of their upper right incisor. The teeth were maintained in a dry environment for 60 min. After this, the pulp was extirpated and the papilla, enamel organ and periodontal ligament were removed with scalpel. The teeth were divided into three experimental groups: Group I - teeth immersed in 20 ml of physiologic saline; Group II - teeth immersed in 20 ml of 2% acidulated phosphate sodium fluoride; Group III - teeth immersed in 20 ml of 15% propolis. After 10 min of immersion in the solutions, the root canals were dried and filled with calcium hydroxide paste and the teeth were replanted. The animals were euthanized 60 days after replantation. The results showed that similar external root resorption was seen in the propolis and fluoride groups. Teeth treated with physiologic saline tended to have more inflammatory root resorption compared with those treated with fluoride or propolis. However, the comparative analysis did not reveal statistically significant differences (P > 0.05) between the treatment modalities when used for delayed tooth replantation.

Dens invaginatus type III: report of a case and 10-year radiographic follow-up

Aim the purpose of this article is to report the 10-year follow-up of a right mandibular central incisor with 'dens invaginatus' that was root filled.Summary 'Dens invaginatus ' is a rare malformation of teeth, probably resulting from an infolding of the dental papilla during tooth development. It has alternatively been called 'dens in dente' and 'dilated composite odontome'. Radiographic examination may clearly demonstrate this feature, although no signs may be recognized clinically. If no entrance to the invagination can be detected and there are no signs of pulp pathosis, then no treatment is required other than fissure sealing of the invagination. In deep invaginations, it is likely that root-canal treatment may be required. Occasionally, when the tooth has an immature root, apexification is necessary. Root-canal treatment of a right mandibular central incisor with 'dens invaginatus ' is described along with 10-year follow-up.Key learning pointsBoth clinical and radiographic examinations are necessary to determine morphological features of teeth before root-canal treatment.Sensibility testing to determine the pulp condition is critical prior to treatment.

Clinical and Radiographic Evaluation of Factors Influencing the Presence or Absence of Interproximal Gingival Papillae

This study evaluated factors that may influence the presence or absence of interproximal papillae. Clinical evaluation consisted of visual determination, and quantitative analyses were made using millimeter grids on radiographs. Patients (n = 45) were divided into three groups according to age. Data were analyzed using the chi-square test followed by the Student t test (alpha = .05). The distance from the contact point to the bone crest had significant influence on papilla presence in both anterior and posterior sites (P < .05), whereas the width between roots of adjacent teeth did not. The papilla was missing more frequently in anterior sites. The presence of papillae was not age-dependent. (Int J Periodontics Restorative Dent 2012;32:e68-e74.)

Phenotype characterization of Staphylococcus species strains isolated from buffalo (Bubalus bubalis) milk

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Morphology and histology of male and female reproductive systems in the inseminating species Scoloplax distolothrix (Ostariophysi : Siluriformes : Scoloplacidae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Male and female reproductive morphology in the inseminating genus Astroblepus (Ostariophysi: Siluriformes: Astroblepidae)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Assessment of Female Reproductive Endpoints in Sprague-Dawley Rats Developmentally Exposed to Diuron: Potential Ovary Toxicity

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Ameloblastic fibro-odontoma: A case report

Ameloblastic fibro-odontoma (AFO) is a rare, benign, slow-growing odontogenic tumor, generally asymptomatic and more prevalent in children and adolescents. We report a case of AFO in the mandible of an eight-year-old Caucasian male patient, and review the literature. Intraoral examination revealed a swelling extending from the deciduous second molar to the retromolar triangle, covered with normal mucosa. A panoramic radiograph showed a large, well-demarcated radiolucency with radiopaque areas. The provisional diagnosis was of AFO, and so an incisional biopsy was performed. Histologically, the lesion was composed of connective tissue resembling the dental papilla, with epithelial strands or islands, as well as denticles and amorphous masses of enamel and dentin consistent with a diagnosis of AFO. Surgical excision and curettage of the lesion were performed. The patient has been monitored for eight years and the lesion has not recurred.

Comparison of methods for the detection of biofilm formation by Staphylococcus aureus isolated from bovine subclinical mastitis

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Morfologia da glândula mamária de gambás da espécie Didelphis sp associada ao modelo marsupial

Vertebrados com períodos gestacionais curtos, os marsupiais tendem a ter proles pequenas e dependentes. O período gestacional dos gambás varia de 14-15dias e os filhotes terminam o seu desenvolvimento no marsúpio e este período é considerado como uma gestação externa por alguns autores. A glândula mamária localiza-se internamente ao marsúpio. A cadeia mamária de cada fêmea era composta por 11 papilas mamárias e aquelas papilas que se encontravam conectadas aos filhotes exibiam um comprimento maior em relação às outras. Histologicamente, a glândula mamária dos gambás assemelha-se às dos mamíferos domésticos, exceto pela ausência do músculo esfíncter papilar no teto.

Efeitos da administração de vitamina E na infecção mamária e na contagem de células somáticas de cabras primíparas desafiadas experimentalmente com Staphylococcus aureus

O trabalho teve por objetivo estudar os efeitos da administração de vitamina E sobre a contagem de células somáticas e a infecção da glândula mamária de cabras primíparas desafiadas com a inoculação intramamária de Staphylococcus aureus ao 10º dia pós-parto. Vinte e oito animais foram divididos em quatro grupos, cada um composto por sete cabras primíparas da raça Saanen, como segue: grupo-controle, grupo de animais suplementados com vitamina E, grupo de animais desafiados com S.aureus inoculados na glândula mamária e grupo de animais suplementados com vitamina E e desafiados com S.aureus na glândula mamária. Na segunda e terceira semanas de lactação, a inoculação de S.aureus na glândula mamária permitiu a recuperação do microrganismo no leite e elevou a contagem de células somáticas (CCS). A liberação de S.aureus no leite ocorreu de maneira intermitente. em animais suplementados com vitamina E, o desafio com S.aureus resultou em CCS mais baixa e menor número de microrganismos no leite. Sugere-se que a CCS possa ser utilizada para a detecção da mastite caprina, devendo-se utilizar contagens superiores a 1,0x10(6)células/ml de leite como critério para a realização de exames microbiológicos.

Atividade funcional neutrofílica em cabras com mastite induzida experimentalmente por Staphylococcus aureus e suplementadas com vitamina E (acetato DL-α-tocoferol)

Avaliou-se a função neutrofílica em cabras com mastite por Staphylococcus aureus, induzida experimentalmente, suplementadas com vitamina E (acetato DL-α-tocoferol). Foram utilizadas 14 cabras gestantes da raça Saanen, com idades entre 8 e 12 meses e com cultura bacteriológica do leite negativa. Sete cabras receberam 2000UI de vitamina E, via intramuscular, no dia do parto e no sétimo dia pós-parto. As outras sete não foram medicadas. No 10º dia pós-parto, os dois grupos foram inoculados com 300 unidades formadoras de colônias de Staphylococcus aureus, cepa ATCC 25923, diluídas em 10ml de solução fisiológica, na glândula mamária esquerda. A função de neutrófilos sangüíneos foi medida pelo teste nitroazul tetrazólio (NBT), antes da inoculação, no momento da infecção e 12, 24, 48 e 72 horas pós-infecção, quando foi instituído o tratamento intramamário com antimicrobiano, por três dias consecutivos. A colheita final de sangue foi realizada 48 horas após a última aplicação do medicamento. Amostras de sangue para determinação da vitamina E foram colhidas no dia do parto, no momento da infecção, 48 horas pós-infecção e 48 horas pós-tratamento e analisadas por cromatografia líquida de alta performance. Na prova não estimulada do NBT não foram verificadas diferenças entre grupos e entre momentos. Na prova estimulada do NBT (NBT-E) houve diferença entre tratamentos às 12 e 72 horas pós-infecção, com valores mais elevados de NBT-E nos animais sem suplementação. Conclui-se que a suplementação com vitamina E reduz o percentual de neutrófilos NBT-E positivos.