Anisotropy of tensile strengths of bovine dentin regarding dentinal tubule orientation and location. (25/447)

The purpose of this study was to investigate the effects of the location and orientation of dentinal tubules in the tooth on tensile strengths of the dentin. Dumbbell-shaped specimens of 12 groups from various locations and dentinal tubule orientations were prepared. The tensile test was performed in distilled water at a temperature of 37 degrees C. The tensile strengths of the parallel to the orientation were significantly greater than those of the perpendicular to the orientation; the tensile strengths of the radicular dentin were significantly greater than those of the coronal dentin. Nevertheless, in the radicular dentin, the tensile strengths of the perpendicular to dentinal tubules differ with respect to tensile forces. These results suggest that tensile strength of the dentin varies according to the location and orientation of dentinal tubules in the tooth.  (+info)

Invasion of dentinal tubules by oral bacteria. (26/447)

Bacterial invasion of dentinal tubules commonly occurs when dentin is exposed following a breach in the integrity of the overlying enamel or cementum. Bacterial products diffuse through the dentinal tubule toward the pulp and evoke inflammatory changes in the pulpo-dentin complex. These may eliminate the bacterial insult and block the route of infection. Unchecked, invasion results in pulpitis and pulp necrosis, infection of the root canal system, and periapical disease. While several hundred bacterial species are known to inhabit the oral cavity, a relatively small and select group of bacteria is involved in the invasion of dentinal tubules and subsequent infection of the root canal space. Gram-positive organisms dominate the tubule microflora in both carious and non-carious dentin. The relatively high numbers of obligate anaerobes present-such as Eubacterium spp., Propionibacterium spp., Bifidobacterium spp., Peptostreptococcus micros, and Veillonella spp.-suggest that the environment favors growth of these bacteria. Gram-negative obligate anaerobic rods, e.g., Porphyromonas spp., are less frequently recovered. Streptococci are among the most commonly identified bacteria that invade dentin. Recent evidence suggests that streptococci may recognize components present within dentinal tubules, such as collagen type I, which stimulate bacterial adhesion and intra-tubular growth. Specific interactions of other oral bacteria with invading streptococci may then facilitate the invasion of dentin by select bacterial groupings. An understanding the mechanisms involved in dentinal tubule invasion by bacteria should allow for the development of new control strategies, such as inhibitory compounds incorporated into oral health care products or dental materials, which would assist in the practice of endodontics.  (+info)

Cytotoxicity of cyclophosphamide in the rat incisor. (27/447)

Three of the 4 groups of 3 Wistar rats each were given 40 mg, 80 mg and 120 mg cyclophosphamide/kg respectively by single intraperitoneal injections. The fourth group was given 2 ml of normal saline as control. One animal from each group was killed after 1, 4 and 8 days. The incisor teeth of all experimental animals showed evidence of cytotoxic injury, which appeared to be more severe with increasing dosage, to the undifferentiated mesenchymal cells in the proliferating zone of the pulp close to the basal odontogenic epithelium, cessation of root growth and relative acellularity of the basal area of the pulp. Evidence of cytotoxicity to the odontogenic epithelium was seen only in the groups given 80 mg/kg and 120 mg/kg. Resolution of the cytotoxic injury and re-establishment of normal basal odontogenesis were seen in the 40 mg dose group by the eighth day but appeared to be slower with increasing dosage. It would seem that of the rapidly proliferating epithelial and mesenchymal odontogenic cells in the basal area of the rat incisor those in the mesenchyme may be most susceptible to the cytotoxicity of cyclophosphamide. The odontogenic epithelium may be resistant to the cytotoxicity of 40 mg cyclophosphamide/kg. The results may be of significance in the investigation of the mechanism of cytotoxicity of this cancer chemotherapeutic agent.  (+info)

Immunohistochemical localization of heat shock protein 25 (HSP 25) during root formation of the rat molar. (28/447)

The present study investigated the immunohistochemical localization of heat shock protein 25 (HSP 25) of rat molar teeth during root formation. Most, probably all, cells of the epithelial rest of Malassez (ERM cells) had immunoreaction for laminin, a marker protein for basement membrane. During root formation, HSP 25 immunoreactivity was observed in odontoblasts, cells at the subodontoblastic layer, and those in close proximity to the acellular cementum. HSP 25-immunopositive cells at the subodontoblastic layer were present only at the apical region. Most HSP 25-immunoreactive cells in close proximity to the cementum lacked laminin immunoreactivity. However, at postnatal day 28 a small number of cells showed immunoreaction for both HSP 25 and laminin at the cervical and bifurcational regions. Under the electron microscope, most HSP 25-immunoreactive cells along the surface of the cementum were round and contained rich organelles such as mitochondria and rough endoplasmic reticulum. They lay between fiber bundles of the periodontal ligament. The localization and morphological features of these HSP 25-immunoreactive cells resemble those of cementoblasts. On the other hand, HSP 25-immunoreactive cells at the cervical region were oval and contained few cell organelles. They were closely apposed to each other, and separated from the surrounding tissues with basal lamina. These features were similar to those of mature ERM cells. In contrast, cells with microvillus-like processes and relatively rich mitochondria, which were similar to immature ERM cells, had no immunoreaction for HSP 25. These results suggest that HSP 25 may be involved in shape alterations of ERM cells, cementoblasts, and odontoblasts during differentiation.  (+info)

Effect of tubule orientation and dentin location on the microtensile strength of bovine root dentin. (29/447)

To investigate the mechanical properties of root dentin and to further clarify the cause of vertical root fracture (VRF), this study evaluated the effect of tubule orientation (parallel, perpendicular and oblique to the cross-section of dumbbell specimens in microtensile tests) and dentin location (cervical, middle, and apical location of the root) on the microtensile strength of bovine root dentin. Each specimen was stressed in tension at a crosshead speed of 1.0 mm/min. The results of the microtensile strength measurements were statistically analyzed with one-way ANOVA and the Fisher PLSD. The oblique group (95.18+/-23.80 MPa) was significantly (p<0.01) higher than the parallel group (38.93+/-5.28 MPa) or the perpendicular group (32.64+/-4.69 MPa). There were no significant differences among the different dentin locations within the parallel group (p>0.05). It was clarified that the VRF occurs frequently in practical situations due to the tubule orientation of root dentin.  (+info)

Endodontic therapy in a 3-rooted mandibular first molar: importance of a thorough radiographic examination. (30/447)

This case report describes endodontic therapy on a mandibular first molar with unusual root morphology. In the initial treatment the working length had been determined with only an apex locator; no periapical radiographs had been obtained because the patient was pregnant. The root canal into an additional distolingual root had not been found and was therefore left untreated, which led to treatment failure after 11 months. The radiographic examination performed in a subsequent endodontic treatment allowed detection of the anomalous root and completion of the root canal treatment. The distolingual root canal would have been identified during the initial endodontic therapy if a thorough radiographic examination had been carried out. This report highlights the importance of radiographic examination and points out the need to look for additional canals and unusual canal morphology associated with a mandibular first molar. Radiographic examination during pregnancy is also discussed.  (+info)

Essential role for NFI-C/CTF transcription-replication factor in tooth root development. (31/447)

The mammalian tooth forms by a series of reciprocal epithelial-mesenchymal interactions. Although several signaling pathways and transcription factors have been implicated in regulating molar crown development, relatively little is known about the regulation of root development. Four genes encoding nuclear factor I (NFI) transcription-replication proteins are present in the mouse genome: Nfia, Nfib, Nfic, and NFIX: In order to elucidate its physiological role(s), we disrupted the Nfic gene in mice. Heterozygous animals appear normal, whereas Nfic(-/-) mice have unique tooth pathologies: molars lacking roots, thin and brittle mandibular incisors, and weakened abnormal maxillary incisors. Feeding in Nfic(-/-) mice is impaired, resulting in severe runting and premature death of mice reared on standard laboratory chow. However, a soft-dough diet mitigates the feeding impairment and maintains viability. Although Nfic is expressed in many organ systems, including the developing tooth, the tooth root development defects were the prominent phenotype. Indeed, molar crown development is normal, and well-nourished Nfic(-/-) animals are fertile and can live as long as their wild-type littermates. The Nfic mutation is the first mutation described that affects primarily tooth root formation and should greatly aid our understanding of postnatal tooth development.  (+info)

Maxillary canine displacement; further twists in the tale. (32/447)

This report describes two cases seen over a 5-year period, each with a labially impacted maxillary canine found in close proximity to the adjacent first permanent premolar, which had a deviated palatal root. The issue as to whether the premolar root deviation either produced the canine impaction or vice versa is discussed, both with reference to the processes considered to be involved in normal tooth eruption, and to three previously published similar cases.  (+info)