ILs and MMPs Levels in Inflamed Human Dental Pulp: A Systematic Review

A wide range of mediators are released from the pulp tissue because of bacterial invasion which causes inflammation. Interleukins (ILs) and matrix metalloproteinases (MMPs) have a leading role in initiating and spreading of inflammation because of their synergic action. Biomarkers such as ILs and MMPs can be identified via several methods, establishing the inflammatory response of the dental pulp. The aim of this systematic review is to evaluate the levels of ILs and/or MMPs in human dental pulp. PubMed, OVID, Cochrane, Scopus, Web of Science and Wiley online library databases were searched for original clinical studies. After applying inclusion and exclusion criteria, a quality assessment of studies was performed based on a modified Newcastle-Ottawa scale. In the review were included articles that evaluated the presence of ILs and/or MMPs in pulp tissue using enzyme-linked immunosorbent assay (ELISA) or western blot or multiplex assay. Six articles were included in the present synthesis. Although various diagnostic methods were used, statistically significant higher levels of ILs and/or MMPs were mostly found in the experimental groups compared to healthy pulp samples. The biomarkers studied can be a promising tool to evaluate pulp tissue health or even in pulpitis treatment.     

Porcine dentin sialoprotein glycosylation and glycosaminoglycan attachments

Background  

Dentin sialophosphoprotein (Dspp) is a multidomain, secreted protein that is critical for the formation of tooth dentin. Mutations in DSPP cause inherited dentin defects categorized as dentin dysplasia type II and dentinogenesis imperfecta type II and type III. Dentin sialoprotein (Dsp), the N-terminal domain of dentin sialophosphoprotein (Dspp), is a highly glycosylated proteoglycan, but little is known about the number, character, and attachment sites of its carbohydrate moieties.     

Modulation of the differentiation of dental pulp stem cells by different concentrations of β-glycerophosphate

Dentinogenesis is a necessary prerequisite for dental tissue engineering. One of the steps for dentinogenesis is to obtain large quantities of highly purified odontoblasts. Therefore, we have undertaken an experiment applying different concentrations of β-glycerophosphate (β-GP) to induce the differentiation of dental pulp stem cells (DPSCs) in a long-term 28-day culture. In the meanwhile, we have studied the time- and maturation-dependent expression of matrix extracellular phosphoglycoprotein (MEPE) and that of the odontoblast-like marker-dentin sialoprotein (DSP), in order to investigate an optimized mineralized condition. Western blot results revealed that the expression of DSP became lower when accompanied by the increase of the β-GP concentration, and there was also an influence on MEPE expression when different concentrations of β-GP were applied. Meanwhile, the mineralized groups had an inhibitory function on the expression of MEPE as compared with the control group. Above all, all experimental groups successfully generated mineralized nodules by Alizarin Red S and the 5 mM β-GP group formed more mineralized nodules quantitated using the CPC extraction method. In conclusion, there is a significant modulation of the β-GP during the differentiation of the DPSCs. The degree of odontoblast differentiation is β-glycerophosphate concentration dependent. A low concentration of β-GP (5 mM) has been shown to be the optimal concentration for stimulating the maturation of the DPSCs. Moreover, MEPE accompanied with DSP clearly demonstrates the degree of the differentiation.     

The effect of Trichoderma reesei cellulases and hemicellulases on the paper technical properties of never-dried bleached kraft pulp

Four purified cellulases, a xylanase and mannanase from Trichoderma reesei were used to treat never-dried bleached pine kraft pulp prior to refining, and the effects on pulp properties were evaluated. The enzymatic treatments hydrolysed up to 0.8% of pulp dry weight. The results demonstrated that the individual cellulases have profoundly different modes of action in modifying pulp carbohydrates. This is especially clear when comparing their effects at the same level of hydrolysis. Pretreatment with cellobiohydrolases I (CBH I) and II (CBH II) had virtually no effect on the development of pulp properties during refining, except for a slight decrease in strength properties. On the contrary, endoglucanase I (EG I) and endoglucanase II (EG II) improved the beatability of the pulp as measured by Schopper--Riegler value, sheet density and Gurley air resistance. Of the endoglucanases, EG II was most effective in improving the beating response. The combinations of CBH I with EG I and EG II had similar effects on the pulp properties as the endoglucanases alone, although the amount of hydrolysed cellulose was increased. Pretreatments with xylanase or mannanase did not appear to modify the pulp properties. The same enzyme treatments which improved the beatability, however, slightly impaired the pulp strength, especially tear index at the enzyme dosages used. When compared at a given level of cellulose hydrolysis, the negative effect of EG II on strength properties was more pronounced compared with EG I. Thus, the exploitation of cellulases for fibre treatments requires careful optimization of both enzyme composition and dosage. Since the endoglucanases had no positive effect on the development of tensile strength, it is suggested that the explanation for the increased beating response is increased fibre breakage and formation of fines, rather than improved flexibilization. This revised version was published online in August 2006 with corrections to the Cover Date.     

The Determination of Trace Elements Release from Dental Cements in Artificial Saliva by Energy Dispersive X‐ray Fluorescence Spectrometry

Abstract

The application of energy dispersive X‐ray fluorescent analysis (EDXRF) for the determination of elements released from five different dental luting cements such as Zinc Polycarboxylate (Carbchem), Zinc carboxylate (Adhesor Carbofine), Glass ionomer (Meron), Resin cement (Duo‐cement kit), and Carboxylate (Durelon) in artificial saliva is described. The equipment used for this study is a Si(Li) detector, a multichanel analyser, an amplifier and ⁵⁵Fe and ²⁴¹Am radioisotope sources. The physical basis of the analytical method used the procedure of sample preparation and results are presented. The detected elements were Cl, P, K, Ca. The results show high concentrations of Ca being released from dental cements in artificial saliva. Chemical disintegration of dental cements can adversely affect their long‐term performance. Fixed prosthodontic restorations cemented with carboxylate cement (Durelon) may be capable of withstanding long‐term clinical use compared to other agents. This material showed the highest resistance to dissolution or disintegration.     

Polymer networks in dentistry

Polymer networks applied in clinical dentistry can be divided into two groups: (i) hard, solid two-and threedimensional crosslinked structures formed during photo-curing of dental polymeric filling compositions, and (ii) soft, hydrogel-type of networks based on polymeric ionic complexes, used for the tightening of microchannels in teeth. The first group is based on crosslinked di- and trifunctional monomers, and on solid poly(acrylic acid) - inorganic glasses (“glass - ionomer cements”) This group has found wide clinical applications, in spite of many disadvantages such as susceptibility towards hydrolytic, mechanical. bio- and enzymatic degradations, and contents of toxic, allergenic and mutagenic components. The second group, the soft-hydrogel type of networks, has been investigated and developed at our institute in order to tighten channels in teeth. The microchannels, with a diameter of 30–200Å in enamel and 1–3 μm in dentine, are filled with a loose, native bio-hydrogel of protein origin. Hydrogels have the ability to swell in water of biological fluids present in the oral cavity, and can retain a significant fraction of fluid within the structure. Decreasing pH below 5.5 causes a slow dissolution of the hydroxyapatite crystals in the walls of the microchannels with a consequent widening of their lumens. Metabolites and toxins from microorganisms, which are always present in the oral cavity, can penetrate into these enlarged channels and cause inflammatory reactions in the underlying pulp tissue. In order to decrease fluid flow and inhibit penetration of microorganisms, but still allow diffusion of ions and water, we have developed and tested polymeric hydrogels based on poly(acrylic acid) and metal salts, and chitosan, which can be formed directly in the micro-channels of dental hard tissues.     

Mineral formation on dentin induced by nano-bioactive glass

The object of this study was to evaluate the effect of bioactive glass (BG) size on mineral formation on dentin surfaces. Totally demineralized dentin discs were treated using BG suspensions with different particle sizes:i.e., microscale bioactive glass (m-BG), submicroscale bioactive glass (sm-BG) and nanoscale bioactive glass (n-BG). Field-emission scanning electron microscopy and 3D profile measurement laser microscopy were used to observe the surface morphology and roughness. It was found that all BG particles could promoted mineral formation on dentin surfaces, while plug-like depositions were observed on the dentin discs treated by n-BG and they were more acid-resistant. The present results may imply that n-BG has potential clinical application for dentin hypersensitivity treatment.     

Cleaning time and fate of phosphoric acid as conditioning agent on human dental enamel and dentin. An in vitro radiotracer study

In this study the cleaning time and fate of phosphoric acid on human dental enamel and dentin has been investigated, using the radioactive tracer technique with³²P as an indicator of phosphorus. Twenty seconds were found to be sufficient for cleaning the enamel from phosphoric acid, which is used for conditioning, and from formulations produced from its interaction with enamel. It was also found that dentin protection is necessary before conditioning with phosphoric acid due to the retention penetration of the latter through subsurface dentinal tubules. In addition, there seems to be an interaction between phosphoric acid and Ca(OH)₂ leading to the formation of a sparingly soluble compound.     

Effects of Laser Irradiation on Pulp Cells Exposed to Bleaching Agents

The aim of this study was to evaluate the effect of low‐level laser therapy (LLLT) on odontoblast‐like cells exposed to a bleaching agent. Mouse dental papilla cell‐23 cells were seeded in wells of 24‐well plates. Eight groups were established according to the exposure to the bleaching agent and LLLT (0, 4, 10 and 15 J cm^?2). Enamel–dentin disks were adapted to artificial pulp chambers, which were individually placed in wells containing Dulbecco's modified Eagle's medium (DMEM). A bleaching agent (35% hydrogen peroxide [BA35%HP]) was applied on enamel (15 min) to obtain the extracts (DMEM + BA35%HP components diffused through enamel/dentin disks). The extracts were applied (1 h) to the cells, and then subjected to LLLT. Cell viability (Methyl tetrazolium assay), alkaline phosphatase (ALP) activity, as well as gene expression of ALP, fibronectin (FN) and type I collagen, were evaluated. The bleaching procedures reduced the cell viability, ALP activity and gene expression of dentin proteins. Laser irradiation did not modulate the cell response; except for FN, as LLLT decreased the gene expression of this protein by the cells exposed to the BA35%HP. It can be concluded that BA35%HP decreased the activities of odontoblasts that were not recovered by the irradiation of the damaged cells with low‐level laser parameters tested.     

New polymer‐chemical developments in clinical dental polymer materials: Enamel–dentin adhesives and restorative composites

In the past 10 years, many new components were synthesized and evaluated for an application in enamel–dentin adhesives and direct composite restoratives. New bisacrylamide cross‐linkers with improved hydrolytic stability and new strongly acidic polymerizable phosphonic acids and dihydrogen phosphates, as well as novel photoinitator systems, in combination with the implementation of novel application devices, have significantly improved the performance of the current enamel–dentin adhesives. The currently used resins for direct composite restoratives are mainly based on methacrylate chemistry to this day. A continuous improvement of the properties of current composites was achieved with the use of new tailor‐made methacrylate cross‐linkers, new additives, and photoinitiators as well as tailor‐made fillers. Nowadays, dental adhesives and methacrylate‐based direct restorative materials have found wide‐spread acceptance. Nevertheless, future developments in the field of dental adhesives and direct composite restoratives will focus on improving durability and biocompatibility as well as the development of materials with a broader application spectrum and of smart adhesives or composites. © 2012 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem, 2012     

Click Chemistry: A Potential Platform for Development of Novel Dental Restorative Materials

The main aim of this study is to develop novel polymer modified glass-ionomer cement (GIC) glasses utilizing click chemistry and RAFT polymerization. These novel glasses can serve as a platform to improve the properties of GIC's by incorporating chemistries and formulations that are not normally compatible with GIC's. Aluminofluoro-silicate glasses utilized in glass-ionomer dental cements were coated with azide terminated silane groups. In addition, a copolymer of acrylic acid-itaconic acid containing alkyne groups was synthesized by RAFT polymerization and was coupled via ‘click’ chemistry with the azide-coated GIC glass particles. FT-IR spectroscopy was used to characterize the synthesized materials and to confirm completion of the ‘click’ coupling reaction. The experimental cements cured, demonstrating that these modified glasses could be utilized in GIC formulations. The long setting and working times compared to control groups indicate that further improvements are necessary to fully utilize this chemistry. Our initial results in this study demonstrated the successful application of click chemistry in developing novel dental restorative materials, specifically glass-ionomer cements.     

Characterization of the supermolecular structure of cellulose in wood pulp fibres

The hierarchic organization of cellulose fibrils (microfibrils) was investigated in holocellulose, sulphite pulp and kraft pulp using TEM, XRD, ED and FTIR. There were remarkable differences in both the fibril structure and fibril aggregation between the samples. TEM observations revealed more intimately associated fibrils in the kraft pulp compared to the sulphite pulp and the holocellulose, results in agreement with previous CP/MAS ¹³C-NMR data [Hult E.-L. et al. (2002) Holzforschung 56: 231–234]. Furthermore, the cellulose crystallinity was higher in the kraft pulp sample. With respect to the cellulose I and I allomorphs, these samples were controversial when different analytical techniques were applied. Due to the small fibril size and the low degree of order of cellulose in these samples, the concept of crystalline triclinic and monoclinic components as determined by diffraction analysis may not be adequate. Instead the fibril can be regarded to have different degrees of lateral order (including paracrystalline ordering) that can be reoriented to I type conformation and packing upon pulping.     

Preparation,characterization, and properties of fast‐responding bulk hydrogel and treated bleached banana pulp

The reaction between bleached banana pulp and pure maleic anhydride (MA) was investigated. The reaction was conducted in a reactor in the presence of xylene used as a solvent and sodium hypophosphite as catalyst. The appearance of infrared absorption bands at 1891 and 1708 cm^?1 indicated that MA chemically reacted by esterification with bleached banana pulp. However, evidence of an esterification reaction was obtained between cellulose and MA. The production of fast‐responding bulk hydrogel with a high swelling ratio was also investigated. This hydrogel was synthesized first by the formation of maleated acrylamide particles and then by the graft copolymerization of the particles with cellulose. The maleated acrylamide particles were characterized with mass spectroscopy, and the formed hydrogl was characterized by FT‐IR. The esterification reaction between bleached banana pulp and maleated acrylamide was also studied. Steam absorption for bulk hydrogel, maleated acrylamide‐treated bleached banana pulp, MA‐treated cellulose and bleached banana pulp is higher than the steam absorption for untreated cellulose and bleached banana pulp. Compared with treated bleached banana pulp and cellulose, the hydrogel had very high swelling ratios and much faster swelling rates attributed to the collaboration of the ionized particles and bulk hydrogel. The number of ionic maleated acrylamide groups in the hydrogel affected the swelling behavior. Copyright © 2004 John Wiley & Sons, Ltd.     

The middle lamella remainders on the surface of various mechanical pulp fibres

The surfaces of various mechanical pulp fibres, including thermomechanical pulp (TMP), chemithermomechanical pulp (CTMP), and alkaline peroxide mechanical pulp (APMP) fibres, were characterized using scanning electron microscopy (SEM), atomic force microscopy (AFM), and X‐ray photoelectron spectroscopy (XPS). With SEM and AFM, the middle lamella material was observed to be non‐fibrillar and patch‐like, while the fibre secondary wall was observed to have a micro‐fibrillar structure. It was found that after the first‐stage refiner, lignin‐rich middle lamella remainders were present on the fibre surface of all three pulps, although most of the fibre surfaces exhibited a micro‐fibrillar structure. After the final‐stage refining, large amounts of granules were present on the TMP fibre surface. In contrast, most middle lamella remainders were still visible on the surface of CTMP fibres after the final‐stage refining and even after peroxide bleaching. XPS results have confirmed that the non‐fibrillar surface material is the lignin‐rich middle lamella remainder that contribute to the high surface lignin concentration. Copyright © 2006 John Wiley & Sons, Ltd.     

Skin Wound Healing: Normal Macrophage Function and Macrophage Dysfunction in Diabetic Wounds

Macrophages play a prominent role in wound healing. In the early stages, they promote inflammation and remove pathogens, wound debris, and cells that have apoptosed. Later in the repair process, they dampen inflammation and secrete factors that regulate the proliferation, differentiation, and migration of keratinocytes, fibroblasts, and endothelial cells, leading to neovascularisation and wound closure. The macrophages that coordinate this repair process are complex: they originate from different sources and have distinct phenotypes with diverse functions that act at various times in the repair process. Macrophages in individuals with diabetes are altered, displaying hyperresponsiveness to inflammatory stimulants and increased secretion of pro-inflammatory cytokines. They also have a reduced ability to phagocytose pathogens and efferocytose cells that have undergone apoptosis. This leads to a reduced capacity to remove pathogens and, as efferocytosis is a trigger for their phenotypic switch, it reduces the number of M2 reparative macrophages in the wound. This can lead to diabetic foot ulcers (DFUs) forming and contributes to their increased risk of not healing and becoming infected, and potentially, amputation. Understanding macrophage dysregulation in DFUs and how these cells might be altered, along with the associated inflammation, will ultimately allow for better therapies that might complement current treatment and increase DFU’s healing rates.     

Reactivity of Dissolving Pulp for Processing Viscose

Summary : Pulp reactivity is a kinetic term and is always connected with a certain derivatization process. The quality and hence the market value of the pulp is determined by such characteristics as α- cellulose content, solubility, brightness, ash content, as well as the amount of soluble material in dichloromethane. However, solubility data, especially S₁₈ and S₁₀ values do not characterise dissolving pulp reactivity. These are indicative of pulp solubility and provide some information regarding losses of material during pulp processing. One way by which the pulp reactivity for viscose making can be characterised is the investigation of the mercerisation step. Following the mercerisation kinetics by help of the molecular weight distribution of cellulose II the behaviour especially of the high molecular weight cellulose gives information regarding the accessibility and therefore, about the reactivity of the pulp aside from losses in low molecular weight cellulose. This behaviour will be shown on different pulps and the physicochemical background will be discussed in relation to results obtained from wide angle X-ray scattering and Raman investigations. The influence of the behaviour of the pulp during mercerising on the viscose process, and the molecular weight distribution of the viscose including the distribution of the xanthogenate groups along the chain was investigated and will also be discussed.     

Removal of methylene blue by seed-watermelon pulp-based low-cost adsorbent: Study of adsorption isotherms and kinetic models

Based on the abundance of seed-watermelon pulp (SWP) in Xinjiang, China, SWP was employed to prepare low-cost adsorbent toward the removal of methylene blue (MB). The effects of contact time at different initial concentration were studied. The widely used adsorption isotherm models including Langmuir, Freundlich, and Temkin isotherms were employed to depict the adsorption process. The Langmuir isotherm was best fitted to the experimental data. Batch kinetic studies showed that an equilibrium time of 300 minutes was needed for the adsorption. The adsorption properties can be well described by pseudo-second-order kinetic model and the MB uptake was not controlled by intraparticle diffusion mechanism.     

Calorimetric investigations of the influence of waste aluminosilicate on the hydration of different cements

The aim of this work is to compare the influence of addition of waste aluminosilicate catalyst on the initial periods of hydration of different cements, i.e. calcium aluminate cements of different composition and Portland cement, basing on the calorimetric studies. Cement pastes containing up to 25 mass% of additive were studied, where the water/(cement+additive) ratio was 0.5. An attempt was undertaken to explain the mechanism of action of introduced aluminosilicate in the system of hydrating cement, particularly in the case of calcium aluminate cement pastes. It was found that the presence of fine-grained additive caused in all studied cases the increase of the amount of released heat in the first period after the addition of water. In the case of aluminate cements with aluminosilicate addition, a significant reduction of induction time and faster precipitation of hydration products were observed compared to the reference sample (without additive). In the experimental conditions, the additive caused the acceleration of aluminate cements hydration, and the mechanism of its action is probably complex and can encompass: nucleative action of small grains and formation of new chemical compounds.     

Sorption of spruce O-acetylated galactoglucomannans onto different pulp fibres

Sorption of spruce acetylated galactoglucomannans (GGM) onto different pulps, among which unbleached and peroxide-bleached mechanical pulps, and unbleached and bleached kraft (BK) pulps, was studied as a means of understanding the retention of acetylated GGMs in mechanical pulping and papermaking. The fibre surface coverage of lignin and carbohydrates was estimated by X-ray photoelectron spectroscopy (XPS) or electron spectroscopy for chemical analysis (ESCA). GGM sorption was clearly favoured on kraft pulps. Hardly any differences in sorption were, however, observed between unbleached and BK pulps, even if the surface coverage of lignin was lower on the bleached pulp. Neither thermomechanical pulp (TMP) nor chemithermomechanical pulp (CTMP) manufactured from spruce sorbed any acetylated GGMs. Peroxide bleaching of the pulp did not increase sorption. Only CTMP produced from aspen sorbed some GGMs. The anionic charge of neither chemical nor mechanical pulps influenced GGM sorption.