Publications by authors named "Andreadis D"

Introduction: Α customized organ-on-a-chip microfluidic device was developed for dynamic culture of oral mucosa equivalents (Oral_mucosa_chip-OMC).

Materials And Methods: Additive Manufacturing (AM) was performed via stereolithography (SLA) printing. The dimensional accuracy was evaluated via microfocus computed tomography (mCT), the surface characteristics via scanning electron microscopy (SEM), while the mechanical properties via nanoindentation and compression tests.

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Introduction Oral lichen planus (OLP) comprises a chronic inflammatory autoimmune disease observed in the oral cavity. It most commonly manifests as white papules arranged confluently, drawing a picture of white lines in the form of a network (reticular form). It may emerge in other forms as well.

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In the present study, a customized device (Epi-ExPer) was designed and fabricated to facilitate an epithelial organ culture, allowing for controlled exposure to exogenous chemical stimuli and accommodating the evaluation of permeation of the tissue after treatment. The Epi-ExPer system was fabricated using a stereolithography (SLA)-based additive manufacturing (AM) method. Human and porcine oral epithelial mucosa tissues were inserted into the device and exposed to resinous monomers commonly released by dental restorative materials.

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Article Synopsis
  • Dental implants are a consistent solution for patients lacking teeth due to autoimmune diseases, enhancing their overall quality of life.
  • A systematic review analyzed studies from 2000 to February 2024, focusing on how autoimmune diseases with oral symptoms impact dental implant survival rates, including conditions like oral lichen planus and Sjögren's syndrome.
  • Findings revealed high survival rates for dental implants—94.6% for oral lichen planus and 95.8% for Sjögren's syndrome—suggesting that dental implants are a feasible option for these patients, contingent on good oral hygiene and regular follow-up.
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Tissue-engineered oral epithelium (ΤΕΟΕ) was developed after comparing various culture conditions, including submerged (SUB) and air-liquid interface (ALI) human cell expansion options. Barrier formation was evaluated via transepithelial electrical resistance (TEER) and calcein permeation via spectrofluorometry. TEOE was further assessed for long-term viability via live/dead staining and development of intercellular connections via transmission electron microscopy.

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  • This research explores 3D-printed antifungal buccal films (BFs) made from a zein-PVP polymer blend as a possible substitute for traditional antifungal oral gels, highlighting their ease of manufacturing and suitability for children.
  • The films provide sustained release, with 80% of the drug miconazole being released over 2 hours, and disintegrate in under 10 minutes while adhering to buccal tissue.
  • Comprehensive evaluations confirm the films' physicochemical stability, mucoadhesion, and effective antifungal activity, making them a promising option for treating fungal infections in the oral cavity.
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Introduction Potentially malignant disorders, like oral lichen planus (OLP) and oral leukoplakia (OL) of several degrees of dysplasia, manifest a significant potential of malignant transformation being a precursor of oral squamous cell carcinoma (OSCC). The role of microvascularization in carcinogenesis is critical; therefore, microvascularization constitutes a major therapeutic target. DAPK-1 constitutes a possible cancer marker, with proven implications in other human cancers, and there isn't any study on its vascular endothelial expression in the oral cavity, particularly in oral cancer and oral potentially malignant diseases.

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  • The patient presented with persistent, painless, erythematous lesions on his tongue that resembled geographic tongue (GT) but did not respond to treatment for over six months.
  • A biopsy revealed signs of inflammation typical of psoriasis, suggesting that such atypical oral lesions could indicate an onset of the disease, supporting the need for ongoing monitoring of PsA.
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Introduction: Stem cells from various sources including major salivary glands have been used to establish pancreatic differentiation in an attempt to provide new treatment options for patients with diabetes mellitus. In contrast, the potential of using the more easily accessible intraoral minor salivary glands has not been evaluated so far.

Materials And Methods: Salivary stem cells were isolated from normal labial minor salivary glands that were removed during the excision of a mucocele and were attempted to differentiate into pancreatic cell lines using a culture medium enriched with activin A, retinoic acid and GLP-1.

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  • Certain systemic medications, like antimalarials and hormones, can cause oral pigmentation by increasing melanin production or accumulating in the body, with citalopram being a notable example.
  • A case study of an 89-year-old woman revealed multiple melanotic macules in her mouth linked to her use of citalopram, highlighting its unusual effect of causing oral instead of skin hyperpigmentation.
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In the current study, coated microneedle arrays were fabricated by means of digital light processing (DLP) printing. Three different shapes were designed, printed, and coated with PLGA particles containing two different actives. Rivastigmine (RIV) and N-acetyl-cysteine (NAC) were coformulated via electrohydrodynamic atomization (EHDA), and they were incorporated into the PLGA particles.

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Sjögren's syndrome is a chronic, inflammatory autoimmune disorder characterized by lymphocyte infiltration of the exocrine glands. Notably, the rehabilitation of partially edentulous patients with Sjögren's syndrome is limited by the scarce availability of studies that could inform therapeutic modalities and potential challenges during clinical procedures. This case report aimed to present the oral rehabilitation of a patient with Sjögren's syndrome who received fixed partial dentures (FPDs).

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Introduction: The aim of this study was to detect the possible endothelial expression of embryonic-type cancer stem cells (CSC) marker SOX2 and the stemness-type CSC marker CD147 in oral potential malignant disorders (OPMDs), oral leukoplakia (OL) in particular, and oral squamous cell carcinoma (OSCC).

Methods: This study focuses on the immunohistochemical pattern of expression of CSC protein-biomarkers SOX2 and CD147 in paraffin-embedded samples of 21 OSCCs of different grades of differentiation and 30 cases of OLs with different grades of dysplasia, compared to normal oral mucosa.

Results: The protein biomarker SOX2 was expressed in the endothelial cells, but without establishing any statistically significant correlation among OSCC, OL, and normal tissue specimens.

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Article Synopsis
  • * Common issues include pain, taste disturbance, and dysphagia, negatively impacting patients' quality of life and leading to potential delays in correct diagnosis and treatment.
  • * This review serves as an evidence-based reference for clinicians, covering key conditions, their clinical features, diagnostic methods, and treatment options, divided into two parts focusing on different disorders.
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  • This case report discusses a 62-year-old female patient who developed osteonecrosis of the jaw after taking ibandronic acid, a bisphosphonate medication, for four years.
  • A cone-beam computed tomography scan revealed a small area of dead bone near the maxillary sinus, but no significant clinical signs were present upon examination.
  • The patient underwent surgery to remove the necrotic bone and was able to heal well, highlighting the importance of early detection through imaging and the need for education to prevent such cases in the future.
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A fibrosarcoma is a neoplastic growth originating from malignant, fibroblast-like mesenchymal cells. This malignant tumor shows an increased tendency for expansion and recurrence and a propensity to metastasize, especially to the lungs. Despite their rarity, fibrosarcomas have the potential to manifest in any anatomical location.

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A peripheral ossifying fibroma (POF) is a benign, localized lesion that originates from the periosteum or periodontal ligament after traumatic or calculus irritation. The lesions typically manifest in females throughout their second and third decades of life. The diagnosis of a POF is challenging from both clinical and histological standpoints, as it exhibits overlapping features with numerous other clinical entities.

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Gingival hyperplasia may arise due to microbial-related local irritation, mouth breathing, drug administration, genetic disorders, leukemia, Wegener granulomatosis, Crohn's disease, and sarcoidosis. The background may be inflammatory, fibrotic, or combined. The aim of this study was to present the diagnostic procedure for a case of gingival enlargement, which was the only sign of a severe systemic disease in a young male adult.

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  • * A case study of a six-year-old boy showed he had a lymphangioma on his tongue, causing pain, difficulty swallowing, and speech issues, which was confirmed through histological and MRI evaluations.
  • * Treatment involved pre-operative embolization and surgical removal, as early diagnosis and effective treatment are crucial to prevent complications like infections, further growth of the lesion, and other functional or psychological problems.
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The myxofibroma (MF) constitutes an uncommon, non-malignant, odontogenic neoplasm with potential mesenchymal derivation. The occurrence rate of this particular tumor is estimated to be around 0.05 new cases per million individuals annually.

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Introduction: Cancer stem cells (CSCs) are incriminated for initiating the process of carcinogenesis either de novo or through the transformation of oral potentially malignant disorders (OPMDs) to oral squamous cell carcinoma (OSCC). The aim of this study was to detect the expression of embryonic-type CSC markers OCT3/4 and SOX2 in OSCCs and oral leukoplakias (OLs), the most common of OPMDs.

Materials And Methods: The study type is experimental, and the study design is characterized as semiquantitative research, which belongs to the branch of experimental research.

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Introduction Oral lichen planus (OLP) and oral lichenoid reaction (OLR) constitute clinical entities with strong but unclear etiologic relation to dental materials. The aim of this study was to evaluate a correlation between the clinical form of OLP/OLR and the number of dental metal restorations in the oral cavity thus utilizing an exposure to metal (EM) index.  Material and methods The study type is experimental, and the study design is characterized as semiquantitative research that belongs to the branch of experimental research.

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Introduction: ALDH1&2 has been considered an oral cancer stem cell (CSC) marker. Oral carcinogenesis is a process that usually passes through oral potentially malignant disorders (OPMD). Oral lichen planus (OLP) consists of immune-related chronic disorders that have been included in the OPMDs due to their possible transformation into oral cancer.

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Cyclosporine A constitutes an immunosuppressive medication administered against various autoimmune and autoinflammatory disorders as well as against graft versus host disease. Its most well-known oral adverse effect is gingival hyperplasia. The aim of this study is to report a persistent case of a patient with lichen planopilaris with alopecia treated with cyclosporine leading to the manifestation of gingival hypertrophy.

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Oral squamous cell carcinoma (OSCC) may arise in the the alveolar ridge (in a minority of cases). Smoking, chronic mucosal injuries, and poor oral hygiene are involved in its pathogenesis. It mostly occurs to men instead of women and affects the mandible on a 3:2 ratio to the maxilla.

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