Is insertion torque correlated to bone-implant contact percentage in the early healing period? A histological and histomorphometrical evaluation of 17 human-retrieved dental implants.

Objective: A precise and scientifically established method for the evaluation of the bone quality/primary stability is the measure of the insertion torque (IT). The aim of this study was a comparison between the IT values and the bone-implant contact percentage (BIC) of human implants retrieved after a 4/8-week healing period.

Materials: Seventeen implants, all with a sandblasted and acid-etched surface, were evaluated in the present study.

Maxillary sinus augmentation using a synthetic cell-binding peptide: a histologic and transmission electron microscopy case study in man.

PepGen P-15 is a combination natural anorganic bovine-derived hydroxyapatite matrix coupled with a synthetic cell-binding peptide (P-15). This material has improved bone formation in periodontal osseous defects and bone regenerative procedures. There were 3 specimens retrieved 18 months after a sinus lifting procedure using PepGen P-15.

Collagen fiber orientation near dental implants in human bone: do their organization reflect differences in loading?

This study is the first to investigate the collagen fiber orientation in human bone around titanium dental implants after loading. Birefringence under circularly polarized light (CPL) and scanning electron microscopy (SEM) investigation were used to assess both collagen orientation and density. Twenty osseointegrated dental implants were retrieved from the mandible bone of 10 patients and were used in the present study.

Collagen fiber orientation in human peri-implant bone around immediately loaded and unloaded titanium dental implants.

Background: The main factor in determining the mechanical properties of bone is the collagen configuration.

Methods: This study investigated the birefringence in human bone around loaded and unloaded titanium dental implants to evaluate the collagen fiber orientation using circularly polarized light (CPL) and scanning electron microscopy (SEM). A total of 10 titanium dental implants, five immediately loaded and five unloaded, were used.

Transforming growth factor-beta 1 (TGF-beta 1) expression in normal healthy pulps and in those with irreversible pulpitis.

Aim: To evaluate the Transforming Growth Factor-beta 1 (TGF-beta 1) expression in normal healthy pulps and in those with irreversible pulpitis.

Methodology: Twenty-three normal, healthy pulps were removed from mandibular third molars, and 20 pulps were retrieved from teeth with irreversible pulpitis. TGF-beta 1 was evaluated in the odontoblastic and subodontoblastic layers, in the stromal cells (fibroblasts), and in the blood vessels.

Cortical bone regeneration with a synthetic cell-binding peptide: a histologic and histomorphometric pilot study.

PepGen P-15 is a combination natural anorganic bovine-derived hydroxyapatite matrix (ABM) coupled with a synthetic cell-binding peptide (P-15). This material has been reported to enhance bone formation in periodontal osseous defects. The aim of this study was to assess the effect of ABM/P-15 on the healing of cortical bone defects in rabbits.

Expression of transforming growth factor-beta 1 (TGF-beta 1) in odontogenic cysts.

Aim: To evaluate the positivity to transforming growth factor-beta 1 (TGF-beta 1) in different types of odontogenic cysts.

Methodology: A total of 30 radicular cysts (RCs), 27 follicular cysts (FCs) and 28 odontogenic keratocysts (OKCs) were evaluated for immunohistochemical analysis of TGF-beta 1. TGF-beta 1 was evaluated in blood vessels, stromal cells (fibroblasts) and pluristratified squamous epithelium.

Transforming growth factor-beta 1 expression in the peri-implant soft tissues of healthy and failing dental implants.

Background: Transforming growth factor-beta (TGF-beta) is composed of a family of multifunctional polypeptide growth factors involved in embryogenesis, inflammation, regulation of immune response, angiogenesis, wound healing, and extracellular matrix formation. TGF-beta1 is the most common isoform found in human tissues. A role of TGF-beta in the pathogenesis of periodontal disease has been suggested.

Spreading of epithelial cells on machined and sandblasted titanium surfaces: an in vitro study.

Background: The purpose of this investigation was to determine the influence of the surface structure of dental implants on epithelial cell spreading and growth in vitro. Cell morphology on machined and sandblasted titanium surfaces was investigated.

Methods: A total of 10 machined and 10 sandblasted discs and 10 glass coverslips were used for the present study.

Microvessel density in alveolar ridge regeneration with autologous and alloplastic bone.

Purpose: The purpose of this study was to conduct a comparative immunohistochemical evaluation of microvessel density (MVD) in alveolar sites augmented with autologous bone or Bio-Oss.

Materials And Methods: Eighteen patients participated in this study. All patients presented maxillary ridge defects.

Bone regeneration with calcium sulfate: evidence for increased angiogenesis in rabbits.

Autologous bone is the preferred bone graft material because it carries proteins as bone-enhancing substrates, minerals, and vital bone cells. Calcium sulfate (CS) is a well-tolerated, biodegradable, osteoconductive bone graft substitute and is a reasonable alternative to autogenous bone graft. Blood vessels are an important component of bone formation and maintenance.

Vascularity and neuroreceptors of the pes anserinus: anatomic study.

The primary aim of this work was to evaluate the neurovascular network of the pes anserinus (PA) at its tibial insertion because the PA is often used for anterior cruciate ligament (ACL) reconstruction. Four fresh cadaver knees were injected with India ink gelatin solution and the arteries that supply blood to the PA were identified; microscopic studies of vessels and nerve fibers were also performed. Superficial and deep branches of the inferior medial genicular artery contribute to an arterial arch that courses deep to the PA insertion.

Peri-implant medullary cisternae at the interface of bone-smooth surface titanium endosseous implant.

A histological and ultrastructural study was carried out on the spongy bone response to smooth titanium oral implant surfaces. The samples obtained both from monkeys and from patients at various times from the implant insertion revealed that the bone-implant integration developed through different morphological aspects. The implant surface appeared in contact with medullary lacunae, as well as with osteoid tissue or directly with bone matrix.

Qualitative assessment of natural apatite in vitro and in vivo.

Among the natural and synthetic materials investigated as bone graft substitutes, much interest has been focused on natural apatite obtained from low temperature heat-deproteinated compact bone. Previous research demonstrates that, when treated at a temperature below 500 degrees C, this material maintains its characteristic ultrastructural features, with a high surface/volume ratio, while as an implant material, it offers the host tissue a large surface of interaction. In vitro and in vivo tests showed that natural apatite is well tolerated and is a good osteoconducing material.

A histological and electron-microscopic study of the architecture and ultrastructure of human periodontal tissues.

The structure of periodontal tissues is still far less understood than their clinical relevance would demand. Here the periodontal ligament and radicular cementum in healthy human teeth were studied by light microscopy, transmission and scanning electron microscopy. These observations showed that the extracellular matrix of periodontal ligament is composed of a loose plexus of wavy collagen fibrils immersed in a highly hydrated interfibrillar matrix.

Intertwined Sharpey fibers in human acellular cementum.

We had carried out a detailed morphological study on the human acellular extrinsic fiber cementum (AEFC) in order to support the exclusively extrinsic origin of matrix collagen bundles. Mesial and distal cervical third of fresh premolars from young individuals were examined. Semi-thin and thin section clearly show the Sharpey fibres entering in the cementum at right-angle to the root surface and coursing throughout the cementum to the cemento-dentinal junction.

Histological and ultrastructural evaluation of Leeds-Keio ligament six years after implant. A case report.

We examined by light and electron microscopy study a Leeds-Keio ligament removed from a patient 6 years and 4 months after implant following rupture. The new ligament presented an outer capsule made up of bundles of collagen fibres running mainly perpendicular to the long axis of the ligament. Septa were seen emerging from the capsule and composed of bundles of collagen fibres surrounding the bundles of Dacron fibres.

Age-related changes in human anterior cruciate ligament (ACL) collagen fibrils.

The correlation between anterior cruciate ligament (ACL) collagen fibril diameter and aging were studied in subjects aged 15 to 87 years. The samples processed for light and electron microscopy showed statistically significant differences in collagen fibril diameter among young (< 20 years), adult (20-60) and elderly subjects (> 60 years). In the young, the ACL was made up of collagen fibrils which were highly variable in size (range 20-180 nm); the diameter distribution curve was very asymmetrical (mean asymmetry +0.

Structure and ultrastructure of the bone/ligament junction.

The tibial insertion of the patellar ligament of rat was investigated at light microscopy, scanning electron microscopy and transmission electron microscopy. Until the point of insertion, the patellar ligament showed the typical structure of a tendon. In proximity to the insertion, the ligament increased in diameter and was gradually infiltrated by a different, cartilage-like matrix.

Collagen fibril patterns in compact bone: preliminary ultrastructural observations.

A comparative study of the Haversian architecture was carried out on compact bone derived from the anterior and posterior edges of the diaphysis of horse radius, regions which have different mechanical requirements in vivo. Samples were heat-deproteinated prior to SEM analysis, a treatment which effectively removes cells and vascular structures as well as exposing large areas of the mineralization front along the walls of the haversian canals. Bone subject to tensile stress revealed a prevalent alignment of its collagen fibrils in the stress direction, and the vast majority of its osteons were composed of fibrils running almost parallel and crossing at very acute angles.

Different fibrillar architectures coexisting in Haversian bone.

Samples of compact bone were deproteinated by heat treatment and analysed by SEM. This technique removes very effectively cells and vascular structures and brings into full view the mineralization front along the wall of the Havers canal. The present study was confined to samples of equine bone that are known to be subjected to different functional requirements.

Comparison between laser meniscectomy with excimer and Ho:YAG lasers.

The authors report their experiences using the excimer laser and holmium:YAG laser in arthroscopic meniscal surgery. Histologic and ultrastructural aspects caused by laser irradiation on meniscal tissues are evaluated. Two groups of 10 patients, each suffering from a bucket-handle lesion of the internal meniscus, were used for this study.

Ultrastructural modifications of patellar tendon fibres used as anterior cruciate ligament (ACL) replacement.

Using transmission electron microscopy, patellar tendons that had been autografted to replace the ACL were studied. Follow-up biopsies, performed at 6, 12 and 24 months after reconstructive surgery demonstrated that the autograft patellar tendons had undergone considerable change. After 6 months, the large collagen fibrils were less numerous and more widely spaced.

Ultrastructure of the extracellular matrix of bovine dura mater, optic nerve sheath and sclera.

The sclera, the outermost sheath of the optic nerve and the dura mater have been investigated histologically and ultrastructurally. Although these tissues appear very similar under the light microscope, being dense connective tissues mainly composed of collagen bundles and a limited amount of cells and elastic fibres, they exhibit subtle differences on electron microscopy. In the dura and sclera collagen appears in the form of large, nonuniform fibrils, similar to those commonly found in tendons, while in the optic nerve sheath the fibrils appear smaller and uniform, similar to those commonly observed in reticular tissues, vessel walls and skin.