35 peri-implantitis recently referred for 10 years showed four types of inflammatory lesions, such as mild granulomatous lesion(n=5), severe granulomatous lesion(n=4), severe inflammatory fibrous scar tissue(n=15), severe abscess formation(n=11). However, the inflammatory lesions were usually localized at the peri-implant area accompanying compensatory hyperplasia of fibrous connective tissue. The fibrous scar and the necrotic abscess frequently occurred depend on the severity of inflammatory reaction. Among 30 cases of severe inflammatory lesions, only 2 cases involved condensing osteitis in adjacent alveolar bone. Thus, we suppose that the inflammatory progression of peri-implantitis could be partly inhibited by the hyperplastic fibrous stromal tissue stimulated by implant material. And more, the focal abscess formed around the implant can be easily drainaged through the fibrous tract of implant pathway, resulted in the chronic persistent inflammatory granulomatous lesion, that is contrast to the common socket granuloma after tooth extraction. However, depend on the degree of inflammatory reaction in the peri-implantitis the inflamed fibrous collagenous tissues, unregenerated graft materials, necrotic abscess and sequestra should be removed by surgical intervention and followed by antibiotic therapy, because the peri-implant tissue is as vivid as the normal periodontium for the inflammatory defense system. Therefore, we suggest that the inflammatory lesions of peri-implantitis be carefully treated to improve the prognosis for the following dental treatments
The purpose of the present study is to investigate the optimal wavelength, frequency and energy density for set up the photobiologic treatment of periodontal disease. To establish the present study, λ scan of 500㎚ to 900㎚ was used to search the optimal wavelength for maximal proliferation of human gingival fibroblasts. Cell proliferation assay was carried out as MTT assay. Light intensity of 0.8 to 3.25mW, frequency of 0 to 584㎐ and 0 to 2hours was applied for investigation of optimal energy density, frequency and applied duration. Finally, 628㎚ with 1mW/cm2 for 1hour of LED irradiation resulted in maximal proliferation of gingival fibroblasts. These results suggest that LED irradiation on gingival fibroblast show different proliferation according to the condition of irradiation, and demonstrate that LED irradiation can control the quantity of cell proliferation.
In this study, the apoptotic effects of the actin disruption agent, latrunculin B(LB) have been investigated on p53 deficient chronic myeloid leukemia cell line K562. A dose-dependent decrease in K562 cell proliferation was observed after LB treatment with maximum decrease in cell proliferation being at 1.5μM where the percent inhibition was 66.53%. F-actin stained with TRITC-phalloidin was shown as a peripheral ring or appeared diffusely distributed throughout the cytoplasm in untreated cells, this actin ring was decreased following LB treatment, and even large focal actin aggregates were formed. Treatment of K562 with LB(1.5μM) generated ROS substantially. LB activated expression in a dose-dependent manner. Therefore it can be concluded that LB, depolymerising agent of actin, induces apoptosis by producing ROS and up-regulating NF-kB and COX-2 activation.
Biological organisms require iron for optimal metabolism. Intracellular pathogens also must secure iron especially during infection of animal hosts expressing NRAMP(natural resistance-associated macrophage protein), a transporter protein sequestering metal ions from pathogens. This study shows that extracytoplasmic function sigma factor σE is required for Salmonella virulence in NRAMP1-expressing mice, and further shows that iron deprivation turns on σE expression of Salmonella. The virulence of σE -deficient Salmonella is completely attenuated in C3H/HeN mice while wild type Salmonella kills all mice. Addition of an iron-chelator DTPA(Diethylene triamine pentaacetic acid) to culture media induces σE expression of Salmonella, but iron supplementation abrogates this induction. These findings suggest that iron limitation in host macrophages can trigger σE -dependent virulence system of Salmonella that may include bacterial iron homeostasis.
Cholesterol granuloma(CG) occurs frequently in association with chronic middle ear diseases, particularly diseases in the mastoid antrum and air cells of the temporal bone, and much less frequently in paranasal sinuses. It occurs frequently secondary to massive hemorrhage of oral and paraoral cysts. However, It has never been reported to occur solely without any association with preexisting lesion in the mandible. We experienced development of unusual cholesterol granuloma in the mandible. Seventy year old female presented diffuse hard swelling on the left mandibular area with lymphadenopathy of the left cervical lymph node. Radiographic examination showed a well circumscribed multilocular radiolucency resembling soap bubble appearance with tooth displacement and root resorption, leading to the radiogrphic impression of dentigerous cyst or odontogenic cyst or ameloblastoma. CT showed bucco-lingually undulating expansile lesion with corticated margin from the left posterior mandibular body to the anterior ramus, including #46, #47 and #48, and the mass showed slightly lower attenuation than muscle. leading to the impression of ameloblastoma. The mass after surgical excision composed of 2 sac like structures, measuring 4.0cm, and 2.7cm in diameter respectively. One sac was tightly attached to the #46, resembling dentigerous cyst. Microscopic examination showed a large number of cholesterol clefts in association with hemorrhage, hemosiderin pigments and foreign body giant cells. There was no evidence of cyst or other lesions
Traumatic eosinophilic granuloma(TEG) of the oral mucosa is considered to be a reactive benign condition. Histology revealed diffuse mixed infiltration of eosinophil and atypical mononuclear cells. We have described an additional case of TEG simulating oral malignany where immunohistochemistry revealed the presence of CD30+ large atypical cells. The CD30+ lymphoproliferative disorder(LPD) of oral mucosa, although rare, has also been described. In this case, there was scattered distribution of CD30+ cells. After the incisional biopsy, the remainder of oral lesion got disappeared progressively and there is no sign of recurrence. We believe that this case could be a reactive rather than neoplastic process, and it has been suggested that a subset of TEG could be included within the spectrum of CD30+ LPDs. Therefore, oral surgeon and pathologists’ awareness of this condition will reduce the likelihood of misdiagnosis and inappropriate aggressive treatment for this benign, self-limiting lesion.