Ryszard Koczorowski

Molecular basis of hypohidrotic ectodermal dysplasia: an update

Recent advances in understanding the molecular events underlying hypohidrotic ectodermal dysplasia (HED) caused by mutations of the genes encoding proteins of the tumor necrosis factor α (TNFα)-related signaling pathway have been presented. These proteins are involved in signal transduction from ectoderm to mesenchyme during development of the fetus and are indispensable for the differentiation of ectoderm-derived structures such as eccrine sweat glands, teeth, hair, skin, and/or nails. Novel data were reviewed and discussed on the structure and functions of the components of TNFα-related signaling pathway, the consequences of mutations of the genes encoding these proteins, and the prospect for further investigations, which might elucidate the origin of HED.

Color and Luminescence stability of selected dental materials in vitro

PURPOSE To study luminescence, reflectance, and color stability of dental composites and ceramics. MATERIALS AND METHODS IPS e.max, IPS Classic, Gradia, and Sinfony materials were tested, both unpolished (as-cast) and polished specimens. Coffee, tea, red wine, and distilled water (control) were used as staining drinks. Disk-shaped specimens were soaked in the staining drinks for up to 5 days. Color was measured by a colorimeter. Fluorescence was recorded using a spectrofluorometer, in the front-face geometry. Time-resolved fluorescence spectra were recorded using a laser nanosecond spectrofluorometer. RESULTS The exposure of the examined dental materials to staining drinks caused changes in color of the composites and ceramics, with the polished specimens exhibiting significantly lower color changes as compared to unpolished specimens. Composites exhibited lower color stability as compared to ceramic materials. Water also caused perceptible color changes in most materials. The materials tested demonstrated significantly different initial luminescence intensities. Upon exposure to staining drinks, luminescence became weaker by up to 40%, dependent on the drink and the material. Time-resolved luminescence spectra exhibited some red shift of the emission band at longer times, with the lifetimes in the range of tens of nanoseconds. CONCLUSIONS Unpolished specimens with a more developed surface have lower color stability. Specimens stored in water develop some changes in their visual appearance. The presently proposed methods are effective in evaluating the luminescence of dental materials. Luminescence needs to be tested in addition to color, as the two characteristics are uncorrelated. It is important to further improve the color and luminescence stability of dental materials.

An in-needle extraction technique in determination of organic compounds released from dental tissue conditioners incubated in artificial saliva.

The use of an in-needle technique for direct isolation of analytes from real liquid samples is a new proposal. The in-needle technique has been relatively seldom used for direct sampling of liquid matrix through the needle. In this work the in-needle technique has been applied for the determination of compounds evolved to artificial saliva from dental prosthetic materials. It has been shown that results from the experiment with in-needle device were at least comparable with those obtained with using well known solid phase extraction (SPE). It is worth to mention that in-needle extraction offers some advantages: lower consumption of solvent, shorter step-preparation time and reduced costs. The compounds released from prosthetic materials may affect the stability of tissue conditioners and limit their long-term use in the oral cavity. Examined soft dental materials have been found to be stable as minor amount of various species have been emitted from them. Results of the stability tests of soft dental materials with the use of in-needle device on sample preparation step enable their quick evaluation and estimations of their quality.

Electron ionisation and electrospray ionisation mass spectrometric study of a series of isomeric methyl-, dimethyl- and trimethylalloxazines

Electron ionisation (EI) mass spectra and electrospray ionisation (ESI) mass spectra at different cone voltages of a series of isomeric methyl- and dimethylalloxazines are discussed, and compared with those of lumichrome, and 1- and 3-methyllumichrome. Examination of ESI mass spectra taken at a higher cone voltage and the use of isotope-labelled methanol allow us to discuss the fragmentation pathways of [M+H]+ and [M-H](-) ions. The fragmentation pathways of all of the compounds and the characteristic fragment ions formed in EI-MS are compared with published data. The influence of methyl and dimethyl substituents in the benzene ring on the fragmentation pathways leading to the loss of 43 and 45 Da upon both electron and electrospray ionisation is described.

New procedure of quantitative mapping of Ti and Al released from dental implant and Mg, Ca, Fe, Zn, Cu, Mn as physiological elements in oral mucosa by LA-ICP-MS

A new procedure for determination of elements derived from titanium implants and physiological elements in soft tissues by laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) is presented. The analytical procedure was developed which involved preparation of in-house matrix matched solid standards with analyte addition based on certified reference material (CRM) MODAS-4 Cormorant Tissue. Addition of gelatin, serving as a binding agent, essentially improved physical properties of standards. Performance of the analytical method was assayed and validated by calculating parameters like precision, detection limits, trueness and recovery of analyte addition using additional CRM - ERM-BB184 Bovine Muscle. Analyte addition was additionally confirmed by microwave digestion of solid standards and analysis by solution nebulization ICP-MS. The detection limits are in range 1.8μgg-1 to 450μgg-1 for Mn and Ca respectively. The precision values range from 7.3% to 42% for Al and Zn respectively. The estimated recoveries of analyte addition line within scope of 83%-153% for Mn and Cu respectively. Oral mucosa samples taken from patients treated with titanium dental implants were examined using developed analytical method. Standards and tissue samples were cryocut into 30µm thin sections. LA-ICP-MS allowed to obtain two-dimensional maps of distribution of elements in tested samples which revealed high content of Ti and Al derived from implants. Photographs from optical microscope displayed numerous particles with µm size in oral mucosa samples which suggests that they are residues from implantation procedure.

Luminescence of selected dental composites in vitro

OBJECTIVES The work was motivated by the necessity to evaluate the emission changes of dental composites, as the emission under UV light is one of the important optical parameters of the hard tooth tissue. METHODS Fulfill extra, Artemis and Durafill VS materials in A3.5 shade were tested. Coffee, tea, red wine and distilled water (blank) were used as staining drinks. The samples were soaked for 7 days. Total luminescence matrices were collected with an interval of 1 nm in emission and 10nm in excitation, in the front-face geometry. RESULTS The exposure of dental composites to staining drinks caused a reduction in luminescence intensity by up to 40%, the magnitude of the reduction depending on the drink and on the composite material. In the special case of the intrinsically weak fluorescent Durafill VS, the exposure to coffee apparently caused an increase in luminescence intensity due to coffee components adsorbed on the sample surface. SIGNIFICANCE It is important to improve the emission stability of dental composites. The presently proposed methods are effective in evaluating the emission of dental composites. Emission needs to be tested in addition to color, as the two parameters are uncorrelated.

Usefulness of laser ablation ICP-MS for analysis of metallic particles released to oral mucosa after insertion of dental implants

Despite the fact that titanium is considered highly biocompatible, its presence in the oral cavity (an environment of frequently changing pH and temperature) may result in the release of titanium from intraosseous implants into the oral mucosa, causing a range of reactions from the human body. Fragments of oral mucosa collected from patients after dental implant insertion were analyzed by laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). The study revealed an elevated content of elements (Ti, Al, V) which are components of the metal implants and temporary cover screws. Dynamic ablation of the tissue surface was used in order to obtain maps of the content and distribution of analyzed elements. The material consisted of 30 oral mucosa tissue fragments collected 3-5 months after implantation and 10 samples collected before implantation (control group). The application of optical microscope allowed for indication and confirmation of the location of metal particles prior to LA-ICP-MS analysis. The so-obtained map permitted location of regions containing metal particles. LA-ICP-MS analysis revealed groups of samples with similar properties of metal particles, thus confirming that those metal particles were the main source of the elevated content of metals (Ti, Al, V) in the tissue after implantation. A calibration strategy based on matrix matched solid standards with powdered egg white proteins as matrix material was applied with 34S as an internal standard. The accuracy of the analytical method was verified by ablating pellets of certified reference material ERM-BB422 Fish muscle.

Preprosthetic correction procedures in patients with combination syndrome

Streszczenie Wieloletnie użytkowanie całkowitej protezy w szczęce, w obecności zachowanych zębów przednich w żuchwie, prowadzi do powstania zmian degeneracyjnych w narządzie żucia będących składowymi zespołu Kelly’ego, które stwarzają duże trudności rekonstrukcyjne dla lekarzy protetyków. Brak właściwego zaopatrzenia protetycznego pacjenta pogłębia patologiczne zmiany w jamie ustnej prowadzące do zaburzeń czynnościowych, a także zmian w wyglądzie twarzy. Celem pracy jest prezentacja procedur korekcyjnych stosowanych przed docelową rehabilitacją protetyczną z uwzględnieniem najczęściej występujących symptomów zespołu Kelly’ego. Autorzy omawiają możliwości zaopatrzenia pacjentów z wykorzystaniem konwencjonalnych ruchomych protez zębowych i/lub wszczepów śródkostnych dla optymalizacji leczenia protetycznego i profilaktyki destrukcji podłoża. Przedprotetyczne procedury korekcyjne u pacjentów z zespołem kombinowanym

The oral cavity – potential source of stem cells

The purpose of this review is to present the current knowledge regarding the hierarchy of stem cells originating from the oral cavity, which could have a potential value when applied to regenerative stomatology. It must be particularly emphasized that the heterogenous nature of its biology and function within oral compartment may predispose them to different types of applications. Stem cells can be perceived as immature, primitive and unspecialized types of cells with the ability to proliferate, self-renew and differentiate into specialized progeny according to the compartmental signaling. Their presence in tissue reservoirs was already discovered in many organs and tissues as well as in the stomatognathic system. The oral cavity appears to be an exceptionally attractive site to acquire stem cells. The common presence and easy access to these cells in dental and peridental tissues provides a real chance to apply them for therapeutic purposes. Such an opportunity would also be neutral to bioethical and moral issues, assuming autologous stem cells employment. Many authors suspect that stem cells have epigenetic memory, so some of their features can be inherited through generations. They are not connected, however, with DNA sequence modifications. It is, therefore, justified to apply the cells, which have the oral cavity as their natural reservoir, in interventions associated with tissue engineering within the stomatognathic system. An increasing number of clinical trials, among which the number of randomized studies with large group of patients is progressively carried out, allows for a prediction that shortly therapeutic methods based on stem cells of dental origin may be implemented to the routine repertoire of clinical practice.

The Physicochemical Characteristics of Prosthetic Materials and Their Influence on Their Clinical Properties

The use of elastic materials favours degradation of their surface. The period of their clinical usefulness is then shortened, and their further utilisation in the oral cavity may have the reverse effect. The surface properties of such material as well as the influence of the humidity on their surface are very important as they determine the prosthetic materials behavior in the mouth. The surface of such material should be resistant to water. Inverse gas chromatography is an accurate, sensitive technique for studying surface properties. Thanks to using a unique equipment specially designed for IGC technique, Surface Energy Analyzer, it was possible to characterize the surface at 0 and 80% of humidity. Our results show that increased humidity does not affect surface properties of studied prosthetic materials. Their ability to dispersive and specific interactions change in very limited degree. IGC experiment was also applied for the estimation of Hansen solubility parameters that indicate ability of a material to dispersive, polar, and hydrogen-bonding interactions. Relation between the surface characteristics and practical use of soft lining materials with implications for their clinical usefulness is also discussed.