Xiaogu Wang

Histopathological Study of Dental Pulp Tissue Capped with Enamel Matrix Derivative

The purpose of this study was to examine the histopathological response of dental pulp tissue to enamel matrix derivative (EMD) used as a pulp capping material. Thirty-two teeth from two mongrel dogs were divided into four equal groups. One group served as controls, and the others were used for deep Class V cavity preparation followed by direct pulp capping with enamel matrix derivative. The treated teeth were extracted after 1, 4, and 8 weeks and prepared for histopathological examination by light microscopy. All teeth prepared after 4 and 8 weeks demonstrated an increase in tertiary dentin, suggesting that enamel matrix derivative exerts a considerable influence on odontoblasts and endothelial cells of capillaries in dental pulp tissue. These results imply that enamel matrix derivative used as a pulp capping material may play a role in the calcification of dental pulp tissue.

Morphological Changes of Bovine Mandibular Bone Irradiated by Er,Cr:YSGG Laser: An in Vitro Study

OBJECTIVE The purpose of this study was to investigate the morphological changes of bovine mandibular bone following Er,Cr:YSGG laser irradiation in different methods in vitro. BACKGROUND DATA Recently, an erbium, chromium/yttrium, scandium, garmet (Er,Cr:YSGG) laser device that emits a laser beam at the wavelength of 2.78 micro m was introduced. This type of infrared laser proved to ablate dental hard tissues effectively. However, the different effects of bone ablation by this laser in different irradiation methods were still unknown. MATERIALS AND METHODS Adult bovine mandibular bones were cut into 24 small pieces, 3-4 cm in length. The parameters of Er,Cr:YSGG laser irradiation were as follows: wavelength was 2.78 micro m, pulse duration was 140-200 micro sec, repetition rate was 20 pulse/sec, power was 4 W, spot size was 1.26 x 10(-3) mm(2), and energy density was 160 J/cm(2). Irradiation methods were different in four groups (six specimens in each group): group A, fixed position and contact mode; group B, fixed position and noncontact mode; group C, nonfixed position and contact mode; and group D, nonfixed position and noncontact mode. RESULTS Ablation depth in group A was significantly greater than in group B (p < 0.01). In group A, thermal damage was apparent. In group B, C, and D, thermal damage was minimal. CONCLUSION Er,Cr:YSGG laser allows for precise surgical bone cutting and ablation with minimal thermal damage to adjacent tissue. Irradiation in different methods may achieve different ablation rates and thermal damage.

Effects of mineral trioxide aggregate on the differentiation of rat dental pulp cells.

The effect of mineral trioxide aggregate (MTA) on the odontoblast-like differentiation of pulp cells was evaluated using heat-shock protein 25 (hsp25) as a marker for odontoblast differentiation. The cells were cultured with tooth-colored MTA or calcium hydroxide-containing cement (Dycal). The effects of the materials on the pulp cells were observed using a confocal laser scanning microscope. The cells were labelled immunocytochemically using polyclonal antibodies against hsp25 and actin. The mRNA expression of hsp25 and dspp in the pulp cells at 2 days were examined by quantitative reverse transcription-polymerase chain reaction (RT-PCR). Most of the cells cultured with MTA showed an intense immunolabelling for hsp25 and the mRNA expressions of hsp25 and dspp at 2 days were higher than those cultured with Dycal. These findings indicate that MTA is an effective pulp capping material and is able to induce the differentiation of odontoblast-like cells and the formation of reparative tertiary dentin with minimum apoptosis.

Histopathological changes in dental pulp irradiated by Er:YAG laser : a preliminary report on laser pulpotomy

OBJECTIVE The effects of Er:YAG laser irradiation on the pulp tissue during a pulpotomy procedure were evaluated histopathologically. BACKGROUND DATA The effects on pulp tissue during laser pulpotomy using Er:YAG laser irradiation are not clear. MATERIALS AND METHODS Sixty mesial root canals of mandibular first molars in rats were divided into four groups. In three of these groups, root canals were irradiated using an Er:YAG laser at 2 Hz and 34, 68, and 102 mJ/pulse for 15 sec. Non-irradiated canals served as controls. The effects of laser irradiation on the remaining pulp tissue and periodontal tissues were evaluated at 0 days, 2 days, and 1 week after irradiation under light microscopy. RESULTS At 1 week after treatment, no inflammation or resorption was observed in any cases in the control or 34 mJ/pulse-irradiated groups. However, moderate to severe inflammation was observed in 9 of 10 cases (90%) in the 68 and 102 mJ/pulse-irradiated groups. CONCLUSION These results suggest that effects on pulp tissues during a pulpotomy procedure by Er:YAG laser irradiation are minimal, if appropriate parameters are selected, and this is a potential therapy for pulpotomy of human teeth.

Effect of glypican-1 gene on the pulp cells during the reparative dentine process

GPC‐1 (glypican‐1) is a cell surface heparan sulfate proteoglycan that acts as a co‐receptor for heparin‐binding growth factors and members of the TGF‐β (transforming growth factor beta‐1) family. The function of cell‐surface proteoglycans in the reparative dentine process has been under investigation. Gpc‐1 was detected with similar frequency as tgf‐β1 in the cDNA library using mRNA from the odontoblast‐like cell‐enriched pulp of rat incisors. The aim of this study was to test our hypothesis that gpc‐1 may be related to reparative dentine formation. We examined the expression of this gene during the reparative dentine process, as well as the effect of gpc‐1 on odontoblast‐like cell differentiation using siRNA (small interfering RNA) to down‐regulate gpc‐1 expression. Immunohistological examination showed that GPC‐1 was expressed in pulp cells entrapped by fibrodentine and odontoblast‐like cells as well as TGF‐β1. The mRNAs for gpc‐1, ‐3 and ‐4, except for gpc‐2, were expressed during odontoblast‐like cell differentiation in pulp cells. The relative levels of gpc‐1 mRNA were increased prior to the differentiation stages and were decreased during the secretory and maturation stages of pulp cells. Down‐regulation of gpc‐1 expression resulted in a 3.9‐fold increase in tgf‐β1 expression in pulp cells and a 0.3‐fold decrease in dspp (dentine sialophosphoprotein) expression compared with control. These results suggested that gpc‐1 and tgfβ‐1 expression are necessary for the onset of differentiation, but should be down‐regulated before other molecules are implicated in the formation of reparative dentine. In conclusion, gpc‐1 expression in odontoblast‐like cells is associated with the early differentiation but not with the formation of reparative dentine.