Biomedical subjects
Publications and source records attributed to D M Ranly.
Deficiencies of pulpotomy and pulpectomy treatment of primary teeth have promoted considerable laboratory and clinical research. Some of these findings and their implications are reviewed.
This study evaluated the effect of four dentin adhesives on sealant shear bond strength. Five groups of 15 human extracted teeth (75 in total) were prepared to receive the following treatments: group 1, sealant only; group 2, sealant plus gluma primer; group 3, sealant plus gluma primer and sealer, group 4, sealant plus C & B Metabond. Each tooth had a bonding site prepared for each material by grinding a flat plane on the enamel with 600 grit. The enamel site was etched for 30 seconds, washed for 20 seconds and dried. Each material was mixed according to the instructions of the manufacturer. The sealant (Concise) was placed in a nylon cylinder, light-cured, stored in distilled water for 24 hours, thermocycled (100 cycles at 5 to 55 degrees C) and shear bond strength determined with a knife-edge blade in an Instron running at a crosshead speed of 0.5 mm/min. The results in MPa were: group 1, 11.8 +/- 4.5; group 2, 12.3 +/- 5.0; group 3, 10.3 +/- 1.9; group 4, 12.5 +/- 8.6; and group 5, 15.8 +/- 5.2. Statistically (ANOVA one way) there was no significant difference in the groups.
Radiolabeled glutaraldehyde (GA) was infused into rats in order to determine its distribution between cellular and humoral fractions of the blood, its potential metabolism by RBC's, its rate of excretion, and the nature of its urinary products. This study demonstrated that [14C]GA was distributed between the RBC's and plasma at a ratio greater than 1. Although the absolute counts of both fractions dropped 80% over 3 days, the percentage bound or incorporated increased over time. Despite the extensive uptake by RBC's these cells were unable to metabolize GA to CO2. Urinary excretion of the radiolabel was rapid; the predominant form in the urine was less than 1 kDa in size. All evidence suggested that it was not native GA. We conclude that the RBC's can incorporate GA, but can not metabolize it completely to CO2. Nevertheless, much of the infused GA was rapidly converted to nonreactive metabolites and eliminated by the kidney.
The aims of the present study were to examine, on the primary dentition of 75 human dried skulls, the distance from the cemento-enamel junction (CEJ) to the alveolar bone crest, and to evaluate its relation to developmental age, bone morphology and attrition. The measurements from the CEJ to the alveolar crest were longer for the maxillary teeth, the second molars showed the shortest measurements, while the cuspids showed the longest. Significant positive partial correlations were found between age and the distance from the CEJ to the alveolar crest when controlling for attrition (r = 0.64), and between age and attrition when controlling for the distance from the CEJ to the alveolar bone crest (r = 0.54). The partial correlation between migration and attrition when controlling for age proved to be not significant (r = 0.13). Significant correlations were found between age and the distances from the mental foramen to: the alveolar crest (r = 0.90), and to the lower border of the mandible (r = 0.97). These findings suggest that root exposure takes place in the primary dentition, as the result of continuous eruption at a faster rate than formation of alveolar bone, presumably to compensate for facial growth.
Glutaraldehyde (GA) has been proposed as an alternative to formocresol for pulpotomies in primary teeth and as an irrigant in root canal therapy. These studies were undertaken to determine if GA can associate with the nucleus of living cells, thereby posing a mutagenic threat. Rats were infused IV with 14C-GA and killed 5 min and 1 h later. The cystolic, membrane, and nuclear fractions of harvested liver cells were separated and analyzed for radioactivity. We determined that significant radioactivity was located in the cytosol and membrane fractions, but not in the nuclear fraction. In an in vitro experiment, liver slices were incubated with 14C-GA in sealed vials in which 14C-CO2 was captured. After 1 h the nucleic acids of the liver slices were isolated and counted. In vitro the liver cells incorporated and metabolized GA to CO2 but no significant label could be detected in the isolated nucleic acids. We concluded from these experiments that GA which was incorporated into liver cells did not reach the nucleus to a significant extent, and that its potential for mutagenicity in the context of pulp treatment was nil.
The systemic distribution of glutaraldehyde (GA) from a pulpotomized tooth of a rat was estimated to be 40 nanomoles or 25% of the applied dose. Metabolic studies disclosed that GA was eliminated in urine and expired gases; 90% was cleared from body tissues in 3 days. To evaluate the toxicity of GA, doses 500x greater than that systemically distributed from a pulpotomy site were infused into the jugular veins of rats. Twenty-four hours postinfusion the rats were evaluated in vivo for physiologic changes or sacrificed for biochemical and histologic evaluation of harvested tissues. Only one of the assays, a physiologic parameter, was altered by the 500x dose. Considering the relatively large dose administered and the limited effects, we conclude that GA would not be toxic when used as a pulpotomy agent.
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As part of an overall evaluation of possible substitutes for the pulpotomy agent formocresol, this study was initiated to compare the antigenicity of the reaction products of protein with formaldehyde, glutaraldehyde, or dimethylsuberimidate (DMS). Rabbits were injected with rabbit serum albumin (RSA) which had been treated with one of the following solutions: phosphate-buffered saline, 2% glutaraldehyde, 4% formaldehyde, or 2% DMS. The antisera from the rabbits were analyzed for elicited antibodies by the enzyme-linked immunosorbent assay (ELISA) and in a horseradish peroxidase (HRP) assay using a spot technique on nitrocellulose paper. These assays demonstrated that DMS-treated RSA was the most antigenic of the reaction products tested. The least provocative was the glutaraldehyde-treated RSA; the reaction product of formaldehyde was intermediate. Our findings suggest that if non-immunogenicity of a pulpotomy agent is a desirable property, then DMS does not meet the criteria of an alternative pulp fixative. In contrast, the relatively low antigenicity of glutaraldehyde reinforces other favorable findings which support its use clinically.
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Two bifunctional reagents, glutaraldehyde and dimethylsuberimidate, were compared to formaldehyde with respect to fixation and modification of protein. Glutaraldehyde proved the superior fixative based on cross-linking and enzyme degradation assays. An immunoprecipitation assay suggests that the reaction products of glutaraldehyde may have altered antigenicity.
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