PubMed Health⌕ Search

Biomedical subjects

J Matter

Publications and source records attributed to J Matter.

At least 19 recordsLinked to original sources

Nicotinic acetylcholine receptor gene expression in developing chick autonomic ganglia.

The developmental expression patterns of ten genes encoding nicotinic acetylcholine receptor subunits were analyzed using Northern blots and in situ hybridization in chick peripheral ganglia of neural crest, placodal and dual embryonic origin. The superior cervical and ciliary ganglia were investigated in detail because they accumulated relatively abundant transcripts of the alpha3, beta4, alpha5 and alpha7 genes. In the superior cervical ganglion, these four mRNA species had similar developmental time-courses. They appeared at embryonic day 8 (E8), increased steadily until E16 and maintained a rather high plateau level until E18. In the ciliary ganglion, alpha7 transcripts were already abundant at E6, increased until E10, and considerably decreased thereafter. High-resolution in situ hybridization showed that alpha7 transcripts were present in all cell types of the E6 ciliary ganglion, whereas they were restricted to large neuronal somas at E16. Transfections with a reporter gene under the control of the alpha7 promoter demonstrated that a sharp developmental divide occurred at E11-12, after which stage the promoter was activatable in neurons exclusively.

Animals↗

Preservation of structural specificity in free gingival grafts. Long-term histological observations in man.

Most of the previous histological studies devoted to free gingival grafts in humans were limited to the description of the various phases of healing between the graft and the subjacent tissues. The present long-term study illustrates the histological findings 1 to 36 months after grafting along the zone of passage between graft and surrounding tissues. In the transitional zone between graft and alveolar mucosa it was found that the structural characteristics of the palatal mucosa, with its dense network of collagen fibres and its orthokeratinized superficial layer were conserved even after an interval of time as long as 16 months. These features contrasted with the loose network of collagen fibres and the presence of numerous elastic fibres in the alveolar mucosa. As for the transitional zone between graft and gingiva the findings confirmed that these two types of mucosa are similar, except that the gingival epithelium showed, in epon embedded sections, a layer of parakeratinization, as opposed to the dense layer of orthokeratin found on the grafted palatal epithelium. A constant feature in the present investigation was the change in orientation of the collagen fibres along the zones of healing, both between graft and alveolar mucosa and between graft and gingiva.

Alveolar Process↗

Free gingival grafts for the treatment of gingival recession. A review of some techniques.

Free gingival grafts can be utilized, alone or in combination with a coronally positioned flap, for the prevention and the treatment of gingival recession. The graft can be placed directly on the denuded root, as first described by Sullivan & Atkins (1968). This technique will provide adequate results, especially in cases with relatively little recession. After placing a free gingival graft in such an area, one can often observe bridging and/or creeping attachment. In the case of bridging, some of the grafted tissue will remain vital over the avascular zone, i.e. the root. Creeping attachment is the result of coronal migration of the grafted gingiva and will take place during the years following surgery. Bridging and creeping are most likely to occur in cases of narrow recession where the grafts had been placed directly over the denuded zone. In a second type of surgical procedure, an enlargement of the attached gingiva is first obtained through the graft. The area of recession is later covered by a coronally positioned flop. Several cases are presented which illustrate the results obtained with this procedure. In children, when there is insufficient attached gingiva, it is often desirable to place grafts before orthodonic therapy. In the prevention or treatment of gingival recessions, four possibilities may be considered: 1) no treatment, 2) placement of a graft to prevent recession, 3) stabilizing an existing recession, 4) attempt to cover the denuded root.

Adolescent↗

Collagen breakdown by gingival collagenase and elastase.

The granule fraction of human polymorphonuclear leucocytes (PMNs), the concentrated product of gingival washing from 2 human volunteers and the culture fluid of samples of human gingiva were incubated with neutral salt soluble collagen from rat skin and the patterns of collagen degradation were studied by SDS polyacrylamide gel electrophoresis. Collagenase from human gingiva cleaved the collagen molecules in a fashion similar to that of the PMN granule fraction. Collagen was also attacked by elastase from human PMNs and, to a lesser extent, by elastase from the gingival washings.

Adult↗

Creeping attachment of free gingival grafts. A five-year follow-up study.

The purpose of this study was to observe the results subsequent to placing free gingival grafts in ten patients with areas of gingival recession less than 3 mm in width. The grafts were placed directly over the recession and were observed for a period of 5 years. In all cases, the attached gingiva increased and the recession halted and in no instance was the recession greater after surgery. One month after grafting, the phenomenon of bridging was measurable in four cases. The mean coverage, obtained principally by creeping attachment, was about 70%. Among the ten cases some coverage was seen in all patients and resulted in the improvement in the periodontium, functionally and esthetically. On the basis of this study, one could conclude that the coverage obtained when placing a free gingival graft directly over a narrow recession is advantageous. The coverage of the recession however is not always complete nor always predictable.

Adult↗

Free gingival graft and coronally repositioned flap. A 2-year follow-up report.

Eleven cases are described in which the width of attached gingiva was increased by a free gingival graft, followed 2 months later by a coronally repositioned flap. This two-step operation was performed on 36 areas of recession in 11 patients. In all cases, the procedure has much improved the periodontium functionally as well esthetically. In two patients, a clinically stable reattachment has taken place within preexisting dentinal cavities. The relationship of the probe tip to periodontal tissues during probing and the reattachment of both epithelium and connective tissues are discussed.

Adult↗

[Tissue induction and mucogingival surgery: a review of the literature].

Most of the investigations reviewed in the present paper show that the connective tissue has an inductive potential upon epithelial differentiation. As for the investigations showing an epithelial predetermination, one must admit that they have been limited to particular tissue systems (for instance feathers and hairs) and that they could imply errors of manipulation or interpretation. As stated by Gilette: "Mesenchyme as the determinant is the favorite today, but perhaps only because experiments to demonstrate the opposite would be harder to assess" (Gilette, 1971). On the clinical point of view, one could draw an important conclusion from these investigations: at the present time, only the free or pedicle mucosal grafts including epithelium and connective tissue, or only connective tissue, are indicated to obtain a satisfactory increase of the width of attached gingiva.

Animals↗

[Plak-out and Broxojet 3007. Clinical study].

It is known that chlorhexidine, a plaque preventing agent, can cause discolorations and other side effects when used in mouthwashes at the concentration of 0.1% or more. By diluting the amount of chlorhexidine used in a mouthwash in the much greater volume of water used in a pulsating device, one could try to avoid these side-effects and, possible keep the antiplaque properties of chlorhexidine. Furthermore, it was interesting to check whether plaque, which is normally not removed by the mechanical action of a pulsating device, could be removed when the water of the device contains chlorhexidine. In the first part of the study, the effectiveness of chlorhexidine given by mouthwash (10 ml at 0.1%) has been compared to that of the same amount of chlorhexidine diluted in 400 ml of water of a pulsating device (conc. 0.0025%). The average gingival index of inflammation and plaque index, as well as the amount of gingival fluid have been measured, by previously standardized procedures, in a group of 18 students with healthy gingivae before and after a 7-days period of no-brushing. One third of the students used chlorhexidine solution in daily mouthwashes, one third used chlorhexidine in the Broxojet and the last 6 students used Broxojet with a placebo. The part of the study concerning the Broxojet was carried out in double blind. At the concentration of 0.1% in mouthwashes, chlorhexidine was found, as expected, to inhibit plaque formation. The same amount of drug diluted in the liquid of a pulsating device was, on the contrary, much less effective. Staining was noticed in most of the volunteers. The second part of the study was similarly designed and performed in the aim of checking whether higher amounts of chlorhexidine were effective in preventing plaque when used in the Broxojet: in the pulsating device, chlorhexidine was found to be effective only at the concentrations of 0.025%.

Biguanides↗

[Free gingival grafts in muco-gingival surgery: presentation of clinical cases].

Several indications of the free gingival graft have been reviewed. When utilized alone, this procedure allows to increase the height of the attached gingiva, to stabilize a recession or to prepare a sufficient zone of attached gingiva before placing a prosthesis. To cover one or several recessions, the gingival graft has to be placed in a first step and then a flap is repositioned coronally.

Dental Abutments↗

Collagen resorption by fibroblasts in human gingiva.

In the course of the extensive tissue remodeling occurring after flap surgery and during the subsequent gingival reattachment in man, numerous intracellular vacuoles were observed in fibroblasts of the lamina propria. These vacuoles contained one or several typical collagen fibrils and had either an electron-lucent matrix or contained an electron-dense material obscuring the fibrillar outlines and cross-striations.

Adult↗

Creeping attachment after free gingival grafts.

Free gingival grafts were placed in the lower anterior vestibular region of 30 patients each of whom had a gingival recession. According to the width of the recession and to the surgical procedure, the patients were divided into four groups. Group 1 showed a "narrow" (less than 3 mm) type of recession, while Group 2 had a "wide" type. In both of these groups the graft was placed over the denuded root. In Group 3 (narrow recession) and Group 4 (wide), a collar of vestibular gingiva was left in place on the lower margin of the denuded root at the moment of grafting. Measurements and photographs taken before and 1 month after surgery, 6 months and 2 years postoperatively, showed varying degrees of root covering by the phenomenon of creeping attachment. An optimal recovery of the gingival profile was obtained in the three patients of Group 1. In the other categories of patients the creeping of the attachment apparatus was relatively small (between 0 and 33%) within the 2 years of observation. The factors which seem to have a definite influence upon the phenomenon of creeping attachment are the following: width of the recession, position of the graft, bone resorption, position of the tooth and hygiene of the patient.

Adolescent↗

[The effectiveness of a chlorhexidine (Plak-out) gel and solution: clinical study].

A gel containing 0.2% chlorhexidine gluconate has been utilized during 6 weeks as a toothpast 3 times a day by a group of 8 students, while 8 other volonteers have brushed their teeth with a gel placebo. The gingival and plaque indices, as well as the amount of gingival fluid have been measured at the beginning and at the end of the experimental time. Colour photographs were also taken. The study, performed in double blind, did not show any significant change in the gingival conditions of the 16 students. In a second trial, the antiplaque properties of a chlorhexidine containing solution (Plak-out liquid) were tested. After thorough prophylaxis, 13 students in an experimental group and 8 students in a placebo group were asked to stop their oral hygiene procedures during 7 days and to rinse their mouth 2 times a day during 1 minute with the chlorhexidine solution or with the placebo. In each of the 2 groups, 4 subgroups were formed, each rinsing the mouth with a chlorhexidine or a placebo concentration of 0.05, 0.1, 0.15 and 0.2 per cent. In the experimental group the results show a practically complete inhibition of plaque deposits. The average plaque index, which amounted to 0.3 at the beginning of the experiment in the 2 groups, showed an increase to 1.2 in the placebo group and dropped to 0.2 in the chlorhexidine group. The plaque inhibition seems to take place as a function of the chlorhexidine concentration. The gingival index of inflammation and the amount of gingival fluid showed an increase in the placebo group but did not change in the volonteers using the active compound.

Adult↗