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Biomedical subjects

Matthias Hannig

Publications and source records attributed to Matthias Hannig.

24 records · Page 2Linked to original sources

Candida-induced stomatopyrosis and its relation to diabetes mellitus.

BACKGROUND: Glycaemic disorders and oral candidosis can be accompanied by burning mouth sensations. However, no clear relation between all three disorders is known. METHODS: Seventy-two native Upper-Austrians with burning mouth sensations were examined and smears for Candida estimation were taken from the spots where the sensations were felt. All patients with previously unknown diabetes mellitus (DM) were subjected to an oral glucose tolerance test (OGTT). Use of glucocorticoid-containing anti-asthmatic sprays and the body mass index (BMI) were determined. RESULTS: Of the examined non-inhalers of sprays, 52% had increased candidal density. A correlation between that increase and type 2 DM was found. The burning sensations in all patients with increased candidal density subsided completely after anti-mycotic therapy. CONCLUSION: The perception of burning sensations was hypothesised to occur via stimulation of the capsaicin (vanilloid) receptor by Candida metabolites. The Candida-induced stomatopyrosis should be regarded as a single symptom indicating (predisposition to or established) type 2 DM in non-inhalers of the concerned population.

Administration, Inhalation↗

Bacterial adhesion to sulcular epithelium in periodontitis.

The purpose of this study was to investigate, by electron microscopy, the type of bacterial attachment to the sulcular epithelium in periodontitis. Gingiva biopsies were observed in a transmission electron microscope using cytochemical staining with ruthenium red for glycocalyx visualisation. In addition, subgingival plaque samples and biopsies from the sulcular epithelium in periodontitis from the patients were estimated microbiologically. Aerobic bacteria only were estimated in the subgingival plaque and both aerobic and anaerobic bacteria in the gingival biopsies. No bacterial internalisation could be observed. Fimbria-mediated adhesion as the only type of bacterial attachment and a large diversity of bacterial glycocalyces were detected. As the fimbrial adhesins of putative periodontal pathogens are able in vitro to induce inflammation and bone resorption via stimulation of the proinflammatory cytokine production, the demonstrated fimbrial adhesins suggest the significant role of bacterial adhesion to sulcular epithelium in periodontitis.

Adhesins, Bacterial↗

Inter-crystallite nanoretention of self-etching adhesives at enamel imaged by transmission electron microscopy.

The purpose of this in vitro study was to analyse the mode of action of self-etching adhesive systems when applied for resin-to-enamel bonding. Transmission electron microscopy was used to investigate the enamel-resin interface after application of non-rinsing self-etching adhesive systems based on phosphoric acid estered methacrylates (Clearfil Liner Bond 2, Clearfil SE Bond, Etch & Prime 3.0 and Resulcin AquaPrime) compared with conventional phosphoric acid etching and bonding (Heliobond). Non-decalcified ultrathin sections from the interface between enamel and self-etching adhesive systems revealed a 1.5-3.2-microm deep enamel surface layer characterized by a less-dense arrangement of enamel crystallites separated from each other by nanometer-sized spaces. A 1.5-3.2-microm wide, netlike resinous structure was observed in corresponding decalcified specimens, indicating that self-etching priming agents dissolve the peripheral and central part of the enamel crystallites, while simultaneously promoting inter- and intra-crystallite monomer infiltration. A similar pattern, but greater depth (6.9 microm) of enamel surface hybridization was found in the phosphoric acid-etched and bonded specimens. The nanoretentive interlocking between enamel crystallites and resin could explain the potential of self-etching adhesive systems in resin-to-enamel bonding despite the less distinct enamel etching pattern observed in scanning electron microscopy investigations.

Acid Etching, Dental↗

[Effect of self-etching primers on microleakage of resin composites in class V restorations]

OBJECTIVE: To evaluate in vitro microleakage of class V restorations using two self-etching primers with a flowable resin or hybrid resins. METHODS: Forty human molars were divided into 3 groups according to axial surfaces. Each group was randomly assigned to 2 subgroups (n=20) with either butt-joint or the beveled preparations. Class V preparations were cut in cemento-enamel junction. Groups A, B, C were respectively restored with CLB2/Clearfil AP-X, APMB/FHC-Merz or APMB/Liquicoat. Half specimens of each subgroup were thermocycled 2 500 times. After staining, dye penetration was evaluated in the ordinal scale at 40Xmagnifications for occlusal and the gingival margins. The wall adaptation of the randomly selected specimens was analyzed with a SEM on replicas of the sectioned teeth. RESULTS: None of bond systems in this study prevented the microleakge. The restorations with the bur-beveled preparations leaked the same as those with the butt joint preparations (P>0.05). The thermocycled specimens and the non-thermocycled specimens leaked similarly (P>0.05). The flowable resin-liqucoat leaked significantly more than hybrid resin in dentinal margins (P<0.05). CONCLUSION: The self-etching primers can not reduce the microleakge in the dentin-restoration interfaces. The flowable resin leak more than the hybrid resin in dentin-restoration interfaces. The bur- beveled preparations do not significantly reduce the microleakage in class V resin restorations bonded with self-etching primers.

Journal Article↗

[Effectiveness of various whitening techniques and their effects on the enamel surface].

The objective of this in vitro study was to compare three different bleaching techniques with respect to the bleaching times required to achieve six grades of whitening in human teeth, i.e. from shade A4 to A3 of the VITAPAN classical shade guide. Additionally, the enamel surfaces were analyzed by SEM after each bleaching procedure to detect potential surface changes. A total of 24 anterior teeth extracted for periodontal reasons (baseline shade A4) were randomized to three different bleaching treatments (n=8): Group A Illuminé home (home-bleaching technique); group B Whitestrips (over-the-counter technique); and group C Opalescence Xtra (in-office technique). The bleaching cycles were carried out according to the manufacturers' instructions, with one bleaching cycle taking eight hours for product A, 30 minutes for product B, and 15 minutes for product C. The mean treatment time required to achieve a defined shade (A3) was 6.88 cycles (=3300 minutes) in group A, 36.25 cycles (=1087 minutes) in group B, and 4.25 cycles (63.75 minutes) in group C. None of the teeth studied showed detectable surface changes in the subsequent SEM (2000 X) analysis of the enamel surface. In this in vitro study all three techniques studied resulted in the desired tooth whitening within the recommended application time periods, and none of the three products tested created any detectable enamel surface changes.

Analysis of Variance↗

Surface morphology of pocket epithelium.

The pocket epithelium in periodontitis differs from the clinically healthy epithelium in its increase in sulcular depth. However, closer surface morphological distinctions have not been described. To study the surface characteristics of pocket gingiva, the authors analyzed pocket and sulcular epithelium biopsies by scanning and transmission electron microscopy using cytochemical staining for visualization of bacterial adhesion. The clinically healthy and the marginal pocket epithelium were characterized by squamous epithelial cells joined by tight junctions and an inconspicuous surface lacking a distinctive papillary formation. The large quantity of bacteria that adhered to the clinically healthy and marginal pocket epithelium did not appear to elicit any significant defense response. The deeper part of the pocket epithelium revealed a wrinkled papillary relief, increased exfoliation of epithelial cells, leukocyte transmigration, and bacterial internalization, as well as internalization-induced epithelial apoptosis. The alteration of the deep pocket epithelium surface might be either genuine or due to environmental changes of the crevice, or both. Therefore, the periodontitis recovery after removing the deep pocket epithelium might now be related to the pathological alterations of the deep pocket epithelium.

Bacterial Adhesion↗