Ispitivanje biokompatibilnosti akrilata za izradu zubnih proteza in vivo
Sažetak
Uvod/Cilj. Nošenje akrilatnih proteza uzrokuje inflamatorne reakcije oralne sluzokože. Cilj ovog istraživanja bio je da se ispita odgovor tkiva pacova nakon potkožne i intramuskularne implantacije različitih akrilatnih uzoraka pomoću patohistološke analize tkiva. Metode. U studiji su korišćena dva uzorka tvrdih i tri uzorka mekih akrilatnih smola (toplo i hladno polimerizovanih) koji su supkutano i intramuskularno implantirani u tkivo pacova. Implantacioni testovi su osmišljeni tako da se ispita biološki odgovor okolnog tkiva na testirane materijale nakon njihove primene u periodu od dve nedelje i periodu od četiri meseca. Rezultati. Posle dve nedelje, bez obzira na vrstu implantacije, patohistološka analiza pokazala je akutni inflamatorni odgovor. Došlo je do intenzivne hiperplazije inflamatornih ćelija, umnožavanja vezivnog tkiva kao i formiranja brojnih novih krvnih sudova. Najviši nivo upalnih promena primećen je nakon aplikacije hladno polimerizovanih akrilatnih smola. Niži intenzitet inflamacije kod uzoraka toplo polimerizovanih smola rezultat je njihove potpunije polimerizacije. Nakon drugog perioda posmatranja uočeno je formiranje fibroznih kapsula oko implantiranih uzoraka što ukazuje na hroničnan tok upalnog procesa. Manje vidljivi znaci zapaljenja ukazuju na transformaciju zapaljenske reakcije u hronični oblik u kojoj se vremenom, odnosno tokom dužeg perioda posmatranja samo zapaljenje smanjuje. Zaključak. Supkutana i intramuskularna implantacija akrilnih uzoraka dovela je do inflamatornog odgovora čiji je intenzitet smanjen tokom vremena. Toplo polimerizovani akrilati su biološki znatno prihvatljiviji u odnosu na hladno polimerizovane akrilate.
Reference
REFRENCES
Kallus T. Enhanced tissue response to denture base polymers in formaldehyde-sensitized guinea pigs. J Prostet Dent 1984; 52(2): 292–9.
Kallus T. Evaluation of the toxicity of denture base polymers af¬ter subcutaneous implantation in guinea pigs. J Prosthet Dent 1984; 52(1): 126–34.
Sipahi C, Ozen J, Ural A, Dalkiz M, Beydemir B. The effect of two fibre impregnation methods on the cytotoxicity of a glass and carbon fibre-reinforced acrylic resin denture base material on oral epithelial cells and fibroblasts. J Oral Rehabil 2006; 33(9): 666–73.
Le Sueur BW, Yiannias JA. Contact stomatitis. Dermatol Clin 2003; 21(1): 105–14.
Gawkrodger DJ. Investigation of reactions to dental materials. Br J Dermatol 2005; 153(3): 479–85.
Ali A, Bates JF, Reynolds AJ, Walker DM. The burning mouth sensation related to the wearing of acrylic dentures: An inves-tigation. Br Dent J 1986; 161(12): 444–7.
Lygre GB, Gjerdet NR, Grønningsaeter AG, Björkman L. Reporting on adverse reactions to dental materials: Intraoral observations at a clinical follow-up. Community Dent Oral Epidemiol 2003; 31(3): 200–6.
van Joost T, van Ulsen J, van Loon LA. Contact allergy to den-ture materials in burning mouth syndrome. Contact Dermati-tis 1988; 18(2): 97–9.
Giunta JL, Grauer I, Zablotsky N. Allergic contact stomatitis caused by acrylic resin. J Prosthet Dent 1979; 42(2): 188–90.
Goncalves TS, Morganti MA, Campos LC, Rizzato SM, Menezes LM. Allergy to auto-polymerized acrylic resin in an orthodon-tic patient. Am J Othod Dentofacial Orthop 2006; 129(3): 431–5.
Huang FM, Tai KW, Hu CC, Chang YC. Citotoxic effects of den¬ture base materials on a permanent human oral epithelial cell line and on primary human oral fibroblasts in vitro. Int J Prosthodont 2001; 14(5): 439–43.
Koutis D, Freeman S. Allergic contact stomatitis caused by acrylic monomer in a denture. Australas J Dermatol 2001; 42(3): 203–6.
Danilewicz-Stysiak Z. Experimental investigations on the cyto-toxic nature of methyl methacrylate. J Prosthet Dent 1980; 44(1): 13–6.
Barclay SC, Forsyth A, Felix DH, Watson IB. Case report: Hy-per¬sensitivity to denture materials. Br Dent J 1999; 187(7): 350–2.
Davis CS, Squier CA, Lilly GE. Irritant contact stomatitis: a re¬view of the condition. J Periodontal 1998; 69(6): 620–31.
Freitas JB, Gomez RS, de Abreu MH, Ferreira EF. Relationship between the use of full dentures and mucosal alterations among elderly Brazilians. J Oral Rehabil 2008; 35(5): 370–4.
Karadžić B, Bojović S, Dražić R. Biocompatibility of PMMA-based material implanted in bone tissue. Serbian Dent J 2004; 51(4): 183–7. (Serbian)
International Standards Organization, ISO. Biological evaluation of medical devices–Part 6. Tests for local effects after implan-ta¬tion. Geneva, Switzerland: International Standards Organi-za¬tion; 2007. p. 10993–6.
Zmener O. Tissue response to a new methacrylate-based root ca¬nal sealer: Preliminary observations in the subcutaneous connective tissue of rats. J Endod 2004; 30(5): 348–51.
Teixeira HM, Do Nascimento AB, Hebling J, De Souza Costa CA. In vivo evaluation of the biocompatibility of three current bonding agents. J Oral Rehabil 2006; 33(7): 542–50.
Najman S, Đorđević LJ, Savić V, Ignjatović N, Plavšić M, Uskoković D. Changes of Hap/PLLA biocomposites and tissue reaction after subcutaneous implantation. Facta Universitatis 2003; 10(3): 131–4.
Ebadian B, Razavi M, Soleimanpour S, Mosharraf R. Evaluation of tissue reaction to some denture-base materials: an animal study. J Contemp Dent Pract 2008; 9(4): 67–74.
Stinson NE. The tissue reaction induced in rats and guinea pigs by polymethylmethacrylate (acrylic) and stainless steel (18/8 Mo). Br J Exp Pathol 1964; 45(1): 21–9.
Dillingham EO, Webb N, Lawrence WH, Autian J. Biological evaluation of polymers I. Poly(methyl methacylate). J Biomed Mat Res 1975; 9(6): 569–96.
Krunić N, Nikolić LJ, Kostić M, Najman S, Nikolić V, Najdanović J. In vitro examination of oral tissue conditioners potential tox¬icity. Hem Ind 2011; 65(6): 697–706.
Dahl JE, Frangou-Polyzois MJ, Polyzois GL. In vitro biocompati-bil¬ity of denture relining materials. Gerodontology 2006; 23(1): 17–22.
Jorge JH, Giampaolo ET, Machado AL, Vergani CE. Cytotoxici-ty of denture base acrylic resins: A literature review. J Prosthet Dent 2003; 90(2): 190–3.
Nakamura M, Kawahara H. Long-term biocompatibility test of denture base resins in vitro. J Prosthet Dent 1984; 52(5): 694–8.
Lefebvre CA, Schuster GS, Rueggeberg FA, Tamareselvy K, Knoern-schild KL. Responses of oral epithelial cells to dental resin components. J Biomater Sci Polym Educ 1996; 7(11): 965–76.
Hashimoto Y, Kawaguchi M, Miyazaki K, Nakamura M. Estro-genic activity of tissue conditioners in vitro. Dent Mater 2003; 19(4): 341–6.
Kostić M, Najman S, Kocić J, Krunić N, Ajduković Z, Petrović D, et al. Effect of denture base resin extracts on HeLa cells growth in vitro. Hem Ind 2008; 62(3): 217–22.