PMID- 24283657 OWN - NLM STAT- MEDLINE DCOM- 20150515 LR - 20161125 IS - 1943-3670 (Electronic) IS - 0022-3492 (Linking) VI - 85 IP - 7 DP - 2014 Jul TI - Outcome of enamel matrix derivative treatment in the presence of chronic stress: histometric study in rats. PG - e259-67 LID - 10.1902/jop.2013.130383 [doi] AB - BACKGROUND: Psychologic stress and clinical hypercortisolism have been related to direct effects on bone metabolism. However, there is a lack of information regarding the outcomes of regenerative approaches under the influence of chronic stress (CS). Enamel matrix derivative (EMD) has been used in periodontal regenerative procedures, resulting in improvement of clinical parameters. Thus, the aim of this histomorphometric study is to evaluate the healing of periodontal defects after treatment with EMD under the influence of CS in the rat model. METHODS: Twenty Wistar rats were randomly assigned to two groups; G1: CS (restraint stress for 12 hours/day) (n = 10), and G2: not exposed to CS (n = 10). Fifteen days after initiation of CS, fenestration defects were created at the buccal aspect of the first mandibular molar of all animals from both groups. After the surgeries, the defects of each animal were randomly assigned to two subgroups: non-treated control and treated with EMD. The animals were euthanized 21 days later. RESULTS: G1 showed less bone density (BD) compared to G2. EMD provided an increased defect fill (DF) in G1 and higher BD and new cementum formation (NCF) in both groups. The number of tartrate-resistant acid phosphatase-positive osteoclasts was significantly higher in G1 when compared to G2 and in EMD-treated sites of both groups. CONCLUSIONS: CS may produce a significant detrimental effect on BD. EMD may provide greater DF compared to non-treated control in the presence of CS and increased BD and NCF in the presence or absence of CS. FAU - Correa, Monica G AU - Correa MG AD - Department of Prosthodontics and Periodontics, Division of Periodontics, Piracicaba Dental School, University of Campinas, Piracicaba, Sao Paulo, Brazil. FAU - Gomes Campos, Mirella L AU - Gomes Campos ML FAU - Marques, Marcelo Rocha AU - Marques MR FAU - Bovi Ambrosano, Glaucia Maria AU - Bovi Ambrosano GM FAU - Casati, Marcio Z AU - Casati MZ FAU - Nociti, Francisco H Jr AU - Nociti FH Jr FAU - Sallum, Enilson A AU - Sallum EA LA - eng PT - Comparative Study PT - Journal Article DEP - 20131128 PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Dental Enamel Proteins) RN - 0 (Isoenzymes) RN - 0 (enamel matrix proteins) RN - EC 3.1.3.2 (Acid Phosphatase) RN - EC 3.1.3.2 (Tartrate-Resistant Acid Phosphatase) SB - IM MH - Acid Phosphatase/analysis MH - Alveolar Bone Loss/pathology/*therapy MH - Animals MH - Bone Density/drug effects/physiology MH - Cementogenesis/drug effects/physiology MH - Dental Cementum/drug effects/surgery MH - Dental Enamel Proteins/*therapeutic use MH - Dentin/drug effects/surgery MH - Isoenzymes/analysis MH - Male MH - Mandible/drug effects/pathology MH - Osteoclasts/pathology MH - Osteogenesis/drug effects/physiology MH - Periodontal Ligament/drug effects/surgery MH - Random Allocation MH - Rats MH - Rats, Wistar MH - Stress, Physiological/*physiology MH - Stress, Psychological/pathology/*physiopathology MH - Tartrate-Resistant Acid Phosphatase OTO - NOTNLM OT - Dental cementum OT - enamel matrix proteins OT - periodontium OT - physiological OT - rats OT - regeneration OT - stress EDAT- 2013/11/29 06:00 MHDA- 2015/05/16 06:00 CRDT- 2013/11/29 06:00 PHST- 2013/11/29 06:00 [entrez] PHST- 2013/11/29 06:00 [pubmed] PHST- 2015/05/16 06:00 [medline] AID - 10.1902/jop.2013.130383 [doi] PST - ppublish SO - J Periodontol. 2014 Jul;85(7):e259-67. doi: 10.1902/jop.2013.130383. Epub 2013 Nov 28.