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This study was carried out to determine if particle size is a factor to be considered in the evaluation of the osteogenic activity of freeze-dried bone allografts (FDBA) and, if so, whether small particles enhance or inhibit osteogenesis. Small particle FDBA (100-300 microns) plus marrow and large particle FDBA (1000-2000 microns) plus marrow were placed in plexiglass diffusion chambers secured to the femurs of six Rhesus monkeys. Control chambers contained either marrow alone or were left empty. Two animals were given injections of oxytetracycline hydrochloride at 5 and 7 weeks to obtain intravital osseous labeling. All chambers were removed after 8 weeks. Ten chambers were evaluated for new bone formation by fluorescent microscopy. The contents of 15 additional chambers were evaluated by single blind technique for presence or absence of bone resorption and ossification. The results indicated that there was significantly more new bone formation associated with small particle FDBA (100-300 microns) plus autogenous marrow than with large particle FDBA (1000-2000 microns) plus autogenous marrow. In addition, small particle FDBA (100-300 microns) plus autogenous marrow tended to display more resorption than large particle FDBA (1000-2000 microns) plus autogenous marrow. It was concluded that within the parameters of this study, small particles of FDBA enhance osteogenesis. This study also demonstrated that particle size is a variable to be considered when comparing the osteogenic potential of freeze-dried bone allografts.

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Purpose Hepatocellular cancer (HCC) is a deadly and most rapidly increasing cancer in the USA and worldwide. The etiology and factors involved in development of HCC remain largely unknown. A marked decrease in zinc occurs in HCC. Its role and involvement in HCC has not been identified. We investigated the relationship of cellular zinc changes to the development of malignancy, and the identification of potential zinc transporters associated with the inability of hepatoma cells to accumulate zinc. Methods The detection of relative zinc levels in situ in normal hepatic cells vs. hepatoma was performed on normal and HCC tissue sections. ZIP1, 2, 3, and 14 transporters were identified by immunohistochemistry. Results Intracellular zinc levels are markedly decreased in HCC hepatoma cells vs. normal hepatic cells in early stage and advanced stage malignancy. ZIP14 transporter is localized at the plasma membrane in normal hepatocytes, demonstrating its functioning for uptake and accumulation of zinc. The transporter is absent in the hepatoma cells and its gene expression is downregulated. The change in ZIP14 is concurrent with the decrease in zinc. ZIP1, 2, 3 are not associated with normal hepatocyte uptake of zinc, and HCC zinc depletion. HepG2 cells exhibit ZIP14 transporter. Zinc treatment inhibits their growth. Conclusions ZIP14 downregulation is likely involved in the depletion of zinc in the hepatoma cells in HCC. These events occur early in the development of malignancy possibly to protect the malignant cells from tumor suppressor effects of zinc. This provides new insight into important factors associated with HCC carcinogenesis.

Regeneration of mineralized and soft connective tissue components of the attachment apparatus is the main goal in the treatment of periodontal diseases. Often, apical migration of epithelium (long junctional epithelium) effectively prevents the formation of bone and connective tissue attachment after periodontal surgery. The purpose of the present study was to compare conventional periodontal surgery combined with carbon dioxide laser and conventional periodontal surgery alone with respect to epithelial elimination and degree of necrosis of mucoperiosteal flaps. After signing a consent form, five patients with at least two comparable bilateral periodontal defects needing pocket elimination surgery participated in this study. The investigators randomly divided each side into test and control sites. Each patient received oral hygiene instruction and initial therapy prior to surgery. At surgery, the test site received a sulcular incision and carbon dioxide laser de-epithelialization of the outer and inner aspects of the flap. The control group received reverse bevel incision only. The surgeon performed open flap debridement on all teeth. At the time of surgery, the surgeon did a biopsy of each site and submitted specimens for histologic evaluation. A matched pairs t-test was used to analyze the data. The results show significant differences between the carbon dioxide laser and reverse bevel incision with respect to sulcular (P < or = 0.025) and gingival (external) (P < or = 0.01) flap surface epithelial elimination and tissue necrosis (P < or = 0.005). These results should be replicated with a larger number of subjects. The carbon dioxide laser eliminated sulcular and gingival (external) epithelium without disturbing underlying connective tissue. This finding supports the concept that the carbon dioxide wavelength has little or no effect on tissues beyond the target. However, neither laser nor blade eliminated all the epithelium. Researchers observed chronic inflammation in the control and test sites, with a predominance of plasma cells. Lining the sulcular and gingival (external) lased areas, investigators found coagulation necrosis covered by fibrin and coagulated blood. The laser appears to effectively remove epithelium at the time of surgery; however, future long-term, well-controlled quantitative histologic studies are needed to evaluate the effect of repeated carbon dioxide laser de-epithelialization of the gingival (external) surface of mucoperiosteal flaps at intervals during the healing period.

Biopsies of soft tissue with visible ceramic particles were removed from the coronal part of grafted sites during reentry surgery. After 1 year there was evidence of osteoid forming alongside and within many of the ceramic particles. Viable fragments of mature bone were also observed separate from the ceramic material.

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