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- EditorialPublication . Fernandes, Gustavo
- De‐epithelialized connective tissue graft and the reminiscent epithelial content after harvested by the Harris’ technique: a histological and morphometrical case seriesPublication . Maia, Vinícius Tadeu Gonçalves; Kahn, Sérgio; Souza, Alex Balduino de; Fernandes, GustavoIntroduction: The remaining epithelial layer existent in connective tissue graft (CTG) harvested from the hard palate, which underwent de‐epithelization outside the oral cavity, can be histologically detected unless it is completely removed. Its presence may cause adverse esthetics results, affecting thus the color and texture of the receptor site, and an increased risk of presence of scar tissues after surgical procedures. The proposal of this study was to evaluate the CTG (histological and morphometrically) collected from the hard palate using the Harris’ technique, removing the epithelial layer outside the mouth, assessing the remaining presence of epithelial tissue. Case Series: Fourteen patients (14CTGs) were included in the present case series study, therefore there was two dropouts. A small part of the tip of the graft was harvested and fixed in formalin solution for histological processing, staining, and then to be morphometrically analyzed. The epithelial tissue and CTGs were assessed by three calibrated and double‐blinded professionals. All information was compiled and performed the statistical analysis. CTGs obtained had a width average of 1224.26μm. There was no presence of any residual of the epithelium in three samples, whereas only one had the epithelium tissue covering the entire connective layer. Furthermore, seven samples (approximately 50%) had the presence of epithelium. Conclusion: Within the limitation of this study, there was incomplete removal of the epithelial layer after harvesting the CTG using the Harris’ technique (44.32%), most likely due to its histological persistency, suggesting to be inaccurate the clinical removal.
- A protein profiling strategy for periodontal disease applications: the Perio-SalivaPRINTPublication . Rosa, Nuno; Esteves, Eduardo; Esteves, Ana Cristina; Fernandes, Gustavo; Correia, Maria; Siqueira, Walter L.; Barros, MarleneObjectives: It is known that several clinical situations have characteristic molecular deregulations. Some molecular data underlying these deregulations can be found in saliva and have been annotated in databases (SalivaTecDB). Strategies are needed to identify the phenotypes characteristic of these deregulations. Our group has developed a strategy that allows the establishment of saliva protein profiles reflecting different conditions (health and disease). These profiles can be integrated to clinical data (SalivaPRINT Toolkit). The present work aims to identify the Periodontal Diseases (PD)-specific protein profiles. Methods: Unstimulated whole saliva was collected from a group of healthy subjects and a group of PD patients (with gingivitis, periodontitis or periimplantitis). Salivary proteins were separated by the Experion™ automated capillary electrophoresis. The protein profiles of each condition were integrated with the corresponding protein data retrieved from our in-house database (SalivaTecDB). Results: The strategy used enabled the determination of a total protein profile from saliva characteristic of each PDs -the Perio-SalivaPrint. The use of the SalivaPrint Toolkit allowed the identification of molecular weight ranges altered in PD. Using SalivaTecDB we were able to suggest proteins potentially involved in the underlying dysregulated mechanisms of the disease. Conclusions: This approach enabled the determination of a Perio-SalivaPrint – protein profiles specific for gingivitis, periodontitis or periimplantitis - that could empower the use of saliva as a simple and less expensive diagnostic and monitoring fluid. The strategy presented could be an important tool for future applications in the early diagnostic/ screening of Periodontal Disease patients with applications in chairside monitoring.