Effects of aging on the evolution of Apical Periodontitis lesions in rats

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35505

Keywords:

Apical periodontitis; Elderly; Mandible.

Abstract

This study aimed to evaluate the effects of aging on the evolution of Apical Periodontitis (AP) lesions in rats. Elderly males (study group, n = 12) and young males (control group, n = 12) Wistar rats were used. When the study group were 24 months old and the control group were 3 months old, AP lesions were induced by creating pulp exposure of the mandibular left first molars. After 21 and 40 days, the animals were euthanized and the mandibles were removed. The left hemi- mandibles were radiographed and the AP lesions of the mesial roots of the first molars were measured using ImageJ software (National Institute of Mental Health, Bethesda, USA). The AP lesions were significantly larger in the Elderly (E) group (p = 0.0006) compared to the Control (C) group (E 21: 218.8 ± 72.96, C 21: 94.77 ± 9.44, E 40: 237.8 ± 57.20, C 40: 85.23 ± 6.63). The lesions of the animals in the elderly groups were significantly larger than the lesions in the younger animals. These findings suggest that the bone and immunological changes caused by aging can influence the progression of AP lesions.

References

Allman, D., & Miller, J. P. (2005). B cell development and receptor diversity during aging. Curr Opin Immunol, 17: 463-467.

Almeida, N. F., Brasil, S. C., Ferreira, D. C., & Armada, L. (2017). Aging effects in the expression of macrophages in post-treatment apical periodontitis lesions. Spec Care Dentist, 37: 230-235.

Andreollo, N. A., Santos, E. F., Araújo, M. R., & Lopes, L. R. (2012). Rat's age versus human's age: what is the relationship? Arq Bras Cir Dig, 25: 49-51.

Brasil, S. C., Santos, R. M., Fernandes, A., Alves, F. R., Pires, F. R., Siqueira, J. F. Jr., & Armada, L. (2017). Influence of oestrogen deficiency on the development of apical periodontitis. Int Endod J, 50:161-166.

Brasil, S. C., Santos, R. M., Fernandes, A., Lima, R. S., Costa, C. A. S., Pinto, K. M. M. C., Pires, F. R., Santos, M. D., Siqueira, J. F. Jr., & Armada, L. (2021). Influence of a high-fat diet in the progression of apical periodontitis. J Endod, 47:600 - 605.

Cao, J., Venton, L., Sakata, T., & Halloran, B. P. (2003). Expression of RANKL and OPG correlates with age-related bone loss in male C57BL/6 mice. J Bone Miner Res, 18: 270-277.

Chelvarajan, R. L., Collins, S. M., Van Willigen, J. M., & Bondada, S. (2005). The unresponsiveness of aged mice to polysaccharide antigens is a result of a defect in macrophage function. J Leukoc Biol, 77: 503-512.

Cohen, H. J., Harris, T., & Pieper, C. F. (2003). Coagulation and activation of inflammatory pathways in the development of functional decline and mortality in the elderly. Am J Med, 60: 20-27.

Cunha, L. L., Perazzio, S. F., Azzi, J., Cravedi, P., & Riella, L. V. (2020). Remodeling of the immune response with aging: Immunosenescence and its potential impact on COVID-19 immune response. Front Immunol, 11: 1748.

Duque, G. & Troen, B.R. (2008). Understanding the mechanisms of senile osteoporosis: new facts for a major geriatric syndrome. J Am Geriatr Soc, 56: 935-941.

Franceschi, C., Bonafè, M., Valensin, S., Olivieri, F., De Luca, M., Ottaviani, E., & De Benedictis, G. (2000). Inflamm-aging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci, 908: 244-254.

Karamifar, K., Tondari, A., & Saghiri, M. A. (2020). Endodontic periapical lesion: An overview on the etiology, diagnosis and current treatment modalities. Eur Endod. J, 5: 54–67.

Kovacs, E. J., Palmer, J. L., Fortin, C. F., Fülöp, T. Jr., Goldstein, D. R., & Linton, P. J. (2009). Aging and innate immunity in the mouse: impact of intrinsic and extrinsic factors. Trends Immunol, 30: 319-324.

Lin, J. T., & Lane, J. M. (2006). Rehabilitation of the older adult with an osteoporosis-related fracture. Clin Geriatr Med, 22: 435-447.

Neto, N. D., Porpino, M. T. M., Antunes, H. S., Rodrigues, R. C. V., Perez, A. R., Pires, F. R., Siqueira, J. F., & Armada, L. (2018). Pro-inflammatory and antiinflammatory cytokine expression in post-treatment apical periodontitis. J Appl Oral Sci, 26: e20170455.

Pietschmann, P., Skalicky, M., Kneissel, M., Rauner, M., Hofbauer, G., Stupphann, D., & Viidik, A. (2007). Bone structure and metabolism in a rodent model of male senile osteoporosis. Exp Gerontol, 42: 1099-1108.

Raisz, L. G., & Rodan, G. A. (2003). Pathogenesis of osteoporosis. Endocrinol Metab Clin North Am, 32: 15-24.

Segura-Egea, J. J., Jiménez-Pinzón, A., Ríos-Santos, J. V., Velasco-Ortega, E., Cisneros-Cabello, R., & Poyato-Ferrera, M. (2005). High prevalence of apical periodontitis amongst type 2 diabetic patients. Int Endod J, 38: 564-569.

Segura-Egea, J. J., Martín-González, J., Cabanillas-Balsera, D., Fouad, A. F., Velasco-Ortega, E., & López-López, J. (2016). Association between diabetes and the prevalence of radiolucent periapical lesions in root-filled teeth: systematic review and meta-analysis. Clin Oral Investig, 20: 1133-1141.

Segura-Egea, J. J., Martın-Gonzalez, J., & Castellanos-Cosano, L. (2015). Endodontic medicine: connections between apical periodontitis and systemic diseases. Int Endod J, 48:933-951.

Shaw, A. C., Goldstein, D. R., & Montgomery, R. R. (2013). Age-dependent dysregulation of innate immunity. Nat Rev Immunol, 13: 875-887.

Singh, P., Coskun, Z. Z., Goode, C., Dean, A., Thompson-Snipes, L., & Darlington, G. (2008). Lymphoid neogenesis and immune infiltration in aged liver. Hepatology, 7: 1680-1690.

Teixeira, Q. E., Ferreira, D. C., Silva, A. M. P., Gonçalves, L. S., Pires, F. R., Carrouel, F., Bourgeois, D., Sufiawat, I., & Armada, L. (2022). Aging as a risk factor on the immunoexpression of pro-inflammatory IL-1β, IL-6 and TNF-α cytokines in chronic apical periodontitis lesions. Biology, 11: 14.

Tibúrcio-Machado, C. S., Michelon, C., Zanatta, F. B., Gomes, M. S., Marin, J. A., & Bier, C. A. (2021). The global prevalence of apical periodontitis: A systematic review and meta-analysis. Int Endod J, 54, 712–735.

World Health Organization. (2015). World report on ageing and health. https://www.who.int/publications/i/item/9789241565042.

Zeng, J. H., Zhong, Z. M., Li, X. D., Wu, Q., Zheng, S., Zhou, J., Ye, W. B., Xie, F., Wu, X. H., Huang, Z. P., & Chen J. T. (2014). Advanced oxidation protein products accelerate bone deterioration in aged rats. Exp Gerontol, 50: 64-71.

Downloads

Published

11/10/2022

How to Cite

ROMA, L. G. .; ANDRADE, R. H. T. de L. R. .; BRASIL, S. C.; MORENO, A. M. .; ORSINI, M.; FERREIRA, D. C. .; ALMEIDA, B. M. .; SANTOS, R. M. M. dos .; ARMADA , L. Effects of aging on the evolution of Apical Periodontitis lesions in rats . Research, Society and Development, [S. l.], v. 11, n. 13, p. e424111335505, 2022. DOI: 10.33448/rsd-v11i13.35505. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/35505. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences