Sven Lindskog - Academia.edu (original) (raw)

Papers by Sven Lindskog

Research paper thumbnail of A longitudinal comparative histometric study of the biocompatibility of three local hemostatic agents

International Journal of Oral and Maxillofacial Surgery, 1990

The biocompatibility was studied of 3 hemostatic agents (Astroplast, Hemastogen and bone wax) imp... more The biocompatibility was studied of 3 hemostatic agents (Astroplast, Hemastogen and bone wax) implanted into experimental bone cavities together with their clearance from the implantation sites. The 3 agents had an acceptable hemostatic effect during the surgical procedure. However, marked differences regarding tissue reactions in the experimental bone cavities, as well as at the internal bone surfaces, were found between them. Astroplast and Hemastogen appear to provoke more adverse tissue reactions, including foreign body giant cell formation, compared with bone wax. All 3 hemostatic implants showed markedly delayed bone healing. It was concluded that their biocompatibility was not ideal but acceptable in view of the clinical advantages.

Research paper thumbnail of The effect of an antibiotic/corticosteroid paste on inflammatory root resorption in vivo

Oral Surgery, Oral Medicine, Oral Pathology, 1987

Research paper thumbnail of Relationship between periapical and periodontal status. A clinical retrospective study

Journal of Clinical Periodontology, 1993

The purpose of the present investigation was to explore possible relationships between clinical p... more The purpose of the present investigation was to explore possible relationships between clinical periodontal status in periodontally involved teeth with and without endodontic infection. The investigation was conducted as a retrospective study on a consecutive referral population. The periapical conditions in endodontically-involved single-rooted teeth from a selected patient sample were evaluated and correlated to their periodontal status. There was a significant correlation between periapical pathology and vertical bony destructions. An intra-individual comparison between pocket depth in teeth with and without periapical pathology showed that periapical pathology was significantly correlated to an increased pocket depth in the absence of a vertical bony destruction. It was concluded that an endodontic infection, evident as a periapical radiolucency, promotes periodontal pocket-formation on an instrumented marginal root surface and, consequently, should be regarded as a risk factor in periodontitis progression and be given appropriate consideration in periodontal treatment planning.

Research paper thumbnail of Cellular reactions in pulpal and periodontal tissues after periodontal wound debridement

Journal of Clinical Periodontology, 1990

Periodontal wounds in monkeys were prepared with a bur followed by the applieation of microbially... more Periodontal wounds in monkeys were prepared with a bur followed by the applieation of microbially eontaminated eotton pellets. 3 weeks later, the wounds were debrided by scaling followed by etching with citric acid or by treatment with carbonate/peroxidate. The cellular reactions in the periodontal tissues and in the pulp 4, 11, 25, 39 and 53 days after treatment were followed with light microscopy. The marginal periodontiutn showed heavy inflammatory reactions immediately after treatment, regardless of the debridement procedure. 25 days after debridement, a long epithelial junction had been formed. The apical part of the epithelium deviated from the root surface into the connective tissue, delineating a heavily inflamed part of the connective tissue. After 39 to 53 days, most of the experimental wounds were covered by an epithelial lining. The pulpal reactions were generally limited to a production of irregular dentin on the pulpal wall facing the periodontal wound. It was concluded that the marginal healing pattern following various chemical treatments to the root surface followed, in all essential aspects, conventional treatment with scaling and root planing.

Research paper thumbnail of Clinical, histopathologic, and genetic investigation in two large families with dentinogenesis imperfecta type�II

Human Genetics, 2004

Dentinogenesis imperfecta (DI) type II, an inherited disorder affecting dentin, has been linked t... more Dentinogenesis imperfecta (DI) type II, an inherited disorder affecting dentin, has been linked to mutations in the dentin sialophosphoprotein ( DSPP) gene on chromosome 4q21. The gene product is cleaved into two dentin-specific matrix proteins, dentin sialoprotein (DSP) and dentin phosphoprotein. The aim of this investigation was to study genotypes and phenotypes in two affected families with special reference to clinical, radiographic, and histopathologic manifestations. Seven affected members of Family A and five of Family B were documented clinically and radiographically; 14 and 10 teeth, respectively, were available for histopathologic investigation and prepared for ground sections, which were assessed semiquantitatively for dysplastic manifestations in the dentin according to the scoring system, dysplastic dentin score (DDS). Venous blood samples were collected from six affected and ten unaffected members of Family A, and from eight affected and six unaffected members of Family B. Genomic DNA was extracted and used for sequence analyses. The two families presented with different missense mutations. An Arg68Trp missense mutation in the DSP part of the gene was revealed in all six analyzed affected individuals in Family A. This mutation was not present in any of the ten healthy members. In Family B, an Ala15Val missense mutation involving the last residue of the signal peptide was found in all eight affected but in none of the six healthy members. The clinical and radiographic disturbances and DDS were more severe in Family B. The data indicate the presence of a genotype-phenotype correlation in DI type II.

Research paper thumbnail of Resorbing potential of different connective tissue types

European Journal of Oral Sciences, 1987

– Pieces of dentin were implanted into five different connective tissues in rats and examined wit... more – Pieces of dentin were implanted into five different connective tissues in rats and examined with scanning electron microscopy after observation periods of up to 2 weeks. Dentinoclast‐like cells, apparently involved in resorption of the implants, were only seen associated with periosteum and periodontal membrane. These findings indicate that the resorbing potential of connective tissues is related to their ability to induce bone formation.

Research paper thumbnail of Efficacy of Carisolv-assisted caries excavation

The International journal of …, 1999

As a possible alternative to conventional techniques for excavating caries chemomechanical method... more As a possible alternative to conventional techniques for excavating caries chemomechanical methods have been developed. Caridex has so far been the dominating product. However, a new system, Carisolv, was recently introduced. The purpose of the present study was to ...

Research paper thumbnail of Tissue reactions to subperiosteal onlays of demineralized xenogenous dentin blocks in rats

Dental Traumatology, 2011

This study was undertaken to examine the influence of partial demineralization of xenogenous dent... more This study was undertaken to examine the influence of partial demineralization of xenogenous dentin on bone formation in an osteoconductive environment. Sixty dentin blocks, 2-3 mm thick and 4 mm in diameter, were prepared from developing teeth of young pigs. Forty blocks were demineralized in 24% ethylenediaminetetraacetic acid (pH 7.0) for 1, 2, 6 or 12 h. Forty adult rats divided into eight groups with five rats in each group were used. A sagittal midcranial incision was made from the occipital to the frontal region. Through a subperiostal dissection, a pocket was created on each side of the skull. One demineralized block was placed on one side, and a non-demineralized block was placed on the contralateral side, or the pocket was left empty as controls. Thus, eight experimental groups with five rats in each were formed. Resorption increased significantly with increasing degree of demineralization while bone formation increased significantly with increasing degree of demineralization, provided inflammation was compensated for. This suggests an important role for inflammation or infection control during the healing period of osteogenic implants to optimize osseous integration in an osteoconductive environment. Partial demineralization of xenogenous dentin blocks may provide a method for optimizing the integration of dentin onlays in an osteoconductive environment, thus stabilizing the implant and slowing down replacement resorption.

Research paper thumbnail of An experimental model for cervical resorption in monkeys

Dental Traumatology, 1990

The aim of the present study was to develop an experimental model for cervical root resorption an... more The aim of the present study was to develop an experimental model for cervical root resorption and to study the significance of the junctional epithelium for the prevention of cervical resorption. Marginal experimental cavities covered by a thin plastic foil presented a dentin surface devoid of epithelial coverage. The dentin surface displayed numerous resorption cavities containing a cell‐rich granulation tissue with a moderate chronic inflammation. Cavities to which no plastic foil had not been added, however, were all covered by a thin squamous epithelium. At no level did any of the originally denuded dentin surfaces come in contact with mucosal or periodontal connective tissue. The present study indicated that an incomplete epithelial coverage of a marginal dentin surface in combination with marginal gingivitis or periodontitis is sufficient to maintain a progressive cervical resorption.

Research paper thumbnail of Dynamics of dentoalveolar ankylosis and associated root resorption

Dental Traumatology, 1989

The present experimental studies in monkeys were undertaken to study the initiation and progressi... more The present experimental studies in monkeys were undertaken to study the initiation and progression of dentoalveolar ankylosis of replanted teeth and associated root resorption. Maxillary and mandibular lateral incisors were extracted and replanted after an extraoral period of 15 min or 1 h. Teeth with an extraoral period of 1 h were endodontically treated. Half the number of monkeys were given antibiotics at the time of replantation. The observation periods varied from 2 days to 40 weeks. Irrespective of the length of the extraoral period, initial root resorption and minor areas of ankylosis were found 1 week after replantation. The initial ankylosis was not preceded by root resorption. In teeth replanted after an extraoral period of 15 min the ankylotic area did not increase with increasing time after replantation. Instead the periodontal membrane was re-established, separating the root surface from the alveolar bone. In teeth replanted after an extraoral period of 1 h, the initial ankylotic area increased with increasing time after replantation. Eight weeks and more after replantation, most of the periodontal membrane was replaced by bone covered by osteoblasts and occasional osteoblasts that were in continuity with the endosteal cells outlining the marrow spaces of the alveolar bone. The cementum and dentin were then gradually resorbed with increasing time after replantation. Antibiotics given at the time of replantation reduced the initial inflammation in the periodontal membrane and the inflammatory root resorption after all observation periods and it also seemed to some extent to prevent bacteria from entering the necrotic pulp tissue. Based on the present results it is suggested that root resorption associated with dentoalveolar ankylosis is initiated by endosteal osteoblasts and is thus a hormonally regulated process. This is in contrast to inflammatory root resorption, which seems to be triggered by inflammatory cells.

Research paper thumbnail of Tooth avulsion and replantation - A review

Dental Traumatology, 1986

Research paper thumbnail of Replantation of teeth and antibiotic treatment

Dental Traumatology, 1986

Research paper thumbnail of A longitudinal comparative histometric study of the biocompatibility of three local hemostatic agents

International Journal of Oral and Maxillofacial Surgery, 1990

The biocompatibility was studied of 3 hemostatic agents (Astroplast, Hemastogen and bone wax) imp... more The biocompatibility was studied of 3 hemostatic agents (Astroplast, Hemastogen and bone wax) implanted into experimental bone cavities together with their clearance from the implantation sites. The 3 agents had an acceptable hemostatic effect during the surgical procedure. However, marked differences regarding tissue reactions in the experimental bone cavities, as well as at the internal bone surfaces, were found between them. Astroplast and Hemastogen appear to provoke more adverse tissue reactions, including foreign body giant cell formation, compared with bone wax. All 3 hemostatic implants showed markedly delayed bone healing. It was concluded that their biocompatibility was not ideal but acceptable in view of the clinical advantages.

Research paper thumbnail of The effect of an antibiotic/corticosteroid paste on inflammatory root resorption in vivo

Oral Surgery, Oral Medicine, Oral Pathology, 1987

Research paper thumbnail of Relationship between periapical and periodontal status. A clinical retrospective study

Journal of Clinical Periodontology, 1993

The purpose of the present investigation was to explore possible relationships between clinical p... more The purpose of the present investigation was to explore possible relationships between clinical periodontal status in periodontally involved teeth with and without endodontic infection. The investigation was conducted as a retrospective study on a consecutive referral population. The periapical conditions in endodontically-involved single-rooted teeth from a selected patient sample were evaluated and correlated to their periodontal status. There was a significant correlation between periapical pathology and vertical bony destructions. An intra-individual comparison between pocket depth in teeth with and without periapical pathology showed that periapical pathology was significantly correlated to an increased pocket depth in the absence of a vertical bony destruction. It was concluded that an endodontic infection, evident as a periapical radiolucency, promotes periodontal pocket-formation on an instrumented marginal root surface and, consequently, should be regarded as a risk factor in periodontitis progression and be given appropriate consideration in periodontal treatment planning.

Research paper thumbnail of Cellular reactions in pulpal and periodontal tissues after periodontal wound debridement

Journal of Clinical Periodontology, 1990

Periodontal wounds in monkeys were prepared with a bur followed by the applieation of microbially... more Periodontal wounds in monkeys were prepared with a bur followed by the applieation of microbially eontaminated eotton pellets. 3 weeks later, the wounds were debrided by scaling followed by etching with citric acid or by treatment with carbonate/peroxidate. The cellular reactions in the periodontal tissues and in the pulp 4, 11, 25, 39 and 53 days after treatment were followed with light microscopy. The marginal periodontiutn showed heavy inflammatory reactions immediately after treatment, regardless of the debridement procedure. 25 days after debridement, a long epithelial junction had been formed. The apical part of the epithelium deviated from the root surface into the connective tissue, delineating a heavily inflamed part of the connective tissue. After 39 to 53 days, most of the experimental wounds were covered by an epithelial lining. The pulpal reactions were generally limited to a production of irregular dentin on the pulpal wall facing the periodontal wound. It was concluded that the marginal healing pattern following various chemical treatments to the root surface followed, in all essential aspects, conventional treatment with scaling and root planing.

Research paper thumbnail of Clinical, histopathologic, and genetic investigation in two large families with dentinogenesis imperfecta type�II

Human Genetics, 2004

Dentinogenesis imperfecta (DI) type II, an inherited disorder affecting dentin, has been linked t... more Dentinogenesis imperfecta (DI) type II, an inherited disorder affecting dentin, has been linked to mutations in the dentin sialophosphoprotein ( DSPP) gene on chromosome 4q21. The gene product is cleaved into two dentin-specific matrix proteins, dentin sialoprotein (DSP) and dentin phosphoprotein. The aim of this investigation was to study genotypes and phenotypes in two affected families with special reference to clinical, radiographic, and histopathologic manifestations. Seven affected members of Family A and five of Family B were documented clinically and radiographically; 14 and 10 teeth, respectively, were available for histopathologic investigation and prepared for ground sections, which were assessed semiquantitatively for dysplastic manifestations in the dentin according to the scoring system, dysplastic dentin score (DDS). Venous blood samples were collected from six affected and ten unaffected members of Family A, and from eight affected and six unaffected members of Family B. Genomic DNA was extracted and used for sequence analyses. The two families presented with different missense mutations. An Arg68Trp missense mutation in the DSP part of the gene was revealed in all six analyzed affected individuals in Family A. This mutation was not present in any of the ten healthy members. In Family B, an Ala15Val missense mutation involving the last residue of the signal peptide was found in all eight affected but in none of the six healthy members. The clinical and radiographic disturbances and DDS were more severe in Family B. The data indicate the presence of a genotype-phenotype correlation in DI type II.

Research paper thumbnail of Resorbing potential of different connective tissue types

European Journal of Oral Sciences, 1987

– Pieces of dentin were implanted into five different connective tissues in rats and examined wit... more – Pieces of dentin were implanted into five different connective tissues in rats and examined with scanning electron microscopy after observation periods of up to 2 weeks. Dentinoclast‐like cells, apparently involved in resorption of the implants, were only seen associated with periosteum and periodontal membrane. These findings indicate that the resorbing potential of connective tissues is related to their ability to induce bone formation.

Research paper thumbnail of Efficacy of Carisolv-assisted caries excavation

The International journal of …, 1999

As a possible alternative to conventional techniques for excavating caries chemomechanical method... more As a possible alternative to conventional techniques for excavating caries chemomechanical methods have been developed. Caridex has so far been the dominating product. However, a new system, Carisolv, was recently introduced. The purpose of the present study was to ...

Research paper thumbnail of Tissue reactions to subperiosteal onlays of demineralized xenogenous dentin blocks in rats

Dental Traumatology, 2011

This study was undertaken to examine the influence of partial demineralization of xenogenous dent... more This study was undertaken to examine the influence of partial demineralization of xenogenous dentin on bone formation in an osteoconductive environment. Sixty dentin blocks, 2-3 mm thick and 4 mm in diameter, were prepared from developing teeth of young pigs. Forty blocks were demineralized in 24% ethylenediaminetetraacetic acid (pH 7.0) for 1, 2, 6 or 12 h. Forty adult rats divided into eight groups with five rats in each group were used. A sagittal midcranial incision was made from the occipital to the frontal region. Through a subperiostal dissection, a pocket was created on each side of the skull. One demineralized block was placed on one side, and a non-demineralized block was placed on the contralateral side, or the pocket was left empty as controls. Thus, eight experimental groups with five rats in each were formed. Resorption increased significantly with increasing degree of demineralization while bone formation increased significantly with increasing degree of demineralization, provided inflammation was compensated for. This suggests an important role for inflammation or infection control during the healing period of osteogenic implants to optimize osseous integration in an osteoconductive environment. Partial demineralization of xenogenous dentin blocks may provide a method for optimizing the integration of dentin onlays in an osteoconductive environment, thus stabilizing the implant and slowing down replacement resorption.

Research paper thumbnail of An experimental model for cervical resorption in monkeys

Dental Traumatology, 1990

The aim of the present study was to develop an experimental model for cervical root resorption an... more The aim of the present study was to develop an experimental model for cervical root resorption and to study the significance of the junctional epithelium for the prevention of cervical resorption. Marginal experimental cavities covered by a thin plastic foil presented a dentin surface devoid of epithelial coverage. The dentin surface displayed numerous resorption cavities containing a cell‐rich granulation tissue with a moderate chronic inflammation. Cavities to which no plastic foil had not been added, however, were all covered by a thin squamous epithelium. At no level did any of the originally denuded dentin surfaces come in contact with mucosal or periodontal connective tissue. The present study indicated that an incomplete epithelial coverage of a marginal dentin surface in combination with marginal gingivitis or periodontitis is sufficient to maintain a progressive cervical resorption.

Research paper thumbnail of Dynamics of dentoalveolar ankylosis and associated root resorption

Dental Traumatology, 1989

The present experimental studies in monkeys were undertaken to study the initiation and progressi... more The present experimental studies in monkeys were undertaken to study the initiation and progression of dentoalveolar ankylosis of replanted teeth and associated root resorption. Maxillary and mandibular lateral incisors were extracted and replanted after an extraoral period of 15 min or 1 h. Teeth with an extraoral period of 1 h were endodontically treated. Half the number of monkeys were given antibiotics at the time of replantation. The observation periods varied from 2 days to 40 weeks. Irrespective of the length of the extraoral period, initial root resorption and minor areas of ankylosis were found 1 week after replantation. The initial ankylosis was not preceded by root resorption. In teeth replanted after an extraoral period of 15 min the ankylotic area did not increase with increasing time after replantation. Instead the periodontal membrane was re-established, separating the root surface from the alveolar bone. In teeth replanted after an extraoral period of 1 h, the initial ankylotic area increased with increasing time after replantation. Eight weeks and more after replantation, most of the periodontal membrane was replaced by bone covered by osteoblasts and occasional osteoblasts that were in continuity with the endosteal cells outlining the marrow spaces of the alveolar bone. The cementum and dentin were then gradually resorbed with increasing time after replantation. Antibiotics given at the time of replantation reduced the initial inflammation in the periodontal membrane and the inflammatory root resorption after all observation periods and it also seemed to some extent to prevent bacteria from entering the necrotic pulp tissue. Based on the present results it is suggested that root resorption associated with dentoalveolar ankylosis is initiated by endosteal osteoblasts and is thus a hormonally regulated process. This is in contrast to inflammatory root resorption, which seems to be triggered by inflammatory cells.

Research paper thumbnail of Tooth avulsion and replantation - A review

Dental Traumatology, 1986

Research paper thumbnail of Replantation of teeth and antibiotic treatment

Dental Traumatology, 1986