Yoithapprabhunath Thuckanickenpalayam Ragunathan, Ganapathy Nalliappan, Renugadevi Seeni, Rafath Jalaludheen Misbha, Aparna Vishnuvarthan, Dineshshankar Janardhanam
Oral and Maxillofacial Pathology Department, Vivekanandha Dental College for Women, Tamilnadu, India.
Med Pharm Rep. 2021 Jan;94(1):88-93. doi: 10.15386/mpr-1567. Epub 2021 Jan 29.
Chronic inflammation is estimated to contribute to approximately 25% of human cancers. Inflammation can be induced by chronic mechanical irritation which can lead to oral pre-cancer and oral cancer. Though many studies have been conducted to identify the genetic damage in oral cancer or dysplastic stages, no study has been conducted so far on early detection of genetic damage in healthy individuals presenting with sharp teeth in contact with the lateral border of the tongue.
The study is aimed at analyzing the genetic damage (micronuclei) in healthy individuals with sharp teeth in contact with the lateral border of the tongue causing chronic mechanical irritation.
The study group included 75 clinically healthy individuals with sharp teeth in contact with the lateral border of the tongue and 25 clinically healthy individuals with normal teeth in contact with the lateral border of the tongue as a control group. Brush samples of epithelial cells were collected, then spread over clean glass slide and fixed in 100% alcohol, stained with rapid PAP and analyzed under the light microscope. The exfoliated cells were examined to detect micronuclei.
Micronuclei frequency was found to be increased in the study group where sharp teeth were in contact with the lateral border of the tongue of healthy individuals without deleterious habits such as usage of tobacco in smoking/smokeless form, areca nut chewing or alcohol consumption.
Cytogenetic analysis is a simple and scantly invasive technique allowing clinicians the early detection of DNA damage in patients with sharp teeth and subsequently preventing carcinogenesis by proper treatment and follow-up.
据估计,慢性炎症导致约25%的人类癌症。慢性机械刺激可诱发炎症,进而导致口腔癌前病变和口腔癌。尽管已经开展了许多研究来确定口腔癌或发育异常阶段的基因损伤,但迄今为止,尚未对有尖锐牙齿与舌外侧缘接触的健康个体的基因损伤早期检测进行研究。
本研究旨在分析有尖锐牙齿与舌外侧缘接触导致慢性机械刺激的健康个体的基因损伤(微核)情况。
研究组包括75名临床上健康且有尖锐牙齿与舌外侧缘接触的个体,以及25名临床上健康且正常牙齿与舌外侧缘接触的个体作为对照组。采集上皮细胞刷片样本,然后铺展在干净的载玻片上,用100%酒精固定,用快速PAP染色,并在光学显微镜下分析。检查脱落细胞以检测微核。
发现在研究组中,即有尖锐牙齿与无吸烟/无烟形式使用烟草、嚼槟榔或饮酒等有害习惯的健康个体的舌外侧缘接触的情况下,微核频率增加。
细胞遗传学分析是一种简单且微创的技术,可使临床医生早期检测有尖锐牙齿患者的DNA损伤,并随后通过适当治疗和随访预防癌变。