A modified combined approach to harvest connective tissue grafts with high quality, less morbidity, and faster healing
INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY
Authors: Ho, Feng-Chuan
Abstract
Harvesting good-quality connective tissue grafts (CTGs) is important in periodontal surgery. Compared with CTGs, free gingival grafts (FGGs) have a slower healing process and higher donor site morbidity. As far as graft quality and anatomic limitations are concerned, deepithelialized free gingival grafts (DE-FGGs) are superior to CTGs. In the current study, a modified combined approach is proposed that aims to address the disadvantages of conventional FGG harvesting methods. This approach entails harvesting a thin and narrow DE-FGG, repositioning the epithelial layer, and applying a plastic stent. The outcomes of this improved method indicate fast healing at the donor sites, fewer postoperative complications, and better esthetic results at the recipient sites.
Interaction between Fibrinogen and IL-6 Genetic Variants and Associations with Cardiovascular Disease Risk in the Cardiovascular Health Study
ANNALS OF HUMAN GENETICS
Authors: Carty, Cara L.; Heagerty, Patrick; Heckbert, Susan R.; Jarvik, Gail P.; Lange, Leslie A.; Cushman, Mary; Tracy, Russell P.; Reiner, Alexander P.
Abstract
P>The inflammatory cytokine interleukin-6 (IL-6) is a main regulator of fibrinogen synthesis, though its interaction with fibrinogen genes (FGA, FGB, FGG) and subsequent impact on cardiovascular disease (CVD) risk is not well-studied. We investigated joint associations of fibrinogen and IL6 tagSNPs with fibrinogen concentrations, carotid intima-media thickness, and myocardial infarction or ischemic stroke in 3900 European-American Cardiovascular Health Study participants. To identify combinations of genetic main effects and interactions associated with outcomes, we used logic regression. We also evaluated whether the relationship between fibrinogen SNPs and fibrinogen level varied by IL-6 level using linear regression models with multiplicative interaction terms. Combinations of fibrinogen and IL6 SNPs were significantly associated with fibrinogen level (p < 0.005), but not with other outcomes. Fibrinogen levels were higher in individuals having FGB1437 (rs1800790) and lacking FGA6534 (rs6050) minor alleles; these SNPs interacted with IL6 rs1800796 to influence fibrinogen level. Marginally significant (p = 0.03) interactions between IL-6 level and FGA and FGG promoter SNPs associated with fibrinogen levels were detected. We identified potential gene-gene interactions influencing fibrinogen levels. Although IL-6 responsive binding sites are present in fibrinogen gene promoter regions, we did not find strong evidence of interaction between fibrinogen SNPs and IL6 SNPs or levels influencing CVD.