Cristina Bucchi’s research while affiliated with University of La Frontera and other places

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Publications (29)


Cone-beam computed tomography (CBCT) of the maxilla. 2016, 6 years old, prior to first surgery. (a) The panoramic reconstruction shows the presence of a mesiodens supernumerary tooth between 11 and 21. (b) Axial section. Location of mesiodens vestibular to teeth 11 and 21. Presence of multiple denticles compatible with odontoma, in intraosseous evolution, distal to tooth 11, and palatal to teeth 12 and 13. (c) Coronal section. Presence of mesiodens in relation to teeth 11 and 21, surrounded by a radiolucent demarcation area. (d) Sagittal section. Presence of supernumerary, crown in apical position and root in coronal area. Presence of pericoronary sac. (e) Sagittal section. Presence of multiple radiopaque masses with irregular margins compatible with odontoma (Sections 5–18) in intraosseous evolution palatal to tooth 13. (f) Axial section. Presence of mesiodens (Sections 21–23) in vestibular relation to teeth 11 and 21. Presence of radiopaque masses compatible with odontoma (Sections 21–29) distal to tooth 11 and palatal to teeth 12 and 13. White arrow = mesiodens. Red arrow = odontoma.
Panoramic X-ray. 2020, four years after the first surgery. Maxillary sinuses of ample development, shape, contour, and characteristic transparency. Stage II mixed dentition. 13, 43, and 33 lack radiographic space for a correct position in the dental arch. Third molars in intraosseous evolution.
Extraoral and intraoral photographs for diagnosis and corrective orthodontic treatment planning.
Panoramic X-ray. 2021, five years after the first surgery. Presence of a radiopaque element with a denticle shape in relation to teeth 12 and 13. Red arrow = odontoma.
Cone-beam computed tomography (CBCT) of the maxilla. 2021, five years after the first surgery. (a) Panorex section. Presence of a radiopaque area, compatible with odontoma, overprojected to teeth 12 and 13, mesioangular. (b) Axial section. Multilobulated odontoma, located palatal to teeth 12 and 13, surrounded by a radiolucent demarcation line. Discrete external resorption in the cervical third of the palatal root of tooth 13. (c) Cross-section. Presence of odontoma (Sections 18–28) in intraosseous evolution, microdontic, mesioangular, coronal structural alteration. Palatally displaced tooth location with thinning and perforation of palatal bone cortex. The crown is located palatally and in contact with the cervical third palatal root of tooth 12 and the cervical and middle third palatal root of tooth 13. Root location is palatally displaced. Root middle third in contact with palatal root middle third of tooth 13. Pericoronary sac and periodontal ligament space of preserved thickness (scale 100%). Red arrow = odontoma.

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Odontoma Recurrence. The Importance of Radiographic Controls: Case Report with a 7-Year Follow-Up
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July 2024

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38 Reads

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3 Citations

Josefa Alarcón Apablaza

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Carlos Arriagada

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Ramón Fuentes

Odontomas are benign tumors characterized by slow and limited growth with a rare recurrence. Odontomas are generally detected by radiographic findings in the radiopaque stage, where calcification of the tissues is observed. This article seeks to report the recurrence of a radiologically diagnosed odontoma to show the importance of radiographic controls after enucleation as a diagnostic and follow-up method. Case report: A female patient, 9 years old, attended dental care in 2020 due to malpositioned teeth. In the intraoral clinical examination, she presented stage II mixed dentition with crowding. A radiographic exam showed no associated lesions. The patient reported a history of odontoma removal and a supernumerary tooth in sextant II in 2016. Subsequently, she was referred to orthodontics, where permanent dentition with moderate anterior crowding in the maxilla and mandible was observed. The radiographic examination showed a radiopaque area compatible with odontoma, palatal to teeth 12 and 13. Conclusions: Although recurrence is rare, complete removal in the case of an odontoma is critical. This study demonstrates the importance of performing radiographic controls 5 years after enucleation of an odontoma, considering the stages of evolution.

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Figure 1: Flow chart of the article selection procedure.
Effect of chewing behavior modification on food intake, appetite and satiety-related hormones: A Systematic Review

December 2022

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128 Reads

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5 Citations

Revista chilena de nutrición

Purpose: Obesity has become a growing public health issue worldwide. Studies have shown that eating rate is one of the most important factors to consider in the strategies to prevent and/or treat obesity. Eating rate can be reduced through different strategies, such as an increase in oro-sensory exposure, the modification of food texture, and an increase in the number of chewing cycles. The aim of this systematic review was to analyze the available evidence regarding the effect of chewing behavior modification on the parameters that contribute to obesity. Methods: A systematic search was done on the electronic databases Pubmed, Cochrane Central Register of Controlled Trials, and Scopus, using the terms “mastication”, “chewing”, “chewing speed”, “prolonged chewing“, “number of chews“, “masticatory cycles” “satiety” “satiety response” “appetite”, “appetite regulation“, “nutritional status” and “obesity”. Results: A total of 23 intervention studies were selected that intervened in the participants’ chewing behavior, either by reducing the eating rate, increasing oro-sensory exposure, food hardness or the number of chewing cycles. In most studies these interventions were effective at reducing food intake, subjective appetite and improving the plasma levels of satiety-related hormones and metabolites; moreover, they reduced body mass index in the long term. Conclusion: The currently available evidence seems to indicate that modifications to chewing behavior can bring with it a myriad of benefits for the treatment of obesity.


Fig. 3. Resultado de la citrometría de flujo. Las hAECs mostraron ser positivas para marcadores de células mesenquimales y epiteliales.
Aislación y Caracterización de las Células Epiteliales del Amnios

June 2022

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34 Reads

International Journal of Morphology

human amnion epithelial cells (hAECs) are pluripotent stem cells; they have the ability to differentiate into cells of the three embryonic layers, and are used in various regenerative therapies in medicine. This study aims to describe a protocol for the isolation of amnion epithelial cells (hAECs) from human placentas from cesarean delivery, as well as their characterization and culture conditions in vitro. hAECs were isolated from 20 cesarean delivery placentas with an optimized protocol. The cells were characterized by flow cytometry, light and fluorescence microscopy, and the proliferation of the cells was evaluated by MTT at 1, 3, 5 and 7 days with and without β-mercaptoethanol in the culture medium. Histological analysis of the amnion showed a practically complete detachment of the cells of the underlying membrane after the second digestion. The average number of cells obtained was 10.97 million cells per amnion. The hAECs perform a limited proliferation rate, which was not favored by the addition of β-mercaptoethanol in the culture. A spontaneous morphology change from epithelial to mesenchymal morphology is exhibited after the fourth passage. The epithelial cells of the amnion can be isolated with a simple and effective protocol, however, they present little proliferative capacity. Under the conditions of this study, the addition of β-mercaptoethanol does not favor the proliferation of the cells.


Fig. 1. Schematic illustration showing bone measurements. Head (DP): a-b; Head (ML): i-j; Shaft (DP): c-d; Shaft (ML): g-h; Base (DP): k-i; Base (ML): m-n; Length (Mc1): e-f. The metacarpal is shown in lateral (up), palmar (down) and proximal (right) views. DP and ML stand for dorsopalmar and mediolateral directions, respectively.
Fig. 2. Scatter plots of muscle variables (vertical axis) and bone traits (horizontal axis). The relationships between adjusted variables are shown in plots b and d. For simplicity purposes, only some relationships are shown.
Correlation matrix for the variables of interest (muscle and bone traits, highlighted in grey), and among bone traits, and muscle traits (Pearson's r, not highlighted).
Relation between muscle architecture and first metacarpal morphology, and its implications for human hand evolution

January 2020

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334 Reads

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2 Citations

HOMO

Previous studies have proposed that our ability to produce and use stone tools was the primary selective pressure explaining the evolution of the human hand. Derived traits in humans include a robust first metacarpal and longer thumbs relative to the other fingers. Along with other anatomical peculiarities, humans can exert forceful precision and have powerful grips, and can resist loads during tool production and use. Despite this biomechanical explanation for the morphology of the human hand, limited work has been done on the soft tissue and, therefore, the relationship between the hand bones and the muscles most heavily relied upon during tool-related behaviours still requires thorough investigation. For this purpose, we have dissected 23 forearms and hands of fresh human cadavers of known sex and age at death, and dissected all the muscles attached at the first metacarpal (the first dorsal interosseous, opponens pollicis, and abductor pollicis longus muscles). Variations in physiological cross-sectional area, muscle mass, and fibre length were compared with metacarpal anatomy. In no case bone traits were a significant predictor of muscle features. In contrast, sex and age predicted muscle architecture in several cases, thus substantially affecting the functional analysis based on linear measurements of this bone. The data, therefore, failed to provide a deductive framework for predicting muscle recruitment based on measurements of bone from the fossil record.



Muscle strength and entheseal size in human thumbs: testing the relationship with a cadaveric model

September 2019

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20 Reads

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2 Citations

The Journal of the International Union of Prehistoric and Protohistoric Sciences

In this study we analyse the relationship between strength and the entheseal area of the opponens pollicis (OP) and abductor pollicis longus (APL) muscles, two muscles of the hand whose main function is to oppose the thumb and move the thumb anteriorly, respectively. We were interested in this link for two reasons: (1) to determine if muscular strength is related to entheseal size, and (2) to evaluate the predictive power of enthesis, age, sex and body size on muscular strength. With the latter objective we attempt to discuss whether it is reasonable to infer behaviour from entheses in the archaeological record. To figure out if the recruitment of muscles leaves a distinctive mark on the bone is a key component for understanding human hand evolution. This is because manipulative activities, like tool-related behaviours, could contribute to the anatomical changes in the hand of our lineage as well as explain the high dexterity we have. The ability of entheses to provide information on activity patterns has a long history of debate. Briefly, there are studies concluding that manual labour has an effect on entheseal morphology, and others stating that entheseal anatomy is strongly dependant on the biological profile of individuals (e.g. age and body size) which makes them poor behavioural indicators.


A Regenerative Endodontic Approach in Mature Ferret Teeth Using Rodent Preameloblast-conditioned Medium

July 2019

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61 Reads

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9 Citations

Background: This study evaluated the effectiveness of a regenerative endodontic approach to regenerate the pulp tissue in mature teeth of ferret. The presence of odontoblast-like cells in the newly-formed tissue of teeth treated with or without preameloblast-conditioned medium was evaluated based on morphological criteria. Materials and methods: Twenty-four canines from six ferrets were treated. The pulp was removed, and the apical foramen was enlarged. After inducing the formation of a blood clot, a collagen sponge with or without preameloblast-conditioned medium was placed underneath the cementoenamel junction. The samples were analyzed at the eighth week of follow-up. Results: Vascularized connective tissue was observed in 50% of teeth, without differences between groups. The tissue occupied the apical third of the root canals. Odontoblast-like cells were not observed in any group. Conclusion: Revitalization of mature teeth is possible, at least in the apical third of the root canal. Further experimental research is needed to produce more reliable outcomes.


Can muscle architecture explain the variability in the first metacarpal morphology? Inferences on human hand evolution

June 2018

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56 Reads

Previous studies have proposed that our ability to produce and use stone tools has been the primary selective pressure explaining the evolution of the human hand. Derived traits in the human hand include a robust thumb metacarpal, particularly at the head and the base, and a moderate trapeziometacarpal joint curvature in both radioulnar and dorsovolar aspects. Along with other anatomical peculiarities, humans can exert forceful precision and power grips, and resist load during tool production and use. Despite that this is a biomechanical explanation for the morphology of the human hand, limited work had been done using soft tissue and therefore, the relationship between the muscles most strongly recruited during tool production/use and the derived traits in the hand bones remains to be thoroughly investigated. We have dissected 15 forearms of wet human cadavers of known sex and age at death. An estimate of the force magnitude was calculated by means of the physiological cross-sectional area (PCSA) of the muscles that arise and insert on the first metacarpal (first dorsal interosseous, opponens pollicis and abductor pollicis longus muscles). Variation in PCSA, muscle mass and fiber length was compared with metacarpal morphology. The bones were documented using photogrammetry and the 3D models were analyzed by applying geometric morphometrics. For comparison purposes, analogous information from non-human primates available at the literature and digital databases were studied. We aim to relate muscle architecture and the functionally influenced bony variables, and provide some light into the question of whether the evolution of the first metacarpal was related to its musculature.



Fig. 1 -Morphometric analysis of the MIC -A. MIC delimitation in red. B. Measuring the length of the MIC using the ImageJ software. C. Measurement of the width (diameter) of the MIC at the most proximal point, this procedure was also performed in the middle and distal regions of the MIC. D. Measurement of the distance from the MIC to the edge of the mandible in the middle region, this procedure was repeated in the proximal and distal regions. E. Measuring the shortest distance between the MIC and the dental elements, this procedure was repeated as many times as necessary to relate all the teeth that were on the MIC trajectory.
Fig. 2 -A. General prevalence of MIC by sex. B -Prevalence of MIC by sex and age. C -Association of dental elements located above the MIC.
Prevalence and Morphometric Characteristics of the Mandibular Incisive Canal through Panoramic Radiographs in a Chilean Population

September 2017

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72 Reads

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6 Citations

International Journal of Morphology

The mandibular incisive canal (MIC) is a continuation of the mandibular canal, anterior to the mental foramen, containing the neurovascular bundle of the teeth in anterior mandibular segment. The aim of this study was to calculate the prevalence and analyze the morphometric parameters of MIC in a Chilean population through digital panoramic radiographs. A cross-sectional study was performed using 500 digital panoramic radiographies of adult individuals. The prevalence of MIC was set in different sexes, age groups and proximity to teeth; in addition to the morphometric parameters of length, width (diameter) and distances of MIC to dental element and the mandibular base. General MIC prevalence was 53 % (265 cases), 49.9 % in women and 57 % in men. In the age groups, prevalence was higher in men, MIC was predominantly associated to first premolars (98.2 % - women; 90 % - men), however a relevant number (42.6 % women; 55.1 % - men) was close to the canines. The MIC length ranged from 2.6 to 18 mm (median - 5 to 8 mm), the width of 0.8 to 5.4 mm (median - 2 to 3 mm), the distance to other elements from 0.6 to 12 , 5 mm (medians - 5 to 7 mm) and the margin of the mandible from 4.1 to 16.7 mm (median - 8 to 10 mm). The length decreases in older age groups regardless of sex. Width and distance the mandibular base was larger in men compared to women.


Citations (25)


... Post-surgical prognosis for odontomas is typically favorable, with a low recurrence rate when the lesion is excised completely [13]. However, the long-term management of these patients should involve a multidisciplinary approach, particularly as it pertains to the stability of occlusion. ...

Reference:

Management of Compound Odontoma in a Pediatric Patient
Odontoma Recurrence. The Importance of Radiographic Controls: Case Report with a 7-Year Follow-Up

... Researchers have tried to address this with a range of different strategies such as recommending participants chew each bite of food a certain number of times, place down their cutlery between each bite, or use technology (such as smart cutlery) to alert them when they are eating too fast (e.g., Hermans et al., 2017). However, the success of such strategies may be limited by acceptability and adherence, especially where participants report reduced food enjoyment (Cox et al., 2022;Ferriday et al., 2016;Hawton et al., 2018; though see also Venegas et al., 2022). By contrast, there is evidence to suggest that sensory eating may increase food enjoyment (Seguias & Tapper, 2022). ...

Effect of chewing behavior modification on food intake, appetite and satiety-related hormones: A Systematic Review

Revista chilena de nutrición

... The exact relationship between muscle size (and therefore raw force production) and enthesis size and development remains under study. Cadaver-based studies of modern humans and other primates have failed to show a consistent correlation between individual bony attachment size and tendon size (Marzke et al., 2007) or physiological cross-sectional area of the intrinsic hand muscles including m. opponens pollicis (Williams-Hatala et al., 2016;Bucchi et al., 2020). Similarly, some experimental studies using animal models have failed to support the model that activity-induced muscle hypertrophy results in greater development of individual entheses (Zumwalt, 2006;Rabey et al., 2015;Wallace et al., 2017). ...

Relation between muscle architecture and first metacarpal morphology, and its implications for human hand evolution

HOMO

... However, the overall reliability of most previous approaches using entheses to reconstruct activity in the past have often been questioned (e.g., Foster et al., 2014). In particular, previous studies have highlighted the low intra-and inter-observer repeatability of most visual scoring systems that focus explicitly on entheseal robusticity (Davis et al., 2013;Jorgensen et al., 2020;Wilczak et al., 2016), a reported lack of association between entheses and cross-sectional morphology (which is widely used for reconstructions of activity) (e.g., Michopoulou et al., 2017;Nikita et al., 2019), an absence of association between the size of a muscle and entheseal raw dimensions (Williams-Hatala et al., 2016; but see also the results of Bucchi et al., 2019;Deymier-Black et al., 2015;Karakostis et al., 2019a), as well as a broader lack of experimental validation (Wallace et al., 2017;Zumwalt, 2006). ...

Muscle strength and entheseal size in human thumbs: testing the relationship with a cadaveric model

... Ferrets have the advantage of being less expensive to house and easier to maintain and breed in the laboratory than larger animals and are typically not considered as pets [111]. Because their root apices are wide open, ferret teeth lend themselves to the study of regenerative endodontic procedures where the pulp tissue is removed and bleeding is induced in order to facilitate the formation of new tissue in the root canal [133,134]. In addition, periapical infections can predictably be induced, and ferret canines can be used to investigate irrigation and medication protocols [131]. ...

A Regenerative Endodontic Approach in Mature Ferret Teeth Using Rodent Preameloblast-conditioned Medium
  • Citing Article
  • July 2019

... In the present study, the prevalence of MIC was 95.6 % similar to the result in the studies conducted by Mraiwa, N., et al., [17], Yovchev, D., et al., [13], and Panjnoush, M., [18] equal to 97.5%. But slightly less than [19] 100%, Kong, N., et al., and Fuentes, R. N., et al., [20,21] 98.19% and more than Orhan, K., et al., [22] 91%, Sakhdari, S., L [23] 87.5% and Ghoncheh, Z., [24] 90%. ...

Prevalence and Morphometric Characteristics of the Mandibular Incisive Canal through Panoramic Radiographs in a Chilean Population

International Journal of Morphology

... Also, Low immunogenicity makes them less likely to be recognized by immune cells (9), which allows them to be used as an allograft or xenograft. Platelets play a crucial role in wound healing due to the release of a wide range of growth factors (10). Platelet-rich brin (PRF), a second-generation platelet-derived product, is a dense brin matrix containing high concentrations of leukocytes and platelets (11). ...

Platelet Concentrates in the replantation of Avulsed Teeth. A Systematic review
  • Citing Article
  • December 2016

International Journal of Clinical and Experimental Medicine

... Otro tipo de variación factible de ser pesquisaba mediante la radiografía panorámica es el denominado canal de Serres, descrito por primera vez en 1817 y que corresponde a un canal altamente desarrollado en el feto que transcurre inferior al canal mandibular y que posee una arteria independiente (Serres, 1817). En un estudio que analizó 495 radiografía panorámicas, se encontró una prevalencia de este canal del 10,51 %, siendo más predominante en sujetos menores de 20 años (Fuentes et al., 2016a). Otro elemento importante en la caracterización del canal mandibular, es la ubicación de su foramen de entrada o foramen mandibular. ...

Morphological study of the mandible using digital panoramic x-rays, Part I: The canal of Serres, prevalence and location
  • Citing Article
  • February 2017

Journal of Anatomical Society of India

... These obstacles are consistent with prior findings in the literature; for instance, Fienitz et al. 7 assessed the accuracy of CBCT in evaluating peri-implant bone defect regeneration after bone grafting and found difficulties in distinguishing between the bone graft and native bone. In contrast, our results differ from those of Bucchi et al., 32 who did not encounter problems in detecting synthetic bone grafts throughout the healing process. However, synthetic bone grafts appear to have higher tomographic density, which could make them easier to detect compared to native bone grafts. ...

Radiopacity of alloplastic bone grafts measured with cone beam computed tomography: An analysis in rabbit calvaria
  • Citing Article
  • November 2016

Bosnian journal of basic medical sciences / Udruzenje basicnih mediciniskih znanosti = Association of Basic Medical Sciences

... [8,12,13] Treated teeth with RET have shown root development in 84.1% and healing of apical periodontitis in 79.8%. [14] A recent systematic review revealed that persistent endodontic infection is the main cause of RET failure. [15] However, other etiological factors could affect the survival and differentiation of stem cells, such as cytotoxic effects of intracanal irrigants [16] and/or high concentrations of the antibiotic intracanal paste. ...

Review Article Regenerative endodontic therapy: a systematic review of clinical protocols

International Journal of Clinical and Experimental Medicine