Les carcinomes épidermoïdes de la cavité orale (CECO) représentent environ 25% des cancers de la tête et du cou (HNSCC). Ils sont associés à un mauvais pronostic avec une survie à 10 ans n'excédant pas ~ 30%. Alors que le virus du papillome humain (HPV) est un facteur de risque reconnu dans les HNSCC, il n'est pas impliqué dans les CECO dont les principaux facteurs de risque sont liés à la consommation d'alcool et de tabac. Cependant, plusieurs auteurs notent une part croissante de CECO chez des patients non exposés à l’alcool et au tabac (facteurs de risque négatifs: RF-) et dont le statut HPV est négatif. Il est aujourd’hui reconnu que le microenvironnement immunitaire (TME) peut jouer un rôle majeur dans la progression et l'échappement tumoral. Dans notre travail, nous avons cherché à savoir si les CECO RF- sont épidémiologiquement différents des CECO RF+ (facteurs de risques positifs: RF+) et si la composition immunitaire du TME et des cellules circulantes diffère selon ces deux groupes. Ainsi, dans une première partie, nous avons étudié une cohorte rétrospective de 553 patients atteints de CECO et comparé les paramètres cliniques et épidémiologiques entre les patients RF+ et RF-. Ensuite, nous avons étudié de manière prospective par rapport aux facteurs de risque ces deux entités d'un point de vue immunitaire en analysant des échantillons de sang et de tissus de 87 patients et en les comparant à des échantillons de tissus et de sang de témoins sains. Notre travail a permis d'associer une hétérogénéité clinique à des profils immunologiques distincts pouvant prédire un pronostic différent pour les patients RF+ ou RF- : puisque les CECO sont des cancers inflammatoires présentant un important infiltrat de divers composants immunitaires innés, il s'est avéré que la numération sanguine des lymphocytes T CD8+ supérieure à 306 cellules/μL chez les RF- et des cellules T régulatrices (Treg) supérieure à 47 cellules/μL chez les patients RF+ ont respectivement été associées à une meilleure survie sans maladie (DFS). En revanche, un pourcentage plus élevé de cellules Th17 dans le sang ou le TME de patients RF+ a été associé à une moins bonne survie sans récidive (DFS). Dans une troisième partie de cette thèse, nous avons étudié la migration d'un sous-ensemble de Treg exprimant CCR2, (récepteur de chimiokine pour CCL2), et montré qu'une diminution des Treg CCR2+ circulants chez les patients atteints de CECO était associée à une augmentation des Treg CCR2+ dans le TME. Enfin, en étudiant les structures lymphoïdes tertiaires (TLS), décrites dans le TME de divers cancers solides mais très peu dans les CECO, nous avons confirmé qu’ils étaient présents dans ces cancers et que de fortes densités de TLS sont principalement associées aux stades précoces du cancer et sont des facteurs de bon pronostic. / Oral squamous cell carcinomas (OSCC) represent about 25% of Head and Neck Cancer (HNSCC). They are associated with a very poor prognosis with a 10-year survival which not exceeds ~30%. While the Human Papilloma Virus (HPV) is a more recognized risk factor for oropharyngeal HNSCC, HPV is not involved in OSCC whose the main risk factors are related to the consumption of alcohol and tobacco. However, an increase of OSCC in patients who are not exposed to alcohol and tobacco (non-smoker-non-drinker: NSND) and whose the HPV status is negative is now reported. It is well known that immune tumor microenvironment (TME) may play a major role in tumor progression and tumor escape. Whether OSCC in NSND patients are epidemiologically different from OSCC occurring in smoker/drinker (smoker-drinker: SD) patients, and may have different immune composition of their TME and of circulating immune cells as well is addressed in this thesis. Thus in a first part, we studied a retrospective cohort of 553 OSCC patients and compared clinical and epidemiological parameters between NSND and SD patients. Then, we have prospectively studied in relation to risk factors these two entities from an immune point of view by analyzing blood and tissue samples from 87 patients and comparing them to tissue and blood samples from healthy controls (HD). Our work has allowed to associate this clinical heterogeneity with distinct immunological profiles that may predict different prognosis for NDNS or SD patients: since OSCC are inflammatory cancers presenting an important infiltrate of various innate immune components, it turned out that blood count of CD8+ T cells >306/µL in NSND and blood count of regulator T cells (Treg) >47/µL in SD patients were associated with a better disease free survival (DFS), respectively. By contrast, higher percentage of Th17 cells in the blood or TME from SD patients were associated with a bad DFS. In a third part of this thesis, we studied the migration of a Treg subset that expressed CCR2, a chemokine receptor for CCL2, and showed that a decrease of circulating CCR2+ Treg in OSCC patients was associated with an increase of CCR2+ Treg in the TME. Finally, by studying tertiary lymphoid structures (TLS) that have been described in the TME of various solid cancers but very few in OSCC, we confirmed that TLS are present in OSCC cancers and that high densities of TLS are mainly associated with early stages of cancer and are factors of good prognosis.

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Indiana University-Purdue University Indianapolis (IUPUI) / Introduction: A novel device developed by J. Morita can generate electromagnetic stimulation (EMS) into the root canal. Objectives: The purpose of this study was to determine the anti-biofilm effect of EMS combined with low concentrations of NaOCl against an established biofilm of Enterococcus faecalis in an in vitro human tooth model. Materials and Methods: Single rooted human teeth were standardized and an E. faecalis biofilm was established in the canal. The specimens were subject to six treatment groups: 1) 1.5% NaOCl; 2) 1.5% NaOCl and EMS; 3) 0.25% NaOCl; 4) 0.25% NaOCl and EMS; 5) saline and 6) saline and EMS. Biofilm was collected, plated, and the number of colony forming units (CFU)/mL was used to determine antibacterial activity. Results: The effect of treatment group on bacterial counts were made using one-way ANOVA followed by pair-wise comparisons. Although there was no significant difference between individual groups tested, there was statistically significant difference between the average difference between ‘treatments with EMS’ and ‘treatments without EMS.’ Conclusion: EMS can improve the antibacterial efficacy of NaOCl against an established biofilm of E. faecalis in an in vitro human tooth model

The purpose of this paper is to achieve wireless power transfer inside a resonating cavity, and thereby apply this to charge batteries. The idea is to convert radio frequency waves into direct current, which can charge the batteries. This was done by creating an LC-antenna, which in turn was connected to a rectifier. A data logger was also built, this to be able to read and log the power within the cavity to examine its power distribution. Because of COVID-19 restrictions, access to laboratory and equipment was limited. Due to this, smaller experiments where performed to make sure that all parts worked as intended before trying to perform tests inside the cavity resonator. The results were varied, some favorable, some not. However, all experiments gave insight and further understanding on the issue. The cavity operations had varied results. The data logger was able to pick up, at most, 7.6 % of the power output by the function generator. However, some problems arose with the rectifier which resulted in it not working for higher frequencies. Though, it was capable of rectifying RF signals at lower frequencies from a function generator, which was used to charge a battery. Consequently, there was no charging of batteries inside the cavity. However, three dimensional wireless power transfer was achieved. With some improvements to the current designs, the main goal could be accomplished

The objective of this work is to develop a near-infrared laser device capable of emitting orbital angular momentum (OAM) light. The prototyped device must be suitable for compact, energy-saving optical communication applications. Integrated OAM lasers will revolutionize high-capacity data transmission over any telecommuni- cation network environment, as OAM light can be guided and transmitted through kilometers of optical fibers and propagated in free space and underwater. Several methods for generating OAM light employing various complex monolithic and hybrid integration methods have been demonstrated. In this work, microscale integrated spiral phase plates (SPPs) are chosen to convert the laser beam output into an OAM mode. The concept and design fundamentals of SPPs are discussed, followed by the SPP fabrication process and their implementation in a high-speed communication setup and then integration with a semiconductor laser. SPPs are fabricated by a novel direct laser writing that provides the possibility to rapidly prototype 3D photonic structures via a two-photon polymerization pro- cess. After fabrication, SPPs are used in a fine-tuned free-space optical experimental setup that requires high-precision intercomponent alignment to test the high-speed OAM communication system and analyze the quality of OAM modes, resulting in high-purity OAM signals at data rates up to 1.8 Gbit/s – limited by the avalanche photodetector (APD) frequency response. The fabricated 20-μm-diameter SPPs were the smallest reported in the literature to date for optical characterization. A proof-of-concept monolithic light-emitting array, as a highly integrated OAM laser source, is further proposed for telecommunications and other applications. SPP-integrated 940-nm vertical-cavity surface-emitting laser (VCSEL) array chips that are relatively low-cost, have a small footprint, and are manufacturable in high volumes are developed. SPPs with topological charge modulus values from 1 to 3 are fabricated on the VCSEL arrays, demonstrating OAM modal purities up to ∼65%. The experimentally evaluated data rates in the OAM setup showed consistently sta- ble links up to 2.0 Gbit/s with a bit error ratio of ∼ 1.6 × 10−8 (APD-limited). The challenges of SPP-laser integration are summarized, with the conclusion that the widespread adoption of OAM is limited by the availability of practical integrated solutions for OAM generation and detection.

Understanding the hemodynamics of the cardiovascular system and associated diseases is important for mitigating health risks. We applied flow diagnostic techniques to investigate pulsatile flow characteristics past sidewall cavities, which have implications to two biomedical problems in the cardiovascular system: sidewall aneurysms and the left atrial appendage. Superhydrophobically-coated mesh diverters and synthetic slippery surfaces were studied for their effects on flow diversion and cavity flow enhancements. The study of pulsatile flow over a coated mesh diverter showed that the formation of the primary vortex was prevented which prevents flow stagnation and downwash flow in the cavity. The second study indicates that the healthy heart cycle is essential to reducing flow stasis inside the left atrial appendage. After applying a synthetic slippery surface to the interior of a side wall cavity model, this surface reduced the wall shear stress and allowed vortical flow to reach deeper into the cavity.

Indiana University-Purdue University Indianapolis (IUPUI) / Introduction: In order to successfully treat an infected root canal system (RCS), it is required to locate all root canals and have an access path to the apex of each canal. This can be challenging in teeth with pulp canal obliteration (PCO), often leading to increased chair time and increased risk of iatrogenic errors. Guided endodontic access (GEA) combines information from a cone-beam computed tomography (CBCT) scan with an intra-oral scan to create a stent. GEA stents with or without fixation pins have been shown to be successful in accurately negotiating a RCS with PCO. Objective: Compare the degree of deviation and difference in 3D offset at the base to apical tip of the drill from the designed access path when a GEA stent with and without pin fixation is used to access tooth #8 with PCO. Materials and Methods: A 3-D printed maxillary model of an anonymous patient had a GEA stent designed using coDiagnonstiX software. The stent extended from tooth #3 to tooth #14 with the guide sleeve over tooth #8. Tooth #8 with no calcification, calcification to the cervical third, and calcification to the middle third of the RCS were designed in the coDiagnostiX software. Tooth #8 will be accessed using a 1.3 mm drill that fits a 1.3 mm sleeve used for both access and pin fixation. 15 of the 30 GEA samples will utilized pin fixation, while the other 15 samples did not utilize pin fixation. Following GEA in all 30 samples a CBCT was taken of each sample. Each post-operative CBCT was aligned with the pre-operative CBCT in the coDiagnostiX software. The coDiagnostiX software was able to calculate the degree of deviation and difference in 3D offset between the base and apical tip of the drill during GEA. Paired t-tests were used to test each group for significant differences in 3D offset between base and tip. Two-way ANOVA was used to evaluate the effects of pin fixation and calcification on the degree of deviation and the deviation of 3D offset of the entry point and tip. Results: There was a significant interaction between use of pin fixation and calcification level on the degree of deviation of GEA. GEA with pin fixation had a significantly larger degree of deviation than GEA without pin fixation with calcification extending to the middle third of the RCS. GEA with and without pin fixation did not have a significant difference when calcification extended to the cervical third of the RCS or no calcification was present. There was a significant interaction between use of pin fixation and calcification level on 3D offset difference. GEA with pin fixation had a significantly larger 3D offset difference than GEA with no pin fixation for calcification in the middle third of the RCS. For GEA with and without pin fixation there was no significant difference when calcification extended to the cervical third of the RCS or no calcification was present. Conclusion: The use of pin fixation did not result in a decrease of degree of deviation or difference in 3D offset during GEA access. It can be concluded that the use of pin fixation is not necessary for GEA of teeth with PCO when a full dentition is present to provide stability and retention of the stent. / 2022-06-21

Objectives: The aims of this study was to investigate the RC microbiota in CCF canine teeth in the domestic dogs (Canis familiaris) and cheetahs (Acinonyx jubatus), identify the possible factors related to the presence of aerobic or anaerobic bacteria and evaluate and evaluate antibiotic susceptibility of bacteria isolated. Animals: Thirty nine animals suffering from CCF of their canine teeth were included in this study, of which 20 were dogs and 19 were cheetahs. Procedures: Evaluation of the oral cavity of animals while under general anaesthesia was performed and those without necrotic pulps or those that had received antibiotic therapy in the previous two weeks were excluded. Microbial samples were taken from 63 RC of which 27 were from dogs and 36 were from cheetahs. Strict anaerobic and aerobic techniques were used in parallel for plating, incubation and identification of the bacteria isolated in this manner. In an attempt to evaluate the sensitivity of the culture media and anaerobic technique used, additional samples were collected after the samples for bacterial isolation had been taken from the last eight pulps. These comprised those from six cheetahs and two dogs and were analysed using culture techniques and an initial screening with the 16S rRNA-specific PCR. Results: • Dogs: A total of 49 cultivable isolates were recovered belonging to 19 different bacterial species and 13 different genera. Individual RC yielded a maximum of four bacterial species. Of the bacterial isolates, 4.08 % were strict anaerobes, being represented by Clostridium acetobulitycum (2.04 %) and Prevotella melalinogenica (2.04 % ). The incidence of aerobic bacteria and facultative anaerobic bacteria in this study were 18.36 % and 77.56 %respectively of all the bacterial isolates. Of these Pasteurella multocida ( 10.20 % ), Corynebacterium spp. (10.20 %), Moraxella spp. (8.17 %), Bacillus spp. (6.12 %), Aeromonas salmonicida (6.12 %), Escherichia coli (6.12 %) and Pseudomonas aeruginosa (6.12 %) were the bacteria most frequently isolated. In summary, the RC microflora was found to be predominantly Gram negative facultative anaerobic microorganisms. The antibiotic agents that showed the highest efficacy in vitro against the different bacteria isolates were Enrofloxacin (85.21 % ), Gentamicin (92.39 %), Chloramphenicol (89.13 %). • Cheetahs: A total of 59 cultivable isolates, belonging to 19 different microbial species and 13 different genera were recovered from 36 RC sampled. Thirty-two (54.49 %) of the cultivable isolates were Gram positive while 27 (45.71 %) were Gram negative. Individual root canals each yielded a maximum of six species. Four RC had no cultivable bacteria. The bacterial micro flora recovered from the RC of the animals showed a higher number of facultative anaerobes (62.72 % of all the bacterial isolates). Aerobic isolates were 28.81 %, and strict anaerobes 8.47 % of all the isolates. The latter species comprised Clostridium sordelli (5.08 % ), and Clostridium septicum (3.38 % ). The species with the highest isolation frequency were Bacillus spp. (22.13 %), Pasteurella multocida (10.16 %), Corynebacterium spp. (8.47 %), Enterococcus spp. (8.47 %), Moraxella spp. (8.47 %) and Pseudomonas aeruginosa (5.25 %). In summary, the bacteria isolated from the RC were Gram positive facultative anaerobic bacteria. The antibiotics, which showed the highest efficacy in vitro against the different bacteria isolates, were Enrofloxacin (91.96 %), Gentamicin (86.37 %) and Orbifloxacin (86.28 %). • Nucleic Acid-Base detection: In dogs, Gram negative and Gram positive bacterial species were equally represented. Anaerobic bacterial species predominated at 83.3 % (5/6) of the species detected. On the other hand, in cheetahs, the bacterial species isolated by the PCR method showed a prevalence of anaerobic bacteria (60.8 %, 14/23), while facultative anaerobes were isolated in 30.2 % (7 /23) of cases and aerobic bacteria in 8.6 % (2/23). Conclusions and Clinical Relevance: This study has indicated that the microbial flora in any single infected RC is much more diverse than it has been shown using cultural techniques alone and can contain potentially uncultivable bacterial species. Some of these species may represent potentially new phylotypes, which may be involved in endodontic infections and ultimatelyin periradicular periodontitis, and should therefore be considered in any future studies involved in defining endodontic pathogens. Copyright / Dissertation (MSc)--University of Pretoria, 2012. / Companion Animal Clinical Studies / restricted

Aims Preservation of peri-cervical dentin during the preparation of endodontic access is important to prevent fractures and improve the long-term prognosis. The purpose of this study was to evaluate the impact of rotary file instrumentation (TruNatomy and XP-Endo Shaper) on peri-cervical dentin removal, depending on access size. Materials and Methods Forty 3D printed mandibular first molars, with either a small or large access design, were instrumented using TruNatomy or XP-endo Shaper file systems. Canal volumes were calculated based on micro-computed tomography data obtained pre- and post-operatively. Digital sectioning of each reconstructed volume was performed 90-degrees to the long axis at the floor of the pulp chamber at 5 levels, at the pulp chamber floor (Level 0) as well as 1 and 2mm coronally and apically of Level 0. Linear measurements were taken from the inner wall of the access cavity or canal to the outer surface of the tooth for both instrumentation techniques and compared to the unprepared control dataset. These measurements served as an approximation of remaining peri-cervical dentin after root canal instrumentation. Results Some of the coronal measurements were not reportable for the control group due to incomplete capture of the crown during the microCT scan. The remaining peri-cervical dentin thickness at the level of the pulpal floor and coronally were significantly (p<0.01) affected by the access cavity size, with the smaller access preserving more dentin in all samples. Apical to the pulpal floor, there was no significant difference between instrumentation groups at the data points evaluated. Remaining dentin thickness was largest at coronal section 1 and smallest at apical section 6 with 3.81mm (p = 0.05) and 1.84mm (p = 0.06), respectively. Conclusion Access cavity size had a significant impact on remaining dentin thickness at the level of the pulpal floor and coronally, with more remaining dentin in the conservative access group, irrespective of instrumentation technique. Future studies will evaluate dentin thickness in the furcation and mid root level, as well as apical canal transportation, and procedural errors.