Role of Collagen Fibers in Predicting the Biologic Behavior of Dentigerous Cyst, Normal Dental Follicle, and Hyperplastic Dental Follicle Using Special Stains
Nikhisha Naik, Komal Kulkarni, Manal Iqbal Hashim, Mridu Drolia, Mansi Pranay, Roopa S Rao, Vanishri C Haragannavar
Citation Information :
Naik N, Kulkarni K, Hashim MI, Drolia M, Pranay M, Rao RS, Haragannavar VC. Role of Collagen Fibers in Predicting the Biologic Behavior of Dentigerous Cyst, Normal Dental Follicle, and Hyperplastic Dental Follicle Using Special Stains. World J Dent 2023; 14 (1):67-73.
Background: Extracellular matrix is predominantly made of collagen that shows variation in structure and nature in different pathologies. There are overlapping histopathological features in dentigerous cyst (DC), normal dental follicle (NDF), and hyperplastic dental follicle (HDF), leading to diagnostic ambiguity. The distinction between the three lesions is important as they vary in biologic behavior. The efficacy of Masson's trichome (MT) and picrosirius red (PR) to distinguish dental follicles from DC has been minimally investigated.
Aim: To determine the nature of collagen fibers in DC, NDF, and HDF using MT and PR stains, and to estimate the staining efficacy.
Methodology: A total of 30 histopathologically diagnosed archival tissue sections each of NDF, HDF, and DC were chosen and subjected to routine and special stains, namely MT and PR. The resultant data was analyzed statistically using the chi-squared test.
Results: The arrangement and orientation of collagen fibers differed significantly between NDF, HDF, and DC. The significant difference in the staining efficacy with respect to orientation, organization, arrangement, differentiation, and specificity suggests that PR is superior to MT and hematoxylin and eosin (H and E) in the detection of collagen as it has the potential to differentiate mature and immature collagen fibers.
Conclusion: Picrosirius red (PR) and MT can be used to differentiate NDF, HDF, and DC, suggesting their role in determining the behavior of these lesions.
Alturkistani HA, Tashkandi FM, Mohammedsaleh ZM, et al. Histological stains: a literature review and case study. Glob J Health Sci 2015;8(3):72–79. DOI: 10.5539/gjhs.v8n3p72
Singh D, Tiwari RC, Kumar A, et al. A comprehensive review of pathological examination in forensic medicine: past, present, and future. Cureus 2022;14(3): e22740. DOI: 10.7759/cureus.22740.
Javaeed A, Qamar S, Ali S, et al. Histological stains in the past, present, and future. Cureus 2021;13(10):e18486. DOI: 10.7759/cureus.18486
Connolly JL, Schnitt SJ, Wang HH, et al. Role of the Surgical Pathologist in the Diagnosis and Management of the Cancer Patient. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker; 2003.
Frantz C, Stewart KM, Weaver VM, et al. The extracellular matrix at a glance. J Cell Sci 2010;123(Pt 24):4195-200. DOI: 10.1242/jcs.023820
Meleti M, van der Waal I. Clinicopathological evaluation of 164 dental follicles and dentigerous cysts with emphasis on the presence of odontogenic epithelium in the connective tissue. The hypothesis of ”focal ameloblastoma”. Med Oral Patol Oral Cir Bucal 2013;18(1):e60–e64. DOI: 10.4317/medoral.18372
Raj Y, Sekhar MS, Shylaja S, et al. Evaluation of the nature of collagen fibers in KCOT, dentigerous cyst and ameloblastoma using picrosirius red stain - a comparative study. J Clin Diagn Res 2015;9(11):ZC01–ZC04. DOI: 10.7860/JCDR/2015/14154.6708
Bancroft JD, Gamble M. Theory and practice of histological techniques. 6th ed. New York: Churchill Livingstone. 2007.
Feldman AT, Wolfe D. Tissue processing and hematoxylin and eosin staining. Methods Mol Biol 2014;1180:31–43. DOI: 10.1007/978-1-4939-1050-2_3
Goldner J. A modification of the masson trichrome technique for routine laboratory purposes. Am J Pathol 1938;14(2):237–243.
Smitha B, Donoghue M. Clinical and histopathological evaluation of collagen fiber orientation in patients with oral submucous fibrosis. J Oral Maxillofac Pathol 2011;15(2):154–160. DOI: 10.4103/0973-029X.84481
Sharma R, Rehani S, Mehendiratta M, et al. Architectural analysis of picrosirius red stained collagen in oral epithelial dysplasia and oral squamous cell carcinoma using polarization microscopy. J Clin Diagn Res 2015;9(12):EC13–EC16. DOI: 10.7860/JCDR/2015/13476.6872
Reshma V, Varsha BK, Rakesh P, et al. Aggrandizing oral submucous fibrosis grading using an adjunct special stain: a pilot study. J Oral Maxillofac Pathol 2016;20(1):36–46. DOI: 10.4103/0973-029X.180925
Fuentes-Corona CG, Licea-Rodriguez J, Younger R, et al. Second harmonic generation signal from type I collagen fibers grown in vitro. Biomed Opt Express 2019;10(12):6449–6461. DOI: 10.1364/BOE.10.006449
Liu J, Xu MY, Wu J, et al. Picrosirius-polarization method for collagen fiber detection in tendons: a mini-review. Orthop Surg 2021;13(3):701–707. DOI: 10.1111/os.12627
Velidandla S, Gaikwad P, Ealla KK, et al. Histochemical analysis of polarizing colors of collagen using picrosirius red staining in oral submucous fibrosis. J Int Oral Health 2014;6(1):33–38.
Zainab H, Sultana A, Shaimaa, et al. Stromal desmoplasia as a possible prognostic indicator in different grades of oral squamous cell carcinoma. J Oral Maxillofac Pathol 2019;23(3):338–343. DOI: 10.4103/jomfp.JOMFP_136_19
Huang GT, Gronthos S, Shi S, et al. Mesenchymal stem cells derived from dental tissues vs. those from other sources: their biology and role in regenerative medicine. J Dent Res 2009;88(9):792–806. DOI: 10.1177/0022034509340867
Garg K, Chandra S, Raj V, et al. Molecular and genetic aspects of odontogenic tumors: a review. Iran J Basic Med Sci 2015;18(6):529–536.
Klein OD, Oberoi S, Huysseune A, et al. Developmental disorders of the dentition: an update. Am J Med Genet C Semin Med Genet 2013;163C(4):318–332. DOI: 10.1002/ajmg.c.31382
Schmitd LB, Bravo-Calderón DM, Soares CT, et al. Hyperplastic dental follicle: a case report and literature review. Case Rep Dent 2014;2014:251892. DOI: 10.1155/2014/251892
Anjana G, Varma B, Ushus P, et al. Management of a dentigerous cyst: a two-year review. Int J Clin Pediatr Dent 2011;4(2):147–151. DOI: 10.5005/jp-journals-10005-1100
Mohan KR, Natarajan B, Mani S, et al. An infected dentigerous cyst associated with an impacted permanent maxillary canine, inverted mesiodens and impacted supernumerary teeth. J Pharm Bioallied Sci 2013;5(Suppl 2):S135–S138. DOI: 10.4103/0975-7406.114307
Moure SP, Carrard VC, Lauxen IS, et al. Collagen and elastic fibers in odontogenic entities: analysis using light and confocal laser microscopic methods. Open Dent J 2011;5:116–121. DOI: 10.2174/1874210601105010116
Singh HP, Shetty DC, Wadhwan V, et al. A quantitative and qualitative comparative analysis of collagen fibers to determine the role of connective tissue stroma on biological behavior of odontogenic cysts: a histochemical study. Natl J Maxillofac Surg 2012;3(1):15–20. DOI: 10.4103/0975-5950.102142