Radiation combined injury, a life-threatening condition, has higher mortality than simple radiation injury. The aim of the present study was to analyze the efficiency of Aloe vera and silver nanoparticles in improving the healing of ulcerated oral mucosa after irradiation. Thirty male Albino mice were divided into five groups: control, radiation, Aloe vera (AV), silver nanoparticles (NS), and AV+NS. The mice were exposed to whole body 6Gy gamma-radiation. After one hour, 20% acetic acid was injected into the submucosal layer of the lower lip for ulcer induction. The animals received topical treatment with the assigned substances for 5 days. Lip specimens were subjected to hematoxylin and eosin and anti alpha-smooth muscle actin immunohistochemical staining. Results demonstrated occurance of ulcer three days post irradiation in all groups except in the AV+NS group where only epithelial detachment was developed. After seven days, data revealed persistent ulcer in radiation group, and almost normal epithelium in the AV+NS group. A significant reduction of epithelial thickness was detected in all groups at the third day as compared to control. At the seventh day, only the AV+NS group restored the epithelial thickness. Area percent of alpha-smooth muscle actin expression was significantly decreased in radiation group at the third day followed by significant increase at the seventh day. However, all treatment groups showed significant increase in alpha-smooth muscle actin at the third day, which decreased to normal level at the seventh day. Our study demonstrated the efficiency of Aloe vera and silver nanoparticles in enhancing ulcer healing after irradiation.

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were then exposed to demineralizing solution for 72 hours. Examination of slabs was performed using vickers microhardness test and scanning electron microscope; The lowest microhardness was recorded in group G, while inGL and GFL groups it significantly increased. Scanning electron microscope revealed a pronounced loss of central prism core and retention of prism peripheries in group G. Confluence of prismatic and interprismatic structures in GL slabs and irregular rough surface with prismatic boundaries conservation in GFL slabs were detected. Applying laser improved the microhardness and counteracted the adverse effect of gamma radiation. Adding fluoride before laser irradiation had a marked effect on microhardness..

combination on irradiated jaw bones in rats through radiographic assessment of the bone density and histopathologic examination of bone morphology. Forty male albino rats were divided randomly into 4 groups each of 10 rats. Group R represented the rats that received fractionated radiation dose (2 Gray per fraction) for one week. Groups LR, eR and LeR represented the rats that received L-Carnitine 300mg/kg via intra peritoneal injection, vitamin e 40mg/kg via intramuscular injection or both daily for five days and then exposed to fractionated radiation 2 Gray day after day for one week after the last treatment, respectively. Data revealed a significant improvement of mandibular bone density in the groups received L-Carnitine, vitamin e alone or in combination as compared to the gamma-irradiated group. moreover, the treated groups showed almost normal morphology of both mandibular bone and periodontal ligament in contrast to the gamma irradiated group where bone resorption and periodontal ligament degeneration and vacuolization were detected. In conclusion, gamma radiation had a deleterious effect on mandibular bone and periodontal ligament as indicated by decreased bone density and altered morphology. In addition, L-Carnitine and vitamin e treatment alone or in combination could, to a large extent, maintain the normal bone density and preserve the morphological architecture of mandibular bone and periodontal ligament.

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