Evidence-based medicine (EBM) has rapidly developed in recent years and is currently a hotspot in international medicine. The guiding principle behind EBM is that any medical decision should be determined based on objective clinical and scientific evidence, doctor's professional skills and experience, and patient's needs and desires. This paper introduces the concept and practice of EBM and explains how it can be used to solve the issues in stomatology.
Evidence-Based Medicine ; Humans ; Oral Medicine

Objective:To evaluate the effectiveness and treatment feature of maxillary incisor extraction in orthodontics.Methods:9 patients underwent orthodontic treatment with maxillary incisor extraction,5 female and 4 male,with an average age of 1 7.2 years at the start,were included.5 patients were treated by extraction of both upper incisors and lower first premolars,4 by extraction of the abnor-mal incisor and the first premolars in the other three quadrants.Cephalometric and Bolton index analysis were carried out.Results:Sat-isfactory treatment results were observed in all patients.Before treatment the predicted Bolton index of the patients of the anterior ratio and the overall ratio were 80.1 4% and 91 .3%,after orthodontic treatment 78.68% and 90.28%,respectively.Cephalometric analysis showed that U1 -NA(mm),U1 -NA,L1 -NB(mm),L1 -NB,U1 -SN,L1 -MP,UL-E and LL-E were decreased(P <0.05).Conclu-sion:Individual treatment plan based on Bolton index analysis and the corresponding techniques and methods,the patients with abnor-mal upper incisors can be effectively treated with the extraction of maxillary incisors.

Objective To study the effect of lovastatin on the expression and activity of β-site APP cleaving enzyme (BACE1). Methods The SH-SY5Y cells were treated by lovastatin. Cell viability was assessed by MTT assay, and the levels of cholesterol were assayed spectrophotometrically, and the activity of BACE1 was detected by fluorometric assay, and the expression level of BACE1 was detected by Western Blot. Results Compared with the control group, the cholesterol levels were decreased by 33.0% (3.33 vs. 4.97; F=5.13, P =0.020) and the activity of BACE1 was reduced by 13.8% (343.14 vs. 398.22; F=3.773, P =0.035) after 24h treatment of 5μmol/L lovastatin; the cholesterol levels were decreased by 49.2% (2.65 vs. 5.22; F=12.239, P =0.001) and the activity of BACE1 was reduced by 38.0% (274.75 vs. 443.14; F=13.610, P <0.01). Treatment with 5μmol/L lovastatin,for 48 h did affect the expression level of BACE1. Conclusions Lovastatin do not affect the expression level of BACE1, but may inhibit its activity and decrease the cholesterol level, thus providing a new approach to prevent or treat Alzheimer's disease (AD).

It is a trend that clinical researchers overemphasize on hypothesis testing and the P value. However, P value has some limitations in the presentation of study results. Power is a tool for study design and results explanation, especially for negative results. Confidence interval contains more information for clinical results than P value. P value, power, and 95% confidence interval should be provided in the clinical reports to facilitate the interpretation of the results.

Objective To study the mechanisms of increasing amyloid [β1-42 (Aβ42) level by presenilin-1 (PS-1) mutation of V97L.Methods Expression level of neprilysin (NEP) in nontransfected, or mock vector, wild type (wt) PS-1 and V97L-PS-1-transfected SH-SY5Y cells were assessed by reverse transcriptional-polymerase chain reaction (RT-PCR) and Western blot.The level of Aβ42 was also assessed by enzyme linked immunosorbent assay (ELISA).Results The mRNA level of NEP was decreased significantly in PS-1 V97L transfected cells (0.650 ± 0.010) compared to that in normal cells (1.090 ± 0.015), wt PS-1 gene (1.040 ± 0.021) and mock (1.080 ± 0.020) stably transfected cell lines (t = 9.236, 10.452, 5.678; all P < 0.01).Although there was a decreased tendency in the protein expression of NEP in PS-Ⅰ V97L transfected cells (1.000 ± 0.126)compared to that in normal cells (1.020 ± 0.110), wt PS-1 gene (1.040 ±0.110), mock (2.130 ±0.130) stably transfected cell lines, nosignificant differences were found.The expression of Aβ42 was increased significantly in PS-1 V97L transfected cells compared to other cell lines (t = 2.109, 3.355, 3.976; all P < 0.01).Conclusions PS-1 V97L mutation can decrease the transcription of NEP, however, in contrast, this mutation also resulted in increased Aβ42.The mechanism needs further analysis.

A molecularly imprinted electrochemiluminescence sensor for detection of cinchonine based on surface self-assembly of molecularly imprinted membrane on magnetic nanoparticles was developed. Cinchonine was used as template and lauryl mercaptan was used as assembling monomer. The morphology and particle size distribution of the magnetic nanoparticles were characterized by TEM, and the infrared spectroscopy was used to study the structure and composition of cinchonine, molecularly imprinted membrane before and after elution. The results showed that, cinchonine could be specifically assayed with a linear relationship between the signal intensity and the logarithm of concentrations of cinchonine in the range of 1×10-10 mol/L to 9×10-8 mol/L. The detection limit for cinchonine was 3. 5×10-11mol/L. The sensor was used for the determination of cinchonine in serum samples, with the recoveries of 98. 8% to 104. 7%.

Objective To evaluate the indications and effectiveness of lower incisor extraction in orthodontics.Methods Twenty-three adult patients with lower incisor extraction were included in the study.The cases consisted of 14 female and 9 male patients with an average age of 23.2 years at the start.One single lower incisor was extracted in 17 patients and the other tow upper premolars were extracted in 6 patients.Cephalometric and casts analyses were carried out.Results Total treatment time was 13-23 months.All extraction space was closed after the treatment.All patients achieved satisfactory treatment results,with normal overbite and overjet and stable occlusal relationship.There were no significant changes before and after treatment on cephalometric analysis.The intercanine width was reduced by from pretreatment to posttreatment [(26.89--2.89) mm vs (23.92-t-1.54) mm (P＜0.05)].Conclusions The intercanine width is reduced after lower incisor extraction.In order to achieve satisfactory clinical effect,we should carefully select cases and pay attention to the corresponding techniques and methods.

Objective:To explore the regulation mechanism of fibronectin expression by studying the fefiects of cytokines on the expression of Fn in the endometrium of early pregnant mouse. Methods: The early pregnant mice were injected with cytokines, such as interlukin-l.inter-lukin-1ra, leukemia inhibitory factor, at different concentration.The levels of Fn protein and mRNA in endometrium were measured by immunob-lot and RT-PCR method.Results: Fn protein and mRNA level of LIF groups, other low or high concentration, were higher than that of control group( P

Objective To evaluate the atrial structural remodeling of the canine model with chronic atrial fibrillation and the influence of captopril on it by acoustic quantification(AQ) technique. Methods Twenty-six healthy mongrel dogs were randomly divided into three groups, each dog in pacing group(n=11) and treating group(n=9) was implanted with permanent pacemaker(pacing at 400 beats/min) to pace the right atrial appendage for 8 weeks. In treating group all dogs were given captopril (50 mg,2 times a day) three days before pacing to 8 weeks after pacing. Echocardiography exam was performed before pacing and 1, 4, 8 weeks later to moniter the changes of the volume and area of biatria. No pacemaker was implanted in control group(n=6), but the exam was performed in the corresponding time with pacing and treating group. Results Monitered by AQ technique: in pacing group biatrial area was significantly enlarged after 1 week pacing, while biatrial volume began to increase 4 weeks later, 8 weeks after pacing both the area and the volume of biatria were enlarged further; in treating group no changes were found in area and volume of biatria after 1 week pacing, while 4 weeks later it tended to enlarge, 8 weeks later both the volume and the area of biatria showed slight increase compared with those before pacing. But the increase was not as much as the increase in pacing group(P

Objective To investigate the relation between expression of P73 , P53, P21 waf1 ,PCNA protein in the different diseases of gastric mucosa and the malignant transformation of gastric mucosa epithelium and their correlation in gastric carcinoma and the relation to histological type , lymph node metastases, depth of invasion of gastric mucosa ,TNM stage in gastric carcinoma. Methods Immunohistochemical staining(S-P method) was used to detect the expression of P73, P53, P21 waf1 , PCNA protein in 39 cases of gastric carcinoma, 17 cases of chronic atrophic gastritis and 40 cases of chronic inflammatory polyp and a statistical analysis was made according to clinicopathogical data. Results The positive rate of P73 protein expression in gastric carcinoma was remarkably higher than that in chronic inflammatory polyp and that in chronic atrophic gastritis( P 0.05). there was negative correlation between expression of P21 waf1 protein and TNM stage, lymph node metastases( P 0.05). Conclusion Probably high expression of P73 gene is one hot spot gene alteration of gastric carcinoma and expression of P73 protein in gastric carcinoma may play an important role in the course of cancerous development. As one tumor suppressor gene, P73 has its tissular specificity. Cooperative expression of P73 and PCNA,and the correlation of expression to P73 and P53 、P21 waf1 protein could be an important index to judge the malignant transformation and clinicopathological process and prognosis. P21 waf1 may be an early signal of gastric carcinoma or one of indexes to judge prognosis.