True ; Dreams ; Dentistry

The use of mouth guards in contact sports effectively prevents oral injuries and preserves oral structures. Many contact sports in which a high impact collision could easily cause oral injury do not require athletes to use mouth guards. We discuss the circumstance of oral injury and awareness concerning the use of mouth guards in Japanese high school soccer and rugby and basketball teams.
During an interview, each athlete was asked a series of questions concerning their history of oral injury while participating in sports and actual circumstances of using a mouth guard.
The incidence of oral injuries was 32.3% in soccer, and 56.5% in rugby, 46.6% in basketball while 0.8% of athletes possessed some type of mouth guard in soccer, 24.1% in rugby and 1.3% in basketball. Although 81.8% of soccer athletes and 81.2% of basketball athletes thought mouth guards were unnecessary, only 26.2% of rugby athletes shared this opinion. Many athletes playing soccer and basketball had insufficient knowledge about mouth guards, and were not interested in preventing oral injury. Due to the diversity of sports that can produce oral injury, it is recommended that mouth guards be worn by all individuals participating in rugby, soccer and basketball.

Tissue engineering and bone regeneration techniques using mesenchymal stem cells (MSCs) have started to be applied to the field of oral and maxillofacial surgery. Clinically, a shortened treatment time and improved efficiency are necessary because of the patients' needs and the running cost of cell culture. In the present study, the cultivation process for human MSCs (hMSCs) was examined by regulating the Wnt signaling pathway. We activated Wnt signaling with LiCl and inhibited Wnt signaling with sFRP-3 (secreted Frizzled-Related Protein-3). The proliferation of LiCl-treated hMSCs was examined by studying the cell growth rate and performing BrdU assays. Osteogenic differentiation of sFRP-3-treated hMSCs was examined by alizarin red staining, and osteogenic gene expression on days 7 and 14 after induction was examined by reverse-transcription polymerase chain reaction (RT-PCR) analysis and quantitative real-time RT-PCR analysis. LiCl-treated hMSCs showed increased cell numbers and BrdU-positive cells as compared to the untreated cells. Alizarin red staining showed early mineralization of hMSCs on day 7 of the sFRP-3 treatment. A high expression level of the alkaline phosphatase gene on days 7 and 14 of sFRP-3 treatment was also demonstrated. These results suggest that the regulation of the Wnt signaling pathway contributes to the increased cell numbers and the early osteogenic differentiation of hMSCs. This study supports the possibility that the regulation of the Wnt signaling pathway contributes to the development of effective and efficient bone regeneration techniques.

Otsujito is a well-known herbal preparation used for treating hemorrhoidal disease. However, we considered the anatomical similarities between the lips and the anus, and here report a case of inflammation of the lips with blood stasis successfully treated with otsujito as well.
The case was a 59-year-old woman suffering from eczema on her face and neck. The eczema showed a tendency to improve with herbal treatment, but inflammation and pruritus of the lips continued. Taking into account the presence of blood stasis, we included otsujito in the treatment and her symptoms improved.
Otsujito contains bupleurum, cimicifuga, scutellaria, and rhubarb, which dissipates heat, and angelica,which resolves blood stasis. Therefore, we consider that inflammation of the lips with blood stasis can be treated with otsujito.