1.Research on the effects of tooth demineralization prevention with Duraphat frequently used in orthodontic patients
GUAN Zhaolan ; QIAN Yajing ; WANG Wei
STOMATOLOGY 2023;43(2):141-144
Objective:
To investigate the effect of frequently used Duraphaton preventing dental demineralization of patients with fixed orthodontic appliances.
Methods:
A total of 50 orthodontic patients wearing fixed appliances at Department of orthodontics, Affiliated Stomatological Hospital, Nanjing Medical University from June to December 2021 were selected as study subjects by convenient sampling method. They were then randomly divided into experimental group and control group according to random numbers. The experimental group received high-frequency fluoride treatment for unilateral maxillary lateral incisors and no treatment on the contralateral side. Meanwhile, the control group received placebo treatment for unilateral maxillary lateral incisors and no treatment on the contralateral side. Each patient was followed up for 6 months. The initial and final photographs of patients' maxillary lateral incisors were observed and scored to determine the mean demineralization progression index for each group.
Results:
The difference in mean demineralization progression index was statistically significant when comparing different groups(P<0.05), and the lowest incidence of demineralization was reported in the Duraphattreated group (0.960±0.465), followed respectively by the fluoride-free control group (1.213±0.713), the placebo control group (1.267±0.720) and the placebo treatment group (1.307±0.713).
Conclusion
High frequency use of Duraphatis is effective in reducing the incidence of demineralization in patients with fixed orthodontic appliances.
2.Periodontal therapy for stage Ⅳ grade C generalized periodontitis: A case report of 7-year follow-up
STOMATOLOGY 2023;43(2):145-152
Periodontal disease is individual-specific and site-specific. Therefore, the periodontal sequence treatment plan should not only base on the patient's condition and disease progression, but also take local conditions into account. This paper reports the whole periodontal therapy of a young patient with stage Ⅳ grade C generalized periodontitis with longitude observation of 7 years. We analyze the factors between extraction and maintenance of hopeless teeth from individual-specific and site-specific perspectives. We also discuss the importance of keratinized mucosa around implants in order to provide reference for the treatment of periodontitis.
3.Morphological and immune characteristics of periodontal tissues under hyperglycemia
STOMATOLOGY 2023;43(2):153-158
Diabetes mellitus can increase the risk and severity of periodontitis and may be associated with changes in the immune characteristics of periodontal tissues. In this paper, the morphological and immune characteristics of periodontal tissues in diabetic patients were reviewed in terms of the changes of morphology, structure and local immune cells in periodontal tissues caused by hyperglycemia and their regulatory mechanisms.
4.Application progress of alveolar ridge preservation in patients with tooth extracted due to periodontitis
ZHANG Chaoying ; GONG Jiaxing ; YU Mengfei ; QIAN Ying ; ZHU Ziyu ; LU Kejie ; WANG Huiming
STOMATOLOGY 2023;43(2):159-165
Alveolar ridge preservation (ARP) has developed rapidly as a method for preserving the alveolar socket's bone volume after tooth extraction. ARP can create conditions for implant restoration, and reduce operation difficulties by decreasing alveolar ridge absorption. There are certain difficulties of ARP applicationin patients with tooth extracted due to periodontitis. This paper mainly introduces the characteristics of ARP, compares the similarities and differences among ARP, guided tissue regeneration, guided bone regeneration and immediate implant, and then summarizes their advantages and disadvantages. The paper focuses on the specificity of ARP and the progress of ARP application in patients with tooth extracted due to periodontitis, in order to offer direction for clinical application and future research on ARP.
5.Research progress of dental self-healing microcapsule materials
YAO Shuo ; ZHANG Xiaoran ; QIN Ludan ; WU Junling
STOMATOLOGY 2023;43(2):166-169
The self-healing microcapsule material is one of the smart materials that can self-identify and self-heal microcracks. Adding microcapsules to dental resin composites can resist generation of microcracks and prolong service life of resin restorations. In this literature, the overview of self-healing microcapsule materials, the combined application of self-healing microcapsule materials and other modified materials, the silanization treatment of dental self-healing microcapsules, the dynamic mechanics, fatigue and aging studies on self-healing dental resins were comprehensively presented and reviewed. In addition, prospects of dental self-healing microcapsule materials were also discussed.
6.Cross-regulation of Wnt/β-catenin and NF-κB signaling pathway and their involvement in the differentiation of mesenchymal stem cells
SUN Jiayao ; ZONG Bin ; XIE Yutong ; XU Quanchen
STOMATOLOGY 2023;43(2):170-175
Both Wnt/β-catenin signaling pathway and NF-κB signaling pathway are highly conservative pathways that regulate a variety of biological processes, and their cross-regulation have attracted attention in many biological and medical research fields. In this review, we summarize the cross-regulation between Wnt/β-catenin signaling pathway and NF-κB signaling pathway and discuss their involvement in the multi-directional differentiation of mesenchymal stem cells.
7.Research progress of tight junction protein Claudin of salivary glands
ZHANG Pengxin ; FEI Runxin ; XU Hui
STOMATOLOGY 2023;43(2):176-181
Tight junction(TJ) is complex dynamic system involved in protein interactions in the paracellular secretory pathway, with both barrier and fence functions. Claudin family, the main section of tight junction strands, will be abnormal in expression pattern in the circumstances of radiation injuries, inflammation, Sj?gren's syndrome, diabetes and other pathological conditions in salivary glands. This change leads to abnormal structure and function of tight junctions, indirectly manifested as salivary gland dysfunction. In addition, the difference of Claudin expression in salivary gland tumors can also be used as an indicator of tumor type and prognosis. This review focuses on the progress of research on common Claudin in salivary glands, including the structure, function, expression patterns of related diseases and their applications. It is believed that the review may provide new ideas for clinical and basic research on Claudin protein-related diseases.
8.Research progress and application of rodents model construction of peri-implantitis
DAI Yuwei ; LI Jie ; SUN Yuanyuan ; WU Yiqun ; MENG Jian
STOMATOLOGY 2023;43(2):182-187
With the increasing popularity of dental implants, prevalence of peri-implantitishas also been increasing in recent years. However, a deeper understanding of the pathogenesis of peri-implantitis is still lacking. Animal models are a good bridge for studying the pathogenesis of clinical diseases. Animals such as mini-pigs, canines, non-human primates and rodents are used to construct animal models of peri-implantitis. Among them, rodents are easy to obtain and feed, and have a wide range of applications for research. In this review, we summarize the construction of rodent modelswithperi-implantitis as well as the research progress and applications.
9.Progress of research on diagnosis and treatment of the first bite syndrome
YANG Xia ; YE Qingyuan ; SONG Changlong ; HOU Rui ; YANG Yaowu ; WEI Jianhua
STOMATOLOGY 2023;43(2):188-192
The first bite syndrome is a rare maxillofacial pain syndrome easily ignored by clinicians. The pain caused by it not only makes it difficult for patients to eat and delays surgical wound healing, but also rises fear and anxiety of patients while they eat, which would severely reduce their life quality. There are few case reports about the first bite syndrome in China, and clinicians know little about it. Therefore, the early diagnosis and treatment of such a disease are important. In this review, we thoroughly reviewed the etiology and classification, pathogenesis, clinical manifestation, and current treatments of the first bite syndrome, aiming at providing some suggestions for clinicians.
10.Early treatment based on the basic theory of malocclusion
STOMATOLOGY 2023;43(3):193-196
Understanding the etiology and mechanism of early malocclusion and the characteristics of craniofacial growth and development is a necessary prerequisite for scientific early treatment. Clarifying the basic principles of early orthodontic treatment is conducive to the coordinated development of the orognathic system.In order to improve the success rate of early treatment and reduce the difficulty of orthodontic sequential treatment in the future, it is necessary to identify indications of temporary malocclusion and early treatment with bad prognosis. This article starts from the basic concept, in order to provide guidance for clinical practice.