1.Application of multimodal medical image fusion in temporomandibular joint diseases
Wei ZHAO ; Xinrong SUN ; Yue FENG ; Weicai LIU
Chinese Journal of Stomatology 2025;60(3):296-301
With the rapid development of modern technology, the deep integration of computer science and medicine has greatly propelled the field of the dental diagnostics field. Multimodal medical image registration refers to the fusion of information from various modalities of medical imaging. In other words, with the assistance of computer technology, the image data acquired from various radiological examinations undergo spatial registration and are merged to create a comprehensive new image, serving the purpose of computer-aided diagnosis. The temporomandibular joint (TMJ) has complex anatomical structures, so there is a wide range of diseases associated with it. Traditional single-modal imaging methods can only provide partial anatomical information, which limits the comprehensive assessment and subsequently hinders the diagnosis and treatment of TMJ diseases. Multimodal medical image registration techniques, owing to their ability to provide comprehensive information, have been widely applied in the field of dentistry. This has greatly enhanced the efficiency of diagnosing and treating TMJ diseases. The article discusses the advancements in the application of multimodal medical image registration in the context of TMJ diseases.
2.Margin strategies for fixed restorations in esthetic zone based on the restoration-tooth- periodontium interface relationship
Chinese Journal of Stomatology 2025;60(4):332-339
Establishing a harmonious relationship between the fixed restoration-tooth-periodontium (RTP) at the interface is crucial for achieving successful and long-lasting outcomes in esthetic zone restorations. This paper focuses on this core issue by elucidating the ideal RTP interface relationship, detailing a biological-esthetic dual-axis diagnostic classification for esthetic zone restorations based on RTP interface situation, and discussing clinical decision-making and treatment plans guided by this classification. Furthermore, specific strategies for managing the restoration margins in the esthetic zone are explored, emphasizing approaches that minimize adverse impact and enhance periodontal soft tissue protection on RTP interface in different diagnostic categories.
3.Personalized design and clinical application of digital occlusal splints based on virtual dental patients
Chinese Journal of Stomatology 2025;60(6):596-602
With the innovation of digital technologies, the personalized fabrication of occlusal splints has shifted from traditional manual methods to an efficient and precise digital workflow. This paper systematically reviews the latest advancements in materials, design technologies, and clinical applications of digital occlusal splints, analyzes core issues in current clinical practice such as insufficient standardization and lack of long-term efficacy evidence, and proposes a dynamic diagnosis-and-treatment protocol based on four-dimensional virtual dental patient technology. Combined with the team′s developed functional anterior repositioning splint system and clinical cases, the innovative advantages in treating anterior disc displacement with reduction of the temporomandibular joint are highlighted: achieving precise jaw position regulation, functional restoration, and serialized treatment through multimodal data fusion. Finally, the paper envisions the optimization direction of full-process integration driven by artificial intelligence and new materials, providing theoretical support for the clinical translation of digital occlusal splints.
4.Consensus on informed consent for orthodontic treatment
Yang CAO ; Bing FANG ; Zuolin JIN ; Hong HE ; Yuxing BAI ; Lin WANG ; Haiping LU ; Zhihe ZHAO ; Tianmin XU ; Weiran LI ; Min HU ; Jinlin SONG ; Jun WANG ; Fang JIN ; Ding BAI ; Xianglong HAN ; Yuehua LIU ; Bin YAN ; Jie GUO ; Jiejun SHI ; Yongming LI ; Zhihua LI ; Xiuping WU ; Jiangtian HU ; Linyu XU ; Lin LIU ; Yi LIU ; Yanqin LU ; Wensheng MA ; Shuixue MO ; Liling REN ; Shuxia CUI ; Yongjie FAN ; Jianguang XU ; Lulu XU ; Zhijun ZHENG ; Peijun WANG ; Rui ZOU ; Chufeng LIU ; Lunguo XIA ; Li HU ; Weicai WANG ; Liping WU ; Xiaoxing KOU ; Jiali TAN ; Yuanbo LIU ; Bowen MENG ; Yuantao HAO ; Lili CHEN
Chinese Journal of Stomatology 2025;60(12):1327-1336
This consensus was developed by the Orthodontic Society of the Chinese Stomatological Association to provide a systematic, scientific, and practical guideline for informed consent in orthodontic care. Orthodontic treatment is typically lengthy, highly individualized, and involves multiple factors such as growth and development, occlusal function, and facial esthetics. Rapid technological advances and diverse risk profiles make the traditional reliance on orthodontist experience or institutional templates insufficient to ensure patients′ full understanding and autonomous decision-making. To address this, the expert panel conducted extensive reviews of domestic and international guidelines, analyzed representative dispute cases, and performed multicenter patient-clinician surveys. Using a multi-round Delphi method, the group established a standardized informed consent framework covering the initial consultation, treatment, and retention phases. The consensus emphasizes that informed consent is not only a fundamental legal and ethical requirement but also a key step in building trust, improving patient compliance, and enhancing treatment satisfaction. Orthodontists should clearly and comprehensively explain treatment plans, potential risks, uncertainties, and associated costs, while respecting the autonomy of patients or guardians, and maintain continuous communication and dynamic evaluation throughout the treatment process. The release of this consensus provides unified and authoritative guidance for clinical orthodontics, helping to standardize informed consent, enhance its transparency, safeguard patient rights, reduce medical risks, and promote high-quality, sustainable development of orthodontic practice.
5.Application of multimodal medical image fusion in temporomandibular joint diseases
Wei ZHAO ; Xinrong SUN ; Yue FENG ; Weicai LIU
Chinese Journal of Stomatology 2025;60(3):296-301
With the rapid development of modern technology, the deep integration of computer science and medicine has greatly propelled the field of the dental diagnostics field. Multimodal medical image registration refers to the fusion of information from various modalities of medical imaging. In other words, with the assistance of computer technology, the image data acquired from various radiological examinations undergo spatial registration and are merged to create a comprehensive new image, serving the purpose of computer-aided diagnosis. The temporomandibular joint (TMJ) has complex anatomical structures, so there is a wide range of diseases associated with it. Traditional single-modal imaging methods can only provide partial anatomical information, which limits the comprehensive assessment and subsequently hinders the diagnosis and treatment of TMJ diseases. Multimodal medical image registration techniques, owing to their ability to provide comprehensive information, have been widely applied in the field of dentistry. This has greatly enhanced the efficiency of diagnosing and treating TMJ diseases. The article discusses the advancements in the application of multimodal medical image registration in the context of TMJ diseases.
6.Margin strategies for fixed restorations in esthetic zone based on the restoration-tooth- periodontium interface relationship
Chinese Journal of Stomatology 2025;60(4):332-339
Establishing a harmonious relationship between the fixed restoration-tooth-periodontium (RTP) at the interface is crucial for achieving successful and long-lasting outcomes in esthetic zone restorations. This paper focuses on this core issue by elucidating the ideal RTP interface relationship, detailing a biological-esthetic dual-axis diagnostic classification for esthetic zone restorations based on RTP interface situation, and discussing clinical decision-making and treatment plans guided by this classification. Furthermore, specific strategies for managing the restoration margins in the esthetic zone are explored, emphasizing approaches that minimize adverse impact and enhance periodontal soft tissue protection on RTP interface in different diagnostic categories.
7.Personalized design and clinical application of digital occlusal splints based on virtual dental patients
Chinese Journal of Stomatology 2025;60(6):596-602
With the innovation of digital technologies, the personalized fabrication of occlusal splints has shifted from traditional manual methods to an efficient and precise digital workflow. This paper systematically reviews the latest advancements in materials, design technologies, and clinical applications of digital occlusal splints, analyzes core issues in current clinical practice such as insufficient standardization and lack of long-term efficacy evidence, and proposes a dynamic diagnosis-and-treatment protocol based on four-dimensional virtual dental patient technology. Combined with the team′s developed functional anterior repositioning splint system and clinical cases, the innovative advantages in treating anterior disc displacement with reduction of the temporomandibular joint are highlighted: achieving precise jaw position regulation, functional restoration, and serialized treatment through multimodal data fusion. Finally, the paper envisions the optimization direction of full-process integration driven by artificial intelligence and new materials, providing theoretical support for the clinical translation of digital occlusal splints.
8.Consensus on informed consent for orthodontic treatment
Yang CAO ; Bing FANG ; Zuolin JIN ; Hong HE ; Yuxing BAI ; Lin WANG ; Haiping LU ; Zhihe ZHAO ; Tianmin XU ; Weiran LI ; Min HU ; Jinlin SONG ; Jun WANG ; Fang JIN ; Ding BAI ; Xianglong HAN ; Yuehua LIU ; Bin YAN ; Jie GUO ; Jiejun SHI ; Yongming LI ; Zhihua LI ; Xiuping WU ; Jiangtian HU ; Linyu XU ; Lin LIU ; Yi LIU ; Yanqin LU ; Wensheng MA ; Shuixue MO ; Liling REN ; Shuxia CUI ; Yongjie FAN ; Jianguang XU ; Lulu XU ; Zhijun ZHENG ; Peijun WANG ; Rui ZOU ; Chufeng LIU ; Lunguo XIA ; Li HU ; Weicai WANG ; Liping WU ; Xiaoxing KOU ; Jiali TAN ; Yuanbo LIU ; Bowen MENG ; Yuantao HAO ; Lili CHEN
Chinese Journal of Stomatology 2025;60(12):1327-1336
This consensus was developed by the Orthodontic Society of the Chinese Stomatological Association to provide a systematic, scientific, and practical guideline for informed consent in orthodontic care. Orthodontic treatment is typically lengthy, highly individualized, and involves multiple factors such as growth and development, occlusal function, and facial esthetics. Rapid technological advances and diverse risk profiles make the traditional reliance on orthodontist experience or institutional templates insufficient to ensure patients′ full understanding and autonomous decision-making. To address this, the expert panel conducted extensive reviews of domestic and international guidelines, analyzed representative dispute cases, and performed multicenter patient-clinician surveys. Using a multi-round Delphi method, the group established a standardized informed consent framework covering the initial consultation, treatment, and retention phases. The consensus emphasizes that informed consent is not only a fundamental legal and ethical requirement but also a key step in building trust, improving patient compliance, and enhancing treatment satisfaction. Orthodontists should clearly and comprehensively explain treatment plans, potential risks, uncertainties, and associated costs, while respecting the autonomy of patients or guardians, and maintain continuous communication and dynamic evaluation throughout the treatment process. The release of this consensus provides unified and authoritative guidance for clinical orthodontics, helping to standardize informed consent, enhance its transparency, safeguard patient rights, reduce medical risks, and promote high-quality, sustainable development of orthodontic practice.
9.Expert consensus on digital restoration of complete dentures.
Yue FENG ; Zhihong FENG ; Jing LI ; Jihua CHEN ; Haiyang YU ; Xinquan JIANG ; Yongsheng ZHOU ; Yumei ZHANG ; Cui HUANG ; Baiping FU ; Yan WANG ; Hui CHENG ; Jianfeng MA ; Qingsong JIANG ; Hongbing LIAO ; Chufan MA ; Weicai LIU ; Guofeng WU ; Sheng YANG ; Zhe WU ; Shizhu BAI ; Ming FANG ; Yan DONG ; Jiang WU ; Lin NIU ; Ling ZHANG ; Fu WANG ; Lina NIU
International Journal of Oral Science 2025;17(1):58-58
Digital technologies have become an integral part of complete denture restoration. With advancement in computer-aided design and computer-aided manufacturing (CAD/CAM), tools such as intraoral scanning, facial scanning, 3D printing, and numerical control machining are reshaping the workflow of complete denture restoration. Unlike conventional methods that rely heavily on clinical experience and manual techniques, digital technologies offer greater precision, predictability, and efficacy. They also streamline the process by reducing the number of patient visits and improving overall comfort. Despite these improvements, the clinical application of digital complete denture restoration still faces challenges that require further standardization. The major issues include appropriate case selection, establishing consistent digital workflows, and evaluating long-term outcomes. To address these challenges and provide clinical guidance for practitioners, this expert consensus outlines the principles, advantages, and limitations of digital complete denture technology. The aim of this review was to offer practical recommendations on indications, clinical procedures and precautions, evaluation metrics, and outcome assessment to support digital restoration of complete denture in clinical practice.
Humans
;
Denture, Complete
;
Computer-Aided Design
;
Denture Design/methods*
;
Consensus
;
Printing, Three-Dimensional
10.Sodium hydrosulfide increases glutathione synthesis in cardiac muscle cell line HL-1 under hyperglycemia and hyperlipidemia
Weicai ZHANG ; Siren LIU ; Shangnong WANG
Basic & Clinical Medicine 2024;44(1):69-76
Objective To investigate sodium hydrogen sulfide(NaHS)with function of regulating glutathione(GSH)synthesis to reduce reactive oxygen species(ROS)production in type 2 diabetic cardiomyopathy(DCM).Methods Mouse cardiomyocyte cell line HL-1 was incubated with high concentration of glucose(HG:40 mmol/L)and palmitate(Pal:500 μmol/L)as a cell model of type 2 DCM.HL-1 cells were incubated with NaHS(100 μmol/L),DL-propargylglycin(PPG,1 mmol/L)and N-acetyl-l-cysteine(NAC,5 mmol/L),respectively for 72 hours.The expression of cystathionine-γ-lyase(CSE)and the key enzymes of glutathione production was tested by Western blot.Dihydroethidium(DHE)and dichlorofluoromethane(DCFH)were used to detect the content of ROS in HL-1 cells.Cell viability was detected by CCK8 kit.The content of total GSH was detected.The interaction between muscle specific ring finger protein 1(Murf1)and nuclear factor erythroid-derived 2-related factor 2(Nrf2)and Nrf2 ubiquitylation was determined by co-immunoprecipitation(co-IP).Results Compared with control group,the expression level of CSE,solute carrier family 7 members 11(SLC7A11),glutamate cysteine ligase C(GCLC),glutamate cysteine ligase M(GCLM)and glutathione synthetase(GSS)in HL-1 cells treated incubated with high glucose and palmitate was decreased,however,NaHS was found to restore it.NaHS reduced the content of ROS in HL-1 cells treated with high glucose and palmitate.The interaction between murf1 and Nrf2 was confirmed by co-immunoprecipitation(Co-IP).Compared with NaHS group,the ubiquitylation level of Nrf2 was enhanced in high glucose and palmitate group.Conclusions Sodium hydrosulfide may reduce the ubiquitylation level of Nrf2 and promote the expression of key enzymes of GSH synthesis.

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