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Clinical, Immunological and Microbiological Improvements With Zinc-Coated Healing Abutments During the Healing Phase 锌包覆修复基台在愈合阶段的临床、免疫学和微生物学改善。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-06 DOI: 10.1016/j.identj.2025.109338
Yu Zhu , Shu-li Liu , Xiong Lu , Gang Luo , Zuo-hui Xiao , Ying-kai Wang , Jie Zhou , Shi-chong Qiao

Purpose

The aim of this study was to evaluate the clinical, immunological, and microbiological effects of zinc-coated healing abutments (Zn-TiO2 abutments) on peri-implant soft tissue as compared with the commercially used ones (Ti abutments).

Methods

The study was a prospective, non-randomised, single-centre, open-label, proof-of-concept clinical trial. The Ti and Zn-TiO2 abutments were non-randomly connected to 2 neighbouring implants in the posterior region in each eligible patient. The bleeding-on-probing proportion (BOP%), probing pocket depth (PPD), the concentration of the pro-inflammatory cytokine (TNF-α, IL-6) in the peri-implant crevicular fluid (PICF), and the early microbial communities assessed by 16S rRNA sequencing were recorded.

Results

Eleven patients with 22 implants attended the 8-week examination. The BOP% was significantly lower in the Zn-TiO2 abutments than that in the Ti abutments (24.23% ± 13.67% versus 42.42% ± 29.22%, P = .019). The concentration of TNF-α in PICF was significantly lower in the Zn-TiO2 abutments than that in the Ti abutments (22.86 ± 11.21 versus 32.05 ± 16.28, P = .022). No significant differences in PPD and IL-6 were found between the two groups. Based on the microbiome assessments, higher microbial richness and lower presence of Lancefieldella were also observed in the Zn-TiO2 abutments as compared with the Ti abutments.

Conclusion

Within the limitations of the study, the zinc-coated healing abutments improved early peri-implant soft tissue health clinically and immunologically. However, further studies are still needed to exclude the interference of soft tissue phenotype and confirm the relationship between microbial and clinical findings.
目的:本研究的目的是评价锌包覆愈合基牙(Zn-TiO2基牙)与市售的钛基牙(Ti基牙)对种植体周围软组织的临床、免疫学和微生物学效果。方法:该研究是一项前瞻性、非随机、单中心、开放标签、概念验证的临床试验。在每个符合条件的患者中,Ti和Zn-TiO2基牙非随机连接到2个相邻的后牙区种植体。记录探针出血比例(BOP%)、探针口袋深度(PPD)、种植体周围沟液(PICF)中促炎细胞因子(TNF-α、IL-6)的浓度以及16S rRNA测序评估的早期微生物群落。结果:11例患者22颗种植体参加了为期8周的检查。Zn-TiO2基牙的BOP%明显低于Ti基牙(24.23%±13.67% vs 42.42%±29.22%,P = 0.019)。Zn-TiO2基牙PICF中TNF-α浓度明显低于Ti基牙(22.86±11.21比32.05±16.28,P = 0.022)。两组间PPD和IL-6无显著差异。结果表明,与Ti基牙相比,Zn-TiO2基牙的微生物丰富度更高,Lancefieldella的存在率更低。结论:在研究范围内,锌包被愈合基牙在临床和免疫学上改善了早期种植周软组织健康。然而,仍需要进一步的研究来排除软组织表型的干扰,并确认微生物与临床表现之间的关系。
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引用次数: 0
Real-World Sodium Fluoride Safety Signals: Dual-Database Pharmacovigilance 真实世界氟化钠安全信号:双数据库药物警戒。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109423
Wanchen Ning , Xiangyu Huang , Simin Li , Linxin Jiang , Daniel R Reissmann , Deborah Kreher , Gerhard Schmalz , Lei Chen , Shaohong Huang

Introduction and aims

Sodium fluoride is widely used in preventive dentistry, yet its global safety profile has not been comprehensively characterised using real-world data. This study aimed to characterise reporting patterns and safety signals associated with sodium fluoride through an integrated pharmacovigilance analysis of the FDA adverse event reporting system (FAERS) and the World Health Organization (WHO) VigiBase.

Methods

Adverse event (AE) reports related to sodium fluoride were extracted from FAERS (2004-2024) and VigiBase (1971-2024). Reporting characteristics, including demographic distributions, reporter type, and event seriousness, were summarised descriptively. AEs were coded using the medical dictionary for regulatory activities (MedDRA) at the preferred term (PT) and system organ class (SOC) levels. Disproportionality-based signal detection was performed using multiple algorithms, and cross-database validation was applied to evaluate signal consistency and database-specific reporting features.

Results

Reporting patterns differed between the two systems: FAERS reports were predominantly submitted from the United States and by consumers, whereas VigiBase reports were mainly from Europe, with a higher proportion of health care professionals reporting. Reports involving female individuals were more frequently observed in both databases. Safety signals were primarily concentrated in oral and dental conditions, including dental fluorosis and acute oral mucosal reactions. Overall, 122 shared safety signals were identified across the two databases, with 62% involving oral or dental tissues. Adult populations accounted for a substantial proportion of reported signals, and a high proportion of reports were classified as serious, with predominantly early reported onset intervals.

Conclusion

This dual-database pharmacovigilance analysis identified consistent sodium fluoride-associated safety signals with a predominant oral and dental focus, alongside notable geographic and demographic reporting differences. Cross-database validation highlighted complementary strengths of FAERS and VigiBase for global safety surveillance of fluoride-containing dental products.

Clinical relevance

These findings support enhanced awareness of sodium fluoride-related safety patterns and may inform targeted monitoring strategies in preventive dental practice.
简介和目的:氟化钠广泛用于预防性牙科,但其全球安全性概况尚未使用实际数据进行全面表征。本研究旨在通过对FDA不良事件报告系统(FAERS)和世界卫生组织(WHO) VigiBase的综合药物警戒分析,描述与氟化钠相关的报告模式和安全信号。方法:提取FAERS(2004-2024)和VigiBase(1971-2024)中与氟化钠相关的不良事件(AE)报告。报告特征,包括人口分布、报告者类型和事件严重性,进行描述性总结。使用医学调节活动词典(MedDRA)在首选术语(PT)和系统器官分类(SOC)水平上对ae进行编码。使用多种算法执行基于歧化的信号检测,并应用跨数据库验证来评估信号一致性和数据库特定的报告功能。结果:两个系统之间的报告模式不同:FAERS报告主要来自美国和消费者,而VigiBase报告主要来自欧洲,卫生保健专业人员报告的比例更高。涉及女性个体的报告在这两个数据库中更为常见。安全信号主要集中在口腔和牙齿状况,包括氟斑牙和急性口腔黏膜反应。总体而言,在两个数据库中确定了122个共享的安全信号,其中62%涉及口腔或牙齿组织。成年人群占报告信号的很大比例,并且很大比例的报告被归类为严重,主要是早期报告的发病间隔。结论:这项双数据库药物警戒分析确定了与氟化钠相关的安全信号一致,主要集中在口腔和牙科,以及显著的地理和人口报告差异。交叉数据库验证强调了FAERS和VigiBase在全球含氟牙科产品安全监测方面的互补优势。临床相关性:这些发现支持提高对氟化钠相关安全模式的认识,并可能为预防性牙科实践中有针对性的监测策略提供信息。
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引用次数: 0
Long Noncoding RNA SATB1-AS1 Suppresses Inflammatory Response and Injury in Dental Pulp Stem Cells Through the miR-15a-5p/E2F3 Axis 长链非编码RNA SATB1-AS1通过miR-15a-5p/E2F3轴抑制牙髓干细胞的炎症反应和损伤
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109412
Shuyue Ding , Yuan Shi

Introduction and aims

Pulpitis represents a prevalent dental condition where inflammatory tissue damage can advance into irreversible stages or pulp death, ultimately compromising oral health-related quality of life. This study investigated the role and underlying mechanisms of long noncoding RNA SATB1-AS1 in pulpitis progression, offering potential therapeutic targets for this condition.

Methods

This study included 50 patients with irreversible pulpitis (pulpitis group) and 50 age- and gender-matched orthodontic extraction controls (control group). The expression of SATB1-AS1 in pulpitis tissues was assayed using real-time quantitative PCR. A pulpitis model was established by treating human dental pulp stem cells (DPSCs) with lipopolysaccharide (LPS). Evaluation of DPSC proliferation was performed using CCK-8. The levels of cell cycle-related proteins and inflammatory factors were measured by ELISA, and oxidative stress was evaluated by detecting superoxide dismutase, glutathione peroxidase, glutathione, and malondialdehyde. Bioinformatics tools were utilized to identify potential targets, followed by experimental validation through dual-luciferase reporter assays.

Results

Downregulation of SATB1-AS1 was identified in diseased pulpitis tissues and cell models. In LPS-induced DPSCs, SATB1-AS1 facilitated cell proliferation and modulated Cyclin D1 and p21 expression. Furthermore, SATB1-AS1 alleviated the LPS-induced release of IL-1β, IL-6, and IL-8, and mitigated oxidative stress-related injury by altering the levels of superoxide dismutase, glutathione peroxidase, glutathione, and malondialdehyde. MiR-15a-5p was negatively modulated by SATB1-AS1. Concurrent expression of miR-15a-5p eliminated the beneficial effects of SATB1-AS1 on DPSC function. Further investigation identified E2F3 as a target of miR-15a-5p, establishing the SATB1-AS1/miR-15a-5p/E2F3 axis as a regulatory pathway in LPS-treated DPSCs.

Conclusion

The findings indicate that SATB1-AS1 potentially mitigates inflammatory processes and oxidative damage via modulation of the miR-15a-5p/E2F3 axis, consequently suppressing pulpitis development.

Clinical relevance

This study suggests that SATB1-AS1 may serve as a novel diagnostic biomarker and therapeutic target for pulpitis, providing a potential strategy to preserve pulp vitality and improve clinical outcomes.
简介和目的:牙髓炎是一种常见的牙齿疾病,炎症组织损伤可以发展到不可逆转的阶段或牙髓死亡,最终损害口腔健康相关的生活质量。本研究探讨了长链非编码RNA SATB1-AS1在牙髓炎进展中的作用和潜在机制,为这种疾病提供了潜在的治疗靶点。方法:本研究纳入50例不可逆牙髓炎患者(牙髓炎组)和50例年龄和性别匹配的正畸拔牙对照组(对照组)。采用实时定量PCR检测SATB1-AS1在牙髓炎组织中的表达。采用脂多糖(LPS)处理人牙髓干细胞(DPSCs),建立了牙髓炎模型。CCK-8检测DPSC的增殖情况。ELISA检测细胞周期相关蛋白和炎症因子水平,通过检测超氧化物歧化酶、谷胱甘肽过氧化物酶、谷胱甘肽和丙二醛评估氧化应激。利用生物信息学工具确定潜在靶点,然后通过双荧光素酶报告基因检测进行实验验证。结果:病变牙髓炎组织及细胞模型中发现SATB1-AS1表达下调。在lps诱导的DPSCs中,SATB1-AS1促进细胞增殖并调节Cyclin D1和p21的表达。此外,SATB1-AS1通过改变超氧化物歧化酶、谷胱甘肽过氧化物酶、谷胱甘肽和丙二醛的水平,减轻了lps诱导的IL-1β、IL-6和IL-8的释放,减轻了氧化应激相关的损伤。MiR-15a-5p被SATB1-AS1负向调节。miR-15a-5p的同时表达消除了SATB1-AS1对DPSC功能的有益作用。进一步的研究发现E2F3是miR-15a-5p的靶标,建立了SATB1-AS1/miR-15a-5p/E2F3轴作为lps处理的DPSCs的调控通路。结论:研究结果表明,SATB1-AS1可能通过调节miR-15a-5p/E2F3轴来减轻炎症过程和氧化损伤,从而抑制牙髓炎的发展。临床意义:本研究提示SATB1-AS1可能作为一种新的诊断生物标志物和治疗牙髓炎的靶点,为保持牙髓活力和改善临床结果提供了潜在的策略。
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引用次数: 0
Developing an Interpretable Machine Learning Framework to Predict and Analyse Early Childhood Caries in Children Aged 2 to 6 Years: A Single-centre Observational Study 开发一个可解释的机器学习框架来预测和分析2至6岁儿童的早期儿童龋齿:一项单中心观察研究。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109419
Xinyue Yuan, Yiting Chu, Wenyan Cai

Background

Early childhood caries (ECC) is a prevalent global oral health condition, exerting profound adverse effects on children’s oral health, general health, and quality of life. Its onset involves demographic, socioeconomic, behavioural, and clinical factors. While many studies report individual risks, systematic analyses to prioritise predictors remain limited.

Methods

This single-centre observational study included 900 children who visited the hospital between October 2022 and May 2024. Collected variables included age, parental background, feeding practices, general health status, oral hygiene and dietary habits. Univariate and multivariate analyses were conducted to identify factors associated with ECC. Five machine learning (ML) models – logistic regression (LR), random forest (RF), decision tree (DT), k-nearest neighbours (KNN) and support vector machine (SVM) – were developed to predict ECC. ECC presence or absence was used as the clinical outcome. Risk stratification classified children into low-, moderate-, and high-risk groups.

Results

Significant predictors included age, maternal education, vitamin supplementation during pregnancy and for the child, carbohydrate intake, nighttime feeding behaviours, cessation timing, light exposure during sleep and outdoor activity (P < .05). LR achieved the highest accuracy (99.4%), followed by SVM (98.9%), RF (96.7%), DT (95.0%) and KNN (91.1%).

Conclusion

The machine learning models effectively identified key determinants of ECC, underscoring the critical roles of maternal education, dietary patterns, and lifestyle-related factors. Risk-based stratification derived from these models may inform targeted early preventive interventions in both clinical and community settings, thereby contributing to a reduction in the overall burden of ECC.
背景:儿童早期龋齿(Early childhood龋,ECC)是一种普遍存在的全球性口腔健康问题,对儿童的口腔健康、整体健康和生活质量产生了深远的不良影响。其发病涉及人口、社会经济、行为和临床因素。虽然许多研究报告了个体风险,但对预测因子进行优先排序的系统分析仍然有限。方法:这项单中心观察性研究纳入了900名在2022年10月至2024年5月期间就诊的儿童。收集的变量包括年龄、父母背景、喂养习惯、一般健康状况、口腔卫生和饮食习惯。进行了单因素和多因素分析,以确定与ECC相关的因素。开发了五种机器学习(ML)模型——逻辑回归(LR)、随机森林(RF)、决策树(DT)、k近邻(KNN)和支持向量机(SVM)——来预测ECC。以有无ECC作为临床结果。风险分层将儿童分为低、中、高风险组。结果:显著的预测因素包括年龄、母亲受教育程度、孕期和儿童维生素补充情况、碳水化合物摄入量、夜间喂养行为、戒烟时间、睡眠时光照和户外活动(P < 0.05)。LR的准确率最高(99.4%),其次是SVM(98.9%)、RF(96.7%)、DT(95.0%)和KNN(91.1%)。结论:机器学习模型有效地识别了ECC的关键决定因素,强调了母亲教育、饮食模式和生活方式相关因素的关键作用。从这些模型中得出的基于风险的分层可以为临床和社区环境中有针对性的早期预防干预提供信息,从而有助于减少ECC的总体负担。
{"title":"Developing an Interpretable Machine Learning Framework to Predict and Analyse Early Childhood Caries in Children Aged 2 to 6 Years: A Single-centre Observational Study","authors":"Xinyue Yuan,&nbsp;Yiting Chu,&nbsp;Wenyan Cai","doi":"10.1016/j.identj.2026.109419","DOIUrl":"10.1016/j.identj.2026.109419","url":null,"abstract":"<div><h3>Background</h3><div>Early childhood caries (ECC) is a prevalent global oral health condition, exerting profound adverse effects on children’s oral health, general health, and quality of life. Its onset involves demographic, socioeconomic, behavioural, and clinical factors. While many studies report individual risks, systematic analyses to prioritise predictors remain limited.</div></div><div><h3>Methods</h3><div>This single-centre observational study included 900 children who visited the hospital between October 2022 and May 2024. Collected variables included age, parental background, feeding practices, general health status, oral hygiene and dietary habits. Univariate and multivariate analyses were conducted to identify factors associated with ECC. Five machine learning (ML) models – logistic regression (LR), random forest (RF), decision tree (DT), k-nearest neighbours (KNN) and support vector machine (SVM) – were developed to predict ECC. ECC presence or absence was used as the clinical outcome. Risk stratification classified children into low-, moderate-, and high-risk groups.</div></div><div><h3>Results</h3><div>Significant predictors included age, maternal education, vitamin supplementation during pregnancy and for the child, carbohydrate intake, nighttime feeding behaviours, cessation timing, light exposure during sleep and outdoor activity (<em>P</em> &lt; .05). LR achieved the highest accuracy (99.4%), followed by SVM (98.9%), RF (96.7%), DT (95.0%) and KNN (91.1%).</div></div><div><h3>Conclusion</h3><div>The machine learning models effectively identified key determinants of ECC, underscoring the critical roles of maternal education, dietary patterns, and lifestyle-related factors. Risk-based stratification derived from these models may inform targeted early preventive interventions in both clinical and community settings, thereby contributing to a reduction in the overall burden of ECC.</div></div>","PeriodicalId":13785,"journal":{"name":"International dental journal","volume":"76 2","pages":"Article 109419"},"PeriodicalIF":3.7,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Multimodal Model for Caries Screening Using Intraoral Images and Questionnaires 利用口腔内图像和问卷进行龋齿筛查的多模式模型。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109420
Zhuoying Liu , Junjie Li , Siwei Wang , Weijia Liu , Wenyu Wang , Huancai Lin , Liangyue Pang

Introduction and aims

To develop a multimodal deep learning model for dental caries screening in children by integrating intraoral photographs and questionnaire-based data, and to compare its performance against that of a unimodal model utilising images alone.

Methods

In total, 7671 images (3913 occlusal and 3758 smooth surfaces) were collected from children across different dentition stages. Oral health questionnaires were also conducted. The images were clinically labelled into three categories: caries-free, early caries, and moderate-to-severe caries. A multimodal model integrating intraoral images and questionnaire data was trained and evaluated against an image-only unimodal model. The performance metrics included accuracy, precision, recall, F1 score, and the area under the receiver operating characteristic curve (ROC-AUC). SHapley Additive exPlanations (SHAP) analysis was conducted to interpret feature importance.

Results

For the multimodal model, occlusal surface classification achieved an accuracy of 92.3% for the caries-free category, 89.2% for the early caries category, and 93.7% for the moderate-to-severe caries category, with ROC-AUCs of 0.967, 0.911, and 0.972, respectively. The performance of smooth surfaces was similarly strong (an accuracy of 92.1% for the caries-free category, 96.7% for the early caries category, and 93.4% for the moderate-to-severe caries category), with ROC-AUCs of 0.938, 0.908, and 0.963, respectively. Incorporating questionnaire data improved recall for the early caries category without compromising overall accuracy. SHAP analysis provided interpretable insights into model decision-making.

Conclusion

Compared with the image-only unimodal model, the multimodal deep learning model increased early caries recall while preserving overall diagnostic performance.

Clinical relevance

This study describes a multimodal caries intelligent screening model, demonstrating its potential as a population-level screening tool. However, further large-scale, multicentre validation is necessary to confirm its generalisability and effectiveness.
前言和目的:通过整合口腔内照片和基于问卷的数据,开发用于儿童龋齿筛查的多模态深度学习模型,并将其与仅使用图像的单模态模型的性能进行比较。方法:收集儿童不同牙列阶段的图像7671张(咬合面3913张,光滑面3758张)。还进行了口腔健康问卷调查。临床将图像分为三类:无龋、早期龋和中重度龋。结合口腔内图像和问卷数据的多模态模型进行训练,并与仅图像的单模态模型进行评估。性能指标包括准确率、精密度、召回率、F1评分和受试者工作特征曲线下面积(ROC-AUC)。采用SHapley加性解释(SHAP)分析来解释特征重要性。结果:对于多模态模型,无龋类别的牙合面分类准确率为92.3%,早期龋类别的准确率为89.2%,中重度龋类别的准确率为93.7%,roc - auc分别为0.967、0.911和0.972。光滑表面的表现同样很强(无龋类别的准确率为92.1%,早期龋类别的准确率为96.7%,中重度龋类别的准确率为93.4%),roc - auc分别为0.938,0.908和0.963。结合问卷调查数据提高了早期龋齿类别的召回率,而不影响总体准确性。SHAP分析为模型决策提供了可解释的见解。结论:与仅图像的单模态模型相比,多模态深度学习模型在保留整体诊断性能的同时提高了早期龋病的召回率。临床意义:本研究描述了一种多模式龋齿智能筛查模型,展示了其作为人群水平筛查工具的潜力。然而,进一步的大规模,多中心验证是必要的,以确认其普遍性和有效性。
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引用次数: 0
Exopolysaccharides of Streptococcus mutans Enhance Oral Colonisation and Drug Tolerance in Helicobacter pylori 变形链球菌的外多糖增强幽门螺杆菌的口腔定植和耐药性。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109405
Yujia Hao , Yuqiu Huang , Ruonan Chen , Yuqing Li , Xiaojing Huang

Introduction and aims

The oral cavity is an extragastric reservoir for Helicobacter pylori (H. pylori), preventing its gastric eradication and causing recurrence. However, the oral environment is not ideal for H. pylori, and the factors facilitating oral H. pylori survival and colonisation are unclear. We explored how exopolysaccharides (EPSs), the fundamental building blocks of Streptococcus mutans (S. mutans) biofilms, affect H. pylori colonisation and drug tolerance in the oral cavity.

Methods

The EPS contents of 3 S. mutans biofilms (UA159, UA159ΔgtfB, and UA159ΔgtfBC) were determined via confocal laser scanning microscopy (CLSM). A coculture system of the H. pylori Sydney strain (SS1) and the 3 biofilms was established. The bacterial morphology and adhesive forces of the coculture systems were detected by scanning electron microscopy (SEM) and atomic force microscopy (AFM), respectively. CLSM observations confirmed the ability of glucosyltransferases (Gtfs) from S. mutans to form EPSs around SS1. The tolerance of SS1 to 2 representative antibiotics in the presence of EPSs was confirmed via colony-forming unit (CFU) counting and in vivo experiments.

Results

As the EPS content of the S. mutans biofilms increased, both the adhesive forces between SS1 and the S. mutans biofilms and the number of colonised SS1 cells increased. We extracted active Gtfs from UA159 and confirmed that Gtfs synthesised EPSs around SS1. The EPSs gradually accumulated over time, eventually encapsulating SS1. Both in vitro and in vivo experiments confirmed that S. mutans EPSs help protect SS1 against amoxicillin or clarithromycin, potentially confounding gastric lesion outcomes.

Conclusions

S. mutans biofilms mediate the adhesion, colonisation, and antibiotic tolerance of oral H. pylori via Gtf-driven EPS biosynthesis.
简介与目的:口腔是幽门螺杆菌(Helicobacter pylori, H. pylori)的胃外储存库,可防止幽门螺杆菌在胃内的根除和复发。然而,口腔环境对于幽门螺杆菌来说并不理想,促进口腔幽门螺杆菌生存和定植的因素尚不清楚。我们探讨了变形链球菌(S. mutans)生物膜的基本组成部分外多糖(eps)如何影响口腔内幽门螺杆菌的定植和药物耐受性。方法:采用共聚焦激光扫描显微镜(CLSM)测定3种变形链球菌生物膜(UA159、UA159ΔgtfB、UA159ΔgtfBC)的EPS含量。建立了悉尼幽门螺杆菌菌株(SS1)与3种生物膜的共培养体系。分别用扫描电镜(SEM)和原子力显微镜(AFM)检测共培养体系的细菌形态和粘附力。CLSM观察证实了变形链球菌的糖基转移酶(Gtfs)在SS1周围形成eps的能力。通过菌落形成单位(CFU)计数和体内实验,证实了EPSs存在时SS1对2种代表性抗生素的耐受性。结果:随着变形链球菌生物膜中EPS含量的增加,SS1与变形链球菌生物膜之间的粘附力和定植的SS1细胞数量均增加。我们从UA159中提取活性Gtfs,证实Gtfs在SS1附近合成eps。随着时间的推移,eps逐渐累积,最终封装了SS1。体外和体内实验均证实,变形链球菌EPSs有助于保护SS1免受阿莫西林或克拉霉素的侵害,这可能会混淆胃损伤的结果。结论:变形链球菌生物膜通过gtf驱动的EPS生物合成介导口腔幽门螺杆菌的粘附、定植和抗生素耐受性。
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引用次数: 0
NLRP12 Alleviated Periodontal Destruction via Suppressing Nuclear Factor Kappa-B Signalling Pathway NLRP12通过抑制核因子κ b信号通路减轻牙周损害。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109417
Shuangshuang Xu , Weiping Wang , Yuhui Sun, Juefei Wu, Wenting Zhang, Gang Ding

Objective

Periodontal ligament stem cells (PDLSCs) have been shown to demonstrate robust tissue regeneration capabilities. NACHT, leucine-rich repeat and PYD-containing 12 (NLRP12) could exerts negative inflammatory regulatory role in various pathological contexts. The effects of NLRP12 on the inflammatory responses and osteogenesis of PDLSCs under inflammatory microenvironment and underlying mechanisms remain unknown.

Methods

PDLSCs were isolated, cultured, and characterized, and the expression level of NLRP12 was analysed following lipopolysaccharide (LPS) treatment. Then, NLRP12 was overexpressed in PDLSCs via lentivirus transfection. Inflammatory factors were detected by quantitative real-time polymerase chain reaction, osteogenic markers were quantified using quantitative real-time polymerase chain reaction, Western blot, and the capability of osteogenesis was assessed through alkaline phosphatase staining and alizarin red staining. The underlying signalling pathways were examined by Western blot analysis and agonist treatment. Moreover, rat periodontitis models established by ligature method were used to evaluate the regulatory effects of NLRP12 on PDLSC-mediated anti-inflammation and periodontal regeneration in vivo.

Results

PDLSCs exhibited mesenchymal stem cell characteristics with multilineage differentiation. NLRP12 was downregulated in LPS-treated PDLSCs. LPS upregulated inflammatory factor expression while downregulating anti-inflammatory factors and suppressing PDLSCs’ osteogenic differentiation, which were reversed by NLRP12 overexpression. Mechanistically, nuclear factor kappa-B signalling pathway participated in these processes. Furthermore, microscopic computed tomography scanning, histological analysis, and immunohistochemical staining revealed that NLRP12 ameliorated inflammation and enhanced periodontal regeneration in periodontitis animal models.

Conclusions

NLRP12 suppressed inflammatory responses while enhancing osteogenic differentiation of PDLSCs via downregulating the activation of the nuclear factor kappa-B pathway, indicating that NLRP12 is a latent target for enhancing PDLSCs-based periodontal tissue regeneration.
目的:牙周韧带干细胞(PDLSCs)已被证明具有强大的组织再生能力。NACHT、leucine-rich repeat和PYD-containing 12 (NLRP12)可在多种病理环境下发挥负性炎症调节作用。NLRP12在炎症微环境下对PDLSCs炎症反应和成骨的影响及其机制尚不清楚。方法:分离培养PDLSCs,对其进行表征,分析脂多糖(LPS)处理后NLRP12的表达水平。然后,通过慢病毒转染,NLRP12在PDLSCs中过表达。采用定量实时聚合酶链反应检测炎症因子,采用定量实时聚合酶链反应、Western blot定量成骨标志物,采用碱性磷酸酶染色、茜素红染色评价成骨能力。通过Western blot分析和激动剂治疗检测潜在的信号通路。结扎法建立大鼠牙周炎模型,在体内评价NLRP12对pdlsc介导的抗炎和牙周再生的调节作用。结果:PDLSCs具有多系分化的间充质干细胞特征。NLRP12在lps处理的PDLSCs中下调。LPS上调炎症因子表达,下调抗炎因子表达,抑制PDLSCs成骨分化,而NLRP12过表达可逆转这一过程。机制上,核因子κ b信号通路参与了这些过程。此外,显微计算机断层扫描、组织学分析和免疫组织化学染色显示,NLRP12改善了牙周炎动物模型的炎症并促进了牙周再生。结论:NLRP12通过下调核因子κ b通路的激活,抑制炎症反应,同时增强PDLSCs的成骨分化,提示NLRP12是促进PDLSCs牙周组织再生的潜在靶点。
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引用次数: 0
Characteristics, Citation Analysis, and Altmetrics Impact of Retracted Papers in Dentistry (2001-2024) 2001-2024年口腔医学撤稿论文的特征、引文分析及Altmetrics影响
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109406
Alireza Jafari , Shohreh SeyyedHosseini , Reza BasirianJahromi

Background

Retraction is a mechanism for correcting published scholarly literature and alerting readers to seriously flawed or erroneous content, or ethical issues, in the literature they are reading. The objectives of this study were to identify the reasons for retraction, analyse citations, and describe the scientific and Altmetrics impacts of retracted papers in dentistry, oral health, and medicine.

Methods

The present study was an applied, descriptive-analytical investigation conducted using Scientometric methods and the Altmetrics index. The research population consisted of 231 retracted scientific articles in the subject areas of Dentistry, Oral Surgery, and Medicine, which were indexed in the Web of Science database between 2001 and 2024. Statistical methods, including frequency, mean, and Spearman’s correlation, were employed for data analysis using R software.

Results

The findings showed that out of the 231 retracted articles, 156 articles collectively received 2271 citations. Q1 journals have hosted the most retracted articles. Spain has the highest number of retracted articles in the field of dentistry worldwide. Falsification/fabrication of data is the most important reason for the retraction of articles. Mendeley had the highest share of retracted papers in dentistry among the reference management tools. The correlation coefficient between Altmetrics impact and scientific impact was significant (P < .05).

Conclusion

As dentistry and oral health are a pivotal field within the biomedical sciences, they exert a substantial influence on the health of the population. For the preceding decades, it has remained imperative for dentistry researchers to dedicate greater attention to all phases of their research process, encompassing the study design, review process, and publication stage.
背景:撤稿是一种纠正已发表学术文献的机制,并提醒读者他们正在阅读的文献中存在严重缺陷或错误的内容或伦理问题。本研究的目的是确定撤稿的原因,分析引文,并描述撤稿论文在牙科、口腔健康和医学领域的科学和Altmetrics影响。方法:本研究采用科学计量学方法和Altmetrics指数进行应用描述性分析调查。研究对象包括2001年至2024年间在Web of Science数据库中检索的231篇撤稿科学文章,涉及牙科、口腔外科和医学等学科领域。使用R软件对数据进行统计分析,包括频率、均值、Spearman相关等。结果:在231篇撤稿文章中,156篇共被引用2271次。排名第一的期刊拥有最多的撤稿文章。西班牙在世界范围内牙科领域撤回的文章数量最多。数据造假是文章被撤稿最重要的原因。在参考文献管理工具中,Mendeley的撤稿率最高。Altmetrics影响与科学影响的相关系数显著(P < 0.05)。结论:由于牙科和口腔健康是生物医学科学的关键领域,它们对人口的健康产生重大影响。在过去的几十年里,对于牙科研究人员来说,把更多的注意力放在他们研究过程的各个阶段,包括研究设计、审查过程和发表阶段,仍然是势在必行的。
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引用次数: 0
Geographical Variation in Lip Print Patterns Among Adolescents from the High Andean Quechua and Suni Regions in Perú Perú安第斯高原盖丘亚和苏尼地区青少年唇印模式的地理变异。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-05 DOI: 10.1016/j.identj.2026.109416
Juan Espinoza , Cesar Mauricio-Vilchez , Julia Medina , Fran Espinoza-Carhuancho , Ivan Calderon , Arnaldo Munive-Degregori , Frank Mayta-Tovalino

Objective

The aim of this study was to determine the lip print patterns among adolescents from the Quechua and Suni ecological regions of Ancash, Peru, and to explore the relationship between the variables and their differentiation using logistic regression models.

Methods

A quantitative, observational, prospective, cross-sectional, and analytical study was conducted. The sample comprised 192 adolescents from representative educational institutions, who requested the informed consent of their relatives. Personal and anthropometric data were recorded, and lip prints were obtained according to the conventional system of lipstick and adhesive tape using the classifications by Suzuki &Tsuchihashi and Renaud.

Results

The population was predominantly male (55.2%) and more represented from the Quechua population (61.5%). Regarding their nutritional status, it was found that more than half were in average nutritional status (53.6%), although a significant proportion was overweight (41.8%). Regarding the Suzuki patterns, there was a predominance of types II (52.1–55.8%) and IV (50.5%), while the Renaud patterns presented a predominance of types G (49% in the upper left quadrant) and E (36.4–38.1%) in the lower quadrants. In the multivariate analysis, it could be identified that the only factor significantly associated with the Suzuki pattern was the geographical region. Adolescents from the Suni region presented this pattern more frequently than those of the Quechua population (60% lower odds, compared with Quechua adolescents: OR = 0.40; 95% CI: 0.22–0.73; p = 0.003). Sex, age, weight and height had no significant associations.

Conclusion

The results indicate that lip print patterns have a characteristic dominant pattern in high Andean adolescents, with a significant influence of the geographic region on the morphology of the lips. The results underscore the significance of lip prints as a biometric method and offer proof of the morphological diversity of the Andean populations.
目的:对秘鲁安卡什地区克丘亚族和苏尼族两种生态环境下青少年的唇印特征进行分析,并利用logistic回归模型探讨各变量与唇印差异之间的关系。方法:采用定量、观察性、前瞻性、横断面和分析性研究。样本包括来自代表性教育机构的192名青少年,他们请求其亲属的知情同意。记录了个人和人体测量数据,并根据Suzuki &Tsuchihashi和Renaud的分类,根据传统的口红和胶带系统获得唇印。结果:人群以男性为主(55.2%),克丘亚族居多(61.5%)。在营养状况方面,超过一半的人处于平均营养状态(53.6%),尽管有很大一部分人超重(41.8%)。铃木型以ⅱ型(52.1 ~ 55.8%)和ⅳ型(50.5%)为主,雷诺型以G型(左上象限49%)和E型(36.4 ~ 38.1%)为主。在多变量分析中,可以发现唯一与铃木模式显著相关的因素是地理区域。苏尼地区的青少年比盖丘亚人更常出现这种情况(与盖丘亚青少年相比,几率低60%:OR = 0.40; 95% CI: 0.22-0.73; p = 0.003)。性别、年龄、体重和身高无显著相关性。结论:高安第斯地区青少年唇印形态具有特征性的显性模式,地理区域对其唇印形态有显著影响。这些结果强调了唇印作为一种生物识别方法的重要性,并为安第斯种群的形态多样性提供了证据。
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引用次数: 0
Assessment of Self-Medication Behaviour in Response to Dental Pain in Two Populations, France 评估自我用药行为,以应对牙痛在两个人群,法国。
IF 3.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2026-02-04 DOI: 10.1016/j.identj.2026.109418
Louise Le Texier , Chantal Savanovitch , Emmanuel Nicolas , Pierre-Yves Cousson

Introduction and aims

Self-medication appears to be a common practice for dental pain. However, in France, its prevalence and patterns in dentistry have never been studied. The primary objective was to assess the prevalence and self-medication behaviours in two at-risk populations: patients consulting for acute pulpal or periapical pain and patients with dental anxiety requiring treatment under general anaesthesia. The secondary objective was to examine the influence of socio-behavioural factors on these practices.

Method

Between April 2021 and May 2023, the behaviours of two at-risk population regarding self-medication were analysed in a cross-sectional observational study. The first population regrouped patients referred to an endodontic postemergency care unit after visiting the emergency service of a dental hospital. These patients were referred due to acute pulpal or periapical pain (Endodontic Group). The second population regrouped patients referred to a special care unit for dental treatment under general anaesthesia due to dental anxiety (Anxiety Group). Self-medication behaviours of the two at-risk populations were analysed with 5 self-administered questionnaires (self-medication, EPICES, IDAF-4C, Pain Catastrophizing Scale, Socio-demographic data). Comparisons between the two population were done using Pearson’s chi-square and Student’s t tests.

Results

During the study period, 43 patients were included in the endodontic group and 66 in the anxiety group. Socio-demographic and behavioural data differed between the two groups. However, self-medication prevalence was similar (51.2% in the Endodontic Group vs 45.5% in the Anxiety Group), as were self-medication behaviours (types and number of substances used, methods of acquisition, knowledge). No socio-demographic or behavioural factors explained these attitudes.

Conclusion

Self-medication in dentistry is often overlooked or poorly managed. Preventive measures and patient education on the proper use of medication are essential.

Clinical relevance

Standardized cooperation protocols should be developed involving dentists and community pharmacists to optimize the management of patients suffering from dental pain.
自我药物治疗是治疗牙痛的常用方法。然而,在法国,其在牙科的流行程度和模式从未研究过。主要目的是评估两个高危人群的患病率和自我用药行为:急性牙髓或根尖周疼痛患者和需要全身麻醉治疗的牙科焦虑患者。第二个目标是审查社会行为因素对这些做法的影响。方法:采用横断面观察研究方法,对2021年4月至2023年5月期间两名高危人群的自我药疗行为进行分析。第一组患者在访问牙科医院的急诊服务后转介到牙髓急诊后护理单位。这些患者因急性牙髓或根尖周疼痛而转诊(根管组)。第二组患者因牙齿焦虑而在全身麻醉下转到特殊护理单位接受牙科治疗(焦虑组)。采用5份自我调查问卷(自我药疗、EPICES、IDAF-4C、疼痛灾变量表、社会人口统计数据)分析两种高危人群的自我药疗行为。两个群体之间的比较使用Pearson卡方检验和学生t检验。结果:研究期间,牙髓治疗组43例,焦虑组66例。社会人口学和行为数据在两组之间有所不同。然而,自我药疗患病率相似(牙髓治疗组为51.2%,焦虑组为45.5%),自我药疗行为(使用物质的类型和数量,获取方法,知识)也是如此。没有任何社会人口或行为因素可以解释这些态度。结论:牙科自我药疗常被忽视或管理不善。预防措施和对患者进行正确用药教育至关重要。临床相关性:应制定牙医和社区药剂师参与的标准化合作协议,以优化对牙痛患者的管理。
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引用次数: 0
期刊
International dental journal
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