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Paeonia lactiflora Callus-Derived Polynucleotides Enhance Collagen Accumulation in Human Dermal Fibroblasts. 芍药愈伤组织衍生的多核苷酸促进人真皮成纤维细胞胶原的积累。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-22 DOI: 10.3390/jfb17010056
Soyoung Hwang, Seunghye Park, Jin Woo Lee, Mira Park, Le Anh Nguyet, Yongsung Hwang, Keunsun Ahn, Hyun-Young Shin, Kuk Hui Son

Plant-derived polynucleotides (PNs) have emerged as promising regenerative biomolecules; however, their mechanisms remain less defined than those of salmon-derived polydeoxyribonucleotides (S-PDRNs). Here, we extracted polynucleotides from Paeonia lactiflora callus (PL-PN) and evaluated their biological effects on human dermal fibroblasts. PL-PN treatment increased cell viability and pro-collagen I α1 secretion. PL-PN enhanced adenosine A2A receptor expression and activated the cyclic adenosine monophosphate (cAMP)/protein kinase A (PKA)/cAMP response element-binding protein (CREB) pathway, accompanied by increased Cyclin D1 levels, retinoblastoma protein (Rb) phosphorylation, and nuclear proliferating cell nuclear antigen (PCNA) levels, indicating an accelerated G1/S transition. PL-PN also significantly reduced nuclear NF-κB localization and downregulated MMP1, MMP3, MMP9, and MMP13, suggesting attenuation of inflammatory and catabolic signaling. Furthermore, PL-PN increased TGF-β maturation, Smad2/3 phosphorylation, and the transcription of COL1A1, COL3A1, and elastin, resulting in enhanced collagen and elastin deposition. These effects are comparable to those of S-PDRN. Although the pathway specificity and in vivo relevance require further studies, our findings provide evidence that PL-PN promotes extracellular matrix regeneration via coordinated proliferative, anabolic, and anti-inflammatory actions. Thus, PL-PN represents a potential sustainable plant-based alternative to S-PDRN for dermatological regeneration.

植物源性多核苷酸(PNs)已成为一种很有前途的再生生物分子;然而,它们的机制仍然没有鲑鱼衍生的多脱氧核糖核苷酸(S-PDRNs)那么明确。本研究从芍药愈伤组织(PL-PN)中提取多核苷酸,并评价其对人真皮成纤维细胞的生物学效应。PL-PN处理增加了细胞活力和前胶原I α1分泌。PL-PN增强了腺苷A2A受体的表达,激活了环磷酸腺苷(cAMP)/蛋白激酶A (PKA)/cAMP反应元件结合蛋白(CREB)通路,并伴有Cyclin D1水平升高、视网膜母细胞瘤蛋白(Rb)磷酸化和核增殖细胞核抗原(PCNA)水平升高,表明G1/S转变加速。PL-PN还显著降低核NF-κB定位,下调MMP1、MMP3、MMP9和MMP13,提示炎症和分解代谢信号的衰减。此外,PL-PN促进TGF-β成熟、Smad2/3磷酸化以及COL1A1、COL3A1和弹性蛋白的转录,导致胶原和弹性蛋白沉积增强。这些效果与S-PDRN相当。虽然通路特异性和体内相关性需要进一步研究,但我们的研究结果提供了证据,证明PL-PN通过协调增殖、合成代谢和抗炎作用促进细胞外基质再生。因此,PL-PN代表了一种潜在的可持续植物性替代品,可以替代S-PDRN用于皮肤再生。
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引用次数: 0
Fibrous Biomaterial Scaffold for Tympanic Membrane Repair: Microarchitectural Engineering and Structure Function Performance. 纤维生物材料鼓膜修复支架:微建筑工程与结构功能性能。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-21 DOI: 10.3390/jfb17010053
Lea Jiang, Chokri Cherif, Michael Wöltje

Tympanic membrane (TM) perforations, arising from infections, injuries, or chronic otitis media, remain a frequent clinical finding and can lead to hearing problems when the tissue does not regenerate adequately. Although autologous grafts are still the standard option for repairing persistent defects, they come with well-known limitations. Beyond the need for additional harvesting procedures, these grafts rarely reproduce the intricate, fibrous layering of the native TM, which can compromise sound transmission after healing. In search of alternatives, fibre-based scaffolds have attracted considerable interest. The primary advantage of this material is the level of structural control it affords. The fibre orientation, porosity, and overall microarchitecture can be adjusted to replicate the organisation and mechanical behaviour of the natural membrane. A range of biocompatible polymers-among them silk fibroin, poly(ε-caprolactone), poly(lactic acid), and poly(vinyl alcohol) and their composites-provide options for tuning stiffness, degradation rates, and interactions with cells, making them suitable building blocks for TM repair constructs. This review provides a comprehensive overview of contemporary fabrication methodologies, namely electrospinning, additive manufacturing, melt electrowriting, and hybrid strategies. In addition, it offers a detailed discussion of the evaluation procedures employed for these scaffolds and discusses how scaffold structure affects later performance. Mechanical testing, microstructural imaging, and in vitro biocompatibility assays help to determine how closely a construct can approach the performance of the native tissue. Bringing these elements together may support the gradual translation of fibre-based TM scaffolds into clinical practice.

由感染、损伤或慢性中耳炎引起的鼓膜穿孔仍然是一种常见的临床发现,当组织不能充分再生时,可能导致听力问题。虽然自体移植物仍然是修复顽固性缺陷的标准选择,但它们也有众所周知的局限性。除了需要额外的采集程序外,这些移植物很少能复制天然TM的复杂纤维层,这可能会影响愈合后的声音传输。在寻找替代品的过程中,纤维基支架引起了相当大的兴趣。这种材料的主要优点是它提供的结构控制水平。纤维取向、孔隙度和整体微结构可以调整,以复制天然膜的组织和机械行为。一系列生物相容性聚合物——其中包括丝素蛋白、聚(ε-己内酯)、聚(乳酸)和聚(乙烯醇)及其复合材料——为调节刚度、降解率和与细胞的相互作用提供了选择,使它们成为TM修复结构的合适构建块。这篇综述提供了当代制造方法的全面概述,即静电纺丝,增材制造,熔体电解和混合策略。此外,它还提供了对这些支架的评估程序的详细讨论,并讨论了支架结构如何影响后期性能。机械测试、显微结构成像和体外生物相容性分析有助于确定构建物与天然组织性能的接近程度。将这些元素结合在一起可能会支持基于纤维的TM支架逐渐转化为临床实践。
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引用次数: 0
Differential Expression of S100A Genes in hDPSCs Following Stimulation with Two Hydraulic Calcium Silicate Cements: A Laboratory Investigation. 两种水合硅酸钙水泥刺激hdpsc后S100A基因的差异表达:一项实验室研究。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-21 DOI: 10.3390/jfb17010055
Holger Jungbluth, Diana Lalaouni, Jochen Winter, Søren Jepsen, Dominik Kraus

Hydraulic calcium silicate cements (HCSCs) are contemporary materials in vital pulp therapy (VPT) and regenerative endodontic therapy (RET) due to their favorable effects on pulpal and periodontal cells, including cell differentiation and hard tissue formation. Recent studies also indicated the involvement of several S100A proteins in inflammatory, differentiation, and mineralization processes of the pulp. The aim of the present study was to investigate the effects of HCSCs on S100A gene expression in human dental pulp stem cells (hDPSCs). Human DPSCs were isolated and characterized by multi-lineage stem-cell markers and differentiation protocols. In stimulation experiments hDPSCs were exposed to ProRoot®MTA, Biodentine®, IL-1β, and dexamethasone. Cell viability was determined by XTT assay. IL-6 and IL-8 mRNA expression was measured to analyze proinflammatory response. In addition, odontogenic differentiation and biomineralization assays were conducted (DSPP- and ALP-mRNA expression, ALP activity, and Alizarin Red staining). Differential expression of 13 S100A genes was examined using qPCR. Low concentrations of HCSCs enhanced the proliferation of hDPSCs, whereas higher concentrations exhibited cytotoxic effects. HCSCs induced a pro-inflammatory response and led to odontogenic differentiation and biomineralization. This was accompanied by significant alterations in the expression levels of various S100A genes. ProRoot®MTA and Biodentine® significantly affect the expression of several S100A genes in hDPSCs, supporting their role in inflammation, differentiation, and mineralization. These findings indicate a link between the effects of HCSCs on human pulp cells during VPT or RET and S100A proteins.

水合硅酸钙胶结物(HCSCs)由于其对牙髓和牙周细胞的良好作用,包括细胞分化和硬组织形成,是当代重要的牙髓治疗(VPT)和再生牙髓治疗(RET)材料。最近的研究也表明,一些S100A蛋白参与了牙髓的炎症、分化和矿化过程。本研究旨在探讨HCSCs对人牙髓干细胞(hDPSCs)中S100A基因表达的影响。采用多系干细胞标记物和分化方法对人DPSCs进行分离和鉴定。在刺激实验中,hdpsc暴露于prooroot®MTA、Biodentine®、IL-1β和地塞米松。采用XTT法测定细胞活力。检测IL-6和IL-8 mRNA表达,分析促炎反应。此外,进行牙源性分化和生物矿化实验(DSPP-和ALP- mrna表达、ALP活性和茜素红染色)。采用qPCR检测13个S100A基因的差异表达。低浓度的HCSCs促进了hDPSCs的增殖,而高浓度的HCSCs则表现出细胞毒性作用。HCSCs诱导促炎反应,导致牙源性分化和生物矿化。这伴随着各种S100A基因表达水平的显著改变。prooroot®MTA和Biodentine®显著影响hdpsc中几个S100A基因的表达,支持它们在炎症、分化和矿化中的作用。这些发现表明HCSCs在VPT或RET期间对人牙髓细胞的影响与S100A蛋白之间存在联系。
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引用次数: 0
Analysis of the Feasibility of Concurrent Application of Magnetic Nanoparticles as MRI Contrast Agents and for Magnetic Hyperthermia. 磁性纳米颗粒作为MRI造影剂和磁热疗同时应用的可行性分析。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-21 DOI: 10.3390/jfb17010054
Przemysław Wróblewski, Michał Wieteska, Mateusz Midura, Grzegorz Domański, Damian Wanta, Wojciech Obrębski, Tomasz Płociński, Ewa Piątkowska-Janko, Kamil Lipiński, Mikhail Ivanenko, Mateusz Orzechowski, Waldemar T Smolik, Piotr Bogorodzki

The aim of the article was to analyze the potential simultaneous use of magnetic nanoparticles as contrast agents in MRI imaging and for magnetic hyperthermia. The study proposed characterizing the nanoparticles using various measurement methods in order to investigate the relationships between different properties. The first stage involved measuring images of nanoparticle samples using scanning transmission electron microscopy (TEM) and dynamic light scattering (DLS). The diameter distribution of nanoparticles was determined based on image segmentation. The next step involved measuring relaxation properties of nanoparticles in low and high magnetic fields. The research was carried out for nanoparticle solutions of various concentrations and properties. The last step was measuring calorimetric properties of nanoparticles as a thermal source under alternating magnetic field excitation conditions. The range of nanoparticle diameters (20-25 nm) for which maximum losses occur in an alternating magnetic field corresponds to the diameter range in which the maximum r2 relaxivity is observed.

本文的目的是分析磁性纳米颗粒在MRI成像和磁热疗中作为造影剂的潜在同时使用。本研究提出用不同的测量方法来表征纳米颗粒,以研究不同性质之间的关系。第一阶段包括使用扫描透射电子显微镜(TEM)和动态光散射(DLS)测量纳米颗粒样品的图像。在图像分割的基础上确定了纳米颗粒的直径分布。下一步是测量纳米粒子在低磁场和高磁场下的弛豫特性。对不同浓度和性质的纳米粒子溶液进行了研究。最后一步是在交变磁场激励条件下测量纳米颗粒作为热源的量热特性。在交变磁场中损耗最大的纳米颗粒直径范围(20- 25nm)与观测到最大r2弛豫度的直径范围相对应。
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引用次数: 0
From Scaffolds to Complex Systems: Functional Biomaterials in Regenerative Medicine. 从支架到复杂系统:再生医学中的功能生物材料。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-19 DOI: 10.3390/jfb17010051
Cristian Scheau, Andreea Cristiana Didilescu, Constantin Caruntu

Regenerative medicine stands at a crossroad between biology and materials science, where functional biomaterials are expected to interact with living tissues, guide repair, and restore functionality [...].

再生医学站在生物学和材料科学的十字路口,其中功能生物材料有望与活组织相互作用,指导修复,并恢复功能[…]。
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引用次数: 0
Biomechanical Stimulation of Mesenchymal Stem Cells in 3D Peptide Nanofibers for Bone Differentiation. 三维肽纳米纤维对间充质干细胞骨分化的生物力学刺激。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-19 DOI: 10.3390/jfb17010052
Faye Fouladgar, Robert Powell, Emily Carney, Andrea Escobar Martinez, Amir Jafari, Neda Habibi

Mechanical stimulation critically regulates mesenchymal stem cell (MSC) differentiation, yet its effects in three-dimensional (3D) environments remain poorly defined. Here, we developed a custom dynamic stretcher integrating poly(dimethylsiloxane) (PDMS) chambers to apply cyclic strain to human MSCs encapsulated in Fmoc-diphenylalanine (Fmoc-FF) peptide hydrogels-a fully synthetic, tunable extracellular matrix mimic. Finite element modeling verified uniform strain transmission across the hydrogel. Dynamic stretching at 0.5 Hz and 10% strain induced pronounced cytoskeletal alignment, enhanced actin stress fiber formation (coherency index ≈ 0.85), and significantly increased proliferation compared to static or high-frequency (2.5 Hz, 1%) conditions (coherency index ≈ 0.6). Quantitative image analysis confirmed strain-dependent increases in coherency index and F-actin intensity, indicating enhanced mechanotransductive remodeling. Biochemical assays and qRT-PCR revealed 2-3-fold upregulation of osteogenic markers-RUNX2, ALP, COL1A1, OSX, BMP, ON, and IBSP-under optimal strain. These results demonstrate that low-frequency, high-strain mechanical loading in 3D peptide hydrogels activates RhoA/ROCK and YAP/TAZ pathways, driving osteogenic differentiation. The integrated experimental-computational approach provides a robust platform for studying mechanobiological regulation and advancing mechanically tunable biomaterials for bone tissue engineering.

机械刺激对间充质干细胞(MSC)分化有重要调控作用,但其在三维(3D)环境中的作用仍不明确。在这里,我们开发了一种集成聚二甲基硅氧烷(PDMS)腔的定制动态拉伸器,用于将循环应变应用于包裹在fmoc -二苯丙氨酸(Fmoc-FF)肽凝胶中的人间充质干细胞——一种完全合成的、可调的细胞外基质模拟物。有限元模型验证了水凝胶的均匀应变传递。与静态或高频(2.5 Hz, 1%)条件(相干指数≈0.6)相比,0.5 Hz和10%应变下的动态拉伸诱导了明显的细胞骨架排列,增强了肌动蛋白应力纤维的形成(相干指数≈0.85),并显著增加了增殖。定量图像分析证实了应变相关性指数和f -肌动蛋白强度的增加,表明机械转导重塑增强。生化分析和qRT-PCR显示,在最佳菌株下,成骨标志物runx2、ALP、COL1A1、OSX、BMP、ON和ibsp上调2-3倍。这些结果表明,3D肽水凝胶中的低频、高应变机械载荷激活了RhoA/ROCK和YAP/TAZ通路,促进了成骨分化。实验-计算相结合的方法为研究机械生物学调控和推进骨组织工程机械可调生物材料提供了一个强大的平台。
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引用次数: 0
The Self-Assembling Peptide P11-4 Induces the Expression of Mineralization-Related Genes in Odontoblasts Independently of Metabolic Alterations. 自组装肽P11-4诱导矿化相关基因在成牙细胞中独立于代谢改变的表达
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-18 DOI: 10.3390/jfb17010050
Leticia Martins Pereira, Marina Damasceno E Souza de Carvalho Chiari, Diego Mauro Carneiro Pereira, Regina Maria Puppin-Rontani, Fábio Dupart Nascimento

(1) Background: The synthetic eleven-amino acid peptide P11-4, derived from DMP-1, self-assembles into β-sheet tapes, ribbons, fibrils, and fibers that form a 3D matrix enriched with calcium-binding sites. This study investigated whether P11-4 modulates gene and protein expression or induces adverse metabolic alterations in odontoblast-like cells. (2) Methods: MDPC-23 cells were cultured under standard conditions and stimulated with different concentrations of P11-4, followed by assessments of cell viability using the MTT assay, proliferation and migration, cytoplasmic calcium kinetics, reactive oxygen species (ROS) production, osteogenic differentiation-related gene expression via PCR array, and expression of the pro-inflammatory cytokine interleukin-6 (IL-6) using confocal microscopy and flow cytometry. (3) Results: The MTT assay showed that P11-4 at 6.3, 12.6, and 25.2 µmol/L was non-cytotoxic and did not alter MDPC-23 cell proliferation or migration. Only the 25.2 µmol/L concentration induced a detectable Ca2+ influx and a slight increase in ROS. Among the 84 genes examined, P11-4 at 6.3 µmol/L upregulated 79 genes, including transcription factors, signaling molecules, and extracellular matrix-related proteins. Furthermore, P11-4 did not increase IL-6 expression under any condition tested. (4) Conclusion: P11-4 markedly modulates mineralization-associated gene regulation without causing metabolic damage in odontoblast-like cells.

(1)背景:合成的11个氨基酸肽P11-4,来源于DMP-1,自组装成β-片带、带状、原纤维和纤维,形成富含钙结合位点的3D基质。本研究探讨P11-4是否调节成牙细胞样细胞的基因和蛋白表达或诱导不良代谢改变。(2)方法:在标准条件下培养MDPC-23细胞,用不同浓度的P11-4刺激细胞,MTT法检测细胞活力、增殖和迁移、胞质钙动力学、活性氧(ROS)产生、PCR阵列检测成骨分化相关基因表达、共聚焦显微镜和流式细胞术检测促炎细胞因子白细胞介素-6 (IL-6)表达。(3)结果:MTT实验显示,6.3、12.6和25.2µmol/L浓度的P11-4无细胞毒性,不影响MDPC-23细胞的增殖和迁移。只有25.2µmol/L浓度诱导可检测到的Ca2+内流和ROS的轻微增加。在检测的84个基因中,P11-4在6.3µmol/L时上调79个基因,包括转录因子、信号分子和细胞外基质相关蛋白。此外,P11-4在任何条件下均未增加IL-6的表达。(4)结论:P11-4可显著调节矿化相关基因的调控,但不引起成牙细胞样细胞代谢损伤。
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引用次数: 0
Dental Implants Used for Orthodontic Anchorage in Patients with Treated Stage IV Periodontitis: A Retrospective Case-Control Study. IV期牙周炎患者使用种植体进行正畸固支:回顾性病例-对照研究。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-18 DOI: 10.3390/jfb17010049
Shing-Zeng Dung, I-Shiang Tzeng

Little is known about the effects of orthodontic loading on dental implants used for orthodontic anchorage in patients with Stage IV periodontitis. This retrospective case-control study included 58 dental implants in 24 patients with treated Stage IV periodontitis. The dental implants were used for both chewing function and orthodontic anchorages. The outcome measures included peri-implant marginal bone loss and peri-implantitis. Pair t-test and Wilcoxon rank-sum test were used to analyze the impact of implants as orthodontic anchorage on marginal bone loss (MBL) and peri-implantitis. No implants were lost during the 17-year follow-up. There was no statistically significant difference in the MBL and incidence of peri-implantitis between implants used as orthodontic anchorage and non-anchorage controls. (p > 0.05). Poor oral hygiene (p = 0.05), one-piece implants (p = 0.05) and implants with a keratinized mucosa < 2 mm (p = 0.015) were associated with a higher risk of peri-implantitis. Results from the present long-term study indicated that dental implants could be successfully used as orthodontic anchorage in periodontal compromised patients.

在IV期牙周炎患者中,正畸负荷对用于正畸固支的种植体的影响知之甚少。本回顾性病例对照研究纳入了24例已治疗的IV期牙周炎患者的58颗种植牙。种植体用于咀嚼功能和正畸固定。结果测量包括种植体周围边缘骨丢失和种植体周围炎。采用配对t检验和Wilcoxon秩和检验分析种植体作为正畸支抗对边缘骨丢失(MBL)和种植体周围炎的影响。在17年的随访中没有植入物丢失。作为正畸支抗的种植体与非支抗对照的MBL和种植体周围炎发生率无统计学差异。(p < 0.05)。口腔卫生不良(p = 0.05)、一件式种植体(p = 0.05)和角化粘膜< 2 mm的种植体(p = 0.015)与种植体周围炎的高风险相关。长期研究结果表明,种植体可以成功地用于牙周受损患者的正畸支抗。
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引用次数: 0
Efficacy of Etidronic Acid for Smear Layer Removal: A Systematic Review of In Vitro Studies. Etidronic酸去除涂抹层的疗效:体外研究的系统综述。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-16 DOI: 10.3390/jfb17010048
María-Inmaculada Vidal-Montolío, José Luis Sanz, James Ghilotti, Sofía Folguera, Carmen Llena

Irrigation plays a crucial role in the success of root canal treatment; however, currently, no standardized irrigation protocols exist, particularly regarding the optimal sequence for smear layer removal. This systematic review aimed to determine which irrigation protocol achieves superior smear layer removal: traditional sequential irrigation with sodium hypochlorite (NaOCl) followed by ethylenediaminetetraacetic acid (EDTA), or irrigation with etidronic acid, either combined with NaOCl in continuous chelation or used as a final irrigant. Continuous chelation with etidronic acid may be clinically advantageous in daily practice, as it would facilitate workflow by using a single irrigating solution without compromising the efficacy of the irrigation process. A comprehensive electronic search was conducted in Medline, Embase, Cochrane, Scopus, and Web of Science, last updated in August 2025. In vitro studies were selected according to predefined PICO-based criteria. Two reviewers independently screened the studies and extracted data, with an inter-rater agreement of 0.92 using the Kappa index. Risk of bias was evaluated using a modified CONSORT checklist for in vitro studies on dental materials. The average item compliance of the included studies was 58%. The maximum score was 73% and the minimum was 47%. Twenty studies met the inclusion criteria. Etidronic acid used in continuous chelation showed equal or superior smear layer removal compared with sequential irrigation in nine of ten studies. Conversely, when used as a final irrigant, etidronic acid demonstrated inferior performance in more than half of the studies, particularly in the apical third. Based on the available evidence, etidronic acid in continuous chelation appears as effective as, or more effective than, traditional NaOCl-EDTA sequential irrigation.

灌洗在根管治疗的成功中起着至关重要的作用;然而,目前还没有标准化的灌溉方案,特别是关于去除涂抹层的最佳顺序。本系统综述旨在确定哪种灌溉方案能更好地去除涂抹层:传统的次氯酸钠(NaOCl)顺序灌溉,然后是乙二胺四乙酸(EDTA),或者用地替膦酸灌溉,要么与NaOCl连续螯合,要么作为最后的灌溉剂。与依地膦酸的持续螯合在日常实践中可能具有临床优势,因为它可以通过使用单一的冲洗溶液来简化工作流程,而不会影响冲洗过程的效果。对Medline、Embase、Cochrane、Scopus和Web of Science进行了全面的电子检索,最后一次更新是在2025年8月。根据预先确定的基于pico的标准选择体外研究。两名审稿人独立筛选研究并提取数据,使用Kappa指数,审稿人间一致性为0.92。使用改良的CONSORT清单评估牙科材料体外研究的偏倚风险。纳入研究的平均项目依从性为58%。最高分数为73%,最低分数为47%。20项研究符合纳入标准。在十项研究中,有九项研究表明,与连续冲洗相比,连续螯合中使用的Etidronic酸具有相同或更好的涂抹层去除效果。相反,当用作最后的冲洗剂时,在一半以上的研究中,特别是在根尖的三分之一中,伊地膦酸表现出较差的性能。根据现有证据,持续螯合的依地膦酸似乎与传统的NaOCl-EDTA序贯灌洗一样有效,甚至更有效。
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引用次数: 0
Tension-Dominant Orthodontic Loading and Buccal Periodontal Phenotype Preservation: An Integrative Mechanobiological Model Supported by FEM and a Proof-of-Concept CBCT. 张力主导的正畸负荷和口腔牙周表型保存:由FEM和概念验证的CBCT支持的综合力学生物学模型。
IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-16 DOI: 10.3390/jfb17010047
Anna Ewa Kuc, Jacek Kotuła, Kamil Sybilski, Szymon Saternus, Jerzy Małachowski, Natalia Kuc, Grzegorz Hajduk, Joanna Lis, Beata Kawala, Michał Sarul, Magdalena Sulewska

Background: Adult patients with a thin buccal cortical plate and fragile periodontal phenotype are at high risk of dehiscence, fenestration and recession during transverse orthodontic expansion. Conventional mechanics often create a cervical compression-dominant environment that exceeds the adaptive capacity of the periodontal ligament (PDL)-bone complex. Objectives: This study proposes an integrative mechanobiological model in which a skeletal-anchorage-assisted loading protocol (Bone Protection System, BPS) transforms expansion into a tension-dominant regime that favours buccal phenotype preservation. Methods: Patient-specific finite element models were used to compare conventional expansion with a BPS-modified force system. Regional PDL stress patterns and crown/apex displacement vectors were analysed to distinguish tipping-dominant from translation-dominated mechanics. A pilot CBCT proof-of-concept (n = 1 thin-phenotype adult) with voxel-based registration quantified changes in maxillary and mandibular alveolar ridge width and buccal cortical plate thickness before and after BPS-assisted expansion. The mechanical findings were integrated with current evidence on compression- versus tension-driven inflammatory and osteogenic pathways in the PDL and cortical bone. Results: FEM demonstrated that conventional expansion concentrates high cervical compressive stress along the buccal PDL and cortical surface, accompanied by bending-like crown-root divergence. In contrast, the BPS protocol redirected forces to create a buccal tensile-favourable region and a more parallel crown-apex displacement pattern, indicative of translation-dominated movement. In the proof-of-concept (n = 1) CBCT case, BPS-assisted expansion was associated with preservation or increase of buccal ridge dimensions without radiographic signs of cortical breakdown. Conclusions: A tension-dominant orthodontic loading environment generated by a skeletal-anchorage-assisted force system may support buccal cortical preservation and vestibular phenotype reinforcement in thin-phenotype patients. The proposed mechanobiological model links these imaging and FEM findings to known molecular pathways of inflammation, angiogenesis and osteogenesis. It suggests a functional biomaterial-based strategy for widening the biological envelope of safe tooth movement.

背景:口腔皮层板薄且牙周表型脆弱的成年患者在进行横向正畸扩展时,有开裂、开窗和退缩的高风险。传统的力学通常创造一个颈椎压迫为主的环境,超过牙周韧带(PDL)-骨复合体的适应能力。目的:本研究提出了一种综合的机械生物学模型,其中骨骼锚定辅助加载方案(骨保护系统,BPS)将扩张转化为有利于口腔表型保存的张力主导机制。方法:采用患者特定的有限元模型,比较传统的扩张与bps改良的力系统。分析了区域PDL应力模式和顶/顶位移矢量,以区分倾转主导和平移主导的力学。基于体素配准的CBCT中试概念验证(n = 1名薄表型成人)量化了bps辅助扩张前后上颌和下颌牙槽嵴宽度和颊皮质板厚度的变化。力学研究结果与目前关于PDL和皮质骨中压迫与张力驱动的炎症和成骨途径的证据相结合。结果:有限元分析结果表明,常规扩张沿颊PDL和皮质表面集中了高颈椎压应力,并伴有弯曲样冠根分叉。相比之下,BPS方案重定向力,创造了一个有利于口腔拉伸的区域和一个更平行的冠尖位移模式,表明平移主导的运动。在概念验证(n = 1) CBCT病例中,bps辅助扩张与颊嵴尺寸的保留或增加有关,而没有皮质破裂的x线表现。结论:由骨骼锚定辅助力系统产生的张力主导的正畸负荷环境可能支持薄表型患者颊皮质保存和前庭表型增强。提出的机械生物学模型将这些成像和FEM结果与已知的炎症、血管生成和成骨的分子途径联系起来。提出了一种基于功能性生物材料的策略来扩大牙齿安全运动的生物包膜。
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Journal of Functional Biomaterials
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