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Risk assessments in orthodontic patients developing white spot lesions 正畸患者发生白斑病变的风险评估。
Q1 Medicine Pub Date : 2019-09-22 DOI: 10.1111/jicd.12470
Danielle K. Leeper, Amal Noureldin, Katie Julien, Phillip M. Campbell, Peter H. Buschang

Aim

To determine whether caries risk factors, including cariogenic bacterial levels and salivary function, can be used to identify orthodontic patients who develop white spot lesions (WSL).

Methods

This prospective case-control study comprised 50 patients 11-17 years of age, including 25 controls and 25 cases who developed new WSL during treatment. WSL, oral hygiene and fluorosis were evaluated from intraoral photographs. The biofilm was assessed with bacterial cultures and adenosine triphosphate (ATP) bioluminescence. Salivary analyses were performed to determine the pH of saliva and flow rates. A survey was used to assess snacking frequency, oral hygiene and fluoride utilization.

Results

There were no between-group pretreatment differences in WSL. Cases reported eating sugary foods significantly more often than the controls. There was a significant decline in oral hygiene during treatment, with no significant between-group difference. There also were no statistically significant between-group differences in the amount of saliva, buffer, ATP bioluminescence and bacterial levels. Both groups showed lower than normal buffer capacity and high bacterial levels.

Conclusion

Cases had greater sugar intake between meals than controls. ATP bioluminescence, Streptococcus mutans levels with Saliva Check Mutans, and salivary factors do not identify patients who develop WSL.

目的探讨龋病危险因素(包括致龋细菌水平和唾液功能)是否可用于正畸患者白斑病变(WSL)的识别。方法本前瞻性病例对照研究纳入50例11-17岁患者,其中25例为对照组,25例为治疗期间新发WSL患者。通过口腔内照片评估WSL、口腔卫生和氟中毒。通过细菌培养和三磷酸腺苷(ATP)生物发光来评估生物膜。进行唾液分析以确定唾液的pH值和流速。一项调查用于评估吃零食的频率、口腔卫生和氟化物的使用情况。结果预处理组间WSL无明显差异。病例报告吃含糖食物的频率明显高于对照组。治疗期间口腔卫生状况明显下降,组间差异无统计学意义。两组间唾液量、缓冲液、ATP生物发光量和细菌水平差异均无统计学意义。两组均显示缓冲能力低于正常水平,细菌水平较高。结论患者两餐间糖摄入量高于对照组。ATP生物发光,唾液检查变异链球菌水平和唾液因素不能识别WSL患者。
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引用次数: 5
Immunohistochemical expression of tumor necrosis factor-like weak inducer of apoptosis and fibroblast growth factor-inducible immediate early response protein 14 in oral squamous cell carcinoma and its implications 肿瘤坏死因子样细胞凋亡弱诱导因子和成纤维细胞生长因子诱导的即时早期反应蛋白14在口腔鳞状细胞癌中的免疫组织化学表达及其意义。
Q1 Medicine Pub Date : 2019-09-21 DOI: 10.1111/jicd.12469
Swetha Acharya, Prashant Prabhu, Vidya S. Patil, Anirudh B. Acharya, Krithi Nikhil

Aim

To study the expression of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) and fibroblast growth factor-inducible immediate early response protein 14 (Fn14) in oral squamous cell carcinoma (OSCC), to elucidate the possible role of TWEAK-Fn14 in OSCC development.

Methods

Immunohistochemistry for TWEAK-Fn14 was performed on 61 oral mucosal samples: healthy oral mucosa (HOM; N = 15); oral dysplastic lesions (ODL; N = 15); and OSCC (N = 31). Extent of staining (ES) and immunoreactive score (IRS) were assessed. The data was statistically analyzed.

Results

All OSCC expressed TWEAK, and the Fn14 expression was noted in 90% of OSCC. A significant difference in the TWEAK and Fn14 expression was noted among the groups. ES and IRS of TWEAK-Fn14 significantly increased in OSCC compared with ODL and HOM. ES of TWEAK was significantly higher than Fn14 in all 3 groups. ES of TWEAK-Fn14 was significantly higher at the invasive tumor front (ITF) than in the whole tumor. TWEAK-Fn14 showed a significant association with clinicopathological parameters of prognostic significance.

Conclusion

Findings suggest that TWEAK and Fn14 may participate in the growth and progression of OSCC. Increased expression of TWEAK-Fn14 at the ITF may facilitate increased proliferation, altered differentiation and invasion.

目的研究肿瘤坏死因子样弱凋亡诱导因子(TWEAK)和成纤维细胞生长因子诱导的即时早期反应蛋白14(Fn14)在口腔鳞状细胞癌(OSCC)中的表达,阐明TWEAK-Fn14在OSCC发生中的可能作用。方法对61例口腔黏膜标本进行TWEAK-Fn14免疫组化检测:健康口腔黏膜(HOM;N=15);口腔发育异常病变(ODL;N=15);和OSCC(N=31)。评估染色程度(ES)和免疫反应评分(IRS)。对数据进行了统计分析。结果所有OSCC均表达TWEAK,Fn14在90%的OSCC中表达。TWEAK和Fn14的表达在各组之间存在显著差异。与ODL和HOM相比,TWEAK-Fn14的ES和IRS在OSCC中显著增加。三组中TWEAK的ES均显著高于Fn14。TWEAK-Fn14的ES在侵袭性肿瘤前沿(ITF)显著高于整个肿瘤。TWEAK-Fn14与具有预后意义的临床病理参数显著相关。结论TWEAK和Fn14可能参与OSCC的生长和发展。TWEAK-Fn14在ITF的表达增加可能促进增殖增加、分化改变和侵袭。
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引用次数: 3
In vitro evaluation of the effects of Ultrasound Tongue Scraper on bacteria and biofilm formation 超声刮舌器对细菌和生物膜形成影响的体外评价。
Q1 Medicine Pub Date : 2019-09-21 DOI: 10.1111/jicd.12471
Bennett T. Amaechi, Parveez Ahamed Abdul Azees, Suchitra Menon, Hariyali Kasundra

Aim

Oral malodor is a common condition caused by some Gram-negative oral bacteria, among which are the 3 red complex bacteria (RCB). The present study investigated the effectiveness of the Ultrasound Tongue Scraper (UTS) to disrupt the structural morphology of the bacteria and their biofilm.

Methods

While developing over 72 hours, multispecies biofilms of RCB (Porphromonas gingivalis, Tryponema denticola, Tannerella forsythia) were treated every 24 hours with 1.6-MHz ultrasound waves generated with UTS. An untreated group served as controls. Confocal laser scanning microscopy was used to determine the biofilm thickness, biomass and live : dead cell ratio at each time point (24, 48 and 72 hours). Biofilm morphology and bacteria ultrastructure were viewed using scanning/transmission electron microscopy, respectively. Data were analyzed using ANOVA and Tukey tests.

Results

At each time point, the 3 variables were significantly lower in treated samples than the untreated. Significant biofilm disruption was observed in treated samples at each time period while the untreated had intact biofilm morphology. Cells in treated samples showed disrupted cell wall, cytoplasmic material, huge vacuoles and heterogeneity in electron density, while these cell organelles remained intact in untreated samples.

Conclusion

The UTS has an inhibitory effect on RCB and could be useful for oral malodor management.

目的口腔恶臭是由一些革兰氏阴性口腔细菌引起的常见疾病,其中包括3种红色复合菌(RCB)。本研究调查了超声波刮舌器(UTS)破坏细菌及其生物膜结构形态的有效性。方法对RCB多相生物膜(牙龈卟啉单胞菌、齿锥虫、连翘单胞菌)在生长72小时以上的同时,每隔24小时用UTS产生的1.6-MHz超声波处理一次。一组未经治疗的患者作为对照。使用共聚焦激光扫描显微镜测定每个时间点(24、48和72小时)的生物膜厚度、生物量和活细胞与死细胞的比率。分别用扫描/透射电子显微镜观察生物膜形态和细菌超微结构。使用ANOVA和Tukey检验对数据进行分析。结果在每个时间点,处理过的样本中的3个变量都显著低于未处理的样本。在每个时间段,在处理的样品中观察到显著的生物膜破坏,而未处理的样品具有完整的生物膜形态。处理过的样品中的细胞显示出细胞壁、细胞质物质、巨大的液泡和电子密度的异质性,而这些细胞器在未处理的样品中保持完整。结论UTS对RCB有抑制作用,可用于口腔恶露的治疗。
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引用次数: 3
Literature review and micro-computed tomography analysis of natal teeth: A pilot study 一项初步研究:文献综述和初生牙的微计算机断层扫描分析。
Q1 Medicine Pub Date : 2019-09-21 DOI: 10.1111/jicd.12466
Joon Soo Park, Jilen Patel, Bhedita J. Seewoo, Nigel M. King, Robert P. Anthonappa

Aim

To outline the current literature surrounding natal teeth, and then, in a pilot study, to evaluate natal teeth using micro-computed tomography (micro-CT) to determine their anatomical profile, and compare and contrast different analytical methods to assess natal teeth.

Methods

2 extracted natal teeth (mandibular central incisors) and 1 exfoliated mandibular primary central incisor were subjected to micro-CT analysis.

Results

Within natal teeth, there were no statistical differences in tooth mineral density (TMD) of both enamel and dentine (P > .05), whereas mandibular primary central incisors had a significantly higher TMD of both enamel and dentine in comparison with both natal tooth 1 and natal tooth 2 (P < .05). Mandibular primary central incisors had a greater thickness and volume of both enamel and dentine, but exhibited lower pulpal space volume.

Conclusion

Micro-CT is an alternative and non-invasive method to anatomically assess natal teeth. According to the pilot study, natal teeth exhibited lower TMD, decreased enamel and dentine thickness, and smaller pulpal space volume in comparison with mandibular primary incisor teeth. This pilot study creates a foundation to establish the collection and analysis of natal teeth on a larger scale over time using micro-CT.

目的概述目前关于初生牙的文献,然后,在一项初步研究中,使用微型计算机断层扫描(micro-CT)来评估初生牙的解剖轮廓,并比较和对比不同的分析方法来评估初生牙。方法对2例拔除的生牙(下颌中切牙)和1例脱落的下颌中切牙进行显微ct分析。结果在出生牙内,牙釉质和牙本质的牙矿物质密度(TMD)差异无统计学意义(P < 0.05),而下颌初级中切牙的牙釉质和牙本质的TMD明显高于出生牙1和出生牙2 (P < 0.05)。下颌初级中切牙牙釉质和牙本质的厚度和体积都较大,但牙髓间隙体积较小。结论显微ct是一种可替代的、无创的对初生牙进行解剖评估的方法。根据初步研究,与下颌初级切牙相比,出生牙表现出较低的TMD,牙釉质和牙本质厚度减少,牙髓间隙体积较小。这一初步研究为利用微型ct在更大范围内收集和分析出生牙齿奠定了基础。
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引用次数: 4
Use of sonic waves in bubble formation, microhardness and fluoride release of a high-viscosity glass-ionomer cement 声波在高粘度玻璃离子水泥的气泡形成、显微硬度和氟化物释放中的应用。
Q1 Medicine Pub Date : 2019-09-04 DOI: 10.1111/jicd.12456
Nallu Gomes Lima Hironaka, Juliana Quintino Trizzi, Natália Miwa Yoshida, Jaime Aparecido Cury, Cinthia Pereira Machado Tabchoury, Juliana Nunes Botelho, Nubia Inocencya Pavesi Pini, Renata Corrêa Pascotto

Aim

High-viscosity glass-ionomer cements (HV-GIC) are indicated for restorations but their viscosity favors the inclusion of bubbles within it. This study aimed to evaluate the use of ultrasonic and sonic waves in bubble formation, microhardness and fluoride release in a HV-GIC, also considering a different powder:liquid ratio (P/L).

Methods

Twenty-four molars with occlusal cavities were divided into four groups (N = 6): CG, HV-GIC with manual insertion; UG, application of ultrasonic waves; SG, application of sonic waves; and FG, HV-GIC fluid (1:2 P/L) with manual insertion. After 24 hours, bubbles and microhardness (50 g/5 s) were measured. Fluoride release (N = 10) was evaluated in CG, SG and UG after cariogenic challenge for 11 days. Microhardness, total area and number of bubbles, and fluoride release were submitted to ANOVA and Tukey's test. The average size of bubbles was analyzed by Kruskal-Wallis test (α = 5%).

Results

FG presented the lowest value of microhardness and higher average size for bubbles (< .05). Differences concerning total number, total area occupied by bubbles and fluoride release were not found (> .05).

Conclusion

The use of sonic and ultrasonic waves had no influence on bubble formation, microhardness and fluoride release of a HV-GIC. Changing the P/L is not recommended.

目的高粘度玻璃离聚物水泥(HV-GIC)适用于修复体,但其粘度有利于在其中包含气泡。本研究旨在评估超声波和声波在HV-GIC中气泡形成、显微硬度和氟化物释放中的应用,方法将4颗有牙合腔的磨牙分为4组(N=6):CG组、HV-GIC手动插入组;UG,超声波的应用;SG,声波的应用;以及FG、HV-GIC流体(1:2 P/L)和手动插入。24小时后,测量气泡和显微硬度(50g/5s)。在致龋攻击11天后,在CG、SG和UG中评估氟化物释放(N=10)。显微硬度、气泡的总面积和数量以及氟化物的释放进行ANOVA和Tukey检验。用Kruskal-Wallis试验(α=5%)分析了HV-GIC中气泡的平均尺寸。结果HV-GIC的显微硬度值最低,平均尺寸较高(P。05)。结论声波和超声波的使用对HV-GIC气泡的形成、显微硬度和氟化物的释放没有影响。不建议更改P/L。
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引用次数: 2
Assessment of the effectiveness of invisible aligners compared with conventional appliance in aesthetic and functional orthodontic treatment: A systematic review 隐形矫正器与传统矫正器在美观和功能性正畸治疗中的有效性评估:一项系统综述。
Q1 Medicine Pub Date : 2019-09-02 DOI: 10.1111/jicd.12455
Matheus Melo Pithon, Felipe Carvalho Souza Baião, Letícia Iandeyara Dantas de Andrade Sant´ Anna, Luiz Renato Paranhos, Lucianne Cople Maia
To seek scientific evidence to support the effectiveness of invisible aligners, in the aesthetic and functional aspects, compared with that of conventional braces. An electronic search was performed with a complementary grey literature search for in vivo research. No language restrictions were applied. Scopus, PubMed, Web of Science, Cochrane, ClinicalTrials and GreyLiterature databases were used. Studies were first selected by title and abstract; those potentially eligible were read in full. Non-randomized studies were assessed for risk of bias using the tools Methodological Index for Non-randomized Studies (MINORS) and Cochrane Collaboration Common Scheme for Bias as a function of the presence of randomization. The search found 559 studies, of which 55 were potentially eligible. A total of 4 articles were included in this systematic literature review: three non-randomized controlled studies and one randomized controlled study, three with low risk of bias (RoB) and one with moderate RoB. Three studies showed time of correction of dental crowding shorter or equal to that of the control group and only one study showed less time of correction using conventional braces. Invisible aligners were deficient with respect to anterior/posterior and vertical corrections compared with fixed orthodontic appliances. Invisible aligners are effective in promoting dental alignment, but present clinical limitations in relation to the conventional system.
寻求科学证据支持隐形矫正器在美学和功能方面与传统矫正器相比的有效性。对体内研究进行了电子检索和补充灰色文献检索。没有语言限制。使用Scopus、PubMed、Web of Science、Cochrane、ClinicalTrials和GreyLiterature数据库。研究首先按标题和摘要进行选择;那些可能符合条件的人被完整地阅读了。使用非随机研究方法学指数(MINORS)和Cochrane协作常见偏倚方案作为随机存在的函数,评估非随机研究的偏倚风险。搜索发现559项研究,其中55项可能符合条件。本系统文献综述共收录了4篇文章:三项非随机对照研究和一项随机对照研究,三项具有低偏倚风险(RoB),一项具有中度RoB。三项研究表明,矫正牙齿拥挤的时间比对照组更短或相等,只有一项研究表明使用传统牙套矫正的时间更短。与固定正畸矫治器相比,隐形矫正器在前/后和垂直矫正方面存在缺陷。隐形矫正器在促进牙齿对齐方面是有效的,但与传统系统相比存在临床局限性。
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引用次数: 29
Influence of a light-activated glaze on the adhesion of Streptococcus sanguinis to the surface of polymers used in fabrication of interim prostheses 光活化釉料对血链球菌粘附在用于制造临时假体的聚合物表面的影响。
Q1 Medicine Pub Date : 2019-09-02 DOI: 10.1111/jicd.12452
Daniela Micheline dos Santos, Betina Chiarelo Commar, Emily Vivianne Freitas da Silva, Valentim Adelino Ricardo Barão, Adaias Oliveira Matos, Marcelo Coelho Goiato

Aim

This study aimed to investigate the adhesion of Streptococcus sanguinis to the surface of interim prostheses that were treated or not treated with a light-activated glaze, and subjected or not subjected to a thermocycling procedure.

Methods

36 specimens of each resin were divided into 4 groups: heat-activated acrylic resin; chemically-activated acrylic resin; bis-acryl composite resin (Protemp; 3M ESPE); and bis-GMA (Charisma; Heraeus Kulzer). Half of the specimens underwent application of glaze and the other half underwent mechanical polishing. Specimens were randomly distributed into groups (N = 9) with and without thermocycling (2000 cycles). Surface energy, roughness and microbiological analyses were performed.

Results

Groups treated with glaze showed lower roughness when compared with the same groups without glaze treatment, before and after thermocycling, except for the bis-acryl groups after thermocycling. Surface energy values were higher in the groups treated with glaze, except the bis-acryl group before and after thermocycling. After thermocycling, the values of bacterial adhesion decreased numerically, with the exception of the chemically-activated acrylic resin group treated with glaze and the heat-activated acrylic resin group without glaze treatment.

Conclusion

The application of glaze and the thermocycling do not influence, in a statistically significant manner, the bacterial adhesion on polymer surfaces.

目的:本研究旨在研究经光活化釉处理或未经热循环处理的临时假体表面的血链球菌粘附性。方法每种树脂36份标本分为4组:热活化丙烯酸树脂组;化学活化丙烯酸树脂;双丙烯酸酯复合树脂(Protemp;3 m ESPE);和bis-GMA (Charisma);贺利氏Kulzer)。一半的标本进行了上釉,另一半进行了机械抛光。将标本随机分为有热循环和无热循环两组(N = 9),各2000个循环。表面能,粗糙度和微生物分析。结果在热循环前后,除双丙烯酸基团外,釉处理组的表面粗糙度均低于未处理组。除热循环前后的双丙烯酸基团外,釉料处理组的表面能值均较高。热循环后,除经釉处理的化学活化丙烯酸树脂组和未经釉处理的热活化丙烯酸树脂组外,细菌粘附力数值均下降。结论釉料的应用和热循环对细菌在聚合物表面的粘附无显著影响。
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引用次数: 1
Evaluation of SOX2 and podoplanin expression in oral epithelial dysplasia and its correlation with malignant transformation 口腔上皮异常增生组织中SOX2和podoplanin的表达及其与恶性转化的关系。
Q1 Medicine Pub Date : 2019-08-28 DOI: 10.1111/jicd.12450
Vani Verma, Chetana Chandrashekar

Aim

Oral carcinogenesis cascade is a complex process, characterized by variable numbers of genetic and epigenetic alterations of various genes with manifold roles that could serve as biological hallmarks. This study was undertaken to assess the protein expression of SOX2 and podoplanin in oral epithelial dysplasia and correlate the expression with clinicopathological parameters and risk of malignant transformation.

Methods

SOX2 and podoplanin expression were analyzed in 60 cases of oral epithelial dysplasia. The association between SOX2 and podoplanin expression with various clinicopathological parameters and transformation to oral cancer was analyzed.

Results

A higher Histoscore was seen in 55% of moderate and 30% of severe dysplasia. 25% of the cases showed a negative podoplanin expression and 30% of patients had higher podoplanin expression (score 2 and 3). Though there was significant association of both SOX2 and podoplanin expression with the degree of dysplasia, the association of their expression with transformation to oral squamous cell carcinoma did not reach statistical significance.

Conclusion

Alteration in SOX2 and podoplanin is likely an important event in head and neck carcinogenesis; however, their expression may be valuable only in a few cases of oral epithelial dysplasia to assess the risk of malignant transformation.

恶性肿瘤级联发生是一个复杂的过程,其特点是各种基因的遗传和表观遗传改变的数量不同,这些基因具有多种作用,可以作为生物学标志。本研究旨在评估SOX2和podoplanin蛋白在口腔上皮异常增生中的表达,并将其与临床病理参数和恶性转化风险的关系联系起来。方法对60例口腔上皮发育不良患者进行ssox2和podoplanin的表达分析。分析SOX2和podoplanin表达与各种临床病理参数及向口腔癌转化的关系。结果55%的中度发育不良患者和30%的重度发育不良患者的组织学评分较高。25%的病例podoplanin表达阴性,30%的患者podoplanin表达较高(评分2分和3分)。SOX2和podoplanin表达与发育不良程度均有显著相关性,但与转化为口腔鳞状细胞癌的相关性无统计学意义。结论SOX2和podoplanin的改变可能是头颈部癌变的重要事件;然而,它们的表达可能仅在少数口腔上皮发育不良的病例中有价值,以评估恶性转化的风险。
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引用次数: 5
Distribution of platelets, transforming growth factor-β1, platelet-derived growth factor-BB, vascular endothelial growth factor and matrix metalloprotease-9 in advanced platelet-rich fibrin and concentrated growth factor matrices 血小板、转化生长因子-β1、血小板衍生生长因子- bb、血管内皮生长因子和基质金属蛋白酶-9在晚期富血小板纤维蛋白和浓缩生长因子基质中的分布。
Q1 Medicine Pub Date : 2019-08-28 DOI: 10.1111/jicd.12458
Akira Takahashi, Tetsuhiro Tsujino, Sadahiro Yamaguchi, Kazushige Isobe, Taisuke Watanabe, Yutaka Kitamura, Kazuhiro Okuda, Koh Nakata, Tomoyuki Kawase

Aim

Platelet-rich fibrin (PRF) matrices are compared with regard to their ability to retain and release growth factors. Although this ability is thought to influence regenerative outcomes, it remains unclear how it is regulated. To address this question, we compared advanced PRF (A-PRF) and concentrated growth factor (CGF) matrices in terms of distribution of platelets, transforming growth factor-β1, platelet-derived growth factor-BB, vascular endothelial growth factor and matrix metalloprotease-9 (MMP9).

Methods

Blood samples were obtained in glass tubes and immediately centrifuged to prepare A-PRF or CGF matrix according to their specific protocols. Both matrices were compressed, embedded in paraffin and subjected to immunohistochemical examination.

Results

Leukocytes and plasma proteins were localized on the distal surface including the interface corresponding to buffy coat. In A-PRF, platelets were distributed homogenously, while growth factors and fibronectin were localized on the proximal surface and MMP9 was mainly colocalized with leukocytes. In CGF, in contrast, platelets were localized on and below the distal surface like leukocytes, growth factors were diffused homogenously and MMP9 was found in the plasma protein layers.

Conclusion

Although these preparations do not allow accurate quantification, platelet counts and growth factor levels seemed higher and leukocytes were less activated in A-PRF. This may explain A-PRF’s higher ability to release growth factors.

富血小板纤维蛋白(PRF)基质在保留和释放生长因子方面的能力进行了比较。尽管这种能力被认为会影响再生的结果,但目前尚不清楚它是如何调节的。为了解决这个问题,我们比较了高级PRF (A-PRF)和浓缩生长因子(CGF)基质在血小板分布、转化生长因子-β1、血小板衍生生长因子- bb、血管内皮生长因子和基质金属蛋白酶9 (MMP9)方面的差异。方法采集血样于玻璃管中,立即离心制备A-PRF或CGF基质。两种基质均被压缩,包埋于石蜡中,并进行免疫组织化学检查。结果白细胞和血浆蛋白分布在近端表面,包括与灰白色被相对应的界面。在A-PRF中,血小板分布均匀,生长因子和纤维连接蛋白定位于远端表面,MMP9主要与白细胞共定位。相比之下,在CGF中,血小板像白细胞一样位于近表面及以下,生长因子均匀扩散,血浆蛋白层中发现MMP9。结论虽然这些制剂不能精确定量,但A-PRF中血小板计数和生长因子水平似乎较高,白细胞活化程度较低。这可能解释了A-PRF释放生长因子的能力更高。
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引用次数: 19
Mast cell expression in oral lichen planus: A systematic review 肥大细胞在口腔扁平苔藓中的表达:系统综述。
Q1 Medicine Pub Date : 2019-08-27 DOI: 10.1111/jicd.12457
Jayanth Kumar Vadivel, Meera Govindarajan, Elangovan Somasundaram, Arvind Muthukrishnan

Lichen planus is a common chronic, inflammatory, immune-mediated mucocutaneous disorder affecting the skin and mucosa. The role of mast cells in the genesis of lichen planus has been debated. Establishing a definitive part played by mast cells and its degranulation would possibly provide a permanent, cost-effective treatment modality for oral lichen planus (OLP). This review aims to study the expression of mast cells qualitatively and quantitatively in OLP. The research questions were framed to assess the mast cell count, localization within the epithelium basement membrane zone and degranulation of mast cells. We performed a systematic search of PubMed, Medline, Cochrane and Web of Science. We found a total of 120 studies from which 12 were found suitable for the review. There is a marked increase in the number of mast cells in OLP. The mast cells were seen in increased numbers in the epithelial and connective tissue junction at areas of basement membrane disruption. There was also an increase in the degranulation of mast cells. It is evident that there is an increase in the mast cell number in lichen planus and its subsequent degranulation.

扁平苔藓是一种常见的慢性炎症性免疫介导的皮肤粘膜疾病,影响皮肤和粘膜。肥大细胞在扁平苔藓发生中的作用一直存在争议。确定肥大细胞及其脱颗粒所起的决定性作用可能为口腔扁平苔藓(OLP)提供一种永久性、成本效益高的治疗方式。本综述旨在对肥大细胞在OLP中的表达进行定性和定量研究。研究问题旨在评估肥大细胞计数、上皮基底膜区内的定位和肥大细胞的脱颗粒。我们对PubMed、Medline、Cochrane和Web of Science进行了系统搜索。我们总共发现了120项研究,其中12项适合进行审查。OLP中的肥大细胞数量显著增加。肥大细胞在基底膜破坏区域的上皮和结缔组织连接处数量增加。肥大细胞的脱颗粒也有所增加。很明显,扁平苔藓的肥大细胞数量增加,随后脱颗粒。
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引用次数: 65
期刊
Journal of Investigative and Clinical Dentistry
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