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Assessment of selective salivary properties and taste perception in subjects with oral submucous fibrosis – A case-control study 评估口腔黏膜下纤维化患者的选择性唾液特性和味觉感知-一项病例对照研究
Q1 Medicine Pub Date : 2025-10-13 DOI: 10.1016/j.jobcr.2025.09.017
Mauli Alkesh Mody , Pritesh B. Ruparelia , Manali Patel , Kosha P. Ruparelia

Background

The present study was conducted to evaluate and compare selective salivary properties and taste perception in subjects with and without oral submucous fibrosis (OSMF), since OSMF affects the properties of saliva and may lead to decline in the quality of life.

Materials and method

Eighty subjects were enrolled in the study and equally divided into two groups based on the presence or absence of OSMF, for estimating, analysing and comparing the salivary flow rate (SFR), pH and taste perception using Modified Schirmer strip, pH strip and taste solutions respectively, in both groups. Chi-square test and unpaired t-test were applied.

Results

Compared to the control group, a statistically significant decrease in SFR was noted among stage 4 OSMF subjects. Alkaline pH was present in OSMF group, regardless of the stage. Taste alterations were present in relation to sweet, salty and sour taste in subjects with OSMF.

Conclusion

There is a marked decrease in SFR, alteration in salivary pH and significant taste changes such as hypogeusia, dysgeusia and ageusia in sweet, salt and sour tastes in subjects with OSMF.
本研究旨在评估和比较有和没有口腔粘膜下纤维化(OSMF)的受试者的选择性唾液特性和味觉感知,因为OSMF会影响唾液的特性,并可能导致生活质量下降。材料与方法将80名受试者纳入研究,根据是否存在OSMF将其平均分为两组,分别使用改良Schirmer试纸、pH试纸和味觉溶液对两组的唾液流率(SFR)、pH值和味觉感知进行估计、分析和比较。采用卡方检验和非配对t检验。结果与对照组相比,4期OSMF患者的SFR有统计学意义的显著下降。不论分期,OSMF组均呈碱性。味觉改变与OSMF受试者的甜味、咸味和酸味有关。结论OSMF患者的SFR明显下降,唾液pH值明显改变,甜味、咸味、酸味出现味觉减退、味觉障碍和衰老等味觉变化。
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引用次数: 0
Thermomechanical DNA extraction from infected dental pulp for next-generation sequencing applications 从感染牙髓中热机械提取DNA用于下一代测序应用
Q1 Medicine Pub Date : 2025-10-10 DOI: 10.1016/j.jobcr.2025.09.029
Preethesh Shetty, Raksha Bhat, Shishir Shetty

Background

DNA extraction from infected dental pulp tissue represents a critical methodological limitation in molecular endodontics, severely constraining pathogen identification and precision therapeutic approaches. Conventional extraction protocols demonstrate systematic failures when applied to inflamed pulp samples containing complex hydroxyapatite-collagen matrices, neutrophil extracellular traps, and inflammatory mediators that compromise nucleic acid integrity and downstream next-generation sequencing applications.

Methods

The present investigation comprehensively validated a thermomechanical extraction protocol combining optimized extended thermal incubation with intensive mechanical disruption cycles specifically designed for infected dental pulp tissues. Performance was systematically evaluated against the current standardised systems using multi-parameter quality assessment, statistical analysis including effect size calculations across 24 infected pulp samples from patients with irreversible pulpitis.

Results

The thermomechanical protocol achieved transformative improvements across all performance metrics: 3.7-fold enhancement in DNA concentration (69.8 ± 10.21 vs. 18.83 ± 12.72 ng/μL, p < 0.01, Cohen's d = 4.2), 18 % improvement in protein purity ratios (A260/A280: 2.23 ± 0.23 vs. 1.89 ± 0.060, p < 0.01), and unprecedented 4–6 fold enhancement in inter-sample reproducibility (coefficient of variation reduction from 67.6 % to 14.6 %). Universal optimal quality classification was achieved (100 % vs. 58.3 % for conventional protocols), enabling reliable endodontic microbiome analysis and pulp genomics applications.

Conclusions

The current thermomechanical approach establishes performance standards for infected dental pulp DNA extraction, providing reliable methodology for endodontic microbiome analysis, pulp-dentin genomics, and precision therapy selection. The superior reproducibility and pathophysiology-specific refinement positions it as essential for advancing molecular endodontics and evidence-based therapeutic decision-making.
从感染牙髓组织中提取dna是分子牙髓学中一个关键的方法学限制,严重限制了病原体鉴定和精确治疗方法。传统的提取方法在处理含有复杂羟基磷灰石-胶原基质、中性粒细胞胞外陷阱和炎症介质的炎症牙髓样品时显示出系统性的失败,这些物质会损害核酸的完整性和下游下一代测序的应用。方法本研究综合验证了针对感染牙髓组织设计的热机械提取方案,该方案结合了优化的延长热培养和强化的机械破坏循环。采用多参数质量评估和统计分析,包括对来自不可逆牙髓炎患者的24个感染牙髓样本的效应量计算,对当前标准化系统的性能进行系统评估。结果热机械方案在所有性能指标上都取得了革命性的改善:DNA浓度提高3.7倍(69.8±10.21 vs. 18.83±12.72 ng/μL, p < 0.01, Cohen’s d = 4.2),蛋白质纯度比提高18% (A260/A280: 2.23±0.23 vs. 1.89±0.060,p < 0.01),样品间可重复性提高4-6倍(变异系数从67.6%降低到14.6%)。实现了普遍的最佳质量分类(100%,而传统方案为58.3%),实现了可靠的牙髓微生物组分析和牙髓基因组学应用。结论热力学方法建立了感染牙髓DNA提取的性能标准,为牙髓微生物组分析、牙髓-牙本质基因组学和精确治疗选择提供了可靠的方法。优越的可重复性和病理生理特异性的细化定位它是必不可少的推进分子牙髓学和循证治疗决策。
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引用次数: 0
Comparative evaluation of Hyaluronic acid and injectable platelet-rich fibrin as a non-surgical approach for management of black triangle 透明质酸与注射富血小板纤维蛋白非手术治疗黑三角的比较评价
Q1 Medicine Pub Date : 2025-10-08 DOI: 10.1016/j.jobcr.2025.09.030
Mansi Pal, Nand Lal, Umesh Pratap Verma, Anjani Kumar Pathak

Aims

To compare and evaluate the clinical efficacy of Hyaluronic Acid and Injectable Platelet Rich Fibrin (i-PRF) in the management of gingival black triangles using clinical and photographic analysis over 6 months.

Material and method

Thirty patients (15 in each group) were evaluated in this comparative study. Patients were divided into two groups: Group(HA) and Group(i-PRF). Injections were administered at baseline, 3 weeks, and 6 weeks. Black triangle height and area were measured at baseline, 1 month, 3 months, and 6 months using a UNC-15 probe and ImageJ software. Data were analyzed using repeated measures ANOVA and Tukey's post hoc test.

Results

Both the HA and i-PRF groups showed significant reductions in black triangle height and area over a 6-month period. HA reduced height by 0.80 mm at 1 month (p = 0.067), 1.47 mm at 3 months (p < 0.001), and 2.00 mm at 6 months (p < 0.001), while i-PRF reduced height by 1.20 mm (p = 0.003), 1.80 mm (p < 0.001), and 2.27 mm (p < 0.001) at the same intervals. Area reductions followed similar patterns. No significant intergroup differences were observed.

Conclusion

HA and i-PRF are effective, minimally invasive, and biocompatible treatments for managing black triangles. HA offers ease of use and patient comfort, while i-PRF is biologically driven and cost-effective. Material selection should be based on clinical conditions and patient preferences.
目的比较和评价透明质酸与富血小板纤维蛋白(i-PRF)治疗6个月牙龈黑三角的临床疗效。材料与方法30例患者(每组15例)进行比较研究。患者分为两组:HA组和i-PRF组。在基线、3周和6周进行注射。使用UNC-15探针和ImageJ软件在基线、1个月、3个月和6个月测量黑色三角形的高度和面积。数据分析采用重复测量方差分析和Tukey事后检验。结果在6个月的时间里,HA组和i-PRF组的黑三角高度和面积均有显著降低。HA在1个月降低高度0.80 mm (p = 0.067),在3个月降低高度1.47 mm (p < 0.001),在6个月降低高度2.00 mm (p < 0.001),而i-PRF在相同的间隔降低高度1.20 mm (p = 0.003), 1.80 mm (p < 0.001)和2.27 mm (p < 0.001)。面积的减少也有类似的模式。各组间无显著差异。结论ha和i-PRF治疗黑三角是一种有效、微创、生物相容性好的治疗方法。HA提供了易用性和患者舒适度,而i-PRF是生物驱动的,具有成本效益。材料的选择应根据临床情况和患者的偏好。
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引用次数: 0
Sense of coherence and its relation to self perceived dental appearance and normative orthodontic treatment need among 12-year-old children 12岁儿童连贯感及其与自我感知牙齿外观和规范正畸治疗需求的关系
Q1 Medicine Pub Date : 2025-10-08 DOI: 10.1016/j.jobcr.2025.09.027
Turaga Sai Susmitha, Jagadeeswara Rao Sukhabhogi, Dolar Doshi

Background

Sense of Coherence (SOC) is a psychological aspect that could have a significant effect on an individual's perception of aesthetics.

Aim

To assess the influence of Sense of Coherence on self-perceived dental appearance against normative orthodontic treatment need among 12 year old children.

Methods

An observational study was conducted among 268 school children aged 12 years old from in and around Hyderabad city to assess individuals’ Sense of Coherence (SOC-13), self-perceived aesthetics (Oral Aesthetic Subjective Impact Scale – 5 item) and malocclusion using Dental Aesthetic Index. Frequency distributions were used to describe the responses item wise for SOC and OASIS questionnaire. The difference between mean SOC scores between the groups was assessed using ANOVA. Multiple linear regression was performed to assess the affect of gender and OASIS on SOC.

Results

Nearly half of the sample (48.13 %) demonstrated higher Sense of Coherence and 58.96 % of individuals had positive perception of aesthetics. Remarkable percentage (78.73 %) of children had normative orthodontic treatment need. Highest mean SOC score (60.70 ± 9.78) was noted for those without orthodontic treatment need and negative aesthetic perception (p = 0.40). Self perceived dental aesthetics revealed a negative correlation with SOC (r = −0.02; p = 0.72). Multiple linear regression analysis revealed that SOC could be predicted only by gender (p = 0.01) but not self perceived aesthetics (p = 0.27)

Conclusion

In this study, Sense of Coherence did not influence the self perceived aesthetics irrespective of normative need.
连贯感(SOC)是影响个体审美感知的一个重要心理因素。目的探讨连贯性感对12岁儿童自我牙貌感知与规范正畸治疗需求的影响。方法对海得拉巴市及周边地区268名12岁学龄儿童进行观察性研究,评估个体的连贯性(SOC-13)、自我感知美学(口腔审美主观影响量表- 5项)和牙美指数错颌。频率分布用于描述SOC和OASIS问卷的单项反应。使用方差分析(ANOVA)评估两组间平均SOC评分的差异。采用多元线性回归评估性别和绿洲对SOC的影响。结果近一半的人(48.13%)表现出较高的连贯感,58.96%的人对审美有积极的感知。78.73%的儿童有规范的正畸治疗需求。无正畸治疗需求、审美不良者SOC评分最高(60.70±9.78)(p = 0.40)。自我感知的牙齿美学与SOC呈负相关(r = - 0.02; p = 0.72)。多元线性回归分析显示,社会归属感仅能被性别预测(p = 0.01),而不能被自我感知美学预测(p = 0.27)。结论在本研究中,无论规范需求如何,连贯感对自我感知美学都没有影响。
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引用次数: 0
Role of artificial intelligence in diagnosing pericoronal radiolucency 人工智能在冠状周围辐射率诊断中的作用
Q1 Medicine Pub Date : 2025-10-04 DOI: 10.1016/j.jobcr.2025.09.025
M. Madhumitha , Devika S. Pillai , Pradeep Kumar Yadalam , Prasanthi Sitaraman

Background

Artificial Intelligence (AI) significantly enhances the diagnosis of pericoronal radiolucency by accurately interpreting dental radiographs. Through advanced algorithms, AI can identify early signs of abnormalities near unerupted teeth. This helps clinicians differentiate between benign and malignant conditions, leading to more informed decisions; improved treatment plans, ultimately benefiting patient care and outcomes.

Method

ology: A total of 2500 radiographs were screened of which 1070 radiographs were used in the study. 315 images of pericoronal radiolucency in mandibular third molars and 755 images of the normal mandibular third molars were included. The AI algorithms employed in the study were Logistic regression and Naive Bayes. Accuracy, sensitivity, specificity, precision, recall, F1, AUC-ROC curve were used for performance evaluation.

Results

This study found that Logistic regression model showed slightly higher accuracy than Naive Bayes model in predicting peri coronal radiolucency. In performance prediction for logistic regression model in predicting pericoronal radiolucency in third molars in 315 images, showed a slightly higher rate of prediction of 58.3 %, whereas, Naive Bayes model showed a comparatively lower prediction of pericoronal radiolucency, 52.2 %. During performance evaluation, Logistic regression performed better in CA, F1, and Recall, and Naive Bayes performed better in AUC and Precision model.

Conclusion

The current study demonstrated that Logistic regression have slightly highest accuracy in detecting pericoronal radiolucency in digital orthopantomogram images, which is consistent with the normal radiographic evaluation. Also, the Naive Bayes algorithm showed a fairly considerable performance in the classification of pericoronal radiolucencies.
人工智能(AI)通过准确解读牙科x光片,显著提高了冠状周围放射率的诊断。通过先进的算法,人工智能可以识别未出牙附近的早期异常迹象。这有助于临床医生区分良性和恶性疾病,从而做出更明智的决定;改进治疗计划,最终使患者的护理和结果受益。方法:共筛选2500张x线片,其中1070张用于研究。本文包括315张下颌第三磨牙冠周透光度图像和755张正常下颌第三磨牙的透光度图像。本研究采用的人工智能算法为Logistic回归和朴素贝叶斯。采用准确度、灵敏度、特异度、精密度、召回率、F1、AUC-ROC曲线进行评价。结果Logistic回归模型对日冕周辐射率的预测精度略高于朴素贝叶斯模型。在315张图像中,logistic回归模型对第三磨牙冠周透光率的预测率为58.3%,而朴素贝叶斯模型对冠周透光率的预测率较低,为52.2%。在性能评价中,Logistic回归在CA、F1和Recall模型上表现较好,朴素贝叶斯在AUC和Precision模型上表现较好。结论Logistic回归在数字正体层析成像中检测冠状周围辐射率的准确率略高,与正常放射学评价一致。此外,朴素贝叶斯算法在冠周辐射率的分类中也表现出相当可观的性能。
{"title":"Role of artificial intelligence in diagnosing pericoronal radiolucency","authors":"M. Madhumitha ,&nbsp;Devika S. Pillai ,&nbsp;Pradeep Kumar Yadalam ,&nbsp;Prasanthi Sitaraman","doi":"10.1016/j.jobcr.2025.09.025","DOIUrl":"10.1016/j.jobcr.2025.09.025","url":null,"abstract":"<div><h3>Background</h3><div>Artificial Intelligence (AI) significantly enhances the diagnosis of pericoronal radiolucency by accurately interpreting dental radiographs. Through advanced algorithms, AI can identify early signs of abnormalities near unerupted teeth. This helps clinicians differentiate between benign and malignant conditions, leading to more informed decisions; improved treatment plans, ultimately benefiting patient care and outcomes.</div></div><div><h3>Method</h3><div>ology: A total of 2500 radiographs were screened of which 1070 radiographs were used in the study. 315 images of pericoronal radiolucency in mandibular third molars and 755 images of the normal mandibular third molars were included. The AI algorithms employed in the study were Logistic regression and Naive Bayes. Accuracy, sensitivity, specificity, precision, recall, F1, AUC-ROC curve were used for performance evaluation.</div></div><div><h3>Results</h3><div>This study found that Logistic regression model showed slightly higher accuracy than Naive Bayes model in predicting peri coronal radiolucency. In performance prediction for logistic regression model in predicting pericoronal radiolucency in third molars in 315 images, showed a slightly higher rate of prediction of 58.3 %, whereas, Naive Bayes model showed a comparatively lower prediction of pericoronal radiolucency, 52.2 %. During performance evaluation, Logistic regression performed better in CA, F1, and Recall, and Naive Bayes performed better in AUC and Precision model.</div></div><div><h3>Conclusion</h3><div>The current study demonstrated that Logistic regression have slightly highest accuracy in detecting pericoronal radiolucency in digital orthopantomogram images, which is consistent with the normal radiographic evaluation. Also, the Naive Bayes algorithm showed a fairly considerable performance in the classification of pericoronal radiolucencies.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"15 6","pages":"Pages 1648-1654"},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Curcumin mitigates the histopathological and molecular changes in sublingual glands in diabetic male rats 姜黄素减轻糖尿病雄性大鼠舌下腺的组织病理和分子变化
Q1 Medicine Pub Date : 2025-10-02 DOI: 10.1016/j.jobcr.2025.09.023
Maha El Shahawy

Objective

demonstrate the possible palliative role of curcumin in the prospective molecular and histological alterations in the sublingual glands of diabetic male rats.

Methods

Twenty-one male adult rats were used and randomly assigned into three groups (n = 7). The control group consisted of rats administered a single IP injection of saline. The diabetic group included rats receiving one dose of alloxan (140 mg/kg). The nanocurcumin-treated rat group (NC group) contained diabetic rats administered 200 mg/kg nanocurcumin. After 42 days, the salivary glands were dissected and assessed for Masson trichrome, Hematoxylin and eosin (H&E) staining, expression of c-kit and β-catenin, and histomorphometric analysis.

Results

The sublingual glands of diabetic rats revealed altered histology. In addition, the salivary tissues depicted an apparent change in β-catenin, and c-kit expression. The NC group resumed the normal sublingual gland architecture and c-kit and β-catenin expression.

Conclusion

Curcumin treatment rescued the histological and molecular changes in the sublingual glands of the diabetic rats. The ameliorating effect of curcumin on sublingual tissues of diabetic rats may be due to resuming of expression of β-catenin suggesting restoration of Wnt/β-catenin signaling in the glandular tissues which can maintain the c-kit + glandular stem/progenitor cells.
目的探讨姜黄素在糖尿病雄性大鼠舌下腺分子和组织学改变中的可能的缓解作用。方法选用雄性成年大鼠21只,随机分为3组(n = 7)。对照组大鼠单次IP注射生理盐水。糖尿病组大鼠给予一剂四氧嘧啶(140 mg/kg)。纳米姜黄素处理大鼠组(NC组)给药200 mg/kg纳米姜黄素。42 d后,解剖唾液腺,进行马松三色、苏木精和伊红(H&;E)染色、c-kit和β-catenin的表达和组织形态学分析。结果糖尿病大鼠舌下腺组织学改变。此外,唾液组织中β-catenin和c-kit的表达也发生了明显变化。NC组舌下腺结构恢复正常,c-kit和β-catenin表达恢复正常。结论姜黄素治疗可恢复糖尿病大鼠舌下腺的组织和分子变化。姜黄素对糖尿病大鼠舌下组织的改善作用可能是由于恢复了β-catenin的表达,提示恢复了腺组织中Wnt/β-catenin信号通路,从而维持了c-kit +腺干/祖细胞。
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引用次数: 0
Comparative evaluation of the efficiency of different decontamination protocols for reusing healing abutments: An in vitro study 重复使用愈合基台的不同去污方案效率的比较评价:一项体外研究
Q1 Medicine Pub Date : 2025-10-01 DOI: 10.1016/j.jobcr.2025.09.024
Dhruv Patel, Nayana Shriram Anasane, V.N.V. Madhav

Purpose

Healing abutments are subjected to multiple cycles of reuse owing to the limited wear and tear experienced in function. The study undertaken focuses on drawing a comparative evaluation amongst two decontamination protocols for reusing healing abutments.

Materials and method

A total of 85 healing abutments were divided into 3 groups. Group 1 contained 5 unused healing abutments. Group 2 contained 40 used healing abutments which were subjected to ultrasonic cleaning followed by autoclaving. Group 3 also contained 40 used healing abutments which were subjected to decontamination using NaOCl followed by ultrasonic cleaning followed by autoclaving. Healing abutments from all 3 groups were then individually stained with Phloxine B stain for a duration of 1 min and were individually observed under 10X Stereomicroscope for traces of staining which indicated residual contamination.

Statistical analysis

ANOVA test and chi-square test were employed to statistically analyze the 3 groups using SPSS software.

Result

The difference between the 3 groups was statistically significant (p < 0.001) with a chi-Square value of 85 %. Intergroup Comparison of mean rank showed statistically significant difference between the groups (Kruskal Wallis ANOVA, p < 0.001). Groups 1 and 3 did not display any evidence of staining with Phloxine B indicating no residual contamination, whereas all samples belonging to Group 2 displayed biological remnants as evidenced by the presence of staining.

Conclusion

Cleaning of used healing abutments using Sodium hypochlorite followed by ultrasonic cleaning and autoclaving shows greater efficiency in ensuring complete decontamination of used healing abutments as compared to ultrasonic cleaning and autoclaving.
目的修复基牙由于其功能的有限磨损,需要经历多次重复使用。所进行的研究侧重于在重复使用愈合基台的两种去污方案之间进行比较评估。材料与方法85个愈合基台分为3组。组1包含5个未使用的愈合基牙。第2组40个使用过的愈合基牙,超声清洗后进行高压灭菌。第三组40个使用过的愈合基牙,用NaOCl去污,然后超声清洗,然后高压灭菌。3组愈合基牙分别用Phloxine B染色1 min,在10倍体视显微镜下观察是否有残留污染的染色痕迹。统计学分析采用方差分析和卡方检验,采用SPSS软件对3组进行统计学分析。结果3组间差异有统计学意义(p < 0.001),卡方值为85%。组间平均秩比较显示组间差异有统计学意义(Kruskal Wallis ANOVA, p < 0.001)。第1组和第3组没有显示出任何污染残留的证据,而第2组的所有样品都显示出生物残留,这表明存在染色。结论次氯酸钠清洗后超声清洗和高压灭菌比超声清洗和高压灭菌能更有效地保证愈合基牙的完全去污。
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引用次数: 0
Discrepancy in diagnosis and characteristics of odontogenic cystic lesions in mixed dentition period; a retrospective study 混合牙列期牙源性囊性病变的诊断与特征差异回顾性研究
Q1 Medicine Pub Date : 2025-10-01 DOI: 10.1016/j.jobcr.2025.09.028
Umer Mukhtar, Rigzen Tamchos, Manoj kumar Jaiswal, Sadia Iqbal

Background

There is an ambiguity in the correct diagnosis of odontogenic cystic lesions in mixed dentition period. So, present study was planned to assess diagnostic discrepancies and their potential impact on treatment strategies in pediatric odontogenic cysts.

Material method

The data of the patients was retrieved from the digital records of patients from January 2014 to January 2024. After screening of the digital records, 61 cases were selected for screening, for demographic details, various clinical characteristics, radiographic investigations (OPG, CBCT etc.). For the calculation of the discrepancy between clinical and histopathological diagnosis of the radicular cyst, dentigerous cyst, and odontogenic kerato-cyst the Discrepancy Index was calculated.

Results

The results revealed that 61 cases of various cystic conditions were identified. Among them, the dentigerous cyst constituted 14.7 % (9cases), radicular cyst constituted 42.6 % (26cases), and Odontogenic kerato-cyst constitutes 27.86 % (17 cases) with the mean age (in years) of reporting 9.55 ± 3.16, 9.00 ± 2.79, and10.06 ± 2.43 respectively. The odontogenic cysts were commonly found in mandibular posterior region. In patients with dentigerous cysts, 44.44 % had a history of extraction of primary teeth, 55.55 % had decayed/pulpectomised teeth. Among them the maximum discrepancy index was observed between dentigerous cysts and Odontogenic kerato-cysts i.e., 50 %, followed by radicular cyst and dentigerous cyst or vice-versa (21.42 %).

Conclusion

Despite the difficult diagnosis of dentigerous cyst, radicular cyst and OKCs in mixed dentition, cystic lesions should be examined thoroughly and diagnosed carefully. Misinterpreting a cyst as a tumor, could lead to aggressive surgical intervention when a less invasive approach would suffice.
背景混合牙列期牙源性囊性病变的正确诊断存在歧义。因此,本研究旨在评估儿童牙源性囊肿的诊断差异及其对治疗策略的潜在影响。材料方法检索2014年1月至2024年1月患者的电子病历。筛选数字记录后,选择61例进行筛查,包括人口统计学细节、各种临床特征、影像学调查(OPG、CBCT等)。计算根状囊肿、牙源性囊肿和牙源性角性囊肿的临床诊断与组织病理学诊断的差异,计算差异指数。结果共检出各种囊性疾病61例。其中,牙源性囊肿占14.7%(9例),根状囊肿占42.6%(26例),牙源性角膜囊肿占27.86%(17例),平均年龄(年)分别为9.55±3.16、9.00±2.79和10.06±2.43。牙源性囊肿常见于下颌后区。在有牙囊肿的患者中,44.44%有拔牙史,55.55%有蛀牙/去牙史。其中牙源性囊肿与牙源性角化囊肿差异指数最大,为50%,其次为根状囊肿与牙源性囊肿,反之为21.42%。结论混合牙列的含牙囊肿、根状囊肿和OKCs虽然诊断困难,但仍应仔细检查和诊断。将囊肿误解为肿瘤,可能会导致侵略性的手术干预,而侵入性较小的方法就足够了。
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引用次数: 0
Evaluation of the role of age in MMP 9 and MMP 2 levels in pulpal blood of teeth with symptomatic irreversible pulpitis 年龄对症状性不可逆性牙髓炎牙髓血中mmp9和mmp2水平的影响
Q1 Medicine Pub Date : 2025-09-27 DOI: 10.1016/j.jobcr.2025.09.022
Praneeth rednam , Sarath sarathy

Aim

To assess MMP 2 and MMP 9 levels in pulpal blood of human molar teeth with symptomatic irreversible pulpitis in 2 different age groups.

Materials and methods

Patients of two age groups young [18–40] and old [>60] with symptomatic irreversible pulpitis in molars were included in this study. Teeth were isolated using a rubber dam. The rubber dam, clamp, and tooth were decontaminated using a cotton swab drenched in 1 % NaOCl solution. Access cavities were then prepared using a diamond-coated bur in a contrangle handpiece under water-cooling. Subsequently, the caries was excavated using a sterile round bur. Pulpal blood was collected from the pulp chamber by placing the blunt end of a sterile inverted 60 size paper point for 1 min. The paper point was transferred into a sterile microcentrifugation tube and frozen at −20 °C immediately until further processing. The levels of MMP-9 and MMP-2 in these samples were measured using commercially available specific enzyme-linked immunosorbent assay (ELISA) kits. Data was analysed using an independent t-test.

Results

The mean pulpal blood levels of MMP-9 in patients above 60 years (220 ng/ml) were significantly lower than those aged 18–40 years (468 ng/ml) ([p value < 0.05]
The mean pulpal blood levels of MMP-2 in patients above 60 years (134 ng/ml) were significantly lower than in those aged 18–40 years (153 ng/ml [p value < 0.05].

Conclusion

MMP-9 and MMP-2 levels in pulpal blood of cariously exposed teeth with irreversible pulpitis can vary with age.
目的评价2个不同年龄组有症状的不可逆性牙髓炎患者磨牙髓血中mmp2和mmp9的水平。材料与方法本研究分为青年[18-40]和老年[>;60]两组有症状的磨牙不可逆性牙髓炎患者。牙齿用橡胶坝隔离。用浸有1% NaOCl溶液的棉签对橡胶坝、夹钳和牙进行消毒。然后,在水冷却的情况下,在一个对角机头中使用涂有金刚石的bur制备通道腔。随后,使用无菌圆钻挖掘龋。从髓腔收集髓血,将钝端放置在一个无菌倒置60大小的纸点上1分钟。将纸点转移到无菌微离心管中,立即在- 20°C冷冻以待进一步处理。这些样品中MMP-9和MMP-2的水平使用市售的特异性酶联免疫吸附测定(ELISA)试剂盒进行测定。数据分析采用独立t检验。结果60岁以上患者髓血MMP-9平均水平(220 ng/ml)显著低于18-40岁患者(468 ng/ml) (p值<; 0.05), 60岁以上患者髓血MMP-2平均水平(134 ng/ml)显著低于18-40岁患者(153 ng/ml) (p值<; 0.05)。结论龋露牙不可逆牙髓炎患者牙髓血中mmp -9、MMP-2水平随年龄变化而变化。
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引用次数: 0
Assessment of efficacy of lignocaine patch in pain management post third molar extraction: A prospective, split mouth study 评估利多卡因贴片在第三磨牙拔牙后疼痛管理中的疗效:一项前瞻性的裂口研究
Q1 Medicine Pub Date : 2025-09-24 DOI: 10.1016/j.jobcr.2025.09.016
P.S. Tripthi, Rakshita Kumar, Padmaraj Hegde

Introduction

Postoperative pain following third molar extractions is a significant concern, often managed using opioids and NSAIDs, associated with considerable side effects. Lignocaine patches, known for their localized action and minimal systemic effects, have shown promise in managing various pain conditions. This study aimed to evaluate the efficacy of 5 % lignocaine patches in reducing postoperative pain following third molar extractions.

Methodology

A prospective, split-mouth study was conducted on 30 patients aged 18–40 years requiring bilateral extraction of impacted mandibular third molars. Post extraction on one side (test lignocaine patches were applied postoperatively, while post extraction of contralateral side, standard oral analgesics were given. Pain levels were assessed using the Visual Analog Scale (VAS) on the day of extraction, postoperative day (POD) 1 and POD 2. Additional patches or analgesics were provided if pain exceeded VAS thresholds.

Results

The test group reported significantly lower mean VAS scores (1.96 ± 0.72) compared to the control group (2.55 ± 0.35, p = 0.004). Significant reduction in pain was observed in both groups over time, but the test group showed greater pain relief by POD 2 (p = 0.000) and no major adverse effects were reported, only 13.3 % experienced inadequate analgesia, requiring the need of a second patch.

Conclusion

These findings suggest that 5 % lignocaine patches offer an effective alternative to oral analgesics for managing postoperative pain after third molar extractions. Further research, however, is recommended to explore their potential in reducing opioid use and their effectiveness in other minor oral surgical procedures.
第三磨牙拔牙后的术后疼痛是一个值得关注的问题,通常使用阿片类药物和非甾体抗炎药进行治疗,并伴有相当大的副作用。利多卡因贴片,以其局部作用和最小的全身作用而闻名,在治疗各种疼痛状况方面显示出希望。本研究旨在评估5%利多卡因贴片减少第三磨牙拔牙术后疼痛的疗效。方法对30例年龄18-40岁需要双侧拔除下颌阻生第三磨牙的患者进行前瞻性、口裂研究。术后一侧拔牙后应用试验用利多卡因贴片,对侧拔牙后给予标准口服镇痛药。采用视觉模拟评分法(VAS)评估拔牙当天、术后第1天(POD)和第2天(POD)的疼痛程度。如果疼痛超过VAS阈值,则提供额外的贴片或镇痛药。结果试验组VAS平均评分(1.96±0.72)明显低于对照组(2.55±0.35,p = 0.004)。随着时间的推移,两组的疼痛都有明显的减轻,但试验组显示POD 2的疼痛缓解更大(p = 0.000),没有报告主要的不良反应,只有13.3%的人经历了不充分的镇痛,需要第二次贴片。结论5%利多卡因贴片是治疗第三磨牙拔牙术后疼痛的有效替代药物。然而,建议进一步研究它们在减少阿片类药物使用方面的潜力及其在其他小型口腔外科手术中的有效性。
{"title":"Assessment of efficacy of lignocaine patch in pain management post third molar extraction: A prospective, split mouth study","authors":"P.S. Tripthi,&nbsp;Rakshita Kumar,&nbsp;Padmaraj Hegde","doi":"10.1016/j.jobcr.2025.09.016","DOIUrl":"10.1016/j.jobcr.2025.09.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Postoperative pain following third molar extractions is a significant concern, often managed using opioids and NSAIDs, associated with considerable side effects. Lignocaine patches, known for their localized action and minimal systemic effects, have shown promise in managing various pain conditions. This study aimed to evaluate the efficacy of 5 % lignocaine patches in reducing postoperative pain following third molar extractions.</div></div><div><h3>Methodology</h3><div>A prospective, split-mouth study was conducted on 30 patients aged 18–40 years requiring bilateral extraction of impacted mandibular third molars. Post extraction on one side (test lignocaine patches were applied postoperatively, while post extraction of contralateral side, standard oral analgesics were given. Pain levels were assessed using the Visual Analog Scale (VAS) on the day of extraction, postoperative day (POD) 1 and POD 2. Additional patches or analgesics were provided if pain exceeded VAS thresholds.</div></div><div><h3>Results</h3><div>The test group reported significantly lower mean VAS scores (1.96 ± 0.72) compared to the control group (2.55 ± 0.35, <em>p</em> = 0.004). Significant reduction in pain was observed in both groups over time, but the test group showed greater pain relief by POD 2 (<em>p</em> = 0.000) and no major adverse effects were reported, only 13.3 % experienced inadequate analgesia, requiring the need of a second patch.</div></div><div><h3>Conclusion</h3><div>These findings suggest that 5 % lignocaine patches offer an effective alternative to oral analgesics for managing postoperative pain after third molar extractions. Further research, however, is recommended to explore their potential in reducing opioid use and their effectiveness in other minor oral surgical procedures.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"15 6","pages":"Pages 1601-1606"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of oral biology and craniofacial research
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