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Differential gene expression profile in Porphyromonas gingivalis treated human gingival keratinocytes and their role in the development of HNSCC. 牙龈卟啉单胞菌处理的人牙龈角质形成细胞的差异基因表达谱及其在HNSCC发展中的作用。
Q1 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1016/j.jobcr.2024.11.007
Dakshinya M, Anitha P, A S Smiline Girija, Paramasivam A, Vijayashree Priyadharsini J

Background: Periodontitis is considered to be one of the major risk factors associated with cancers of the oral cavity. Periodontogenic pathogens such as Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia, Fusobacterium nucleatum and Aggregatibacter actinomycetemcomitans are the important pathogens associated with periodontitis. Chronic exposure to bacterial components induces changes in the nearby cells. Hence, the present study has been designed to identify the molecular mechanisms that could be associated with the two disease conditions viz., periodontitis and head and neck cancer.

Objective: The present study investigated the differential gene expression profile in human gingival keratinocytes treated with P. gingivalis (Pg), a bacterium associated with periodontal disease, and its possible association with the development of Head and Neck Squamous Cell Carcinoma (HNSCC).

Methods: The study followed a computational design. Multiple tools and databases, such as GEOmnibus, STRING, Metascape, PANTHER, and UALCAN, cBioportal, were used to derive an association between gene expression during infection with P. gingivalis, and the resulting gene expression profiles were analyzed in the HNSCC dataset.

Results: The study revealed 29 genes from a pool of transcripts acquired after comparing the Pg-HIGK and Sham-HIGK. Among them, 3 genes i.e., FST, VRK3, and SGK1, were found to be overexpressed and significantly influenced patient survival. The upregulation of FST was found to correlate with poor prognosis in HNSCC patients.

Conclusion: The study provided insights into the possible association of FST, VRK3 and SGK1 in the development of HNSCC. Further investigations are warranted to confirm the functional role of these genes in establishing the cancer phenotype in patients with chronic infection with Pg.

背景:牙周炎被认为是口腔癌的主要危险因素之一。牙龈卟啉单胞菌、牙密螺旋体、连翘单宁菌、核梭菌和放线菌聚集菌是牙周炎的重要病原菌。长期接触细菌成分会引起附近细胞的变化。因此,本研究旨在确定可能与牙周炎和头颈癌这两种疾病有关的分子机制。目的:本研究探讨牙周病相关细菌牙龈卟啉卟啉菌(Pg)处理人牙龈角质形成细胞的差异基因表达谱及其与头颈部鳞状细胞癌(HNSCC)发展的可能关联。方法:采用计算设计。使用多种工具和数据库,如genomnibus, STRING, metscape, PANTHER和UALCAN, cbiopportal,来推导牙龈假单胞菌感染期间基因表达之间的关联,并在HNSCC数据集中分析所得基因表达谱。结果:在比较Pg-HIGK和Sham-HIGK后,从转录本中发现了29个基因。其中FST、VRK3、SGK1 3个基因过表达,显著影响患者生存。FST的上调与HNSCC患者的不良预后相关。结论:本研究揭示了FST、VRK3和SGK1在HNSCC发展中的可能关联。需要进一步的研究来证实这些基因在建立慢性Pg感染患者的癌症表型中的功能作用。
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引用次数: 0
Effectiveness of purple leaves (Graptophyllum pictum L. Griff) and hydroxyapatite as socket preservation biomaterials. 紫叶(graptophyum pictum L. Griff)和羟基磷灰石作为眼窝保存材料的有效性。
Q1 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1016/j.jobcr.2024.12.002
Ratri Maya Sitalaksmi, Rizkipriyanto Azharpratomo, Shafira Ninditya Irsan, Primanda Nur Rahmania, Sisca Meida Wati, Syafira Salsabila Adam, Kavanila Bilbalqish, Khairul Anuar Bin Shariff, Harry Laksono, Agus Dahlan, Devi Rianti

Background: Tooth extraction without socket preservation will lead to reduction in the dimensions and volume of the alveolar bone. Bone defects resulting from tooth extraction not only hinder prosthetic reconstruction but also present aesthetic issues and complicating dental implant treatment. Purple leaves contains flavonoids, steroids, tannins, saponins,and non-toxic alkaloids. These compounds play roles as antimicrobials, immunomodulators, antioxidants, anti-inflammatories, analgesics. Hydroxyapatite has good biocompatibility, and can induce osteoblast differentiation.

Aim: To investigate the effects of the combining nanoemulsion extract of purple leaves and hydroxyapatite on the expression of RUNX2, OSX, OPN, ALP, and calcium deposition.

Method: This research used MTT Assay, ICC, and Alizarin Red staining. The study groups were as follows: Group 1: Ad-MSCs; Group 2: Ad-MSCs + αmem; Group 3: Ad-MSCs + osteogenic medium + 1 % nano-extract of Purple leaves & Hydroxyapatite; Group 4: Ad-MSCs + osteogenic medium + 2 % nano-extract of Purple leaves & Hydroxyapatite. Observations were conducted on days 7, 14, and 21.

Results: The combination of nanosuspension extract of Purple leaves and hydroxyapatite significantly increased the expression of RUNX2, OSX, OPN,ALP and calcium deposition compared to other groups. The combination of nanoemulsion extract of Purple leaves and hydroxyapatite were significant (P < 0.05) compared to the control group on each day 7, day 14 and day 21.

Conclusion: The combination of nanosuspension extract of Purple leaves and hydroxyapatite was able to enhance the expression of RUNX2, OSX, OPN, ALP, and calcium deposition on days 7,14,21.

背景:拔牙不保留牙槽骨会导致牙槽骨的尺寸和体积减小。拔牙导致的骨缺损不仅阻碍了义齿重建,而且存在美学问题,使种植牙治疗复杂化。紫叶含有类黄酮、类固醇、单宁、皂苷和无毒生物碱。这些化合物具有抗菌剂、免疫调节剂、抗氧化剂、抗炎药、镇痛药等作用。羟基磷灰石具有良好的生物相容性,可诱导成骨细胞分化。目的:探讨紫叶与羟基磷灰石复合纳米乳提取物对RUNX2、OSX、OPN、ALP表达及钙沉积的影响。方法:采用MTT法、ICC法、茜素红染色法。研究组分为:1组:Ad-MSCs;第二组:Ad-MSCs + α - mem;第三组:Ad-MSCs +成骨培养基+ 1%紫叶和羟基磷灰石纳米提取物;第4组:Ad-MSCs +成骨培养基+ 2%紫叶和羟基磷灰石纳米提取物。观察于第7、14、21天进行。结果:紫叶纳米悬浮液与羟基磷灰石联合使用显著提高了RUNX2、OSX、OPN、ALP的表达和钙沉积。结论:紫叶纳米悬浮液与羟基磷灰石联合使用可显著提高第7、14、21天细胞RUNX2、OSX、OPN、ALP的表达及钙沉积。
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引用次数: 0
Membrana preformativa: Unveiling the unexplored facets of dental development. 预形成膜:揭示牙齿发育未被探索的方面。
Q1 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-21 DOI: 10.1016/j.jobcr.2024.12.010
Sakshi Sikaria, Suganya Panneer Selvam, Ramya Ramadoss, Sandhya Sundar

Aim: Odontogenesis is a complex and highly regulated biological process that involves a range of molecular mechanisms. Among these, Ki67 and Cyclin D1 are crucial cell cycle regulators that play pivotal roles in controlling cell proliferation during tooth development. This study aims to provide detailed insights into the expression patterns and functional significance of Ki67 and Cyclin D1 in tooth development. Through rigorous analysis, we seek to elucidate the intricate mechanisms underlying tooth development, helping to advance our understanding of this vital biological process.

Materials & methods: The procurement of rabbit tooth germ was performed only after obtaining the requisite ethical clearance. Subsequently, the tissues were processed and subjected to Hematoxylin and Eosin staining to facilitate enhanced visualization of the overall tissue architecture and organization & immunohistochemical staining of Ki-67 and Cyclin D1 was performed.

Results: In the tooth germ, cyclin D1 demonstrated intense staining in the dental papilla, especially in the membrana preformativa, with this intensity decreasing following predentin formation. Odontoblasts showed mild staining as they transitioned from pre-odontoblasts, which further diminished after dentin formation. Both the dental papilla and differentiating odontoblasts were positive for Ki67, though Ki67 staining in the odontoblasts reduced after dentin formation.

Conclusion: In conclusion, the membrana preformativa plays a key role in odontogenesis, as indicated by its involvement in cellular proliferation and differentiation during tooth development.

目的:牙形成是一个复杂的、高度调控的生物学过程,涉及一系列分子机制。其中,Ki67和Cyclin D1是至关重要的细胞周期调节因子,在牙齿发育过程中控制细胞增殖起关键作用。本研究旨在深入了解Ki67和Cyclin D1在牙齿发育中的表达模式及其功能意义。通过严谨的分析,我们试图阐明牙齿发育的复杂机制,有助于提高我们对这一重要生物过程的理解。材料与方法:兔牙胚的获取在获得必要的伦理许可后才进行。随后,对组织进行处理并进行苏木精和伊红染色,以增强组织整体结构和组织的可视化,并对Ki-67和Cyclin D1进行免疫组化染色。结果:在牙胚中,cyclin D1在牙乳头中表现出强烈的染色,尤其是在牙本质前形成膜中,这种染色在牙本质前形成后减弱。成牙本质细胞从前成牙本质细胞过渡到成牙本质细胞时呈轻度染色,在牙本质形成后进一步减少。牙本质形成后,成牙细胞中Ki67的表达减少,但牙乳头和分化成牙细胞中Ki67的表达均呈阳性。结论:综上所述,预形成膜参与了牙齿发育过程中细胞的增殖和分化,在牙形成过程中起着关键作用。
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引用次数: 0
Design and evaluation of screening and self-care (mobile) application for oral and dental problems and emergencies.
Q1 Medicine Pub Date : 2025-01-01 Epub Date: 2025-01-03 DOI: 10.1016/j.jobcr.2024.12.016
Sedighe Sadat Hashemikamangar, Aidin Sooratgar, Mina Khayamzadeh, Shayan Momeni, Ali Asghar Safaei, Behnaz Behniafar

Introdution: Although oral and dental diseases may occur in unexpected or even emergency conditions, but some of the diagnosis and treatments can be algorithmically done following some guidelines. The development and implementation of a system that provides users with a record of history and a proposal of required actions can be not only efficiently practical, but also virtually simple.

Materials and method: A system made up of web and mobile apps is proposed and evaluated for screening and self-care of oral and dental problems and for providing advice on dental emergencies and therapeutic measures. This system was developed and made available to users under the name of 'Dandanyar'. The data were then collected from Dandanyar users and analyzed based on the selected statistical population for evaluating their satisfaction.

Results: The evaluation results showed that more than 90 % of specialists had a positive attitude towards application effectiveness. On the other hand, clients expressed their satisfaction with various aspects of the application in more than 80 % of cases.

Conclusion: The importance of using such systems is highlighted in the Covid-19 pandemic condition where certain health protocols must be followed. For instance, people must avoid unnecessary traveling and limit their referrals to medical centers especially dental clinics due to the high volume of aerosols produced during dental treatment procedures.

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引用次数: 0
Microbial flora surrounding orthodontic temporary skeletal anchorage devices: A systematic review 正畸临时骨骼锚定装置周围的微生物菌群:系统综述
Q1 Medicine Pub Date : 2024-12-01 DOI: 10.1016/j.jobcr.2024.11.005
Navia Jose Paul, Haritha Pottipalli Sathyanarayana, Vignesh Kailasam

Aim

The oral cavity harbours distinct microorganisms, which create a unique microenvironment. These microorganisms might trigger inflammatory reactions in the host, potentially leading to inflammation that can question the stability of temporary skeletal anchorage devices(TSADs). This study aimed to systematically review the literature on the type of microorganisms around TSADs.

Methods

A search of studies in six electronic databases – Cochrane Library, PubMed, OVID, Scopus, LILACS and Web of Science were performed until 30 May 2024 without any restriction in date or language of publication. The selection of articles was limited to studies evaluating the microorganisms around TSADs during orthodontic treatment. Two reviewers independently performed eligibility screening, study selection, and data extraction. The Newcastle Ottawa scale was used to assess the Risk of bias in all the included studies. Meta-analysis could not be performed because of the heterogeneity of the studies.

Results

From 7020 articles, seven prospective studies were included for the qualitative analysis. Porphyromonas gingivalis and Treponema denticola were found around all TSADs used in orthodontic therapy. There was a significant difference in the type of microorganisms around successful and failed TSADs.

Conclusions

There was an overall colonization of diverse microorganisms around TSADS. Failed TSADs showed greater Porphyromonas gingivalis, Parvimonas micra and facultative anaerobic enteric commensal Enterobacter.
目的口腔内有独特的微生物,形成独特的微环境。这些微生物可能会引发宿主的炎症反应,潜在地导致炎症,从而质疑临时骨骼锚固装置(TSADs)的稳定性。本研究旨在系统地综述有关TSADs周围微生物类型的文献。方法检索Cochrane Library、PubMed、OVID、Scopus、LILACS和Web of Science 6个电子数据库的研究,截止到2024年5月30日,不受发表日期和语言的限制。文章的选择仅限于评估正畸治疗期间TSADs周围微生物的研究。两名审稿人独立进行资格筛选、研究选择和数据提取。纽卡斯尔渥太华量表用于评估所有纳入研究的偏倚风险。由于研究的异质性,不能进行meta分析。结果从7020篇文献中纳入7项前瞻性研究进行定性分析。在正畸治疗中发现牙龈卟啉单胞菌和牙密螺旋体。成功和失败的TSADs周围的微生物类型有显著差异。结论TSADS周围有多种微生物的定殖。失败的TSADs显示较多的牙龈卟啉单胞菌、微细小单胞菌和兼性厌氧肠道共生肠杆菌。
{"title":"Microbial flora surrounding orthodontic temporary skeletal anchorage devices: A systematic review","authors":"Navia Jose Paul,&nbsp;Haritha Pottipalli Sathyanarayana,&nbsp;Vignesh Kailasam","doi":"10.1016/j.jobcr.2024.11.005","DOIUrl":"10.1016/j.jobcr.2024.11.005","url":null,"abstract":"<div><h3>Aim</h3><div>The oral cavity harbours distinct microorganisms, which create a unique microenvironment. These microorganisms might trigger inflammatory reactions in the host, potentially leading to inflammation that can question the stability of temporary skeletal anchorage devices(TSADs). This study aimed to systematically review the literature on the type of microorganisms around TSADs.</div></div><div><h3>Methods</h3><div>A search of studies in six electronic databases – Cochrane Library, PubMed, OVID, Scopus, LILACS and Web of Science were performed until 30 May 2024 without any restriction in date or language of publication. The selection of articles was limited to studies evaluating the microorganisms around TSADs during orthodontic treatment. Two reviewers independently performed eligibility screening, study selection, and data extraction. The Newcastle Ottawa scale was used to assess the Risk of bias in all the included studies. Meta-analysis could not be performed because of the heterogeneity of the studies.</div></div><div><h3>Results</h3><div>From 7020 articles, seven prospective studies were included for the qualitative analysis. Porphyromonas gingivalis and Treponema denticola were found around all TSADs used in orthodontic therapy. There was a significant difference in the type of microorganisms around successful and failed TSADs.</div></div><div><h3>Conclusions</h3><div>There was an overall colonization of diverse microorganisms around TSADS. Failed TSADs showed greater Porphyromonas gingivalis, Parvimonas micra and facultative anaerobic enteric commensal Enterobacter.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"15 1","pages":"Pages 25-32"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual surgical complication: Slipped molar lodged in vocal cords and its anesthetic management 一个不寻常的手术并发症:臼齿滑进声带及其麻醉处理
Q1 Medicine Pub Date : 2024-11-30 DOI: 10.1016/j.jobcr.2024.11.006
Ameerunnisha begum , Ramsesh Manohar Ram , Monisha Prasad

Background

Extraction of wisdom tooth is one of the most common surgical interventions, as it is more prone for impaction. Due to the pain and anxiety associated with the procedure, it is common to do this procedure under conscious sedation. However unexpected events do occur during the procedure and one such complication along with the prompt management is discussed here.

Case report

This case report details an unusual occurrence of a third molar tooth slipping during dental extraction and becoming lodged at the base of the vocal cords. The patient, a 52-year-old man with a history of hypertension, underwent the procedure under conscious sedation. The case report highlights the importance of preparedness and multidisciplinary coordination in managing rare complications during dental procedures under conscious sedation. The accidental aspiration of a molar tooth into the airway required prompt and effective intervention, using dexmedetomidine for sedation, fibre-optic bronchoscopy for visualization, and a range of retrieval instruments. Using video-assisted laryngoscopy and fibre-optic laryngoscopy proved indispensable in locating and safely retrieving the foreign body without resorting to more invasive procedures.

Conclusion

This case highlights the importance of anaesthesiologist's role in emergency management and comprehensive preparedness in dental practice.
摘出智齿是最常见的外科手术之一,因为它更容易发生嵌塞。由于与手术相关的疼痛和焦虑,通常在清醒镇静下进行该手术。然而,在手术过程中确实会发生意想不到的事件,这里讨论的是一种伴随及时处理的并发症。本病例报告详细描述了一个不寻常的第三磨牙在拔牙时滑落并卡在声带底部的情况。患者是一名52岁的男性,有高血压病史,在清醒镇静下接受了手术。病例报告强调了准备和多学科协调的重要性,以管理罕见的并发症在牙科手术在清醒镇静。意外误吸磨牙进入气道需要及时有效的干预,使用右美托咪定镇静,纤维支气管镜观察,以及一系列回收工具。使用视频辅助喉镜和纤维喉镜被证明是在定位和安全取出异物时必不可少的,而不需要更多的侵入性手术。结论本病例强调了麻醉师在牙科急诊管理和全面准备中的重要性。
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引用次数: 0
Umbilical cord mesenchymal stem cells improve bone regeneration in diabetes mellitus animal model with apical periodontitis 脐带间充质干细胞促进糖尿病根尖牙周炎动物模型骨再生
Q1 Medicine Pub Date : 2024-11-29 DOI: 10.1016/j.jobcr.2024.11.009
Eric Priyo Prasetyo , Pravinna Saravanan , Deaniddo Kharisna , Christina Immee Wijanarko , Mefina Kuntjoro , Nike Hendrijantini , Evelyn Tjendronegoro

Background

Previous studies revealed diabetes mellitus subjects tend to have persistent apical periodontitis. Regenerative stem cells therapy through endodontic procedure is hoped to be a solution. This study assessed bone regeneration in diabetic rats with apical periodontitis through histopathological analysis of osteoblasts and immunohistochemical analysis of runt-related transcription factor 2 (Runx2) and Osterix.

Methods

Diabetes mellitus and apical periodontitis was induced on 20 rats. Apical periodontitis was induced on mandibular right first molars under anesthesia. The teeth were left open for 7 days following access cavity and pulp extirpation, then the rats’ teeth were endodontically treated and randomly allocated into 4 groups (5 rats per group). The first and second groups was ended at 30 days (C30) and 60 days (C60) and labelled as control. The third and fourth groups was given umbilical cord mesenchymal stem cells and ended at 30 days (T30) and 60 days (T60). The osteoblasts, Runx2 and Osterix were analyzed. ANOVA and Tukey HSD tests were used for analysis. Differences with p values < 0.05 were considered significant.

Results

The number of osteoblasts in the apical area in control groups (C30 and C60) and treatment groups (T30 and T60) showed a significant increase (p < 0.05). The expressions of Runx2 and Osterix in osteoblasts showed a significant increase among the control (C30 and C60) and treatment groups (T30 and T60) (p < 0.05).

Conclusion

Umbilical cord mesenchymal stem cells improve bone regeneration in diabetic animal model with apical periodontitis, in terms of osteoblasts, Runx2 and Osterix.
背景以往的研究显示糖尿病患者有持续性根尖牙周炎的倾向。通过牙髓治疗再生干细胞有望成为一种解决方案。本研究通过成骨细胞的组织病理学分析和runt相关转录因子2 (Runx2)和Osterix的免疫组化分析来评估糖尿病大鼠根尖牙周炎的骨再生。方法对20只大鼠进行糖尿病和根尖牙周炎诱导实验。麻醉下右下颌第一磨牙诱发根尖牙周炎。拔牙后开放7 d,进行根管治疗,随机分为4组(每组5只)。第一组和第二组分别于第30天(C30)和第60天(C60)结束,作为对照组。第三组和第四组给予脐带间充质干细胞,分别于30天(T30)和60天(T60)结束治疗。对成骨细胞、Runx2、Osterix进行分析。采用方差分析和Tukey HSD检验进行分析。p值的差异<;0.05为显著性。结果对照组(C30、C60)和治疗组(T30、T60)根尖区成骨细胞数量显著增加(p <;0.05)。对照组(C30和C60)和治疗组(T30和T60)成骨细胞中Runx2和Osterix的表达均显著升高(p <;0.05)。结论脐带间充质干细胞通过成骨细胞、Runx2和Osterix促进糖尿病根尖牙周炎动物模型的骨再生。
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引用次数: 0
Evaluation of the accuracy of a simplified hybrid method versus the traditional digital method for measuring palatal volume 评估简化混合法与传统数字法测量腭部容积的准确性
Q1 Medicine Pub Date : 2024-11-26 DOI: 10.1016/j.jobcr.2024.10.011
Shailendra Singh Rana , Sharvari Vichare , Abhishek Gupta , Anjana Rajagopalan , Om Prakash Kharbanda

Objective

This study aimed to compare a direct conventional 3D digital technique vis a vis a hybrid method in measuring palatal volume.

Materials and methods

Thirty maxillary casts were obtained from the records of patients undergoing orthodontic treatment and pre-conceived boundaries of the palatal vault were marked. Sample was categorised into Group I (Volume estimation using CBCT scan) and Group II (Volume estimation using hybrid method). Estimation of the palatal volume in this study involved filling the volume of interest in the palate with gypsum (Type IV) stone material and carefully carving according to the boundaries and anatomy. This positive reproduction of the palatal space was safely retrieved and then scanned in the NewTom GiANO HR Cone Beam Imaging setup. The obtained scan was analysed in NNT Software Version 3.10 and the volume of the palate was calculated. Two experienced orthodontists carried out the measurements to evaluate the inter and intra-observer reliability. This was compared with the palatal volume calculated by the conventional digital method using CBCT in the NNT Software.

Result

This study showed a consistent and narrow range of the confidence interval for palatal volume. Hence, the sample size was sufficient and had good precision. Considering a 95 % confidence interval, the intra-class correlation coefficient was robust (>0.9) for all measurements calculated by the hybrid method suggesting a high reliability. The mean difference in measurement of palatal volume (Group I vs, Group II) was 1.37 + 0.64 mm3 and the difference was statistically insignificant. Statistical t-test conducted between the two methods showed a p-value of 0.34, implying no statistically significant difference between the two methods.

Conclusion

The hybrid method for evaluating the palatal volume is simple, accurate and comparable to the conventional digital method. A major advantage of this simplified method is that the patient is not exposed to any radiation of CBCT. Also, need for a specific skillset for digitally measuring the palatal volume is not a must.
材料和方法从接受正畸治疗的患者记录中获取 30 个上颌骨铸模,并标记出预先设想的腭穹边界。样本被分为第一组(使用 CBCT 扫描估算体积)和第二组(使用混合方法估算体积)。在这项研究中,腭部容积的估算是用石膏(IV 型)石料填充腭部感兴趣的容积,并根据边界和解剖结构仔细雕刻。腭部空间的正面再现被安全提取出来,然后在 NewTom GiANO HR 锥形束成像装置中进行扫描。扫描结果通过 NNT 软件 3.10 版进行分析,并计算出腭部的体积。由两名经验丰富的正畸医生进行测量,以评估观察者之间和观察者内部的可靠性。结果这项研究显示,腭部体积的置信区间一致且范围较窄。因此,样本量充足且精确度高。考虑到 95% 的置信区间,混合法计算出的所有测量值的类内相关系数都很稳健(0.9),表明可靠性很高。腭部体积测量的平均差异(第一组与第二组)为 1.37 + 0.64 mm3,差异在统计学上不显著。在两种方法之间进行的统计 t 检验显示 p 值为 0.34,这意味着两种方法之间没有显著的统计学差异。这种简化方法的主要优点是患者不会受到 CBCT 的任何辐射。此外,数字化测量腭部容积不需要特定的技能。
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引用次数: 0
A comparative evaluation of retention of record bases fabricated digitally in various types of posterior palatal seal area 以数字方式制作的记录基座在各种类型的腭后密封区的保留情况比较评估
Q1 Medicine Pub Date : 2024-11-26 DOI: 10.1016/j.jobcr.2024.11.004
Swapna Bettanapalya Venkatesh , Vaishnavi M. Nayak , Kavishma Sulaya , Smitha Sammith Shetty

Objectives

Intraoral scanners used for the fabrication of milled and 3D-printed complete dentures simplify the procedure. However, its effectiveness in recording the functional peripheral seal area needs to be researched. Therefore, this study aims to assess the retention of conventional, milled and 3D-printed denture bases made from conventional impression technique and digital scans in different types of post palatal seal area.

Material and method

Completely edentulous participants were divided into group A and group B based on type of posterior palatal seal area. Each group received three denture bases fabricated using compression molding, milling and 3D printing. The retention was evaluated using a digital dynamometer at 45° and 90° inclination.

Results

The ANOVA test revealed statistically significant difference in the retention of denture bases fabricated using three different techniques. When compared between the three groups at 45 and 90°, statistically significant difference in the retentive values between the control and other two groups were observed.

Conclusion

All three of the fabrication processes have retention that falls within a clinically acceptable range. 3D printed dentures had better adaptation on the PPS area whereas the milled dentures had a better peripheral seal although the conventional process showed highest retention values.
目的口内扫描仪用于制作铣制和三维打印的全口义齿,简化了制作过程。然而,它在记录功能性周边密封区方面的有效性还有待研究。因此,本研究旨在评估使用传统印模技术和数字扫描技术制作的传统义齿基托、铣制义齿基托和三维打印义齿基托在不同类型的腭后封闭区的固位情况。每组接受三个使用压缩成型、铣削和三维打印技术制作的义齿基托。结果方差分析检验显示,使用三种不同技术制作的义齿基托的固位情况存在显著的统计学差异。三组在 45° 和 90° 倾角下的固位值比较结果显示,对照组和其他两组的固位值在统计学上有显著差异。三维打印义齿对 PPS 区域的适应性更好,而研磨义齿的周边密封性更好,尽管传统工艺显示出最高的固位值。
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引用次数: 0
Mouth opening variables amongst the North Indian population 北印度人的张口变量
Q1 Medicine Pub Date : 2024-11-22 DOI: 10.1016/j.jobcr.2024.11.003
Disha Dixit, Pavitra Rastogi, Nand Lal, Rameshwari Singhal

Background

For the clinician to conveniently perform an extensive oral examination, it is required to have a known normal range of maximum mouth opening (MMO). This study aims to establish a standard for calculating the normal range of mouth opening in the adult population of North India. The results of this research will have clinical implications for the treatment and diagnosis of diseases that affect the mouth opening in adults, either directly or indirectly.

Aim

To evaluate mean mouth opening in North Indian population and establish their correlation with age and gender.

Method

662 adults from North Indian population, 317 males and 345 females in the age range of 18–80 years were evaluated on their consent. Maximum mouth opening was measured using calibrated vernier calliper scale. This study was conducted in the Department of Periodontology, Faculty of Dental Sciences, King George Medical University, Lucknow.

Results

Males exhibited a higher mean MMO of 48.0 mm compared to females, who had a lower mean MMO of 45.1 mm among North Indian population of the country. In the statistical comparison of MMO between males and females within each age group, the results showed no significant differences.

Conclusion

Mouth opening of females is less than males in all age groups and it seems to decrease with age in all age groups in both males and females. The variability of MMO with age appears statistically similar for both genders.
背景为了方便临床医生进行广泛的口腔检查,需要了解最大张口度 (MMO) 的正常范围。本研究旨在为北印度成年人口腔张开的正常范围建立一个计算标准。本研究的结果将对直接或间接影响成人张口的疾病的治疗和诊断产生临床影响。方法在征得本人同意后,对来自北印度的 662 名成人进行评估,其中男性 317 人,女性 345 人,年龄范围在 18-80 岁之间。使用校准过的游标卡尺测量最大张口度。这项研究在勒克瑙乔治国王医科大学牙科学院牙周病学系进行。结果在该国的北印度人口中,男性的平均最大口腔张开度为 48.0 毫米,高于女性的 45.1 毫米。结论在所有年龄组中,女性的张口率都低于男性,而且在所有年龄组中,男性和女性的张口率似乎都随着年龄的增长而下降。从统计学角度看,女性和男性的张口率随年龄的变化相似。
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引用次数: 0
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Journal of oral biology and craniofacial research
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