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Evaluating the efficacy of eggshell-derived hydroxyapatite (EHA) and synthetic hydroxyapatite (SHA) in bone regeneration of maxillofacial defects-a randomized double-blind pilot comparative clinical-radiological study 评价蛋壳衍生羟基磷灰石(EHA)和合成羟基磷灰石(SHA)在颌面部缺损骨再生中的疗效——一项随机双盲先导比较临床放射学研究
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI: 10.1016/j.jobcr.2025.11.016
Khushboo Changani , Anil Managutti , Shailesh Menat , Nirav Patel , Vivekanand Kattimani , Darshal Panchal , E.K. Girija

Background

Defects of the maxillofacial skeleton lead to functional, aesthetic, social, and behavioral problems, that make the person isolate from the mainstream of society. So, bone regeneration is needed for the overall health. Since long time various materials have been used for bone regeneration with limitations. Recently, Eggshell derived hydroxyapatite [EHA] has been explored as a graft substitute. Hence EHA is evaluated and compared with SHA (synthetic hydroxyapatite) for its efficacy to accelerate bone regeneration in maxillofacial cystic defects.

Materials and methods

Total of 20 bony defects randomly allocated to SHA and EHA groups for grafting after removal of pathology (cyst and granuloma) having ≤ 2 cm in size. Signs and symptoms were evaluated postsurgically for 2 weeks. Bone regeneration was assessed by blinded observer for study duration and method of intervention postoperatively at1st, 2nd, 4th, and 6th month and 1 year.

Results

The study found no statistical significant difference among clinical signs and symptoms between the groups. Whereas EHA showed better bone regeneration by the end of 6th month and 1 year compared to SHA with statistically significant difference in bone density[EHA group (136.04 ± 15.56) and SHA group (115.58 ± 16.26)]. Parameters like internal portion of surgical site, surgical site outline showed consistent results with density.

Conclusion

Both EHA and SHA graft materials are equally efficient in early bone regeneration. The EHA showed promising results and enhanced bone regeneration with osteoconductivity, which indicates the eggshell waste-bio mineral is worthwhile raw material for the production of HA and is Go Green procedure. EHA is economic, compared with SHA.
颌面骨骼的缺陷导致功能、审美、社会和行为问题,使人与社会主流隔离。因此,骨骼再生是整体健康所必需的。长期以来,各种材料被用于骨再生,但都有局限性。近年来,蛋壳衍生的羟基磷灰石(EHA)作为移植物替代物被广泛研究。因此,我们评价EHA并与合成羟基磷灰石(SHA)比较其促进颌骨囊性缺损骨再生的效果。材料与方法取20例骨性缺损,切除病理(囊肿、肉芽肿),大小≤2cm,随机分为SHA组和EHA组进行移植。术后2周评估体征和症状。术后1、2、4、6个月和1年采用盲法观察骨再生情况,评估研究时间和干预方法。结果两组患者临床症状、体征差异无统计学意义。而EHA组在第6个月和第1年骨密度均优于SHA组,骨密度差异有统计学意义[EHA组(136.04±15.56)与SHA组(115.58±16.26)]。手术部位内部、手术部位轮廓等参数与密度一致。结论EHA和SHA移植材料在早期骨再生中的效果相同。结果表明,EHA具有良好的骨再生和骨导电性,表明蛋壳废物-生物矿物是一种有价值的生产HA的原料,是一种绿色工艺。与SHA相比,EHA更经济。
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引用次数: 0
Clinical effectiveness and cost-effectiveness of two sodium fluoride varnish systems in preventing dental caries in children: a randomized clinical trial 两种氟化钠清漆系统预防儿童龋齿的临床效果和成本效益:一项随机临床试验
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.1016/j.jobcr.2025.11.018
Mahesh R. Khairnar , P.G. Naveen Kumar , Harloveen Sabharwal , Sachin Kumar Jadhav , Sheetal Badnaware , Neha Shukla , Ananta Kusumakar , Zainab Akram , Savitha Priyadarsini S , Ridhi Ghodela

Background

Dental caries frequently affects first permanent molars soon after eruption due to their anatomical susceptibility. Fluoride varnish is a widely accepted preventive measure; however, different formulations vary in fluoride retention and cost. Evidence comparing both clinical outcomes and economic value of available varnishes in children remains limited.

Aim

To compare the clinical effectiveness and cost-effectiveness of resin-based and alcohol-based 5 % sodium fluoride varnishes in preventing dental caries in permanent first molars of high-risk schoolchildren.

Design

A double-blind, parallel-arm randomized controlled trial was conducted among 84 children (330 M) aged 6–8 years from a private school in Varanasi, India. Participants received either resin-based varnish (163 teeth) or alcohol-based varnish (167 teeth) at six-month intervals. Caries incidence was assessed at baseline, 6, 12, 18, and 24 months using ICDAS-II. A financial cost-benefit perspective was adopted, considering direct material and application costs borne by the provider and estimated restorative treatment savings for patients. Appropriate statistical tests were used for analysis (α = 0.05).

Results

Caries incidence remained low in both groups after 24 months (resin-based: 7.4 %; alcohol-based: 7.8 %; p = 0.961). No significant differences were found in early or advanced lesions at any interval (p > 0.05). ITT and Per-protocol analyses revealed negligible effect sizes (Cliff's Delta ≤0.05). Cost-effectiveness analysis demonstrated that the alcohol-based varnish produced ₹62.22 savings per ₹1 spent, compared to ₹8.47 in resin-based group. The cost to save ₹100 in future restorative expenses was ₹1.61 (alcohol-based) and ₹11.80 (resin-based).

Conclusion

Both varnishes were equally effective, but alcohol-based varnish was substantially more cost-effective, making it a suitable choice for large-scale preventive programs in resource-constrained settings.
由于第一恒磨牙在解剖学上的易感性,龋齿经常在出牙后不久发生。氟化物清漆是一种广泛接受的预防措施;然而,不同的配方在氟化物保留和成本方面有所不同。比较儿童可用清漆的临床结果和经济价值的证据仍然有限。目的比较树脂基和醇基5%氟化钠清漆预防高危学童恒牙第一磨牙龋病的临床效果和成本效益。设计对印度瓦拉纳西一所私立学校的84名6-8岁儿童(330名)进行了双盲、平行组随机对照试验。参与者每六个月接受一次树脂基清漆(163颗牙齿)或酒精基清漆(167颗牙齿)。使用ICDAS-II评估基线、6、12、18和24个月的龋发病率。采用财务成本-效益的观点,考虑由提供者承担的直接材料和应用成本以及估计患者的恢复性治疗节省。采用适当的统计学检验进行分析(α = 0.05)。结果24个月后,两组患者的惊恐发生率均较低(树脂基:7.4%;酒精基:7.8%;p = 0.961)。早期和晚期病变在任何间隔均无显著差异(p > 0.05)。ITT和Per-protocol分析显示效应大小可以忽略不计(Cliff’s Delta≤0.05)。成本效益分析表明,醇基清漆每花费1卢比节省62.22卢比,而树脂基组为8.47卢比。在未来修复费用中节省100卢比的成本为1.61卢比(酒精基)和11.80卢比(树脂基)。结论两种清漆的效果相同,但醇基清漆的成本效益更高,是资源紧张地区大规模预防项目的合适选择。
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引用次数: 0
Lateral stress distribution analysis on hafnium metal bar for implant superstructure- A finite element analysis 种植体上部结构金属铪棒横向应力分布分析-有限元分析
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-11-11 DOI: 10.1016/j.jobcr.2025.11.003
Budati Meghna , Vaishnavi Rajaraman , Padma Ariga , Saravanan Sekaran , K Lokesh sai

Background

The mechanical behavior of implant-supported prostheses is strongly influenced by the material properties of the bar framework, particularly under lateral masticatory loading. While titanium and cobalt–chromium are established materials, alternatives such as polyetheretherketone (PEEK) and hafnium may offer distinct biomechanical advantages. The aim of this study was to compare the lateral stress distribution in implant-supported prostheses fabricated with four different bar materials using finite element analysis.

Method

ology: A three-dimensional finite element analysis (FEA) was conducted on a mandibular edentulous model with four endosseous implants arranged in an All-on-4 configuration. Four groups were evaluated based on bar material: titanium (Ti), cobalt–chromium (CoCr), polyetheretherketone (PEEK), and hafnium (Hf). A total of four simulation models were created, each subjected to a 100 N anterior and 300 N posterior lateral load. Von Mises stresses were analyzed in the bar, abutments, screws, and peri-implant bone.

Results

PEEK recorded the lowest stress in the bar (∼25 MPa) and peri-implant bone but induced elevated stresses in the abutment (348 MPa) and screw (288 MPa). CoCr showed the highest stress within the bar (∼114 MPa) with lower values in other components. Titanium and hafnium presented a balanced stress profile, with no region exceeding 300 MPa. Hafnium closely mirrored titanium's biomechanical response, demonstrating efficient load distribution without critical stress concentrations.

Conclusion

Bar material significantly affects lateral stress distribution in implant-supported prostheses. Hafnium displayed biomechanical behavior comparable to titanium, indicating its promise as a potential alternative framework material. Further in vitro and clinical validation is warranted.
种植体支撑的假体的力学行为受到棒骨架材料特性的强烈影响,特别是在侧咀嚼载荷下。虽然钛和钴铬是公认的材料,但聚醚醚酮(PEEK)和铪等替代品可能具有独特的生物力学优势。本研究的目的是利用有限元分析比较四种不同棒体材料制作的种植体支撑假体的侧向应力分布。方法:对下颌无牙模型进行了三维有限元分析(FEA),该模型采用4个种植体以All-on-4形态排列。根据棒材材料分为四组:钛(Ti)、钴铬(CoCr)、聚醚醚酮(PEEK)和铪(Hf)。共创建了4个模拟模型,每个模型均承受100 N的前侧向载荷和300 N的后侧向载荷。对支棒、基台、螺钉和种植体周围骨进行Von Mises应力分析。结果speek检测到的应力在牙棒和种植周骨中最低(~ 25 MPa),但在基牙(348 MPa)和螺钉(288 MPa)中引起应力升高。CoCr在棒材内的应力最高(~ 114 MPa),其他部位的应力较低。钛和铪的应力分布较为均匀,没有超过300 MPa的区域。铪紧密反映了钛的生物力学响应,在没有临界应力集中的情况下显示出有效的负载分布。结论bar材料对种植体修复体的侧应力分布有显著影响。铪表现出与钛相当的生物力学行为,表明它有望成为潜在的替代框架材料。进一步的体外和临床验证是必要的。
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引用次数: 0
Biogenic synthesis of copper oxide nanoparticles using Alpinia calcarata extract promotes osteoblasts differentiation: An In vitro study 利用calcalata提取物生物合成氧化铜纳米颗粒促进成骨细胞分化:一项体外研究
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-11-14 DOI: 10.1016/j.jobcr.2025.11.007
Rathika Ravi , Deepavalli Arumuganainar

Background

Copper-based biomaterials are increasingly investigated for bone tissue engineering due to their osteogenic and angiogenic properties. Green synthesis using plant extracts offers an eco-friendly route for producing biocompatible nanoparticles. This study aimed to synthesize copper oxide nanoparticles (CuO NPs) using Alpinia calcarata leaf extract and evaluate their cytocompatibility and osteogenic potential in vitro.

Methods

CuO NPs were synthesized by reacting copper nitrate trihydrate with A. calcarata leaf extract under alkaline conditions, followed by calcination. The nanoparticles were characterized using SEM, TEM, XRD, and FTIR to confirm morphology, crystallinity, and functional group interactions. C3H10T1/2 murine mesenchymal stem cells were used to assess cytocompatibility (MTT assay, FDA staining), osteogenic differentiation (Alizarin Red S staining and quantification), and gene expression (qRT-PCR for Runx2, Col-I, and ALP).

Results

SEM and TEM revealed aggregated, spherical nanoparticles of <100 nm, while XRD confirmed crystalline monoclinic CuO and FTIR indicated phytochemical capping. MTT and FDA assays showed CuO NPs were cytocompatible up to 50 μg/mL, with dose-dependent cytotoxicity observed at higher concentrations. Under osteogenic conditions, cells treated with 50 μg/mL CuO NPs displayed significantly enhanced mineral deposition compared to controls. Gene expression analysis demonstrated upregulation of Runx2, Col-I, and ALP, confirming promotion of osteogenic differentiation.

Conclusion

Biogenically synthesized CuO NPs using A. calcarata extract are structurally pure, biocompatible at defined concentrations, and capable of enhancing osteoblast differentiation by stimulating matrix mineralization and osteogenic gene expression. These findings position A. calcarata–mediated CuO NPs as sustainable, multifunctional nanomaterials with promising applications in bone tissue engineering.
铜基生物材料由于其成骨和血管生成的特性,在骨组织工程中受到越来越多的研究。利用植物提取物的绿色合成为生产生物相容性纳米颗粒提供了一条环保的途径。本研究旨在利用calcarata叶片提取物合成氧化铜纳米颗粒(CuO NPs),并评价其体外细胞相容性和成骨潜能。方法用三水合硝酸铜与牛角蒿叶提取物在碱性条件下反应,煅烧后合成硫酸氢氧化酶NPs。采用SEM、TEM、XRD和FTIR对纳米颗粒进行了表征,以确定其形貌、结晶度和官能团相互作用。使用C3H10T1/2小鼠间充质干细胞评估细胞相容性(MTT法,FDA染色)、成骨分化(茜素红S染色和定量)和基因表达(qRT-PCR检测Runx2、col - 1和ALP)。结果扫描电镜(sem)和透射电镜(TEM)检测到100 nm大小的球状CuO颗粒,XRD检测到CuO呈单斜晶状,FTIR检测到CuO呈植物化学盖层。MTT和FDA检测表明,CuO NPs在50 μg/mL浓度下具有细胞相容性,且在较高浓度下呈剂量依赖性细胞毒性。在成骨条件下,与对照组相比,50 μg/mL CuO NPs处理的细胞显示出明显增强的矿物质沉积。基因表达分析显示Runx2、col - 1和ALP上调,证实促进成骨分化。结论用牛角草提取物生物合成的CuO NPs结构纯净,在一定浓度下具有生物相容性,并能通过刺激基质矿化和成骨基因表达促进成骨细胞分化。这些发现表明,鹿角藻介导的CuO纳米粒子是一种可持续的、多功能的纳米材料,在骨组织工程中具有广阔的应用前景。
{"title":"Biogenic synthesis of copper oxide nanoparticles using Alpinia calcarata extract promotes osteoblasts differentiation: An In vitro study","authors":"Rathika Ravi ,&nbsp;Deepavalli Arumuganainar","doi":"10.1016/j.jobcr.2025.11.007","DOIUrl":"10.1016/j.jobcr.2025.11.007","url":null,"abstract":"<div><h3>Background</h3><div>Copper-based biomaterials are increasingly investigated for bone tissue engineering due to their osteogenic and angiogenic properties. Green synthesis using plant extracts offers an eco-friendly route for producing biocompatible nanoparticles. This study aimed to synthesize copper oxide nanoparticles (CuO NPs) using <em>Alpinia calcarata</em> leaf extract and evaluate their cytocompatibility and osteogenic potential in vitro.</div></div><div><h3>Methods</h3><div>CuO NPs were synthesized by reacting copper nitrate trihydrate with A. calcarata leaf extract under alkaline conditions, followed by calcination. The nanoparticles were characterized using SEM, TEM, XRD, and FTIR to confirm morphology, crystallinity, and functional group interactions. C3H10T1/2 murine mesenchymal stem cells were used to assess cytocompatibility (MTT assay, FDA staining), osteogenic differentiation (Alizarin Red S staining and quantification), and gene expression (qRT-PCR for Runx2, Col-I, and ALP).</div></div><div><h3>Results</h3><div>SEM and TEM revealed aggregated, spherical nanoparticles of &lt;100 nm, while XRD confirmed crystalline monoclinic CuO and FTIR indicated phytochemical capping. MTT and FDA assays showed CuO NPs were cytocompatible up to 50 μg/mL, with dose-dependent cytotoxicity observed at higher concentrations. Under osteogenic conditions, cells treated with 50 μg/mL CuO NPs displayed significantly enhanced mineral deposition compared to controls. Gene expression analysis demonstrated upregulation of Runx2, Col-I, and ALP, confirming promotion of osteogenic differentiation.</div></div><div><h3>Conclusion</h3><div>Biogenically synthesized CuO NPs using A. calcarata extract are structurally pure, biocompatible at defined concentrations, and capable of enhancing osteoblast differentiation by stimulating matrix mineralization and osteogenic gene expression. These findings position A. calcarata–mediated CuO NPs as sustainable, multifunctional nanomaterials with promising applications in bone tissue engineering.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"16 1","pages":"Pages 66-72"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527673","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
Molecular mechanisms of human papillomavirus-induced tongue carcinogenesis: A systematic review 人乳头瘤病毒诱发舌癌的分子机制:系统综述
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-10 DOI: 10.1016/j.jobcr.2025.11.011
Chamathsara Hewa Kodikarage , Menaka Batuwanthudawa , Kalpani Senevirathna , Wasala Mudiyanselage Kalpani Madhushika Ratnayake , Sivasuntharam Induijaa , Yovanthi Anurangi Jayasinghe , Kehinde Kazeem Kanmodi , Bogahawatte Samarakoon Mudiyanselage Samadarani Siriwardena , Ruwan Duminda Jayasinghe

Background

Human papillomavirus (HPV) infection has emerged as a significant etiological factor in tongue cancer, particularly among individuals without conventional risk factors such as tobacco or alcohol use. Understanding the molecular mechanisms underlying HPV-induced tongue carcinogenesis is critical for advancing targeted interventions.

Objective

To systematically review existing literature on genetic and epigenetic alterations in HPV-associated tongue cancer, with emphasis on viral oncoprotein interactions, disrupted cellular signalling pathways, and immune evasion mechanisms.

Data sources

Electronic databases searched included PubMed, Scopus, Web of Science, Dentistry and Oral Sciences Source, and AMED.

Methods

A systematic search using relevant MeSH terms was conducted to identify peer-reviewed studies involving human participants. Duplicates were removed, and studies were screened using the Rayyan software based on predefined inclusion and exclusion criteria. Quality assessment was performed using the Mixed Methods Appraisal Tool (MMAT).

Results

The search yielded 3,140 articles, with 27 studies meeting the inclusion criteria after full-text screening and manual search. Quality assessment indicated that 96.3 % of studies (n = 26) had low risk of bias, while one study (3.7 %) had high risk. Key findings showed that HPV E6 and E7 oncoproteins interfere with tumor suppressor pathways (e.g., p53 and Rb), and activate PI3K/Akt, Wnt/β-catenin, and NF-κB signaling. Epigenetic alterations such as promoter hypermethylation, histone modification, and microRNA dysregulation were also implicated. HPV-positive tumours demonstrated immune evasion features.

Conclusion

Despite progress in understanding HPV-related tongue carcinogenesis, further research is needed to explore tissue tropism and identify novel therapeutic targets.

Prospero id

CRD42024593129.
人乳头瘤病毒(HPV)感染已成为舌癌的一个重要病因,特别是在没有吸烟或饮酒等传统危险因素的人群中。了解hpv诱发舌癌的分子机制对于推进有针对性的干预至关重要。目的系统回顾hpv相关舌癌遗传和表观遗传改变的现有文献,重点关注病毒癌蛋白相互作用、细胞信号通路中断和免疫逃避机制。检索的电子数据库包括PubMed、Scopus、Web of Science、Dentistry and Oral Sciences Source和AMED。方法使用相关MeSH术语进行系统检索,以识别涉及人类参与者的同行评议研究。删除重复,使用Rayyan软件根据预定义的纳入和排除标准筛选研究。采用混合方法评价工具(MMAT)进行质量评价。结果共检索到3140篇文献,经全文筛选和人工检索,符合纳入标准的文献有27篇。质量评价显示96.3%的研究(n = 26)具有低偏倚风险,1项研究(3.7%)具有高风险。关键发现显示,HPV E6和E7癌蛋白干扰肿瘤抑制通路(如p53和Rb),激活PI3K/Akt、Wnt/β-catenin和NF-κB信号。表观遗传改变,如启动子超甲基化、组蛋白修饰和microRNA失调也有牵连。hpv阳性肿瘤表现出免疫逃避特征。结论尽管对hpv相关舌癌发生的认识有所进展,但仍需进一步研究其组织趋向性和寻找新的治疗靶点。普洛斯彼罗idCRD42024593129。
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引用次数: 0
Biocompatibility and odontogenic potential of an indigenous apitherapeutic pulp capping agent: A comparative in vitro analysis using hDPSCs 一种本土蜂疗牙髓封盖剂的生物相容性和牙源性潜力:利用hdpsc进行体外比较分析
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1016/j.jobcr.2025.11.008
Ketaki Turbatmath , S. Delphine Priscilla Antony , Raghunandhakumar Subramanian

Introduction

This study aimed to evaluate the cytocompatibility and odonto-inductive potential of an indigenously developed apitherapeutic pulp capping agent Api-Therapeutic Pulp Guard (ATPG) by assessing cell viability and dentinogenic gene expression using human dental pulp stem cells (hDPSCs)

Materials and methods

hDPSCs were exposed to eluates of ATPG and compared with calcium hydroxide (RC-Cal) and control. MTT assay was used to assess cell viability, LIVE/DEAD staining was performed using calcein-AM and ethidium homodimer, and quantitative real-time PCR (qPCR) evaluated DSPP gene expression. This comprehensive approach provided complementary insights into cell metabolic activity, membrane integrity, and odontogenic potential of the test materials.

Results

ATPG exhibited high cell viability (96.52 %), significantly greater than calcium hydroxide (84.25 %) (p < 0.01). LIVE/DEAD assay confirmed better membrane integrity with a predominance of green (live) stained cells. qPCR showed a 3.6-fold upregulation of DSPP gene expression in ATPG-treated cells, suggesting strong odontogenic differentiation.

Conclusion

The ATPG formulation demonstrated superior biocompatibility and odontogenic potential compared to conventional calcium hydroxide, underscoring its promise for translation in regenerative endodontic therapy.
本研究旨在通过评估人牙髓干细胞(hDPSCs)的细胞活力和牙本质形成基因表达,来评估国产牙髓盖盖剂Api-Therapeutic pulp Guard (ATPG)的细胞相容性和牙髓诱导潜能。材料和方法:将dpscs暴露于ATPG洗脱液中,并与氢氧化钙(RC-Cal)和对照进行比较。MTT法检测细胞活力,钙黄素am和乙啶同型二聚体进行LIVE/DEAD染色,定量实时荧光定量PCR (qPCR)检测DSPP基因表达。这种全面的方法为测试材料的细胞代谢活性、膜完整性和牙源性潜力提供了补充的见解。结果satpg具有较高的细胞存活率(96.52%),显著高于氢氧化钙(84.25%)(p < 0.01)。LIVE/DEAD实验证实了更好的膜完整性,绿色(活)染色细胞占主导地位。qPCR结果显示,atpg处理后的细胞DSPP基因表达上调3.6倍,显示出强烈的成牙分化。结论与传统氢氧化钙相比,ATPG制剂具有更好的生物相容性和牙源性潜力,在再生牙髓治疗中具有广阔的应用前景。
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引用次数: 0
Assessment of infraorbital foramen location based on skeletal malocclusion, maxillary sinus pneumatization and infraorbital canal morphology using 3D CBCT scans 基于骨骼错颌合、上颌窦充气和眶下管形态的三维CBCT扫描评估眶下孔定位
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-06 DOI: 10.1016/j.jobcr.2025.12.001
Gülay Açar , Ahmet Safa Gökşan , Guldane Magat

Introduction

Understanding the infraorbital foramen (IOF) location is crucial in terms of regional anaesthesia as well as facial filler injection and radiofrequency neurotomy. We aimed to define a safe infraorbital foramen (IOF) location zone using three dimensional (3D) cone beam computed tomography (CBCT) scans and to evaluate the influence of skeletal malocclusion (SM), maxillary sinus pneumatization (MSP), and infraorbital canal (IOC) morphology on IOF position.

Materials and methods

3D models of 300 (170 female, 130 male, range 18–50 years) CBCT scans were used to identify the SM, MSP, and IOC types, and to measure the distances from IOF to infraorbital margin, pyriform aperture, and zygion to determine IOF position. Using combined distances the IOF location zone was formed and divided into nine zones.

Results

The IOF was predominantly located in the superocentral zones (Zones 1–6) in Class II patients, mostly associated with hypoplastic MS, Type I and IV IOCs. Conversely, in Class III patients mostly linked to hyperplastic MS, Type II and III IOCs, the likelihood of IOF was mainly observed in the inferocentral zones (Zones 4–9). Also, we observed a significant increase in the prevalence of Class I, hypoplastic MS, Type I and IV IOCs with age.

Conclusion

Our results suggest that prediction of a safe IOF zone is possible based on SM, MSP, and IOC types in relation to gender and age within the studied population using 3D CBCT technology. This is essential for improved treatment planning and avoidance of iatrogenic injury during midface procedures.
了解眶下孔(IOF)的位置对于区域麻醉、面部填充物注射和射频神经切开术至关重要。我们的目的是使用三维(3D)锥束计算机断层扫描(CBCT)确定一个安全的眶下孔(IOF)定位区域,并评估骨骼错颌合(SM)、上颌窦气化(MSP)和眶下管(IOC)形态对IOF位置的影响。材料与方法使用300例(女性170例,男性130例,年龄18-50岁)的三维CBCT扫描模型来识别SM、MSP和IOC类型,并测量IOF到眶下缘、梨状孔和颧部的距离来确定IOF的位置。利用综合距离形成了IOF定位区,并将其划分为9个区域。结果II类患者IOF主要位于超中心区(1-6区),多与发育不良的MS、I型和IV型ioc相关。相反,在主要与增生性MS、II型和III型ioc相关的III类患者中,IOF的可能性主要在中央间区(4-9区)观察到。此外,我们还观察到,随着年龄的增长,I类、发育不良的MS、I型和IV型ioc的患病率显著增加。结论:我们的研究结果表明,使用3D CBCT技术可以根据研究人群中与性别和年龄相关的SM、MSP和IOC类型来预测安全的IOF区域。这对于改善治疗计划和避免中面部手术中医源性损伤是至关重要的。
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引用次数: 0
Functional recovery of demineralized dentin using a glutamic acid-modified electrospun scaffold: A multimodal in vitro characterization 谷氨酸修饰的电纺丝支架用于脱矿牙本质的功能恢复:多模态体外表征
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-11-14 DOI: 10.1016/j.jobcr.2025.11.005
Aruna Krishnan , Sandhya Raghu , Govindaraj Perumal , Jayalakshmi Somasundaram , Nishitha Arun

Background

Dentin remineralization poses a significant challenge in restorative dentistry due to the complex structure and mineral-organic composition of dentin. Electrospun nanofibrous scaffolds present a biomimetic platform to facilitate mineral deposition. Functionalization of the scaffold, achieved through the incorporation of biomolecules like glutamic acid, which mimics non-collagenous proteins, may improve remineralization.

Objective

To assess the remineralization potential of a glutamic acid-loaded polycaprolactone/nanohydroxyapatite (PCL/nHA/Glu) scaffold on acid-demineralized dentin, through surface and mechanical characterization.

Methods

Nanofibrous scaffolds of PCL/nHA and PCL/nHA/Glu were fabricated and applied to demineralized human dentin discs. The samples were immersed in simulated body fluid for 7, 14, and 28 days. Changes in morphology and composition were analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Surface topography was assessed by atomic force microscopy (AFM), and mechanical properties were evaluated via nanoindentation, with statistical analysis conducted using one-way ANOVA.

Results

SEM imaging showed progressive mineral deposition in both scaffold groups, with the PCL/nHA/Glu group demonstrating organized crystallite formation and almost complete tubule occlusion by Day 28. EDS indicated earlier and higher Ca and P incorporation in the PCL/nHA/Glu group. AFM showed significant reductions in surface roughness later, while nanoindentation revealed increased elastic modulus and hardness in the PCL/nHA/Glu group by Day 14, indicating mechanical recovery.

Conclusion

Glutamic acid-functionalized scaffolds significantly enhanced the remineralization of demineralized dentin, promoting organized mineral deposition and restoration of mechanical properties. These findings support using amino acid-modified scaffolds in dentin tissue engineering.

Clinical significance

Functionalization with amino acids is crucial for mimicking the activity of non-collagenous proteins, transforming passive ion delivery systems into bioactive platforms for dentin regeneration. These scaffolds could serve as alternatives to traditional materials in restorative dentistry, aiding in the treatment of dental caries, dentin hypersensitivity, and enhancing pulp vitality and regeneration.
由于牙本质复杂的结构和矿物质有机组成,牙本质再矿化是修复性牙科的一个重大挑战。静电纺丝纳米纤维支架提供了一种促进矿物沉积的仿生平台。支架的功能化,通过加入生物分子如谷氨酸来实现,它可以模拟非胶原蛋白,可以改善再矿化。目的通过表面和力学表征,评价谷氨酸负载聚己内酯/纳米羟基磷灰石(PCL/nHA/Glu)支架在酸脱矿牙本质上的再矿化潜力。方法制备PCL/nHA和PCL/nHA/Glu纳米纤维支架,应用于脱矿人牙本质盘。将样品浸泡在模拟体液中7、14和28天。利用扫描电镜(SEM)和能量色散x射线能谱(EDS)分析了形貌和成分的变化。通过原子力显微镜(AFM)评估表面形貌,通过纳米压痕评估力学性能,并使用单因素方差分析进行统计分析。结果扫描电镜成像显示两组支架均有进行性矿物沉积,PCL/nHA/Glu组在第28天显示有组织的晶体形成和几乎完全的小管闭塞。EDS显示PCL/nHA/Glu组Ca、P的掺入时间早、含量高。AFM显示表面粗糙度显著降低,而纳米压痕显示PCL/nHA/Glu组的弹性模量和硬度在第14天增加,表明机械恢复。结论谷氨酸功能化支架能显著增强脱矿牙本质的再矿化,促进牙本质有组织的矿物质沉积,恢复牙本质的力学性能。这些发现支持了氨基酸修饰支架在牙本质组织工程中的应用。氨基酸功能化对于模拟非胶原蛋白的活性,将被动离子传递系统转化为牙本质再生的生物活性平台至关重要。这些支架可以作为传统牙科修复材料的替代品,有助于治疗龋齿,牙本质过敏,增强牙髓活力和再生。
{"title":"Functional recovery of demineralized dentin using a glutamic acid-modified electrospun scaffold: A multimodal in vitro characterization","authors":"Aruna Krishnan ,&nbsp;Sandhya Raghu ,&nbsp;Govindaraj Perumal ,&nbsp;Jayalakshmi Somasundaram ,&nbsp;Nishitha Arun","doi":"10.1016/j.jobcr.2025.11.005","DOIUrl":"10.1016/j.jobcr.2025.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Dentin remineralization poses a significant challenge in restorative dentistry due to the complex structure and mineral-organic composition of dentin. Electrospun nanofibrous scaffolds present a biomimetic platform to facilitate mineral deposition. Functionalization of the scaffold, achieved through the incorporation of biomolecules like glutamic acid, which mimics non-collagenous proteins, may improve remineralization.</div></div><div><h3>Objective</h3><div>To assess the remineralization potential of a glutamic acid-loaded polycaprolactone/nanohydroxyapatite (PCL/nHA/Glu) scaffold on acid-demineralized dentin, through surface and mechanical characterization.</div></div><div><h3>Methods</h3><div>Nanofibrous scaffolds of PCL/nHA and PCL/nHA/Glu were fabricated and applied to demineralized human dentin discs. The samples were immersed in simulated body fluid for 7, 14, and 28 days. Changes in morphology and composition were analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Surface topography was assessed by atomic force microscopy (AFM), and mechanical properties were evaluated via nanoindentation, with statistical analysis conducted using one-way ANOVA.</div></div><div><h3>Results</h3><div>SEM imaging showed progressive mineral deposition in both scaffold groups, with the PCL/nHA/Glu group demonstrating organized crystallite formation and almost complete tubule occlusion by Day 28. EDS indicated earlier and higher Ca and P incorporation in the PCL/nHA/Glu group. AFM showed significant reductions in surface roughness later, while nanoindentation revealed increased elastic modulus and hardness in the PCL/nHA/Glu group by Day 14, indicating mechanical recovery.</div></div><div><h3>Conclusion</h3><div>Glutamic acid-functionalized scaffolds significantly enhanced the remineralization of demineralized dentin, promoting organized mineral deposition and restoration of mechanical properties. These findings support using amino acid-modified scaffolds in dentin tissue engineering.</div></div><div><h3>Clinical significance</h3><div>Functionalization with amino acids is crucial for mimicking the activity of non-collagenous proteins, transforming passive ion delivery systems into bioactive platforms for dentin regeneration. These scaffolds could serve as alternatives to traditional materials in restorative dentistry, aiding in the treatment of dental caries, dentin hypersensitivity, and enhancing pulp vitality and regeneration.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"16 1","pages":"Pages 73-82"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527675","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
Predictive modeling of stem cell suppression by inflammatory cytokine networks: A synthetic transcriptomic approach for periodontal tissue engineering 炎症细胞因子网络对干细胞抑制的预测建模:牙周组织工程的合成转录组学方法
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-10 DOI: 10.1016/j.jobcr.2025.11.019
Deepavalli Arumuganainar , Pradeep Kumar Yadalam

Background

Chronic inflammation in periodontitis disrupts the osteogenic differentiation of periodontal ligament stem cells (PDLSCs) through persistent cytokine activity. IL-1β, TNF-α, and IL-6 are major mediators that inhibit bone-forming pathways. However, the complexity of cytokine–gene interactions remains poorly characterized. This study presents a synthetic transcriptomic modeling framework to predict and interpret inflammatory suppression of stem-cell osteogenesis.

Methods

Time-resolved synthetic gene expression profiles were generated to simulate osteogenic induction under homeostatic, inflammatory, and resolution phases. A curated gene regulatory network (GRN) was incorporated to map cytokine–osteogenesis interactions. Graph autoencoders (GAEs) captured latent topological structure from the expression matrix, while deep neural classifier differentiated inflammatory from control states. The GSE283726 periodontitis transcriptome dataset and iPSC-derived mesenchymal stem cells (iMSCs) were used for validation.

Results

Simulations showed that IL-1β and TNF-α strongly activated NF-κB signaling, suppressing osteogenic genes such as RUNX2 and ALPL. IL-6 exhibited context-dependent regulatory behavior. GAEs clearly separated inflammatory and regenerative modules, identifying IL-6 as a key intermediary. The classifier achieved an AUROC of 0.99 and > 95 % accuracy. Validation with real datasets confirmed overlap in differentially expressed genes and enriched pathways, including Wnt inhibition (DKK1) and inflammatory GO terms.

Conclusion

Biologically informed synthetic transcriptomics combined with graph autoencoding effectively models cytokine-mediated inhibition of PDLSCs. The framework identifies regulatory nodes supported by real data and offers potential for in silico drug testing. Future work will expand cytokine networks, incorporate diverse cell types, and explore transfer learning for regenerative periodontal applications.
背景牙周炎的慢性炎症通过持续的细胞因子活性破坏牙周韧带干细胞(PDLSCs)的成骨分化。IL-1β、TNF-α和IL-6是抑制骨形成途径的主要介质。然而,细胞因子-基因相互作用的复杂性仍然缺乏表征。本研究提出了一个合成转录组建模框架来预测和解释干细胞成骨的炎症抑制。方法合成时间分辨的合成基因表达谱,模拟体内平衡、炎症和消退阶段的成骨诱导。一个精心策划的基因调控网络(GRN)被纳入绘制细胞因子-成骨相互作用。图自编码器(GAEs)从表达矩阵中捕获潜在的拓扑结构,而深度神经分类器区分炎症和控制状态。使用GSE283726牙周炎转录组数据集和ipsc衍生的间充质干细胞(iMSCs)进行验证。结果IL-1β和TNF-α强烈激活NF-κB信号,抑制RUNX2、ALPL等成骨基因。IL-6表现出上下文依赖的调节行为。GAEs清楚地分离了炎症和再生模块,确定IL-6是关键中介。该分类器的AUROC为0.99,准确率为95%。真实数据集的验证证实了差异表达基因和富集通路的重叠,包括Wnt抑制(DKK1)和炎性氧化石墨烯术语。结论合成转录组学结合图形自编码有效地模拟了细胞因子介导的PDLSCs抑制。该框架确定了由真实数据支持的监管节点,并为计算机药物测试提供了潜力。未来的工作将扩大细胞因子网络,纳入不同的细胞类型,并探索迁移学习再生牙周的应用。
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引用次数: 0
Evaluating the role of a novel homeodomain protein in periodontal regenerative therapy: An in-vitro study 评估一种新型同源结构域蛋白在牙周再生治疗中的作用:一项体外研究
Q1 Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jobcr.2025.12.004
Bhavya Shetty , Rohit Prasad , Amrutha Rao , Tanya Singh , Akshatha Raj , Safiya Fatima Khan

Introduction

The goal of periodontal treatment is to halt disease progression and restore the structure and function of damaged periodontal tissues. Homeodomains—transcription factors prominently expressed during limb bud formation and craniofacial development—are abundantly present in the periosteum, and their expression continues in postnatal descendant cells, where they play a key role in bone homeostasis and fracture healing. These factors regulate stem cell differentiation critical for cementogenesis, osteogenesis, and periodontal ligament (PDL) regeneration, making them attractive targets for periodontal tissue engineering and regenerative therapies. A deeper understanding of homeodomain protein functions could lead to innovative treatments for periodontal disease and alveolar bone defects. In this context, our study investigated the role of homeodomain proteins in periodontal regeneration.

Methods

Periosteum tissue was collected from a fracture site, and protein extracts were prepared. MTT and in vitro wound-healing assays were performed using a PDL cell line co-cultured with homeodomain protein (test group) and PDL cells alone (control group).

Results

The MTT assay revealed that a concentration of 5 μg/mL yielded the highest cell viability. In the wound-healing assay, significant differences between the control and test groups demonstrated that homeodomain expression enhances cell migration and proliferation.

Conclusion

Homeodomain protein expression in the periosteum could serve as a novel biomarker for periodontal regeneration.
牙周治疗的目标是阻止疾病的发展,恢复受损牙周组织的结构和功能。同源结构域——在肢体芽形成和颅面发育过程中显著表达的转录因子——在骨膜中大量存在,它们在出生后后代细胞中继续表达,在骨稳态和骨折愈合中发挥关键作用。这些因子调节干细胞分化,对骨水泥形成、成骨和牙周韧带(PDL)再生至关重要,使它们成为牙周组织工程和再生治疗的有吸引力的靶点。对同源结构域蛋白功能的深入了解可能会导致牙周病和牙槽骨缺损的创新治疗。在这种情况下,我们的研究探讨了同源结构域蛋白在牙周再生中的作用。方法采集骨折部位的骨组织,制备蛋白质提取物。采用与同源结构域蛋白共培养的PDL细胞系(试验组)和单独PDL细胞(对照组)进行MTT和体外伤口愈合试验。结果MTT检测显示,浓度为5 μg/mL时细胞活力最高。在伤口愈合实验中,对照组和实验组之间的显著差异表明同源结构域的表达增强了细胞的迁移和增殖。结论骨膜同源结构域蛋白表达可作为牙周再生的一种新的生物标志物。
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引用次数: 0
期刊
Journal of oral biology and craniofacial research
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