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Effects of Different Root Canal Obturation Techniques on the Bond Strength of Fiber Post to Intraradicular Dentine. 不同根管封闭技术对根管内纤维桩与根内牙本质结合强度的影响。
Chang-yuan Zhang, Hao Yu, Q. Lin, Y. Taira, Hui Cheng
OBJECTIVE To evaluate the bond strength of fiber posts to intraradicular dentine pretreated with two root canal obturation techniques and three postspace irrigation solutions. METHODS A total of 96 human premolars were collected and treated with complete or partial root canal obturation techniques. The roots were further divided into three subgroups (n = 16) based on postspace irrigation solutions: 2.5% NaOCl, 37% phosphoric acid etching, and distilled water. The fiber posts were bonded with self-adhesive resin cement, and the roots were sectioned into three slices (cervical, middle, and apical regions) after 5,000 thermocycles. The push-out bond strengths were determined and subjected to analysis of variance (α = 0.05). A stereomicroscope was used to observe the failure modes of the specimens. RESULTS The irrigation solution, root canal obturation technique, and root region had significant effects on bond strength (P < 0.001). The completely obturated root canals showed significantly lower bond strength than the partially obturated root canals. The 2.5% NaOCl treatment produced the highest bond strength among the three irrigation solutions. Among the root regions, the cervical part showed significantly greater bond strength than the middle and apical parts. The most common failure mode was mixed failure. CONCLUSION The partial root canal obturation technique provided better bond strength of the fiber post to intraradicular dentine. Irrigation with 2.5% NaOCl solution and phosphoric acid etching before cementation improved the push-out bond strength of the fiber posts to intraradicular dentine.
目的评价两种根管封闭技术和三种根管内灌洗液预处理后纤维桩与根内牙本质的结合强度。方法收集96颗人前磨牙,采用全根管或部分根管封闭技术进行治疗。根据空间后灌洗液(2.5% NaOCl, 37%磷酸蚀刻和蒸馏水)将根进一步分为3个亚组(n = 16)。纤维桩用自粘树脂水泥粘接,经5000次热循环后将根切成3片(颈、中、尖)。测定推出键强度并进行方差分析(α = 0.05)。利用体视显微镜观察试件的破坏模式。结果灌洗液、根管封闭技术和根区对根管黏结强度有显著影响(P < 0.001)。完全封闭根管的根管结合强度明显低于部分封闭根管。在三种灌水溶液中,2.5% NaOCl处理的黏结强度最高。在根区中,颈段的结合强度明显高于中、根尖部分。最常见的失效模式是混合型失效。结论部分根管封闭技术使根管纤维桩与根内牙本质的结合强度提高。胶结前用2.5% NaOCl溶液冲洗和磷酸蚀刻可提高纤维桩与根状牙本质的推出结合强度。
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引用次数: 1
Oral Squamous Cell Carcinoma with Metastasis to the Parotid Lymph Node. 口腔鳞状细胞癌伴腮腺淋巴结转移。
W. Zhang, Yang Wang, C. Mao, Chuan-Bin Guo, G. Yu, Xin Peng
OBJECTIVE To increase the awareness of oral squamous cell carcinoma (OSCC) metastasis to the parotid region and the characteristics of these cases, and to evaluate the outcomes and provide treatment suggestions. METHODS A retrospective study was conducted among the OSCC patients with metastasis to the parotid gland at the Peking University School and Hospital of Stomatology from 2000 to 2015. The demographic data and the medical records including primary tumour, treatment protocol, follow-up information and outcomes were collected and analysed. RESULTS A total of 10 patients with parotid metastasis (out of 1358 OSCC patients) were included in the study. The incidence of parotid metastasis was relatively low (0.74%). All the cases were poorly differentiated (Grade II/III) and the primary sites were in an advanced stage (T3/4). Parotid metastasis occurred frequently following neck dissection and radiotherapy, and the inferior parotid lymph nodes were most commonly involved. Surgery and radiotherapy were mainly salvage protocols for parotid metastasis. The 5-year survival rate of these patients was 38.9% by the Kaplan-Meier method. CONCLUSION OSCC has the potential to metastasise into the parotid lymph nodes. The salvage rate and prognosis were relatively poor. Removing of the parotid tail along with the neck dissection is recommended for OSCC patients.
目的提高对口腔鳞状细胞癌(OSCC)转移至腮腺的认识,探讨其特点,评价其预后并提出治疗建议。方法回顾性分析2000 - 2015年北京大学口腔医院收治的伴有腮腺转移的OSCC患者。收集和分析了人口统计数据和医疗记录,包括原发性肿瘤、治疗方案、随访信息和结果。结果1358例OSCC患者中,共纳入10例腮腺转移患者。腮腺转移的发生率相对较低(0.74%)。所有病例均为低分化(II/III级),原发部位为晚期(T3/4级)。颈部清扫及放疗后腮腺多发转移,以腮腺下淋巴结为主。手术和放疗是腮腺转移的主要抢救方法。Kaplan-Meier法5年生存率为38.9%。结论oscc有转移至腮腺淋巴结的可能。抢救率及预后较差。对于鳞癌患者,建议切除腮腺尾部并进行颈部清扫。
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引用次数: 2
Molecular Mechanisms of Chemoresistance in Oral Cancer. 口腔癌化疗耐药的分子机制。
Cheng Wang, Xi Liu, Jin-song Hou, Jian Wang, H. Huang
Oral cancer is an aggressive disease with the propensity for local recurrence and distal metastasis in the head and neck region. Currently, cisplatin-based chemotherapy or concurrent radiochemotherapy is still the first choice to treat the advanced stage cancers, in particular, the unresectable tumours. Unfortunately, innate and acquired resistance to chemotherapy agent greatly limited its effectiveness and often led to treatment failure in these patients. Hence, it is urgent to clarify the mechanisms underlying the development of chemoresistance in patients with oral cancer. In this article, the current understandings on molecular mechanisms of chemoresistance in oral cancer were reviewed, including drug efflux, apoptosis, DNA damage and repair, epithelial mesenchymal transition, autophagy and miRNA.
口腔癌是一种侵袭性疾病,有局部复发和远端头颈部转移的倾向。目前,以顺铂为基础的化疗或同步放化疗仍是治疗晚期癌症,特别是不可切除肿瘤的首选。不幸的是,先天和获得性对化疗药物的耐药性极大地限制了化疗药物的有效性,并经常导致这些患者的治疗失败。因此,迫切需要澄清口腔癌患者化疗耐药发生的机制。本文综述了口腔癌化疗耐药的分子机制,包括药物外排、细胞凋亡、DNA损伤与修复、上皮间质转化、自噬和miRNA。
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引用次数: 53
Mechanical Properties of Orthodontic Thermoplastics PETG/ PC2858 after Blending. 正畸热塑性塑料PETG/ PC2858共混后的力学性能
Yansong Ma, Dong-yu Fang, Ning Zhang, X. Ding, Kun-ya Zhang, Yuxing Bai
OBJECTIVETo characterise and compare the tensile characteristics after multi-proportional blending, to determine the proper blending ratio for new thermoplastic material and to compare its mechanical performance with commercial thermoplastics.METHODSPETG and PC2858 aggregates were blended in five different ratios. Standard specimens of each ratio were molded and tested to determine their mechanical performance. Then the new material with the proper blending ratio was chosen and compared against commercial thermoplastics.RESULTSWith the increase of PC2858 content, the tensile and impact strength increased but elongation at break decreased. When blending ratio (wt %) was 70/30, the PETG/PC2858 exhibited optimal mechanical properties, with a tensile strength of 63.42 ± 1.67 MPa, and a stress relaxation rate of 0.0080 ± 0.0005 N/s, which exceeded those of Erkodur and Biolon.CONCLUSIONBy blending PETG and PC2858 at the weight ratio 70/30, we obtained new thermoplastic material which outperformed commercial products.
目的对多比例共混后的拉伸特性进行表征和比较,确定新型热塑性塑料的合适共混比例,并与商品热塑性塑料的力学性能进行比较。方法将spetg和PC2858聚集体按5种不同比例混合。对每种比例的标准试样进行了模制和测试,以确定其力学性能。然后选择合适配比的新材料,并与市售热塑性塑料进行对比。结果随着PC2858含量的增加,材料的抗拉强度和冲击强度增加,断裂伸长率下降。当共混比(wt %)为70/30时,PETG/PC2858的力学性能最佳,拉伸强度为63.42±1.67 MPa,应力松弛速率为0.0080±0.0005 N/s,优于Erkodur和Biolon。结论将PETG与PC2858按70/30的质量比共混,得到了性能优于商品的新型热塑性材料。
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引用次数: 18
Comprehensive Oral Health Care to Reduce the Incidence of Severe Early Childhood Caries (s-ECC) in Urban China. 综合口腔保健降低中国城市儿童早期严重龋齿发病率
Y. Si, Yanbing Guo, C. Yuan, Tao Xu, S. Zheng
OBJECTIVETo explore the effectiveness of comprehensive oral health care to reduce the caries incidence for children with severe early childhood caries (s-ECC) in an urban area in China.METHODSA total of 357 children aged 3 to 4 years old and diagnosed with s-ECC were recruited in this randomised controlled, single-blinded clinical trial for 1 year. Children of two different kindergarten classes were enrolled in this study and randomly divided into a test group (205 children) and a control group (152 children). The test group received comprehensive oral health care, which included: oral health examination, oral health education, topical fluoride application and dental treatment, and the children in the control group only received the oral health examination. The evaluation of the oral health questionnaire for parents was also performed. An evaluation was carried out at the time of recruitment and 1 year later to explore the effectiveness of the comprehensive oral health care model.RESULTSThe differences in decayed teeth (dt), decayed tooth surfaces (ds), filled teeth (ft), filled tooth surfaces (fs) and the ratio of ft /(dt + ft) between the two groups were statistically significant (P < 0.001) at 1 year. The incidence of caries in the control group was higher than that of the test group (P = 0.02). The rate of awareness of oral health knowledge (P = 0.01) and the practice of good diet habits (P = 0.02) by parents in the test group were significantly higher than those in the control group.CONCLUSIONThe present study demonstrated that the comprehensive oral health care program reduces and prevents caries amongst children with s-ECC.
目的探讨综合口腔保健对降低城市地区儿童早期严重龋病(s-ECC)龋发病率的效果。方法在这项为期1年的随机对照单盲临床试验中,共招募357名3至4岁诊断为s-ECC的儿童。本研究选取了两个不同幼儿园班的儿童,随机分为实验组205名儿童和对照组152名儿童。试验组接受全面口腔保健,包括:口腔健康检查、口腔健康教育、局部涂氟和牙齿治疗,对照组只接受口腔健康检查。对家长口腔健康问卷进行评估。在招募时和1年后进行评估,以探索口腔综合保健模式的有效性。结果两组患者1年时的蛀牙(dt)、蛀牙面(ds)、补牙面(ft)、补牙面(fs)及ft /(dt + ft)之比差异均有统计学意义(P < 0.001)。对照组龋齿发生率高于试验组(P = 0.02)。试验组家长口腔卫生知识知晓率(P = 0.01)和良好饮食习惯的养成率(P = 0.02)均显著高于对照组。结论综合口腔保健方案可减少和预防s-ECC儿童的龋病。
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引用次数: 17
Preliminary Evaluation of Platelet Rich Fibrin-Mediated Tissue Repair in Immature Canine Pulpless Teeth. 富血小板纤维蛋白介导的未成熟犬无髓牙组织修复的初步评价。
Qi Lin Wang, Pan-Pan Yang, L. Ge, He Liu
OBJECTIVETo evaluate the use of platelet-rich fibrin (PRF) in the regenerative therapy of immature canine permanent teeth.METHODSEight immature premolars of beagle dogs were pulp extracted and cleaned with irrigation, then divided into two groups of empty root canals and those filled with a PRF clot. All of the eight premolars were sealed with mineral trioxide aggregate and glass ionomer cement. Two premolars were left naturally grown as a positive control. The root development was assessed radiographically and histologically after 12 weeks.RESULTSThe radiological findings showed greater increases in the thickness of lateral dentinal wall in the PRF group than in the vacant group. Histologically, dental-associated mineral tissue, connective tissue, and bone-like mineral tissue grew into the root canals independent of PRF clot use. The PRF was able to increase the thickness of dental-associated mineral tissue. However, the vital tissue differed from the pulp dentin complex.CONCLUSIONOur study demonstrated the feasibility of using PRF-mediated regenerative therapy in pulpless immature teeth for improving tissue repair.
目的探讨富血小板纤维蛋白(PRF)在未成熟犬恒牙再生治疗中的应用。方法对8例未成熟的beagle犬前磨牙进行牙髓提取和冲洗,并将其分为空根管组和PRF凝块充填组。所有8颗前磨牙均用矿物三氧化物骨料和玻璃离子水门合剂密封。两颗前磨牙自然生长作为阳性对照。12周后用放射学和组织学评估根的发育情况。结果放射学检查显示PRF组牙本质外壁厚度较空白组明显增加。组织学上,牙相关矿物组织、结缔组织和骨样矿物组织生长到根管中,与PRF血块的使用无关。PRF能够增加牙齿相关矿物组织的厚度。然而,重要组织不同于牙本质复合体。结论应用prf介导的再生治疗无髓未成熟牙组织修复是可行的。
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引用次数: 10
Time flies and the new year of 2016 has finally arrived. Introduction. 时间过得真快,2016年终于到来了。介绍。
G. Yu
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引用次数: 0
Human Papilloma Virus and Oropharyngeal Carcinoma - Lessons from History. 人类乳头状瘤病毒和口咽癌——历史的教训。
A. Vlantis
The human papilloma virus (HPV) is a common virus that infects epithelium in 10% of the world's population. While most sexually active people become infected, the majority with a healthy natural immunity control their infection. When the infection becomes persistent in cervical mucosa for instance, it is associated with nearly all cervical cancers. Fortunately cervical cancer screening is both sensitive and specific and when accessed has led to significant reductions of this disease. Despite this, cervical cancer still remains one of the leading causes of death from cancer. Oropharyngeal mucosa is becoming persistently infected with HPV in an increasing number of people leading to a potential epidemic of oropharyngeal carcinoma. While only 10% of new oropharyngeal infections persist, those in elderly men who smoke are more likely to do so. Some centres report more than 70% of oropharyngeal cancers are associated with HPV infection, which is different to cancers caused by alcohol and tobacco. Other centres report only a 20% association. Education against high-risk sexual behaviour has been met with limited success. Screening for oropharyngeal HPV infection has been disappointing with a pickup rate of only 40%. Some hope lies in detecting viral DNA in both the saliva and plasma. A HPV vaccine has been available since 2006 but is not yet routinely given to both sexes in many countries. Its effect on the incidence of HPV-positive oropharyngeal carcinomas is currently unknown. Vigilance by dental and medical colleagues in the meantime is essential.
人乳头瘤病毒(HPV)是一种常见的病毒,感染上皮细胞在世界人口的10%。虽然大多数性活跃的人会被感染,但大多数具有健康的天然免疫力的人可以控制感染。例如,当宫颈粘膜感染持续存在时,它几乎与所有宫颈癌有关。幸运的是,宫颈癌筛查既敏感又有特异性,一旦进行筛查,这种疾病的发病率就会大大降低。尽管如此,子宫颈癌仍然是癌症死亡的主要原因之一。越来越多的人持续感染HPV口咽黏膜,导致潜在的口咽癌流行。虽然只有10%的新发口咽感染持续存在,但那些吸烟的老年男性更有可能这样做。一些中心报告说,70%以上的口咽癌与人乳头瘤病毒感染有关,这与酒精和烟草引起的癌症不同。其他中心报告只有20%的关联。针对高危性行为的教育收效甚微。口咽HPV感染筛查结果令人失望,检出率仅为40%。一些希望在于检测唾液和血浆中的病毒DNA。自2006年以来,HPV疫苗已经可用,但在许多国家尚未对两性常规接种。其对hpv阳性口咽癌发病率的影响目前尚不清楚。与此同时,牙科和医疗同事的警惕是必不可少的。
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引用次数: 7
Non-steroidal Anti-inflammatory Drugs Attenuate Hyperalgesia and Block Upregulation of Trigeminal Ganglionic Sodium Channel 1.7 after Induction of Temporomandibular Joint Inflammation in Rats. 非甾体类抗炎药减轻大鼠颞下颌关节炎症诱导后的痛觉过敏,阻断三叉神经节钠通道1.7的上调。
Rui-yun Bi, Yun Ding, Y. Gan
OBJECTIVETo investigate the association between the analgesic effect of non-steroidal antiinflammatory drugs (NSAIDs) and sodium channel 1.7 (Nav1.7) expression in the trigeminal ganglion (TG).METHODSTemporomandibular joint (TMJ) inflammation was induced by complete Freund's adjuvant (CFA) in female rats. Ibuprofen, diclofenac sodium and meloxicam were given intragastrically before induction of TMJ inflammation. Histopathological evaluation and scoring of TMJ inflammation was used to evaluate the level of inflammation. The head withdrawal threshold and food intake were measured to evaluate TMJ nociceptive responses. The mRNA and protein expression of trigeminal ganglionic Nav1.7 was examined using real-time polymerase chain reaction and western blot.RESULTSTwenty-four hours after the injection of CFA into the TMJs, NSAIDs attenuated hyperalgesia of inflamed TMJ and simultaneously blocked inflammation-induced upregulation of Nav1.7 mRNA and protein expression in the TG. However, ibuprofen and diclofenac sodium slightly attenuated TMJ inflammation and meloxicam did not affect TMJ inflammation.CONCLUSIONAttenuation of hyperalgesia of inflamed TMJ by NSAIDs might be associated with their role in blocking upregulation of trigeminal ganglionic Nav1.7.
目的探讨非甾体抗炎药(NSAIDs)镇痛作用与三叉神经节(TG)钠通道1.7 (Nav1.7)表达的关系。方法采用完全弗氏佐剂(CFA)诱导雌性大鼠颞下颌关节(TMJ)炎症。诱导TMJ炎症前ig布洛芬、双氯芬酸钠、美洛昔康。采用TMJ炎症的组织病理学评估和评分来评估炎症程度。测量头部戒断阈值和食物摄取量以评估颞下颌关节伤害性反应。采用实时聚合酶链反应和western blot检测三叉神经节Nav1.7 mRNA和蛋白的表达。结果非甾体抗炎药(NSAIDs)在TMJ内注射CFA 24 h后,减轻了炎症TMJ的痛觉过敏,同时阻断了炎症诱导的TG中Nav1.7 mRNA和蛋白表达上调。然而,布洛芬和双氯芬酸钠轻度减轻TMJ炎症,美洛昔康对TMJ炎症无影响。结论非甾体抗炎药对炎性TMJ痛觉过敏的抑制作用可能与其阻断三叉神经节Nav1.7上调有关。
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引用次数: 10
Human Papilloma Virus in Oral Squamous Cell Carcinoma - The Enigma Unravelled. 人类乳头状瘤病毒在口腔鳞状细胞癌中的作用——谜团解开。
Komal Khot, Swati P. Deshmane, Sheetal S Choudhari
Squamous cell carcinoma of the head and neck (HNSCC) has long been regarded as a disease entity having a remarkable incidence worldwide and a fairly onerous prognosis; thus encouraging further research on factors that might modify disease outcome. Squamous cell carcinomas encompass at least 90% of all oral malignancies. Several factors like tobacco and tobacco-related products, alcohol, genetic predisposition and hormonal factors are suspected as possible causative factors. Human papilloma virus (HPV), the causal agent of cervical cancer also appears to be involved in the aetiology of oral and oropharyngeal cancer. HPVpositive squamous cell carcinoma (SCC) seems to differ from HPV-negative SCC. Many questions about the natural history of oral HPV infection remain under investigation. The aim of this review is to highlight the current understanding of HPV-associated oral cancer with an emphasis on its prognosis, detection and management.
长期以来,头颈部鳞状细胞癌(HNSCC)一直被认为是世界范围内发病率高、预后较差的疾病。因此,鼓励进一步研究可能改变疾病结果的因素。鳞状细胞癌至少占所有口腔恶性肿瘤的90%。一些因素,如烟草和烟草相关产品、酒精、遗传易感性和激素因素被怀疑是可能的致病因素。人乳头瘤病毒(HPV),宫颈癌的致病因子似乎也参与口腔癌和口咽癌的病因学。hpv阳性鳞状细胞癌(SCC)似乎不同于hpv阴性鳞状细胞癌。关于口腔HPV感染的自然史的许多问题仍在调查中。本综述的目的是强调目前对hpv相关口腔癌的认识,重点是其预后,检测和管理。
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引用次数: 13
期刊
The Chinese journal of dental research : the official journal of the Scientific Section of the Chinese Stomatological Association
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