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Review of salivary antioxidants and their barriers 唾液抗氧化剂及其屏障回顾
Pub Date : 2024-05-07 DOI: 10.20473/j.djmkg.v57.i2.p74-79
Ashlianne Nelson, A. B. Santosh, T. Jones
Background: Oxidative stress results from the imbalance between reactive oxygen species (ROS) and cellular antioxidant defenses. Oxidative stress can cause damage to cellular structures such as cell membranes, lipids, proteins, lipoproteins, and deoxyribonucleic acids when free radicals are present in excess. Antioxidant mechanisms protect tissues against oxidative stress by decreasing free radical levels in cells through the inhibition of activities or expression of free radical-generating enzymes. Purpose: The purpose of this paper is to discuss the role of antioxidants in protecting cells from the harmful effects of ROS, particularly in the context of oral mucosa, and to clarify which molecules disrupt the pathway of these antioxidants. Review: Salivary peroxidase, catalase, superoxide dismutase, and glutathione reductase are enzymatic salivary antioxidants, and uric acid, reduced glutathione, albumin, and lactoferrin are non-enzymatic antioxidants. Both types of antioxidants regularly donate an electron to free radicals to reduce their levels in cells. Conclusion: Antioxidant activities may be disrupted by signaling mechanisms resulting from barrier regulations observed in tissue. The increased expression of malondialdehyde is an indicator of disrupted antioxidant barriers.
背景:氧化应激源于活性氧(ROS)和细胞抗氧化防御系统之间的不平衡。当自由基过多时,氧化应激会对细胞膜、脂质、蛋白质、脂蛋白和脱氧核糖核酸等细胞结构造成损害。抗氧化机制通过抑制自由基生成酶的活性或表达,降低细胞中的自由基水平,从而保护组织免受氧化应激。目的:本文旨在讨论抗氧化剂在保护细胞免受 ROS 有害影响方面的作用,特别是在口腔粘膜方面,并阐明哪些分子会破坏这些抗氧化剂的作用途径。回顾:唾液过氧化物酶、过氧化氢酶、超氧化物歧化酶和谷胱甘肽还原酶是酶促唾液抗氧化剂,尿酸、还原型谷胱甘肽、白蛋白和乳铁蛋白是非酶促抗氧化剂。这两种抗氧化剂都会定期向自由基提供一个电子,以降低自由基在细胞中的含量。结论组织中观察到的屏障调节所产生的信号机制可能会破坏抗氧化活性。丙二醛表达的增加是抗氧化屏障被破坏的一个指标。
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引用次数: 0
Increased TGF-β1 level after cocoa administration during orthodontics tooth movement in Cavia cobaya 鳕鱼牙齿矫正期间服用可可后 TGF-β1 水平升高
Pub Date : 2024-05-06 DOI: 10.20473/j.djmkg.v57.i2.p118-123
Annisa Nurul Fikri, Cendrawasih Andusyana Farmasyanti, P. Pudyani
Background: Orthodontic tooth movement (OTM) is a process of tooth movement in the alveolar socket through a bone remodeling process. Cocoa contains caffeine as a bioactive component. The number of studies on the effects of caffeine on orthodontic tooth movement is rising. Purpose: This study aimed to determine the effect of caffeine in cocoa administration on TGF-β1 levels in the pressure side during orthodontic tooth movement. Methods: Twelve Cavia cobaya were divided into 4 groups: control group (ONC), treatment group with 2.3 mg caffeine in cocoa (OWC1), 3.45 mg dose (OWC2) and 4.6 mg dose (OWC3) (n=3). A NiTi open coil spring with light force was applied to two lower incisors tooth of Cavia cobaya. TGF-β1 level in GCF of the pressure side was analyzed using ELISA on days 0, 1, 7, and 14. Data were analyzed using the Two-way ANOVA test (p<0.05) and the LSD Post-Hoc test. Results: Research indicated improvement of TGF-β1 level from the control group with the least average followed group caffeine in cocoa 2.3 mg (OWC1), 3.45 mg (OWC2), and 4.6 mg (OWC3) (p<0.05). Conclusion: This study confirmed that caffeine in cocoa administration increase TGF-β1 level during orthodontics tooth movement on Cavia cobaya in the pressure side.
背景:正畸牙齿移动(OTM)是牙齿通过骨改建过程在牙槽窝内移动的过程。可可含有作为生物活性成分的咖啡因。有关咖啡因对牙齿矫正移动的影响的研究数量正在上升。目的:本研究旨在确定可可中的咖啡因对正畸牙齿移动过程中压力侧 TGF-β1 水平的影响。研究方法将 12 只鳕鱼分为 4 组:对照组(ONC)、在可可中添加 2.3 毫克咖啡因的治疗组(OWC1)、3.45 毫克剂量的治疗组(OWC2)和 4.6 毫克剂量的治疗组(OWC3)(n=3)。将镍钛开卷弹簧以轻微的力作用于 Cavia cobaya 的两颗下门牙。在第 0、1、7 和 14 天,用 ELISA 分析受压侧 GCF 中的 TGF-β1 水平。数据分析采用双向方差分析(P<0.05)和 LSD 后检验。结果研究表明,对照组的 TGF-β1 水平有所提高,平均水平最低,其次是可可中咖啡因含量为 2.3 毫克(OWC1)、3.45 毫克(OWC2)和 4.6 毫克(OWC3)的对照组(p<0.05)。结论本研究证实,可可中的咖啡因会增加压力侧 Cavia cobaya 牙齿矫正过程中的 TGF-β1 水平。
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引用次数: 0
Induced pluripotent stem cells in periodontal reconstructive therapy: A narrative review of pre-clinical studies 诱导多能干细胞在牙周重建治疗中的应用:临床前研究综述
Pub Date : 2023-10-24 DOI: 10.20473/j.djmkg.v56.i4.p280-286
Reza Dony Hendrawan, C. Prahasanti, I. J. Savitri, Padmini Hari
Background: Regenerative periodontal surgical therapy faces significant challenges due to the limited ability of the body to regenerate damaged periodontal tissue. One of the primary goals in regenerative periodontal therapy is regaining periodontal tissue attachment after destruction by periodontal disease. Currently, stem cells, harnessing three pivotal components—cells, biomaterials, and growth factors—are widely used in periodontal regeneration. Stem cells can be obtained from various sources, either by isolating cells from bone marrow, teeth, and muscles or through the somatic cell programming method (reprogramming) known as induced pluripotent stem cells (iPSCs). Purpose: This review aims to describe the potential use of iPSCs in the treatment of periodontal defects. Review: Search strategies were developed using the PubMed, LILACS, Scielo, and Wiley online databases during the period of 2012–2022. Ten articles met the inclusion criteria. iPSCs were obtained by inducing somatic cells from both dental and non-dental sources with factors Oct3/4, Sox2, Klf4, and c-Myc. Periodontal tissue regeneration procedures can be augmented with iPSCs. Unlike tooth-based stem cells, iPSCs offer several advantages, such as unlimited cell sources and the capability to differentiate into any cell type, including periodontal tissue. The potential of iPSCs extends to correcting periodontal bone defects and forming new periodontal tissues, such as alveolar bone, cementum, and periodontal ligament. However, iPSCs do have limitations, including the need for clinical trials, cell programming production facilities, and optimization of differentiated-cell functionality. Conclusion: The combined use of iPSCs in cell-based tissue engineering holds vast potential for future periodontal treatment strategies.
背景:由于人体再生受损牙周组织的能力有限,牙周再生手术疗法面临着巨大的挑战。牙周再生疗法的主要目标之一是在牙周病破坏后重新获得牙周组织附着。目前,利用干细胞、生物材料和生长因子这三种关键成分的干细胞被广泛应用于牙周再生。干细胞的来源多种多样,可以从骨髓、牙齿和肌肉中分离细胞,也可以通过体细胞编程方法(重编程)获得,即诱导多能干细胞(iPSCs)。目的:本综述旨在描述 iPSCs 在治疗牙周缺陷方面的潜在用途。综述:在2012-2022年期间,使用PubMed、LILACS、Scielo和Wiley在线数据库制定了搜索策略。iPSCs 是通过用 Oct3/4、Sox2、Klf4 和 c-Myc 等因子诱导牙科和非牙科来源的体细胞而获得的。牙周组织再生程序可利用 iPSCs 进行扩增。与基于牙齿的干细胞不同,iPSC 具有多种优势,如细胞来源不受限制,能分化成任何细胞类型,包括牙周组织。iPSCs 的潜力扩展到矫正牙周骨缺损和形成新的牙周组织,如牙槽骨、骨水泥和牙周韧带。不过,iPSCs 也有其局限性,包括需要进行临床试验、细胞编程生产设施以及分化细胞功能的优化。结论在基于细胞的组织工程中结合使用 iPSCs,为未来的牙周治疗策略带来了巨大的潜力。
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引用次数: 0
The diagnostic challenges and two-step surgical approach to an infected dentigerous cyst resembling a unicystic ameloblastoma: A case report 一例类似单囊性成釉细胞瘤的感染性齿状囊肿的诊断挑战和两步手术方法
Pub Date : 2023-06-13 DOI: 10.20473/j.djmkg.v56.i3.p202-207
Cokorda Gde Suryabharata, Andra Rizqiawan, I. Mulyawan, S. Wati, M. Z. Rahman
Background: A dentigerous cyst is the second-most frequently observed odontogenic cyst, and an ameloblastoma is one of the most frequently observed odontogenic tumors. Both are mostly associated with an impacted mandibular third molar and have similar characteristics. Diagnostic difficulties often result in misdiagnosis and remain a challenge to overcome. Comprehensive clinical, radiographic, and histopathological views are essential to correctly diagnose the problem and formulate the most suitable treatment plan. Purpose: This case report aims to present a thorough approach to the diagnostic and surgical procedures involved in treating a dentigerous cyst that resembles an ameloblastoma by using marsupialization followed by enucleation. Case: This article presents the case report of a 27-year-old male patient with an infected dentigerous cyst resembling a unicystic ameloblastoma associated with a totally impacted lower mandibular left third molar. The patient had a history of swelling, pain, and pus drainage in the retromolar area. Symptoms subsided after antibiotic and analgesic prescriptions, but the lesion remained and was slowly progressing. The diagnostic approach began with a fine-needle aspiration biopsy, and the result confirmed a benign cystic lesion that was suspected to be an odontogenic tumor. Then an incisional biopsy was conducted under local anesthesia, diagnosing an infected dentigerous cyst. Case Management: Marsupialization and decompression using an obturator was preferred, followed by enucleation. Nine months later, a radiographic examination revealed satisfactory bone regeneration without recurrence. Conclusion: An incisional biopsy plays a vital role in establishing a definitive diagnosis. Marsupialization followed by enucleation offers an excellent combination of treatments achieving complete cyst removal, anatomical structure preservation, and bone regeneration with minimal complications.
背景:牙性囊肿是第二常见的牙源性囊肿,成釉细胞瘤是最常见的牙源性肿瘤之一。两者大多与下颌第三磨牙阻生有关,并且具有相似的特征。诊断困难往往导致误诊,这仍然是一个需要克服的挑战。综合临床、影像学和组织病理学检查对正确诊断问题和制定最合适的治疗方案至关重要。目的:本病例报告的目的是提出一个全面的方法,诊断和手术过程中涉及到的治疗牙囊肿,类似于成釉细胞瘤,采用有袋化,然后去核。病例:这篇文章提出一个27岁男性患者的病例报告,感染的牙性囊肿类似于单囊性成釉细胞瘤,并伴有下颌左第三磨牙完全阻生。患者有磨牙后区肿胀、疼痛和脓流史。在抗生素和止痛药处方后症状消退,但病变仍然存在并缓慢进展。诊断方法从细针穿刺活检开始,结果证实了一种良性囊性病变,怀疑是牙源性肿瘤。然后在局部麻醉下进行切口活检,诊断为感染的含牙囊肿。病例处理:首选有袋化和使用闭孔减压,然后去核。9个月后,x线检查显示骨再生良好,无复发。结论:切口活检对明确诊断有重要作用。有袋化后去核提供了一个很好的治疗组合,实现完全囊肿切除,解剖结构保存,骨再生和最小的并发症。
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引用次数: 0
Dental traumatic injuries during the COVID-19 pandemic: A retrospective study COVID-19大流行期间牙齿创伤性损伤:一项回顾性研究
Pub Date : 2023-06-13 DOI: 10.20473/j.djmkg.v56.i3.p139-143
Mehmet Veysel Kotanli, M. Doğan, Sedef Kotanli, M. Doğan
Background: Although dental trauma has been reported at various frequencies worldwide, as far as we know there are few data regarding the frequency of dental trauma during the pandemic period. Purpose: This study aims to retrospectively evaluate the data of pediatric patients who were admitted to the Department of Pedodontics in a university hospital due to dental trauma during the COVID-19 pandemic. Methods: Between April 2020 and December 2020, the clinical records regarding admissions to the Harran University Faculty of Dentistry Pedodontics clinic due to dental trauma were examined. The age and gender of the patient, type of trauma, teeth affected by the trauma, and treatment methods applied after the trauma were recorded. The data obtained were analyzed using the independent sample t-test for intergroup comparisons and Pearson chi-square test for categorical variables with the help of Statistical Package for the Social Sciences version 23.0. Results: The data of 43 patients (27 males and 16 females) aged between 1–13 years (mean age: 9.13±3.20) who were admitted to the clinic with trauma complaints during an eight-month period were evaluated. It was determined that the most common trauma types in the pandemic period were simple crown fracture (25.6%) and subluxation/lateral luxation (23.3%). During the pandemic, 34.9% of all cases were “falling at home”, while “falling at school” was 14.0% (using the Pearson chi-square test). Conclusion: The COVID-19 pandemic period has affected many aspects of social life as well as the number of patients who were admitted for dental trauma and the causes of trauma. Multicenter studies are needed for more accurate results.
背景:尽管在世界范围内报告的牙外伤频率各不相同,但据我们所知,关于大流行期间牙外伤频率的数据很少。目的:回顾性分析2019冠状病毒病大流行期间因牙外伤入住某大学附属医院儿科的患儿资料。方法:对2020年4月至2020年12月期间因牙外伤就诊的哈兰大学牙科学院儿科学门诊的临床记录进行分析。记录患者的年龄、性别、创伤类型、受创伤的牙齿以及创伤后的治疗方法。使用Statistical Package for The Social Sciences version 23.0对所得数据进行组间比较的独立样本t检验和分类变量的皮尔逊卡方检验。结果:对我院收治的43例(男27例,女16例)年龄1 ~ 13岁(平均年龄:9.13±3.20岁)8个月的创伤主诉患者资料进行分析。结果表明,大流行期间最常见的创伤类型为单纯冠状骨折(25.6%)和半脱位/外侧脱位(23.3%)。在大流行期间,34.9%的病例“在家跌倒”,14.0%的病例“在学校跌倒”(使用Pearson卡方检验)。结论:2019冠状病毒病大流行期对社会生活的诸多方面产生了影响,同时也影响了因牙外伤入院的患者数量和外伤的原因。需要多中心研究才能获得更准确的结果。
{"title":"Dental traumatic injuries during the COVID-19 pandemic: A retrospective study","authors":"Mehmet Veysel Kotanli, M. Doğan, Sedef Kotanli, M. Doğan","doi":"10.20473/j.djmkg.v56.i3.p139-143","DOIUrl":"https://doi.org/10.20473/j.djmkg.v56.i3.p139-143","url":null,"abstract":"Background: Although dental trauma has been reported at various frequencies worldwide, as far as we know there are few data regarding the frequency of dental trauma during the pandemic period. Purpose: This study aims to retrospectively evaluate the data of pediatric patients who were admitted to the Department of Pedodontics in a university hospital due to dental trauma during the COVID-19 pandemic. Methods: Between April 2020 and December 2020, the clinical records regarding admissions to the Harran University Faculty of Dentistry Pedodontics clinic due to dental trauma were examined. The age and gender of the patient, type of trauma, teeth affected by the trauma, and treatment methods applied after the trauma were recorded. The data obtained were analyzed using the independent sample t-test for intergroup comparisons and Pearson chi-square test for categorical variables with the help of Statistical Package for the Social Sciences version 23.0. Results: The data of 43 patients (27 males and 16 females) aged between 1–13 years (mean age: 9.13±3.20) who were admitted to the clinic with trauma complaints during an eight-month period were evaluated. It was determined that the most common trauma types in the pandemic period were simple crown fracture (25.6%) and subluxation/lateral luxation (23.3%). During the pandemic, 34.9% of all cases were “falling at home”, while “falling at school” was 14.0% (using the Pearson chi-square test). Conclusion: The COVID-19 pandemic period has affected many aspects of social life as well as the number of patients who were admitted for dental trauma and the causes of trauma. Multicenter studies are needed for more accurate results.","PeriodicalId":75790,"journal":{"name":"Dental journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45713072","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
Amelogenin and alkaline phosphatase expression in ameloblast after saltwater fish consumption in pregnant mice (Mus musculus) 妊娠小鼠食用海水鱼后成釉细胞中的造釉蛋白和碱性磷酸酶表达
Pub Date : 2023-06-09 DOI: 10.20473/j.djmkg.v56.i3.p166-171
Sandy Christiono, Seno Pradopo, I. Sudiana, I. Hutami, Regilia Shinta Mayangsari, Y. S. Rochmah, Zurairah Ibrahim
Background: The intricate process of tooth formation during embryonic development ensures sufficient nutrition for the growth of healthy dental tissues. Amelogenin and alkaline phosphatase (ALP) are serine proteinases secreted by the ameloblast during the transition and maturation phases of the amelogenesis process. Consumption of saltwater fish is predicted to increase the expression of amelogenin and ALP in ameloblast cells during tooth formation. Only now have the function of each gene, tooth-forming cells, and the proteins they produce in the biomolecular amelogenesis of tooth enamel, which began during prenatal development, been clarified. Purpose: This study aims to determine how saltwater fish powder affects the ability of mother mice to increase the expression of amelogenin and ALP in cell ameloblast. Methods: Using a completely randomized design, this study was experimental and aimed to examine the effects of sardine (Sardinella fimbriata), splendid ponyfish (Leiognathus splendens), and tuna (Euthynnus affinis) powder. As samples, twenty-four female mice (Mus musculus) were used. Two groups of mice were created: group 1 (2.14 mg/0.5 ml) and the control group. The expression of amelogenin and ALP was determined using immunohistochemistry (IHC) and t-test (p0.05). Results: Expression of ameloblast was significantly different between the treatment and control groups (p0.05). Conclusion: The consumption of saltwater fish reduces the amelogenin and ALP expressions of mouse fetal ameloblast cells during tooth development in vivo.
背景:胚胎发育过程中复杂的牙齿形成过程确保了健康牙齿组织生长所需的充足营养。成釉蛋白和碱性磷酸酶(ALP)是成釉细胞在成釉过程的过渡和成熟阶段分泌的丝氨酸蛋白酶。据预测,在牙齿形成过程中,食用咸鱼会增加成釉细胞中造釉素和ALP的表达。直到现在,每个基因、牙齿形成细胞的功能,以及它们在牙釉质的生物分子成釉过程中产生的蛋白质,都已被阐明。目的:本研究旨在确定盐水鱼粉如何影响母鼠增加成釉细胞中成釉蛋白和碱性磷酸酶表达的能力。方法:采用完全随机设计,本研究旨在检验沙丁鱼(Sardinella fimbriata)、灿烂小龙虾(Leiognathus splinens)和金枪鱼(Euthynus affinis)粉的效果。作为样本,使用了24只雌性小鼠(Musmusculus)。建立了两组小鼠:第1组(2.14mg/0.5ml)和对照组。结果:治疗组与对照组成釉细胞的表达差异有统计学意义(p0.05)。
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引用次数: 0
The characteristics of swelling and biodegradation tests of bovine amniotic membrane-hydroxyapatite biocomposite 牛羊膜-羟基磷灰石生物复合材料的溶胀特性及生物降解试验
Pub Date : 2023-06-09 DOI: 10.20473/j.djmkg.v56.i3.p172-177
Titien Hary Agustantina, E. Munadziroh, A. Yuliati, Muhammad Riza Hafidz Bahtiar, Octarina, R. F. Salma, Ajeng Putri Meyranti, F. A. Razak
Background: A good biocomposite is a structure that can provide opportunities for cells to adhere, proliferate, and differentiate. It is affected by the characteristics of a material. As bone tissue regeneration occurs, biomaterials must have a high swelling ability and low biodegradability. The high swelling capability will have a larger surface area that can support maximal cell attachment and proliferation on the biocomposite surface, which accelerates the regeneration process of bone defects. Purpose: The study aimed to analyze the characteristics of swelling and biodegradation of bovine amniotic membrane-hydroxyapatite (BAM-HA) biocomposite with various ratios. Methods: The BAM-HA biocomposite with a ratio of 30:70, 35:65, and 40:60 (w/w) was synthesized using a freeze-dry method. The swelling test was done by measuring the initial weight and final weight after being soaked in phosphate-buffered saline for 24 hours and the biodegradation test was done by measuring the initial weight and final weight after being soaked in simulated body fluid for seven days. Results: The swelling percentage of BAM-HA biocomposite at each ratio of 30:70, 35:65, and 40:60 (w/w) was 303.90%, 477.94%, and 574.19%. The biodegradation percentage of BAM-HA biocomposite at each ratio of 30:70, 35:65, and 40:60 was 9.43%, 11.05%, and 12.02%. Conclusion: The BAM-HA biocomposite with a ratio of 40:60 (w/w) has the highest swelling percentage while the 30:70 (w/w) ratio has the lowest percentage of biodegradation.
背景:良好的生物复合材料是一种可以为细胞粘附、增殖和分化提供机会的结构。它受材料特性的影响。随着骨组织再生的发生,生物材料必须具有高溶胀能力和低生物降解性。高溶胀能力将具有更大的表面积,可以支持生物复合材料表面上的最大细胞附着和增殖,从而加速骨缺损的再生过程。目的:分析不同配比的牛羊膜羟基磷灰石(BAM-HA)生物复合材料的溶胀和生物降解特性。方法:采用冷冻干燥法合成了比例为30:70、35:65和40:60(w/w)的BAM-HA生物复合材料。溶胀试验通过在磷酸盐缓冲盐水中浸泡24小时后测量初始重量和最终重量来进行,生物降解试验通过在模拟体液中浸泡7天后测量初始重量和最终重量。结果:BAM-HA生物复合材料在30:70、35:65和40:60(w/w)的溶胀率分别为303.90%、477.94%和574.19%,结论:比例为40:60(w/w)的BAM-HA生物复合材料溶胀率最高,而比例为30:70的生物复合材料生物降解率最低。
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引用次数: 0
Closed reduction and drainage incision for the treatment of neglected and infected mandibular fractures 封闭复位引流切口治疗被忽视和感染的下颌骨骨折
Pub Date : 2023-06-09 DOI: 10.20473/j.djmkg.v56.i3.p197-201
Eddy Hermanto, F. M. Laihad, Amelia Elizabeth Pranoto, Monika Elidasari, Ivan Tantra, Sarianoferni, Dian Widya Damayanti
Background: Jaw fracture is the most common facial fracture in oral and maxillofacial bone and is usually caused by trauma. The fracture itself could lead to infection due to bone and tissue damage, which is the port of entry for microorganisms. Fracture-related infection (FRI) in the patient discussed in this study manifested as a submandibular abscess. The goals of fracture treatment were achieving the anatomic reduction of the fracture line and regaining acceptable occlusion. There are two methods for treating mandibular fractures: the closed method, also called conservative treatment, and the open method, which requires advanced surgery. Closed method treatment uses a maxillomandibular fixation (MMF) device in order to reduce and immobilize fracture fragments. Treatment of FRI should use a multidisciplinary approach to achieve an outstanding result, such as wound debridement, antimicrobial therapy, and implant retention. Purpose: The purpose of this article is to report a case of neglected mandibular fracture with a submandibular abscess, which was treated with a combination of the closed reduction method and incision drainage. Case: A 25-year-old female visited Nala Husada Hospital because of a submandibular abscess on the neglected mandibular fracture of the right parasymphysis and left corpus. Case management: The case was managed using an arch bar in the mandible and an eyelet in the maxilla while continuing with MMF and an extra oral drainage incision. Conclusion: Combination therapy (MMF and incision drainage) was needed to treat this case because of the occurrence of a submandibular abscess due to a neglected mandibular fracture.
背景:颌骨骨折是口腔颌面骨中最常见的面部骨折,通常由外伤引起。骨折本身可能由于骨骼和组织的损伤而导致感染,这是微生物的入口。本研究中讨论的患者骨折相关感染(FRI)表现为下颌下脓肿。骨折治疗的目标是实现骨折线的解剖复位和恢复可接受的闭塞。治疗下颌骨骨折有两种方法:封闭方法,也称为保守治疗,和开放方法,这需要先进的手术。闭式治疗采用上颌下颌固定(MMF)装置来复位和固定骨折碎片。FRI的治疗应采用多学科的方法,如伤口清创、抗菌治疗和种植体保留等,以取得良好的效果。目的:本文报告一例被忽视的下颌骨骨折合并下颌骨下脓肿,采用闭合复位和切口引流相结合的方法治疗。病例:一名25岁女性因右侧副骨和左侧体的下颌骨骨折被忽视而出现下颌骨下脓肿而到Nala Husada医院就诊。病例处理:该病例在继续行MMF和口外引流切口的同时,使用下颌骨弓条和上颌骨孔。结论:该病例因被忽视的下颌骨骨折导致下颌骨下脓肿,需要联合治疗(MMF +切口引流)。
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引用次数: 1
The compressive strength and static biodegradation rate of chitosan-gelatin limestone-based carbonate hydroxyapatite composite scaffold 壳聚糖-明胶-石灰石-碳酸盐-羟基磷灰石复合支架的抗压强度和静态生物降解率
Pub Date : 2023-06-09 DOI: 10.20473/j.djmkg.v56.i3.p160-165
Devi Rianti, Alqomariyah Eka Purnamasari, Rifayinqa Ruyani Putri, Noor Zain Salsabilla, Faradillah, E. Munadziroh, Titien Hary Agustantina, Asti Meizarini, A. Yuliati, A. Syahrom
Background: One of the main components in tissue engineering is the scaffold, which may serve as a medium to support cell and tissue growth. Scaffolds must have good compressive strength and controlled biodegradability to show biological activities while treating bone defects. This study uses Chitosan-gelatin (C–G) with good flexibility and elasticity and high-strength carbonate hydroxyapatite (CHA), which may be the ideal scaffold for tissue engineering. Purpose: To analyze the compressive strength and static biodegradation rate within various ratios of C–G and CHA (C–G:CHA) scaffold as a requirement for bone tissue engineering. Methods: The scaffold is synthesized from C–G:CHA with three ratio variations, which are 40:60, 30:70, and 20:80 (weight for weight [w/w]), made with a freeze-drying method. The compressive strengths are then tested. The biodegradation rate is tested by soaking the scaffold in simulated body fluid for 1, 3, 7, 14, and 21 days. Data are analyzed with a one-way ANOVA parametric test. Results: The compressive strength of each ratio of C–G:CHA scaffold 40:60 (w/w), 30:70 (w/w), and 20:80 (w/w), consecutively, are 4.2 Megapascals (MPa), 3.3 MPa, 2.2 MPa, and there are no significant differences with the p= 0.069 (p>0.05). The static biodegradation percentage after 21 days on each ratio variation of C–G:CHA scaffold 40:60 (w/w), 30:70 (w/w), and 20:80 (w/w) is 25.98%, 24.67%, and 20.64%. One-way ANOVA Welch test shows the result of the p-value as p<0.05. Conclusion: The compressive strength and static biodegradation of the C–G:CHA scaffold with ratio variations of 40:60 (w/w), 30:70 (w/w), and 20:80(w/w) fulfilled the requirements as a scaffold for bone tissue engineering.
背景:组织工程的主要组成部分之一是支架,它可以作为支持细胞和组织生长的介质。支架必须具有良好的抗压强度和可控的生物降解性,才能在治疗骨缺损的同时显示出生物活性。本研究选用具有良好柔韧性和弹性的壳聚糖明胶(C-G)和高强度的碳酸盐羟基磷灰石(CHA)作为组织工程理想的支架材料。目的:分析骨组织工程所需的C-G与CHA (C-G:CHA)支架在不同配比下的抗压强度和静态生物降解率。方法:以C-G:CHA为原料,以40:60、30:70、20:80(重量对重量[w/w])三种比例变化,采用冷冻干燥法制备支架。然后测试抗压强度。通过将支架浸泡在模拟体液中1、3、7、14和21天来测试生物降解率。数据分析采用单因素方差分析参数检验。结果:C-G:CHA支架各配比40:60 (w/w)、30:70 (w/w)、20:80 (w/w)的抗压强度分别为4.2兆帕(MPa)、3.3兆帕、2.2兆帕,p= 0.069 (p < 0.05)差异无统计学意义。40:60 (w/w)、30:70 (w/w)和20:80 (w/w)的C-G:CHA支架各配比变化后21 d的静态生物降解率分别为25.98%、24.67%和20.64%。单因素方差分析Welch检验显示p值为p<0.05。结论:C-G:CHA支架的抗压强度和静态生物降解性能分别为40:60 (w/w)、30:70 (w/w)和20:80(w/w),满足骨组织工程支架的要求。
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引用次数: 0
Oral field cancerization: Genetic profiling for a prevention strategy for oral potentially malignant disorders 口腔野癌:用于预防口腔潜在恶性疾病策略的基因分析
Pub Date : 2023-06-09 DOI: 10.20473/j.djmkg.v56.i3.p189-196
Karlina Puspasari, T. A. S. Pasaribu, M. Surboyo, N. Ayuningtyas, A. B. Santosh, D. Ernawati
Background: Oral cancer therapy, such as radiation or surgical treatment, has pernicious long-term effects that patients suffer throughout their life, the disability being considerable with delayed diagnosis. It is well known that many oral cancers develop from oral potentially malignant disorders (OPMDs). Patients diagnosed with OPMDs may have an increased risk of developing cancer anywhere in the oral cavity. Early detection and intervention could be essential prevention strategies to inhibit oral cancer progression. OPMDs may not immediately develop into carcinoma. However, this condition provides a “field” of specific abnormalities wherein evolving altered genetic cells can be explained with the “field cancerization” concept. Purpose: This review aims to describe the “field cancerization” concept in oral cancer and OPMD, which is expected to contribute to a better clinical management strategy for oral cancer prevention. Review: “Oral field cancerization” describes oral cancers that develop in multifocal areas of pre-cancerous changes. It can be found as histologically abnormal tissue surrounding the tumor, suggesting that oral cancer often consists of multiple independent lesions. Conclusion: The oral field cancerization concept should prompt healthcare professionals to remind their patients that frequent oral examination with histological studies and molecular testing is mandatory for those at high risk of developing malignancies.
背景:口服癌症治疗,如放射治疗或手术治疗,具有恶性的长期影响,患者一生都在遭受这种影响,其残疾程度相当严重,诊断延迟。众所周知,许多口腔癌是由口腔潜在恶性疾病(OPMD)发展而来的。被诊断为OPMD的患者可能会增加口腔中任何地方患癌症的风险。早期发现和干预可能是抑制口腔癌症进展的重要预防策略。OPMD可能不会立即发展为癌症。然而,这种情况提供了一个特定异常的“领域”,其中进化改变的遗传细胞可以用“领域癌变”的概念来解释。目的:本综述旨在描述口腔癌症和OPMD中的“场癌化”概念,以期为口腔癌症预防提供更好的临床管理策略。综述:“口腔领域癌变”描述了在癌前病变的多灶区域发展的口腔癌。它可以被发现为肿瘤周围的组织异常,表明口腔癌症通常由多个独立的病变组成。结论:口腔领域癌变的概念应该促使医疗保健专业人员提醒患者,对于那些发展为恶性肿瘤的高危人群,必须经常进行口腔检查,包括组织学研究和分子检测。
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引用次数: 0
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Dental journal
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