Pulpitis is a common infective oral disease in clinical situations.The regulatory mechanisms of immune defense in pulpitis are still being investigated.Osteomodulin(OMD)is a small leucine-rich proteoglycan family memb...Pulpitis is a common infective oral disease in clinical situations.The regulatory mechanisms of immune defense in pulpitis are still being investigated.Osteomodulin(OMD)is a small leucine-rich proteoglycan family member distributed in bones and teeth.It is a bioactive protein that promotes osteogenesis and suppresses the apoptosis of human dental pulp stem cells(hDPSCs).In this study,the role of OMD in pulpitis and the OMD-induced regulatory mechanism were investigated.The OMD expression in normal and inflamed human pulp tissues was detected via immunofluorescence staining.Intriguingly,the OMD expression decreased in the inflammatory infiltration area of pulpitis specimens.The cellular experiments demonstrated that recombined human OMD could resist the detrimental effects of lipopolysaccharide(LPS)-induced inflammation.A conditional Omd knockout mouse model with pulpal inflammation was established.LPS-induced inflammatory impairment significantly increased in conditional Omd knockout mice,whereas OMD administration exhibited a protective effect against pulpitis.Mechanistically,the transcriptome alterations of OMD overexpression showed significant enrichment in the nuclear factor-κB(NF-κB)signaling pathway.Interleukin-1 receptor 1(IL1R1),a vital membrane receptor activating the NF-κB pathway,was significantly downregulated in OMD-overexpressing hDPSCs.Additionally,the interaction between OMD and IL1R1 was verified using co-immunoprecipitation and molecular docking.In vivo,excessive pulpal inflammation in Omd-deficient mice was rescued using an IL1R antagonist.Overall,OMD played a protective role in the inflammatory response via the IL1R1/NF-κB signaling pathway.OMD may optimize the immunomodulatory functions of hDPSCs and can be used for regenerative endodontics.展开更多
Stem cells play a crucial role in maintaining tissue regenerative capacity and homeostasis.However,mechanisms associated with stem cell senescence require further investigation.In this study,we conducted a proteomic a...Stem cells play a crucial role in maintaining tissue regenerative capacity and homeostasis.However,mechanisms associated with stem cell senescence require further investigation.In this study,we conducted a proteomic analysis of human dental pulp stem cells(HDPSCs)obtained from individuals of various ages.Our findings showed that the expression of NUP62 was decreased in aged HDPSCs.We discovered that NUP62 alleviated senescence-associated phenotypes and enhanced differentiation potential both in vitro and in vivo.Conversely,the knocking down of NUP62 expression aggravated the senescence-associated phenotypes and impaired the proliferation and migration capacity of HDPSCs.Through RNA-sequence and decoding the epigenomic landscapes remodeled induced by NUP62 overexpression,we found that NUP62 helps alleviate senescence in HDPSCs by enhancing the nuclear transport of the transcription factor E2F1.This,in turn,stimulates the transcription of the epigenetic enzyme NSD2.Finally,the overexpression of NUP62 influences the H3K36me2 and H3K36me3 modifications of anti-aging genes(HMGA1,HMGA2,and SIRT6).Our results demonstrated that NUP62 regulates the fate of HDPSCs via NSD2-dependent epigenetic reprogramming.展开更多
BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited ...BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.展开更多
Dental diseases,especially dental caries,are significant issues affecting population health worldwide.Dental caries has been listed by the World Health Organization as one of the three key diseases to be prevented and...Dental diseases,especially dental caries,are significant issues affecting population health worldwide.Dental caries has been listed by the World Health Organization as one of the three key diseases to be prevented and treated,following cardiovascular diseases and cancer.It has a high incidence rate and a wide distribution,posing a serious threat to people’s oral health and quality of life[1-5].With the intensification of the global aging population and changes in dietary habits,the incidence of dental diseases is on the rise,becoming a public health problem that cannot be ignored.Therefore,exploring new theories for dental disease prevention and treatment,such as the bioelectrochemical theory and the mineralization and anti-electricity new theory,and discussing their application prospects can provide more effective scientific bases and methods for the prevention and treatment of dental diseases,which is of great practical significance,especially for children and the elderly.展开更多
Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differen...Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differentiation potential and self-renewal ability.The cellular microenvironment regulates the fate of stem cells and can be modified using various optimization techniques.These methods can influence the cellular microenvironment,activate disparate signaling pathways,and induce different biological effects.“Epigenetic regulation”refers to the process of influencing gene expression and regulating cell fate without altering DNA sequences,such as histone methylation.Histone methylation modifications regulate pivotal transcription factors governing DMSCs differentiation into osteo-/odontogenic lineages.The most important sites of histone methylation in tooth organization were found to be H3K4,H3K9,and H3K27.Histone methylation affects gene expression and regulates stem cell differentiation by maintaining a delicate balance between major trimethylation sites,generating distinct chromatin structures associated with specific downstream transcriptional states.Several crucial signaling pathways associated with osteogenic differentiation are susceptible to modulation via histone methylation modifications.A deeper understanding of the regulatory mechanisms governing histone methylation modifications in osteo-/odontogenic differentiation and immune-inflammatory responses of DMSCs will facilitate further investigation of the epigenetic regulation of histone methylation in DMSC-mediated tissue regeneration and inflammation.Here is a concise overview of the pivotal functions of epigenetic histone methylation at H3K4,H3K9,and H3K27 in the regulation of osteo-/odontogenic differentiation and renewal of DMSCs in both non-inflammatory and inflammatory microenvironments.This review summarizes the current research on these processes in the context of tissue regeneration and therapeutic interventions.展开更多
This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters...This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters,graphene nanocom-posites substantially improved air quality and reduced microbial contamination.This manuscript highlights the innovative application of graphene materials,emphasizing their potential to enhance dental clinic environments by minimizing secondary pollution.On the basis of the unique antimicrobial properties of gra-phene and the original study’s rigorous methodology,we recommend using gra-phene nanocomposites in clinical settings to control airborne infections.展开更多
With rapid advancements in physics and particle medicine,the domestic accelerator industry has grown rapidly.During the 12th Five-Year Plan period,the Institute of Modern Physics of the Chinese Academy of Sciences too...With rapid advancements in physics and particle medicine,the domestic accelerator industry has grown rapidly.During the 12th Five-Year Plan period,the Institute of Modern Physics of the Chinese Academy of Sciences took on a plurality of accelerator projects.Nevertheless,the stability of the coupler,a crucial system within the cavities of accelerators,has encountered certain difficulties.The alumina ceramics,which constitute the core component of the coupler,are increasingly prone to breakage and solder joint failures due to their inferior environmental adaptability,inadequate mechanical properties,and high gas emissions.Conversely,with the advancements in medical technology and materials science,zirconia ceramics have emerged as a prospective remedy for these problems.This type of ceramic is highly esteemed for its outstanding environmental adaptability,remarkable mechanical properties,and excellent high-temperature resistance,exhibiting extraordinary value in dental applications.This study investigates the use of zirconia ceramics in a 162.5 MHz 3-1/8"standard ceramic window,combining experimental data with finite element RF simulations and multi-physics analysis.A new coupler featuring a zirconia ceramic window was tested on a Quarter-Wave Resonator,demonstrating excellent alignment between electromagnetic simulations and measurement results.This reveals the substantial application potential and practical worth of the zirconia ceramic material in the context of accelerators.展开更多
Circular RNAs(circRNAs)are a distinct type of nonlinear and noncoding RNAs endogenously expressed by pre-mRNA back-splicing and crucial in transcriptional and posttranscriptional regulation.CircRNAs can regulate cellu...Circular RNAs(circRNAs)are a distinct type of nonlinear and noncoding RNAs endogenously expressed by pre-mRNA back-splicing and crucial in transcriptional and posttranscriptional regulation.CircRNAs can regulate cellular and molecular pathways through various mechanisms,such as microRNA sponging.Numerous studies have indicated the regulatory roles of circRNAs in the osteogenic differentiation of stem cells(SCs)isolated from different sources.Dental tissue-derived mesenchymal SCs(MSCs)have received considerable attention in artificial bone engineering,in which SCs are used to manufacture functional bone tissues to repair bone defects.Recently,studies have reported the regulatory roles of circRNAs in the osteogenic differentiation of dental-derived MSCs,such as apical papillae,dental pulp,and dental follicle SCs.This review aimed to discuss the findings of studies evaluating the contribution of circRNAs to the osteogenic differentiation of dental-derived MSCs.展开更多
BACKGROUND This study analyzed the dental follicle and alveolar bone of two patients with tooth eruption disorders,aiming to provide some reference for exploring the etiology and selecting treatment plans of this dise...BACKGROUND This study analyzed the dental follicle and alveolar bone of two patients with tooth eruption disorders,aiming to provide some reference for exploring the etiology and selecting treatment plans of this disease from the perspective of the influence of extracellular matrix on osteoclasts differentiation in dental follicle.CASE SUMMARY Collect dental follicle and alveolar bone tissue from one patient with single tooth eruption disorder and one patient with full permanent tooth eruption disorder,respectively.Simultaneously collect the dental follicle and alveolar bone tissue of obstructed teeth that need to be extracted due to orthodontic treatment as the control group.Hematoxylin and eosin(HE)staining was used to observe the morphology of dental follicle cells.Immunohistochemical staining was used to observe the expression of periostin,receptor activator of nuclear factor kappa B ligand(RANKL),and osteoprotegerin(OPG)protein in dental follicle and alveolar bone tissue.And observe the eruption of teeth after removing resistance from the crown of the permanent tooth germ.CONCLUSION HE staining of two cases of dental follicle tissues showed that the volume of dental follicle cells decreased,the nuclei were condensed,and there seemed to be cellular fibrosis.The immunohistochemical staining showed that both the dental follicle and alveolar bone tissue exhibited increased expression of periostin,decreased expression of RANKL and OPG proteins,and decreased RANKL/OPG ratio.After removing resistance,the permanent tooth germ often appears to have normal eruption.Tooth eruption disorders may be accompanied by abnormal remodeling of periostin,which affects the differentiation function of osteoclasts in the dental follicle and leads to metabolic imbalance of alveolar bone,resulting in tooth eruption disorders.Whether it is a single or full permanent tooth eruption disorder,once the coronal resistance is removed,the teeth can often erupt normally.展开更多
Peri-implantitis is a bacterial infection that causes soft tissue inflammatory lesions and alveolar bone resorption,ultimately resulting in implant failure.Dental implants for clinical use barely have antibacterial pr...Peri-implantitis is a bacterial infection that causes soft tissue inflammatory lesions and alveolar bone resorption,ultimately resulting in implant failure.Dental implants for clinical use barely have antibacterial properties,and bacterial colonization and biofilm formation on the dental implants are major causes of peri-implantitis.Treatment strategies such as mechanical debridement and antibiotic therapy have been used to remove dental plaque.However,it is particularly important to prevent the occurrence of peri-implantitis rather than treatment.Therefore,the current research spot has focused on improving the antibacterial properties of dental implants,such as the construction of specific micro-nano surface texture,the introduction of diverse functional coatings,or the application of materials with intrinsic antibacterial properties.The aforementioned antibacterial surfaces can be incorporated with bioactive molecules,metallic nanoparticles,or other functional components to further enhance the osteogenic properties and accelerate the healing process.In this review,we summarize the recent developments in biomaterial science and the modification strategies applied to dental implants to inhibit biofilm formation and facilitate bone-implant integration.Furthermore,we summarized the obstacles existing in the process of laboratory research to reach the clinic products,and propose corresponding directions for future developments and research perspectives,so that to provide insights into the rational design and construction of dental implants with the aim to balance antibacterial efficacy,biological safety,and osteogenic property.展开更多
Ceria-stabilized tetragonal zirconia(Ce-TZP)has become an interesting alternative for the widely used yttria-stabilized zirconia(Y-TZP),whereas efforts are needed to control its microstructure in order to im-prove the...Ceria-stabilized tetragonal zirconia(Ce-TZP)has become an interesting alternative for the widely used yttria-stabilized zirconia(Y-TZP),whereas efforts are needed to control its microstructure in order to im-prove the strength of Ce-TZP ceramics.In this work,CaO was used to co-dope Ce-TZP ceramics.More specifically,0.2-2.0 mol%Ca(NO_(3))_(3)·4H_(2)O precursor-based CaO was used to dope 10 mol%ceria-stabilized zirconia.Sintering was performed at 1300,1350,or 1400℃,which is lower than the temperatures commonly applied for zirconia ceramics.The microstructure and mechanical properties were investigated and correlated,revealing that 0.2 mol%CaO-doped CeO_(2)-stabilised zirconia sintered at 1350℃ exhibited a fully dense fine-grained tetragonal ZrO_(2) microstructure with high toughness(10.4 MPa m1/2)and biax-ial bending strength(1210±43 MPa),and a narrow strength distribution(weibull modulus of 32.5).1.5 and 2.0 mol% CaO-doping resulted in excellent biaxial bending strength but wider strength distribution and lower fracture resistance.The homogeneously distributed Ca(NO_(3))_(3)·4H_(2)O precursor prevented cubic zirconia-phase formation for CaO-doping up to 2.0 mol%.CaO-doped(≥0.2 mol%)10Ce-TZP sintered at 1350℃ also highly resisted hydrothermal degradation.Furthermore,CaO-doping enabled to make Ce-TZP ceramics as translucent as different commercially available 3Y-TZP ceramics,opening possibilities to use Ce-TZP for dental restorations.展开更多
Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschoo...Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschool children with dental caries(n=114)admitted during this period were selected as the research subjects.They were divided into observation and control groups based on their admission number,with 57 cases in each group.Intervention indicators were compared between the groups.Results:Among all the children,the prevalence of dental caries at different age stages of preschool age(3–6 years old)showed that the caries rate increased with age,and there were significant differences in caries rates among different age groups(P<0.05).The total treatment compliance rate in the observation group was higher than that in the control group(P<0.05),and the new caries rate in the observation group was lower than that in the control group(P<0.05).After intervention,all indicators of the SESS in the observation group were better than those in the control group(P<0.05).Conclusion:The caries rate among preschool children is relatively high and increases with age.Active behavioral intervention facilitates better cooperation with clinical treatment among children with caries,significantly enhances self-efficacy,and significantly reduces the caries rate.展开更多
The article by Chauhan et al highlights the transformative potential of magnification tools in improving precision and outcomes across various dental specialties.While the authors discuss the advantages of magnificati...The article by Chauhan et al highlights the transformative potential of magnification tools in improving precision and outcomes across various dental specialties.While the authors discuss the advantages of magnification,they do not address the potential integration of artificial intelligence(AI)with magnification devices to further enhance diagnostic and therapeutic efficiency.This letter explores the synergy of AI with magnification tools,emphasizing its applicability in image-guided diagnostics,workflow optimization,and personalized treatment planning.The integration of AI and magnification also paves the way for personalized,data-driven treatment strategies,marking a significant evolution in dental care.However,it is important to acknowledge the limitations and challenges associated with AI,such as data privacy concerns,algorithmic biases,and the need for robust validation before clinical implementation.This discussion underscores the need for interdisciplinary research to realize this potential.展开更多
BACKGROUND Dental implants are widely used to replace missing teeth.Currently,clinicians assess osseointegration success by measuring the implant’s stability within the bone and monitoring the marginal tissue height....BACKGROUND Dental implants are widely used to replace missing teeth.Currently,clinicians assess osseointegration success by measuring the implant’s stability within the bone and monitoring the marginal tissue height.Diabetes,especially type 2 diabetes mellitus(T2DM),has been reported to impair implant healing,drastically reducing implant success rates.AIM To analyze the high-risk factors for inflammatory response and prognosis after dental implantation in patients with T2DM,and provide strong evidence for reducing the incidence of postimplant peri-implantitis(PI).METHODS We performed a retrospective review of 146 patients with T2DM who had dental implants placed at Tianjin Fifth Central Hospital,between September 2021 and September 2023,which was regarded as the observation group.Moreover,60 ageand gender-matched individuals with normal blood glucose levels served as the control group.The general information,postoperative periodontal indices,and levels of inflammatory factors were comprehensively analyzed and compared.Furthermore,the incidence of postimplant PI was counted,and multivariate logistic regression was used to identify the determinants of postimplant PI.RESULTS In terms of the periodontal indices,the probing depth,modified sulcus bleeding index,and marginal bone loss in the observation cohorts began to increase significantly at 6 months and 3 months,respectively,after the completion of dental implant restoration.The T2DM cases demonstrated significantly elevated counts of leukocytes,lymphocytes,and neutrophils compared to the controls at 24 hours postoperatively.Moreover,the TNF-α,IL-1β,and IL-6 concentrations started to increase significantly in the gingival crevicular fluid 3 months after the completion of dental implant restoration in both cohorts,with the observation group exhibiting higher levels than the controls at each time point.63 out of the 146 cases developed PI.Multivariate logistic regression analysis indicated that high glycosylated hemoglobin levels,smoking,daily tooth-brushing frequency of less than once,and the anterior tooth as the implant site independently contributed to postimplant PI in T2DM cases,while a tooth-brushing duration of≥3 minutes was a protective factor.CONCLUSION Patients with T2DM are at risk of developing PI following dental implantation.Clinically,it is necessary to enhance the identification of risk factors for postimplant PI,improve risk prediction,prevention,and control,and formulate targeted intervention countermeasures to reduce the occurrence of postimplant PI.展开更多
Artificial intelligence(AI),particularly deep learning algorithms utilizing convolutional neural networks,plays an increasingly pivotal role in enhancing medical image examination.It demonstrates the potential for imp...Artificial intelligence(AI),particularly deep learning algorithms utilizing convolutional neural networks,plays an increasingly pivotal role in enhancing medical image examination.It demonstrates the potential for improving diagnostic accuracy within dental care.Orthopantomograms(OPGs)are essential in dentistry;however,their manual interpretation is often inconsistent and tedious.To the best of our knowledge,this is the first comprehensive application of YOLOv5m for the simultaneous detection and classification of six distinct dental pathologies using panoramic OPG images.The model was trained and refined on a custom dataset that began with 232 panoramic radiographs and was later expanded to 604 samples.These included annotated subclasses representing Caries,Infection,Impacted Teeth,Fractured Teeth,Broken Crowns,and Healthy conditions.The training was performed using GPU resources alongside tuned hyperparameters of batch size,learning rate schedule,and early stopping tailored for generalization to prevent overfitting.Evaluation on a held-out test set showed strong performance in the detection and localization of various dental pathologies and robust overall accuracy.At an IoU of 0.5,the system obtained a mean precision of 94.22%and recall of 90.42%,with mAP being 93.71%.This research confirms the use of YOLOv5m as a robust,highly efficient AI technology for the analysis of dental pathologies using OPGs,providing a clinically useful solution to enhance workflow efficiency and aid in sustaining consistency in complex multi-dimensional case evaluations.展开更多
Dental caries,a chronic disease characterized by tooth decay,occupies the second position in terms of disease burden and is primarily caused by cariogenic bacteria,especially Streptococcus mutans,because of its acidog...Dental caries,a chronic disease characterized by tooth decay,occupies the second position in terms of disease burden and is primarily caused by cariogenic bacteria,especially Streptococcus mutans,because of its acidogenic,aciduric,and biofilm-forming capabilities.Developing novel targeted anti-virulence agents is always a focal point in caries control to overcome the limitations of conventional anti-virulence agents.The current study represents an up-to-date review of in silico approaches of drug design against dental caries,which have emerged more and more powerful complementary to biochemical attempts.Firstly,we categorize the in silico approaches into computer-aided drug design(CADD)and AI-assisted drug design(AIDD)and highlight the specific methods and models they contain respectively.Subsequently,we detail the design of anti-virulence drugs targeting single or multiple cariogenic virulence targets of S.mutans,such as glucosyltransferases(Gtfs),antigen I/II(AgI/II),sortase A(SrtA),the VicRK signal transduction system and superoxide dismutases(SODs).Finally,we outline the current opportunities and challenges encountered in this field to aid future endeavors and applications of CADD and AIDD in anti-virulence drug design.展开更多
BACKGROUND Dental follicle stem cell(DFSC)sheets demonstrate strong extracellular secretion capabilities and efficacy in periodontal regeneration.However,existing methods for producing DFSC sheets lack a comprehensive...BACKGROUND Dental follicle stem cell(DFSC)sheets demonstrate strong extracellular secretion capabilities and efficacy in periodontal regeneration.However,existing methods for producing DFSC sheets lack a comprehensive discussion on the most efficient and cost-effective approaches at the good manufacturing practice(GMP)level.AIM To investigate the culture condition of GMP-compliant DFSC sheets and to compare the properties of DFSC sheets and cell suspensions.METHODS This study explored the optimal conditions for culturing GMP-compliant DFSC sheets,focusing on four key factors:Cell passage,cell concentration,L-ascorbic acid content,and culture duration.We evaluated the characteristics of the cell sheets under varying culture conditions,including cell viability,cell count,appearance,osteogenesis,chondrogenesis,odontogenesis,aging,relative telomere length,and extracellular matrix secretion.A comparison was also made between the periodontal regeneration,osteogenesis,and paracrine capacity of cell sheets cultured under optimal conditions and those of the cell suspensions.RESULTS The GMP-compliant DFSC sheets cultured from passage 4 cells exhibited the highest viability(≥99%,P<0.05)and optimal osteogenic differentiation capacity(optical density≥0.126,P<0.05).When cultured for 10 days,DFSC sheets demonstrated maximal expression of osteogenic,chondrogenic and periostin genes[alkaline phosphatase,Runt-related transcription factor 2,collagen type I,osteopontin,cartilage associated protein,and PERIOSTN(P<0.001);osteocalcin(P<0.01)].Concurrently,they showed the lowest senescent cell count(P<0.01)with no progression to late-stage senescence.At a seeding density of 2500 cells/cm^(2),GMP-compliant DFSC sheets achieved better osteogenic differentiation(P<0.01)and maximal osteogenic,chondrogenic and periostin gene expression(P<0.001),coupled with the highest hydroxyproline secretion(P<0.001)and moderate sulfated glycosaminoglycan production.No statistically significant difference in senescent cell count was observed compared to DFSC sheets at a seeding density of 5000 cells/cm^(2).Supplementation with 25μg/mL L-ascorbic acid significantly enhanced osteogenic gene expression(P<0.001)and elevated hydroxyproline(P<0.01)and sulfated glycosaminoglycan secretion to high ranges.Compared with the cell suspension,the cell sheet demonstrated improved osteogenic,paracrine,and periodontal regenerative capacities in Sprague-Dawley rats.The optimized DFSC sheets demonstrated significantly higher levels of vascular endothelial growth factor and angiopoietin-1(P<0.001)compared to DFSC suspensions,along with enhanced osteogenic induction outcomes(optical density=0.1333±0.01270 vs 0.1007±0.0005774 in suspensions,P<0.05).Following implantation into the rat periodontal defect model,micro-computed tomography analysis revealed superior bone regeneration metrics in the cell sheet group compared to both the cell suspension group and control group(percent bone volume,trabecular thickness,trabecular number),while trabecular spacing exhibited an inverse pattern.CONCLUSION Optimized DFSC sheets cultured under the identified conditions outperform DFSC suspensions.This study contributes to the industrial-scale production of DFSC sheets and establishes a foundation for cell therapy applications.展开更多
Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial c...Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial comminuted fractures admitted for treatment between July 2023 and December 2024 were selected. Using a random number table method, 30 patients were assigned to the observation group, where moderate traction using a dental arch splint combined with rigid internal fixation was applied. Another 30 patients were assigned to the control group and only received dental arch splint traction treatment. The total effective rate, postoperative recovery indicators, periodontal status, complication rate, and quality of life scores were compared between the two groups. Results: The total effective rate in the observation group was higher than that in the control group. The postoperative recovery indicators and periodontal status in the observation group were superior to those in the control group. The complication rate and quality of life score were lower in the observation group compared to the control group, with P < 0.05. Conclusion: Combining dental arch splint intermaxillary traction with rigid internal fixation can improve the periodontal status and quality of life of patients with facial comminuted fractures, shorten postoperative recovery time, reduce various complications, and enhance surgical efficacy.展开更多
Mesenchymal stem cells are highly regarded for their potential in tissue repair and regenerative medicine due to their multipotency and self-renewal abilities.Recently,mesenchymal stem cells have been redefined as“me...Mesenchymal stem cells are highly regarded for their potential in tissue repair and regenerative medicine due to their multipotency and self-renewal abilities.Recently,mesenchymal stem cells have been redefined as“medical signaling cells,”with their primary biological effects mediated through exosome secretion.These exosomes,which contain lipids,proteins,RNA,and metabolites,are crucial in regulating various biological processes and enhancing regenerative therapies.Exosomes replicate the effects of their parent cells while offering benefits such as reduced side effects,low immunogenicity,excellent biocompatibility,and high drug-loading capacity.Dental stem cells,including those from apical papilla,gingiva,dental pulp,and other sources,are key contributors to exosome-mediated regenerative effects,such as tumor cell apoptosis,neuroprotection,angiogenesis,osteogenesis,and immune modulation.Despite their promise,clinical application of exosomes is limited by challenges in isolation techniques.Current methods face issues of complexity,inefficiency,and insufficient purity,hindering detailed analysis.Recent advancements,such as micro-electromechanical systems,alternating current electroosmosis,and serum-free three-dimensional cell cultures,have improved exosome isolation efficacy.This review synthesizes nearly 200 studies on dental stem cell-derived exosomes,highlighting their potential in treating a wide range of conditions,including periodontal diseases,cancer,neurodegenerative disorders,diabetes,and more.Optimized isolation methods offer a path forward for overcoming current limitations and advancing the clinical use of exosome-based therapies.展开更多
Piezo2,a mechanosensitive ion channel,serves as a crucial mechanotransducer in dental primary afferent(DPA)neurons and is potentially involved in hypersensitivity to mild mechanical irritations observed in dental pati...Piezo2,a mechanosensitive ion channel,serves as a crucial mechanotransducer in dental primary afferent(DPA)neurons and is potentially involved in hypersensitivity to mild mechanical irritations observed in dental patients.Given Piezo2’s widespread expression across diverse subpopulations of DPA neurons,this study aimed to characterize the mechanosensory properties of Piezo2-expressing DPA neurons with a focus on distinct features of voltage-gated sodium channels(VGSCs)and neuropeptide profiles.Using whole-cell patch-clamp recordings,we observed mechanically activated action potentials(APs)and classified AP waveforms based on the presence or absence of a hump during the repolarization phase.Single-cell reverse transcription polymerase chain reaction combined with patch-clamp recordings revealed specific associations between AP waveforms and molecular properties,including tetrodotoxin-resistant VGSCs(NaV1.8 and NaV1.9)and TRPV1 expression.Reanalysis of the transcriptomic dataset of DPA neurons identified correlations between neuropeptides—including two CGRP isoforms(α-CGRP andβ-CGRP),Substance P,and Galanin—and the expression of NaV1.8 and NaV1.9,which were linked to defined AP subtypes.These molecular associations were further validated in Piezo2+DPA neurons using fluorescence in situ hybridization.Together,these findings highlight the electrophysiological and neurochemical heterogeneity of Piezo2-expressing DPA neurons and their specialized roles in distinct mechanosensory signal transmission.展开更多
基金supported by grants from the National Natural Science Foundation of China (82071104)Science and Technology Commission of Shanghai Municipality (23XD1434200/22Y21901000)+9 种基金Shanghai Hospital Development Center(SHDC12022120)National Clinical Research Center for Oral Diseases (NCRCO2021-omics-07)Shanghai Clinical Research Center for Oral Diseases (19MC1910600)Major and Key Cultivation Projects of Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine (JYZP006)Shanghai’s Top Priority Research Center (2022ZZ01017)CAMS Innovation Fund for Medical Sciences (2019-I2M-5-037)Fundamental research program funding of Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine(JYZZ237)Eastern Talent Plan Leading Project (BJZH2024001)partly supported by the Shanghai Ninth People’s Hospital affiliated with Shanghai Jiao Tong University,School of Medicine(JYJC202223)Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases (14DZ2260300)
文摘Pulpitis is a common infective oral disease in clinical situations.The regulatory mechanisms of immune defense in pulpitis are still being investigated.Osteomodulin(OMD)is a small leucine-rich proteoglycan family member distributed in bones and teeth.It is a bioactive protein that promotes osteogenesis and suppresses the apoptosis of human dental pulp stem cells(hDPSCs).In this study,the role of OMD in pulpitis and the OMD-induced regulatory mechanism were investigated.The OMD expression in normal and inflamed human pulp tissues was detected via immunofluorescence staining.Intriguingly,the OMD expression decreased in the inflammatory infiltration area of pulpitis specimens.The cellular experiments demonstrated that recombined human OMD could resist the detrimental effects of lipopolysaccharide(LPS)-induced inflammation.A conditional Omd knockout mouse model with pulpal inflammation was established.LPS-induced inflammatory impairment significantly increased in conditional Omd knockout mice,whereas OMD administration exhibited a protective effect against pulpitis.Mechanistically,the transcriptome alterations of OMD overexpression showed significant enrichment in the nuclear factor-κB(NF-κB)signaling pathway.Interleukin-1 receptor 1(IL1R1),a vital membrane receptor activating the NF-κB pathway,was significantly downregulated in OMD-overexpressing hDPSCs.Additionally,the interaction between OMD and IL1R1 was verified using co-immunoprecipitation and molecular docking.In vivo,excessive pulpal inflammation in Omd-deficient mice was rescued using an IL1R antagonist.Overall,OMD played a protective role in the inflammatory response via the IL1R1/NF-κB signaling pathway.OMD may optimize the immunomodulatory functions of hDPSCs and can be used for regenerative endodontics.
基金supported by the National Natural Science Foundation of China(32171347)the Foundation of Leading Talents from Shanghai Health Commission(2022XD038)+1 种基金Training Program for Research Physicians in Innovation,the Funda-mental Research Funds for the Central Universities(YG2023QNA23)Transforma-tion from shanghai hospital development center(SHDC2022CRD002).
文摘Stem cells play a crucial role in maintaining tissue regenerative capacity and homeostasis.However,mechanisms associated with stem cell senescence require further investigation.In this study,we conducted a proteomic analysis of human dental pulp stem cells(HDPSCs)obtained from individuals of various ages.Our findings showed that the expression of NUP62 was decreased in aged HDPSCs.We discovered that NUP62 alleviated senescence-associated phenotypes and enhanced differentiation potential both in vitro and in vivo.Conversely,the knocking down of NUP62 expression aggravated the senescence-associated phenotypes and impaired the proliferation and migration capacity of HDPSCs.Through RNA-sequence and decoding the epigenomic landscapes remodeled induced by NUP62 overexpression,we found that NUP62 helps alleviate senescence in HDPSCs by enhancing the nuclear transport of the transcription factor E2F1.This,in turn,stimulates the transcription of the epigenetic enzyme NSD2.Finally,the overexpression of NUP62 influences the H3K36me2 and H3K36me3 modifications of anti-aging genes(HMGA1,HMGA2,and SIRT6).Our results demonstrated that NUP62 regulates the fate of HDPSCs via NSD2-dependent epigenetic reprogramming.
文摘BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.
文摘Dental diseases,especially dental caries,are significant issues affecting population health worldwide.Dental caries has been listed by the World Health Organization as one of the three key diseases to be prevented and treated,following cardiovascular diseases and cancer.It has a high incidence rate and a wide distribution,posing a serious threat to people’s oral health and quality of life[1-5].With the intensification of the global aging population and changes in dietary habits,the incidence of dental diseases is on the rise,becoming a public health problem that cannot be ignored.Therefore,exploring new theories for dental disease prevention and treatment,such as the bioelectrochemical theory and the mineralization and anti-electricity new theory,and discussing their application prospects can provide more effective scientific bases and methods for the prevention and treatment of dental diseases,which is of great practical significance,especially for children and the elderly.
基金supported by grants from the National Key Research and Development Program(2022YFA1104401)CAMS Innovation Fund for Medical Sciences(2019-I2M-5-031 to Z.P.F.)grants from Innovation Research Team Project of Beijing Stomatological Hospital,Capital Medical University(NO.CXTD202204 to Z.P.F.).
文摘Dental mesenchymal stem cells(DMSCs)are pivotal for tooth development and periodontal tissue health and play an important role in tissue engineering and regenerative medicine because of their multidirectional differentiation potential and self-renewal ability.The cellular microenvironment regulates the fate of stem cells and can be modified using various optimization techniques.These methods can influence the cellular microenvironment,activate disparate signaling pathways,and induce different biological effects.“Epigenetic regulation”refers to the process of influencing gene expression and regulating cell fate without altering DNA sequences,such as histone methylation.Histone methylation modifications regulate pivotal transcription factors governing DMSCs differentiation into osteo-/odontogenic lineages.The most important sites of histone methylation in tooth organization were found to be H3K4,H3K9,and H3K27.Histone methylation affects gene expression and regulates stem cell differentiation by maintaining a delicate balance between major trimethylation sites,generating distinct chromatin structures associated with specific downstream transcriptional states.Several crucial signaling pathways associated with osteogenic differentiation are susceptible to modulation via histone methylation modifications.A deeper understanding of the regulatory mechanisms governing histone methylation modifications in osteo-/odontogenic differentiation and immune-inflammatory responses of DMSCs will facilitate further investigation of the epigenetic regulation of histone methylation in DMSC-mediated tissue regeneration and inflammation.Here is a concise overview of the pivotal functions of epigenetic histone methylation at H3K4,H3K9,and H3K27 in the regulation of osteo-/odontogenic differentiation and renewal of DMSCs in both non-inflammatory and inflammatory microenvironments.This review summarizes the current research on these processes in the context of tissue regeneration and therapeutic interventions.
文摘This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters,graphene nanocom-posites substantially improved air quality and reduced microbial contamination.This manuscript highlights the innovative application of graphene materials,emphasizing their potential to enhance dental clinic environments by minimizing secondary pollution.On the basis of the unique antimicrobial properties of gra-phene and the original study’s rigorous methodology,we recommend using gra-phene nanocomposites in clinical settings to control airborne infections.
文摘With rapid advancements in physics and particle medicine,the domestic accelerator industry has grown rapidly.During the 12th Five-Year Plan period,the Institute of Modern Physics of the Chinese Academy of Sciences took on a plurality of accelerator projects.Nevertheless,the stability of the coupler,a crucial system within the cavities of accelerators,has encountered certain difficulties.The alumina ceramics,which constitute the core component of the coupler,are increasingly prone to breakage and solder joint failures due to their inferior environmental adaptability,inadequate mechanical properties,and high gas emissions.Conversely,with the advancements in medical technology and materials science,zirconia ceramics have emerged as a prospective remedy for these problems.This type of ceramic is highly esteemed for its outstanding environmental adaptability,remarkable mechanical properties,and excellent high-temperature resistance,exhibiting extraordinary value in dental applications.This study investigates the use of zirconia ceramics in a 162.5 MHz 3-1/8"standard ceramic window,combining experimental data with finite element RF simulations and multi-physics analysis.A new coupler featuring a zirconia ceramic window was tested on a Quarter-Wave Resonator,demonstrating excellent alignment between electromagnetic simulations and measurement results.This reveals the substantial application potential and practical worth of the zirconia ceramic material in the context of accelerators.
文摘Circular RNAs(circRNAs)are a distinct type of nonlinear and noncoding RNAs endogenously expressed by pre-mRNA back-splicing and crucial in transcriptional and posttranscriptional regulation.CircRNAs can regulate cellular and molecular pathways through various mechanisms,such as microRNA sponging.Numerous studies have indicated the regulatory roles of circRNAs in the osteogenic differentiation of stem cells(SCs)isolated from different sources.Dental tissue-derived mesenchymal SCs(MSCs)have received considerable attention in artificial bone engineering,in which SCs are used to manufacture functional bone tissues to repair bone defects.Recently,studies have reported the regulatory roles of circRNAs in the osteogenic differentiation of dental-derived MSCs,such as apical papillae,dental pulp,and dental follicle SCs.This review aimed to discuss the findings of studies evaluating the contribution of circRNAs to the osteogenic differentiation of dental-derived MSCs.
基金Supported by The Xuzhou Medical University Affiliated Hospital Development Fund Support Project,No.XYFM202457the 521 Scientific Research Project of Lianyungang City,No.LYG 06521202362.
文摘BACKGROUND This study analyzed the dental follicle and alveolar bone of two patients with tooth eruption disorders,aiming to provide some reference for exploring the etiology and selecting treatment plans of this disease from the perspective of the influence of extracellular matrix on osteoclasts differentiation in dental follicle.CASE SUMMARY Collect dental follicle and alveolar bone tissue from one patient with single tooth eruption disorder and one patient with full permanent tooth eruption disorder,respectively.Simultaneously collect the dental follicle and alveolar bone tissue of obstructed teeth that need to be extracted due to orthodontic treatment as the control group.Hematoxylin and eosin(HE)staining was used to observe the morphology of dental follicle cells.Immunohistochemical staining was used to observe the expression of periostin,receptor activator of nuclear factor kappa B ligand(RANKL),and osteoprotegerin(OPG)protein in dental follicle and alveolar bone tissue.And observe the eruption of teeth after removing resistance from the crown of the permanent tooth germ.CONCLUSION HE staining of two cases of dental follicle tissues showed that the volume of dental follicle cells decreased,the nuclei were condensed,and there seemed to be cellular fibrosis.The immunohistochemical staining showed that both the dental follicle and alveolar bone tissue exhibited increased expression of periostin,decreased expression of RANKL and OPG proteins,and decreased RANKL/OPG ratio.After removing resistance,the permanent tooth germ often appears to have normal eruption.Tooth eruption disorders may be accompanied by abnormal remodeling of periostin,which affects the differentiation function of osteoclasts in the dental follicle and leads to metabolic imbalance of alveolar bone,resulting in tooth eruption disorders.Whether it is a single or full permanent tooth eruption disorder,once the coronal resistance is removed,the teeth can often erupt normally.
基金supported by the National Key Research and Development Program of China(2023YFC2412600)the National Natural Science Foundation of China(52271243,52171233,82370924,82170929)+3 种基金the Beijing Natural Science Foundation(L212014)the Beijing Nova Program(20230484459)the National Clinical Key Discipline Construction Project(PKUSSNKP-T202103)the Research Foundation of Peking University School and Hospital of Stomatology(PKSS20230104).
文摘Peri-implantitis is a bacterial infection that causes soft tissue inflammatory lesions and alveolar bone resorption,ultimately resulting in implant failure.Dental implants for clinical use barely have antibacterial properties,and bacterial colonization and biofilm formation on the dental implants are major causes of peri-implantitis.Treatment strategies such as mechanical debridement and antibiotic therapy have been used to remove dental plaque.However,it is particularly important to prevent the occurrence of peri-implantitis rather than treatment.Therefore,the current research spot has focused on improving the antibacterial properties of dental implants,such as the construction of specific micro-nano surface texture,the introduction of diverse functional coatings,or the application of materials with intrinsic antibacterial properties.The aforementioned antibacterial surfaces can be incorporated with bioactive molecules,metallic nanoparticles,or other functional components to further enhance the osteogenic properties and accelerate the healing process.In this review,we summarize the recent developments in biomaterial science and the modification strategies applied to dental implants to inhibit biofilm formation and facilitate bone-implant integration.Furthermore,we summarized the obstacles existing in the process of laboratory research to reach the clinic products,and propose corresponding directions for future developments and research perspectives,so that to provide insights into the rational design and construction of dental implants with the aim to balance antibacterial efficacy,biological safety,and osteogenic property.
基金the China Scholarship Council(CSC No.201806460096)for financial supportthe Scientific Research-Flanders(FWO-Vlaanderen)for her post-doctoral fellowships(grant Nos.12S8418N and 12S8421N)supported by the Research Fund of KU Leuven project No.C2-17-00402 and the Fund for Scientific Research-Flanders(FWO-Vlaanderen)(grant Nos.G.0431.10N and G.0959.20N).
文摘Ceria-stabilized tetragonal zirconia(Ce-TZP)has become an interesting alternative for the widely used yttria-stabilized zirconia(Y-TZP),whereas efforts are needed to control its microstructure in order to im-prove the strength of Ce-TZP ceramics.In this work,CaO was used to co-dope Ce-TZP ceramics.More specifically,0.2-2.0 mol%Ca(NO_(3))_(3)·4H_(2)O precursor-based CaO was used to dope 10 mol%ceria-stabilized zirconia.Sintering was performed at 1300,1350,or 1400℃,which is lower than the temperatures commonly applied for zirconia ceramics.The microstructure and mechanical properties were investigated and correlated,revealing that 0.2 mol%CaO-doped CeO_(2)-stabilised zirconia sintered at 1350℃ exhibited a fully dense fine-grained tetragonal ZrO_(2) microstructure with high toughness(10.4 MPa m1/2)and biax-ial bending strength(1210±43 MPa),and a narrow strength distribution(weibull modulus of 32.5).1.5 and 2.0 mol% CaO-doping resulted in excellent biaxial bending strength but wider strength distribution and lower fracture resistance.The homogeneously distributed Ca(NO_(3))_(3)·4H_(2)O precursor prevented cubic zirconia-phase formation for CaO-doping up to 2.0 mol%.CaO-doped(≥0.2 mol%)10Ce-TZP sintered at 1350℃ also highly resisted hydrothermal degradation.Furthermore,CaO-doping enabled to make Ce-TZP ceramics as translucent as different commercially available 3Y-TZP ceramics,opening possibilities to use Ce-TZP for dental restorations.
文摘Objective:To statistically analyze the prevalence of dental caries among preschool children and explore the application effect of behavioral intervention.Methods:The study period was from May 2024 to May 2025.Preschool children with dental caries(n=114)admitted during this period were selected as the research subjects.They were divided into observation and control groups based on their admission number,with 57 cases in each group.Intervention indicators were compared between the groups.Results:Among all the children,the prevalence of dental caries at different age stages of preschool age(3–6 years old)showed that the caries rate increased with age,and there were significant differences in caries rates among different age groups(P<0.05).The total treatment compliance rate in the observation group was higher than that in the control group(P<0.05),and the new caries rate in the observation group was lower than that in the control group(P<0.05).After intervention,all indicators of the SESS in the observation group were better than those in the control group(P<0.05).Conclusion:The caries rate among preschool children is relatively high and increases with age.Active behavioral intervention facilitates better cooperation with clinical treatment among children with caries,significantly enhances self-efficacy,and significantly reduces the caries rate.
文摘The article by Chauhan et al highlights the transformative potential of magnification tools in improving precision and outcomes across various dental specialties.While the authors discuss the advantages of magnification,they do not address the potential integration of artificial intelligence(AI)with magnification devices to further enhance diagnostic and therapeutic efficiency.This letter explores the synergy of AI with magnification tools,emphasizing its applicability in image-guided diagnostics,workflow optimization,and personalized treatment planning.The integration of AI and magnification also paves the way for personalized,data-driven treatment strategies,marking a significant evolution in dental care.However,it is important to acknowledge the limitations and challenges associated with AI,such as data privacy concerns,algorithmic biases,and the need for robust validation before clinical implementation.This discussion underscores the need for interdisciplinary research to realize this potential.
基金Supported by Tianjin Municipality Health Science and Technology Project,No.TJWJ2023MS052.
文摘BACKGROUND Dental implants are widely used to replace missing teeth.Currently,clinicians assess osseointegration success by measuring the implant’s stability within the bone and monitoring the marginal tissue height.Diabetes,especially type 2 diabetes mellitus(T2DM),has been reported to impair implant healing,drastically reducing implant success rates.AIM To analyze the high-risk factors for inflammatory response and prognosis after dental implantation in patients with T2DM,and provide strong evidence for reducing the incidence of postimplant peri-implantitis(PI).METHODS We performed a retrospective review of 146 patients with T2DM who had dental implants placed at Tianjin Fifth Central Hospital,between September 2021 and September 2023,which was regarded as the observation group.Moreover,60 ageand gender-matched individuals with normal blood glucose levels served as the control group.The general information,postoperative periodontal indices,and levels of inflammatory factors were comprehensively analyzed and compared.Furthermore,the incidence of postimplant PI was counted,and multivariate logistic regression was used to identify the determinants of postimplant PI.RESULTS In terms of the periodontal indices,the probing depth,modified sulcus bleeding index,and marginal bone loss in the observation cohorts began to increase significantly at 6 months and 3 months,respectively,after the completion of dental implant restoration.The T2DM cases demonstrated significantly elevated counts of leukocytes,lymphocytes,and neutrophils compared to the controls at 24 hours postoperatively.Moreover,the TNF-α,IL-1β,and IL-6 concentrations started to increase significantly in the gingival crevicular fluid 3 months after the completion of dental implant restoration in both cohorts,with the observation group exhibiting higher levels than the controls at each time point.63 out of the 146 cases developed PI.Multivariate logistic regression analysis indicated that high glycosylated hemoglobin levels,smoking,daily tooth-brushing frequency of less than once,and the anterior tooth as the implant site independently contributed to postimplant PI in T2DM cases,while a tooth-brushing duration of≥3 minutes was a protective factor.CONCLUSION Patients with T2DM are at risk of developing PI following dental implantation.Clinically,it is necessary to enhance the identification of risk factors for postimplant PI,improve risk prediction,prevention,and control,and formulate targeted intervention countermeasures to reduce the occurrence of postimplant PI.
基金funding from the Princess Nourah bint Abdulrahman University Researchers Supporting Project(PNURSP2025R195)the University of Bisha through its Fast-Track Research Support Program.
文摘Artificial intelligence(AI),particularly deep learning algorithms utilizing convolutional neural networks,plays an increasingly pivotal role in enhancing medical image examination.It demonstrates the potential for improving diagnostic accuracy within dental care.Orthopantomograms(OPGs)are essential in dentistry;however,their manual interpretation is often inconsistent and tedious.To the best of our knowledge,this is the first comprehensive application of YOLOv5m for the simultaneous detection and classification of six distinct dental pathologies using panoramic OPG images.The model was trained and refined on a custom dataset that began with 232 panoramic radiographs and was later expanded to 604 samples.These included annotated subclasses representing Caries,Infection,Impacted Teeth,Fractured Teeth,Broken Crowns,and Healthy conditions.The training was performed using GPU resources alongside tuned hyperparameters of batch size,learning rate schedule,and early stopping tailored for generalization to prevent overfitting.Evaluation on a held-out test set showed strong performance in the detection and localization of various dental pathologies and robust overall accuracy.At an IoU of 0.5,the system obtained a mean precision of 94.22%and recall of 90.42%,with mAP being 93.71%.This research confirms the use of YOLOv5m as a robust,highly efficient AI technology for the analysis of dental pathologies using OPGs,providing a clinically useful solution to enhance workflow efficiency and aid in sustaining consistency in complex multi-dimensional case evaluations.
基金supported by the Sichuan Science and Technology Program,China(Grant Nos.:2023ZYD0105 and 2023YFS0343)。
文摘Dental caries,a chronic disease characterized by tooth decay,occupies the second position in terms of disease burden and is primarily caused by cariogenic bacteria,especially Streptococcus mutans,because of its acidogenic,aciduric,and biofilm-forming capabilities.Developing novel targeted anti-virulence agents is always a focal point in caries control to overcome the limitations of conventional anti-virulence agents.The current study represents an up-to-date review of in silico approaches of drug design against dental caries,which have emerged more and more powerful complementary to biochemical attempts.Firstly,we categorize the in silico approaches into computer-aided drug design(CADD)and AI-assisted drug design(AIDD)and highlight the specific methods and models they contain respectively.Subsequently,we detail the design of anti-virulence drugs targeting single or multiple cariogenic virulence targets of S.mutans,such as glucosyltransferases(Gtfs),antigen I/II(AgI/II),sortase A(SrtA),the VicRK signal transduction system and superoxide dismutases(SODs).Finally,we outline the current opportunities and challenges encountered in this field to aid future endeavors and applications of CADD and AIDD in anti-virulence drug design.
基金Supported by National Key Research and Development Program of China,No.2021YFA1100600 and No.2022YFA1104400.
文摘BACKGROUND Dental follicle stem cell(DFSC)sheets demonstrate strong extracellular secretion capabilities and efficacy in periodontal regeneration.However,existing methods for producing DFSC sheets lack a comprehensive discussion on the most efficient and cost-effective approaches at the good manufacturing practice(GMP)level.AIM To investigate the culture condition of GMP-compliant DFSC sheets and to compare the properties of DFSC sheets and cell suspensions.METHODS This study explored the optimal conditions for culturing GMP-compliant DFSC sheets,focusing on four key factors:Cell passage,cell concentration,L-ascorbic acid content,and culture duration.We evaluated the characteristics of the cell sheets under varying culture conditions,including cell viability,cell count,appearance,osteogenesis,chondrogenesis,odontogenesis,aging,relative telomere length,and extracellular matrix secretion.A comparison was also made between the periodontal regeneration,osteogenesis,and paracrine capacity of cell sheets cultured under optimal conditions and those of the cell suspensions.RESULTS The GMP-compliant DFSC sheets cultured from passage 4 cells exhibited the highest viability(≥99%,P<0.05)and optimal osteogenic differentiation capacity(optical density≥0.126,P<0.05).When cultured for 10 days,DFSC sheets demonstrated maximal expression of osteogenic,chondrogenic and periostin genes[alkaline phosphatase,Runt-related transcription factor 2,collagen type I,osteopontin,cartilage associated protein,and PERIOSTN(P<0.001);osteocalcin(P<0.01)].Concurrently,they showed the lowest senescent cell count(P<0.01)with no progression to late-stage senescence.At a seeding density of 2500 cells/cm^(2),GMP-compliant DFSC sheets achieved better osteogenic differentiation(P<0.01)and maximal osteogenic,chondrogenic and periostin gene expression(P<0.001),coupled with the highest hydroxyproline secretion(P<0.001)and moderate sulfated glycosaminoglycan production.No statistically significant difference in senescent cell count was observed compared to DFSC sheets at a seeding density of 5000 cells/cm^(2).Supplementation with 25μg/mL L-ascorbic acid significantly enhanced osteogenic gene expression(P<0.001)and elevated hydroxyproline(P<0.01)and sulfated glycosaminoglycan secretion to high ranges.Compared with the cell suspension,the cell sheet demonstrated improved osteogenic,paracrine,and periodontal regenerative capacities in Sprague-Dawley rats.The optimized DFSC sheets demonstrated significantly higher levels of vascular endothelial growth factor and angiopoietin-1(P<0.001)compared to DFSC suspensions,along with enhanced osteogenic induction outcomes(optical density=0.1333±0.01270 vs 0.1007±0.0005774 in suspensions,P<0.05).Following implantation into the rat periodontal defect model,micro-computed tomography analysis revealed superior bone regeneration metrics in the cell sheet group compared to both the cell suspension group and control group(percent bone volume,trabecular thickness,trabecular number),while trabecular spacing exhibited an inverse pattern.CONCLUSION Optimized DFSC sheets cultured under the identified conditions outperform DFSC suspensions.This study contributes to the industrial-scale production of DFSC sheets and establishes a foundation for cell therapy applications.
基金Special Support Program for Scientific and Technological Talent“Application and Impact of Dental Arch Splint Intermaxillary Traction Combined with Rigid Internal Fixation on Oral Health in Patients with Facial Fractures”(DX2023BR18)。
文摘Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial comminuted fractures admitted for treatment between July 2023 and December 2024 were selected. Using a random number table method, 30 patients were assigned to the observation group, where moderate traction using a dental arch splint combined with rigid internal fixation was applied. Another 30 patients were assigned to the control group and only received dental arch splint traction treatment. The total effective rate, postoperative recovery indicators, periodontal status, complication rate, and quality of life scores were compared between the two groups. Results: The total effective rate in the observation group was higher than that in the control group. The postoperative recovery indicators and periodontal status in the observation group were superior to those in the control group. The complication rate and quality of life score were lower in the observation group compared to the control group, with P < 0.05. Conclusion: Combining dental arch splint intermaxillary traction with rigid internal fixation can improve the periodontal status and quality of life of patients with facial comminuted fractures, shorten postoperative recovery time, reduce various complications, and enhance surgical efficacy.
文摘Mesenchymal stem cells are highly regarded for their potential in tissue repair and regenerative medicine due to their multipotency and self-renewal abilities.Recently,mesenchymal stem cells have been redefined as“medical signaling cells,”with their primary biological effects mediated through exosome secretion.These exosomes,which contain lipids,proteins,RNA,and metabolites,are crucial in regulating various biological processes and enhancing regenerative therapies.Exosomes replicate the effects of their parent cells while offering benefits such as reduced side effects,low immunogenicity,excellent biocompatibility,and high drug-loading capacity.Dental stem cells,including those from apical papilla,gingiva,dental pulp,and other sources,are key contributors to exosome-mediated regenerative effects,such as tumor cell apoptosis,neuroprotection,angiogenesis,osteogenesis,and immune modulation.Despite their promise,clinical application of exosomes is limited by challenges in isolation techniques.Current methods face issues of complexity,inefficiency,and insufficient purity,hindering detailed analysis.Recent advancements,such as micro-electromechanical systems,alternating current electroosmosis,and serum-free three-dimensional cell cultures,have improved exosome isolation efficacy.This review synthesizes nearly 200 studies on dental stem cell-derived exosomes,highlighting their potential in treating a wide range of conditions,including periodontal diseases,cancer,neurodegenerative disorders,diabetes,and more.Optimized isolation methods offer a path forward for overcoming current limitations and advancing the clinical use of exosome-based therapies.
基金supported by the National Research Foundation(NRF)of Korea(grant number:RS-2022-NR072217 to P.RL,RS-2021-NR059709,RS-2023-00264409,and RS-2024-00441103)funded by the Korean government(MSIT).
文摘Piezo2,a mechanosensitive ion channel,serves as a crucial mechanotransducer in dental primary afferent(DPA)neurons and is potentially involved in hypersensitivity to mild mechanical irritations observed in dental patients.Given Piezo2’s widespread expression across diverse subpopulations of DPA neurons,this study aimed to characterize the mechanosensory properties of Piezo2-expressing DPA neurons with a focus on distinct features of voltage-gated sodium channels(VGSCs)and neuropeptide profiles.Using whole-cell patch-clamp recordings,we observed mechanically activated action potentials(APs)and classified AP waveforms based on the presence or absence of a hump during the repolarization phase.Single-cell reverse transcription polymerase chain reaction combined with patch-clamp recordings revealed specific associations between AP waveforms and molecular properties,including tetrodotoxin-resistant VGSCs(NaV1.8 and NaV1.9)and TRPV1 expression.Reanalysis of the transcriptomic dataset of DPA neurons identified correlations between neuropeptides—including two CGRP isoforms(α-CGRP andβ-CGRP),Substance P,and Galanin—and the expression of NaV1.8 and NaV1.9,which were linked to defined AP subtypes.These molecular associations were further validated in Piezo2+DPA neurons using fluorescence in situ hybridization.Together,these findings highlight the electrophysiological and neurochemical heterogeneity of Piezo2-expressing DPA neurons and their specialized roles in distinct mechanosensory signal transmission.
