Aim The purpose of this study was to conduct quantitative research on bone height and bone mineral density of palatal implant sites for implantation, and to provide reference sites for safe and stable palatal implants...Aim The purpose of this study was to conduct quantitative research on bone height and bone mineral density of palatal implant sites for implantation, and to provide reference sites for safe and stable palatal implants. Methodology Three-dimensional reformatting images were reconstructed by cone beam computed tomography （CBCT） in 34 patients, aged 18 to 35 years, using EZ Implant software. Bone height was measured at 20 sites of interest on the palate. Bone mineral density was measured at the 10 sites with the highest implantation rate, classified using K-mean cluster analysis based on bone height and bone mineral density. Results According to the cluster analysis, 10 sites were classified into three clusters. Significant differences in bone height and bone mineral density were detected between these three clusters （P〈0.05）. The greatest bone height was obtained in cluster 2, followed by cluster 1 and cluster 3. The highest bone mineral density was found in cluster 3, followed by cluster 1 and cluster 2. Conclusion CBCT plays an important role in pre-surgical treatment planning. CBCT is helpful in identifying safe and stable implantation sites for palatal anchorage.展开更多
BACKGROUND A palatal radicular groove is an unusual developmental deformity of the tooth,which may serve as a channel linking the periodontal and periapical inflammation,and yet no literature could be obtained analyzi...BACKGROUND A palatal radicular groove is an unusual developmental deformity of the tooth,which may serve as a channel linking the periodontal and periapical inflammation,and yet no literature could be obtained analyzing microbiota within the palatal radicular grooves.CASE SUMMARY Four patients diagnosed with palatal radicular groove and concomitant periodontal-endodontic deformity in permanent maxillary lateral incisors were enrolled in this work.Twelve bacterial samples from 4 patients were collected from different parts of the palatal radicular groove during intentional replantation surgery.Illumina sequencing was performed to analyze the taxonomical composition and microbiome structure inside the palatal grooves,and 1162 operational taxonomic units were obtained.The phyla of Firmicutes and Proteobacteria predominated in most of the samples.An unknown genus from the Bacillaceae family,Lactococcus,and Porphyromonas were the most abundant genera identified.There was no difference in the microbiota richness and diversity in three sections of the groove.CONCLUSION The unique ecological niches inside the palatal grooves harbored bacterial communities that shared some component features of both the endodontic and periodontal infections.The existence of palatal groove may play an interaction bridge between the root apex and tooth cervix and thus impair the outcome of traditional therapeutic methods such as root canal treatment and periodontal management.展开更多
Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Pala...Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Palatal tremor is a condition characterized by soft palate involuntary contractions.Two types of palatal tremor have been described:symptomatic palatal tremor and essential palatal tremor,with different clinical manifestations.Diagnostic workup is based on medical history and physical examination,including direct oropharynx exploration and cavum visualization through nasopharyngoscopy.Brain MRI is mandatory in all cases.If a secondary origin is suspected,additional lab tests should be performed based on clinical suspicion.First-line treatment is botulinum toxin injection into the levator veli palatini and tensor veli palatini muscles,with velopharyngeal insufficiency being its main adverse effect.Other medications have not been shown to be effective.展开更多
The aim of the present clinical case report is to describe the singular root canal anatomy and endodontic management of a maxillary second molar with two palatal roots and two separate canal orifices. A 60 years-old f...The aim of the present clinical case report is to describe the singular root canal anatomy and endodontic management of a maxillary second molar with two palatal roots and two separate canal orifices. A 60 years-old female Hispanic/Latino patient attended the Endodontic Department at University of Buenos Aires School of Dentistry with acute pain in her maxillary left second molar. Clinical radiographs examination revealed unusual root morphology. Cleaning and shaping were completed with 5.25% NaOCl irrigation, 15% EDTA solution and hand/rotary instruments. Filling was performed with gutta-percha points and resin-based sealer. After one year follow-up periapical radiographs and CBCT images showed healing in the area and patient was asymptomatic.展开更多
One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the firs...One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the first studies of this kind in Oman. We retrospectively reviewed 362 records of cleft palate patients. The most common technique used for cleft palate repair at our center was Veau-Wardill-Kilner technique. In our series we have noticed palatal fistulae in 32% of cases. This high rate is partially due to inclusion of very anterior fistulas in patients with complete cleft lips and palates, which actually represent part of the alveolar cleft rather than breakdown of the palatal repair. This will be closed during time of alveolar bone grafting at a later stage. We recommend a future prospective controlled study to study the factors that lower the incidence of fistula in our population.展开更多
Cyst is a fluid accumulated in a cavity lined by epithelium. Cyst over the hard palate is very infrequent. Cyst is commonly seen along nasoalveolar duct or midline palatal cyst which are congenital. Only few cases of ...Cyst is a fluid accumulated in a cavity lined by epithelium. Cyst over the hard palate is very infrequent. Cyst is commonly seen along nasoalveolar duct or midline palatal cyst which are congenital. Only few cases of palatine cysts have been reported in literature. We present here a case of 21 years old male with a cystic lesion over the hard palate since 2 years.展开更多
<strong>Background:</strong> This paper aims to examine published articles between January 2008 and January 2019 on the different palatal surgeries performed on OSA patients and the treatment outcomes, whi...<strong>Background:</strong> This paper aims to examine published articles between January 2008 and January 2019 on the different palatal surgeries performed on OSA patients and the treatment outcomes, which in turn will be used to determine the effectiveness of various palatal surgical techniques in treating OSAS and the most effective of the palatal surgical techniques in treating OSAS. <strong>Patients and Methods:</strong> The current review followed the guidelines of preferred reporting items for systematic reviews and meta-analysis statement 2009 (PRISMA). The quality of relevant studies was assessed using NIH quality assessment tool for observational cohort and cross-sectional studies as well as NIH tool for quality assessment for case series studies. <strong>Results:</strong> Meta-analyses of relevant studies showed that the surgical technique that achieved the best reduction on AHI (Apnea/Hypopnea Index) was the lateral pharyngoplasty followed by the Anterior Palatoplasty, with a significant mean reduction of [(SMD = −0.848, 95% CI (−1.209 - −0.487), p-value < 0.001) and (SMD = −0.864, 95% CI (−1.234 - −0.494), p-value < 0.001), respectively]. The technique responsible for the best improvement in Epworth Sleepiness Score (ESS) was the Relocation Pharyngoplasty, with a significant mean reduction of [SMD = −0.998, 95% CI (−1.253 - −0.743), p-value < 0.001]. Minimal O2 saturation level improved most with the Expansion Sphincter Pharyngoplasty, with a significant mean reduction of [SMD = 1.011, 95% CI (0.581 - 1.440), p-value < 0.001]. The surgical procedure that results in the best post-operative Visual Analogue Scale (VAS) was Z-Palatoplasty, with a significant mean reduction of [SMD = −1.551, 95% CI (−2.049 - −1.052), p-value < 0.001]. Soft palate length changes with a significant mean reduction of [SMD = −2.219, 95% CI (−2.730 - −1.708), p-value < 0.001]. Finally, meta-analyses of relevant studies showed that expansion sphincter pharyngoplasty achieved the overall highest success rate [event rate = 77%, 95% CI (65.4% - 85.5%), p-value < 0.001]. <strong>Conclusion:</strong> The best procedure for treating OSA varies from patient to patient and there is no universal cure-all. Careful patient selection and pre-operative evaluation are mandatory.展开更多
· AIM: To reconstruct the extensive full-thickness defects of eyelids is a challenge for the plastic surgeon because of their complex anatomy and special functions.This article presents and discusses an improved ...· AIM: To reconstruct the extensive full-thickness defects of eyelids is a challenge for the plastic surgeon because of their complex anatomy and special functions.This article presents and discusses an improved surgical technique in which the orbicularis oculi myocutaneous flap is rotated through a "subcutaneous tunnel" in conjunction with a palatal mucosal graft employed for lining.·METHODS: Data from 22 eyes with extensive full-thickness eyelid defects from various causes between2009 and 2013 were analyzed in this study. After the different layers of eyelid were separated completely, a temporally based orbicularis oculi myocutaneous flap was designed following fishtail lines and was mobilized,leaving the base of the pedicle intact with a submuscular tissue attachment. The flap was then rotated through a "subcutaneous tunnel" to the defect, and the donor site was closed primarily. Posterior lamellar reconstruction was performed with a mucosal graft harvested from the hard palate.·RESULTS: All the flaps were survived without any healing problems. There was no corneal irritation, flap contraction, or significant donor-site morbidity in the follow-up period. The incision scars were almost invisible.The defects were repaired completely, and the evaluations showed satisfactory function and appearance.·CONCLUSION: This technique is an improved singlestage operation and can be applied to repair large, full-thickness eyelid defects from various causes. With our method, the functional and aesthetic results can be obtained in either the upper or lower eyelids.展开更多
<strong>Objective:</strong> The purpose of this pilot study is to compare the transverse palatal widths in untreated adult cleft palate patients with normal adult patients. <strong>Methods and Materi...<strong>Objective:</strong> The purpose of this pilot study is to compare the transverse palatal widths in untreated adult cleft palate patients with normal adult patients. <strong>Methods and Materials:</strong> The study was conducted in Bangladesh recruiting 10 patients with adult sized untreated cleft palate and 15 patients with normal adult sized palates. The control group was comprised of 7 males and 8 females with a mean age of 30.5 ± 4.4 years. The affected group comprised of 7 males and 3 females with a mean age 17 ± 3.3 years. Alginate impressions of the maxillary arch were taken and poured into plaster dental casts. The inter-canine, inter-premolar and intermolar widths were measured to evaluate the maxillary growth pattern in patients with unoperated cleft palate. Due to the small sample size, both independent T-test and Mann Whitney non-parametric tests were performed to analyze the statistical significance of the data. <strong>Results:</strong> According to both the T-test and Mann Whitney non-parametric tests, the inter-premolar width including both the first and second premolars was statistically significantly smaller in the affected group with p values of 0.003 and 0.00 respectively. There was no significant difference in the inter-canine width between the affected and control group due to the variable canine position in cleft palate patients. Due to small sample size, no significant difference in the intermolar width between the affected and control group could be established. <strong>Conclusion:</strong> The interpremolar width is significantly smaller in patients with adult sized cleft palates than individuals with normal adult sized palates.展开更多
Background:Palatal rugae are asymmetrical elevations present on hard palate and are significant due to their uniqueness,stability and thus,aid in forensic identification.Objective:The objective is to determine palatal...Background:Palatal rugae are asymmetrical elevations present on hard palate and are significant due to their uniqueness,stability and thus,aid in forensic identification.Objective:The objective is to determine palatal rugae morphology between parents and their offsprings and to determine their genetic inheritance.Materials and Methods:This randomized controlled cross-sectional single-blinded study was conducted on 50 families(randomly selected)who visited Vyas Dental College and Hospital.A total of 150 maxillary study models were examined and rugae were delineated and shape,size,and pattern of rugae were recorded.Results:Weak but significant correlation was seen in the nonspecific and angular type of palatal rugae between child and mother and child and father as P<0.05.Matching with either or both of their parent was seen for curved,wavy,divergent,straight,horseshoe,angular,and nonspecific type of rugae with the higher%of wavy pattern matching(52%with mother and 54%with father).A considerable number of samples showed high heritability of primary and secondary rugae from both parents,but more predominantly to their mothers(branched,nonspecific,and straight).Conclusion:Both environmental and genetic factors can influence the rugae pattern.Further,studies should be conducted on a larger sample size to get more significant results.展开更多
The study^1 evaluates the quantal theory by analyzing the articulatory-acoustic relations in the four Cantonese palatal vowels[i:y:i y]through investigating the sensitivity of vowel formant frequencies to variation of...The study^1 evaluates the quantal theory by analyzing the articulatory-acoustic relations in the four Cantonese palatal vowels[i:y:i y]through investigating the sensitivity of vowel formant frequencies to variation of linguo-palatal constriction location and that of constriction size along the vocal tract length during the vowels,using KMA AG5 0 0.The articulatory-acoustic data obtained in this study show non-linear relationship between the up-down and front-back displacements in linguo-palatal constriction during the vowels and the acoustic consequences,which is similar to what the quantal theory claims.Moderate displacements in constriction location and constriction size result in large spectral changes.The level of sensitivity of formant frequencies to variation of tongue displacement is lower for the unrounded[i:i]than the rounded counterparts[y:y],suggesting the quantal nature is more apparent in[i:i]than[y:y].In general,for the Cantonese palatal vowels the levels of sensitivity of F1 to the variation of constriction location and that of constriction size are similar,whereas F2 is more sensitive to the variation of constriction size than to the variation of constriction location.The latter is similar to the articulatory-acoustic relations in the Knglish vowels reported in the previous studies.展开更多
BACKGROUND Excipients may improve the palatability of polyethylene glycol(PEG),the firstline treatment for childhood functional constipation(FC),leading to good compliance and improved treatment outcomes.AIM To compar...BACKGROUND Excipients may improve the palatability of polyethylene glycol(PEG),the firstline treatment for childhood functional constipation(FC),leading to good compliance and improved treatment outcomes.AIM To compare the developed PEG-based formula(PEG-Chula)to the commercial formula for treating childhood FC.METHODS In this randomized controlled trial,we enrolled children aged<18 years with FC diagnosed by the Rome Ⅳ criteria to receive PEG-Chula[four flavors:(1)Strawberry;(2)Lychee;(3)Apple;and(4)Lychee-rose]or Forlax(orange-grapefruit flavor)for eight weeks.The primary outcomes included changes in stool frequency and consistency measured by the Bristol Stool scale.The secondary outcomes were constipation-related symptom improvement,adverse events,and palatability measured by the facial hedonic scale.RESULTS Fifty-two children diagnosed with FC[median age:4.21(2.33,7.88)years;35(67.31%)females]were enrolled.After the 8-week treatment,the mean weekly stool frequency increased in both groups,the mean change was 4.02(95%CI:3.09-4.95)in PEG-Chula and 3.78(95%CI:2.79-4.78)in commercial PEG compared to baseline(P<0.001).The extent of stool consistency improvement did not differ significantly.The most preferred PEG-Chula flavor was rated more palatable than the commercial PEG.Treatment compliance correlated with medication palatability(r=0.34,P=0.013).No significant differences in adverse events were found.CONCLUSION Both PEG-based formulas are effective and safe for managing pediatric FC.展开更多
Herbivorous ungulates are vital elements of forest ecosystems,yet their impact on tree regeneration and forest dynamics is challenging to assess.Despite their significant influence,few studies measure browsing pressur...Herbivorous ungulates are vital elements of forest ecosystems,yet their impact on tree regeneration and forest dynamics is challenging to assess.Despite their significant influence,few studies measure browsing pressure independently of precise ungulate population data.This study aimed to determine the regeneration mechanisms of palatable tree species in natural forest ecosystems by measuring the forage abundance from young trees of focal species and estimating the browsing pressure exerted by ungulates.We analyzed an extensive dataset of 2,838 tree saplings in two national parks in Poland to examine relationships between variables using a zero-intercept linear regression,and multiple linear regression models,and performed parametric and nonparametric tests.We found that the browsing intensity index(BI)is a good predictor of browsing pressure.Both total abundance and twig dry mass loss due to ungulate browsing were more pronounced in shorter saplings,with these effects decreasing as sapling height increased.Picea abies was the most abundant browse source in the Tatra National Park(TNP),whereas Fagus sylvatica dominated in the Roztocze National Park(RNP).Acer pseudoplatanus and Sorbus aucuparia experienced significantly higher browsing pressure in the TNP,whereas Carpinus betulus was more heavily browsed than other species in the RNP.The increase in browse abundance rapidly reduced ungulate browsing pressure on highly palatable tree species.We conclude that despite the high browsing pressure on the palatable species,the contribution of browse from focal species helps to mitigate this pressure and supports their regeneration in the forest canopy.Therefore,this finding provides valuable insights for managing and conserving tree species vulnerable to ungulate browsing in natural forest ecosystems.In addition,the method we used in this study is novel to estimate browsing pressure and assess the recruitment potential of vulnerable tree species;hence,it can be applied in large-scale studies with similar scenarios.展开更多
Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have...Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have been held regularly in China. The purpose of this audit was a retrospective analysis of a 9-year cleft lip and palate charity project operated in a tertiary hospital in China Shenzhen Area to evaluate perioperative and postoperative complications. Nevertheless, understanding the risk profile is essential for establishing a sustainable in-house cleft service in Shenzhen. Methods: A detailed analysis of hospital centralized record in the The University of Hong Kong-Shenzhen Hospital (HKUSZH) was reviewed since the first charity project held in 2015. The parameters of this audit were focused on perioperative complications including anesthesia related problems, early postoperative complications in patients who underwent primary or secondary cleft surgeries. A total of 430 consecutive admitted cases of 311 non-syndromic cleft lip & palate patients were enrolled into the charity project from June 2015 to July 2024. The main anesthesia related complications that occurred during general anesthesia were respiratory tract problems, while intraoperative complication was excessive bleeding, so as wound local infection and reaction were the main early postoperative complications. Results: In our 9-year clinical audit of 430 cleft lip and palate charity surgeries in Shenzhen, we observed no mortalities and a anesthesia-related complication rate of 1.16%. Specific intraoperative complications included excessive bleeding, while early postoperative issues were dominated by wound infections. The fistula rate of 18.7% post palate repair and the average hospital stay of 3.71 days complete the profile of our surgical outcomes. These data underscore the project’s efficacy and offer a reference for international cleft missions aiming for safe and efficient surgical care. Conclusions: This study provides a thorough data review of the complications in the past 9 years charity missions for cleft lip and palate surgery in a well-structured hospital infrastructure and logistic support by local surgical team. There were no perioperative or postoperative death during the study period and the overall short-term complication rate was low. Therefore, it could be a reference model for other international cleft mission in developing country for a safe and efficient service in future.展开更多
Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology i...Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology influenced by complex genetic and environmental risk factors such as maternal bacterial or virus infection.A prior case-control study revealed a surprisingly strong association between maternal periodontal disease and CP in offspring.However,the precise relationship remains unclear.In this study,the relationship between maternal oral pathogen and CP in offspring was studied by sonicated P.gingivalis injected intravenously and orally into pregnant mice.We investigated an obvious increasing CP(12.5%)in sonicated P.gingivalis group which had inhibited osteogenesis in mesenchyme and blocked efferocytosis in epithelium.Then glycolysis and H4K12 lactylation(H4K12la)were detected to elevate in both mouse embryonic palatal mesenchyme(MEPM)cells and macrophages under P.gingivalis exposure which further promoted the transcription of metallopeptidase domain17(ADAM17),subsequently mediated the shedding of transforming growth factor-beta receptor 1(TGFBR1)in MEPM cells and mer tyrosine kinase(MerTK)in macrophages and resulted in the suppression of efferocytosis and osteogenesis in palate,eventually caused abnormalities in palate fusion and ossification.The abnormal efferocytosis also led to a predominance of M1 macrophages,which indirectly inhibited palatal osteogenesis via extracellular vesicles.Furthermore,pharmacological ADAM17 inhibition could ameliorate the abnormality of P.gingivalis-induced abnormal palate development.Therefore,our study extends the knowledge of how maternal oral pathogen affects fetal palate development and provides a novel perspective to understand the pathogenesis of CP.展开更多
Protein content plays a crucial role in determining the eating and cooking quality of rice.However,the genetic and molecular basis underlying grain protein content remains to be elucidated.In this study,we identified ...Protein content plays a crucial role in determining the eating and cooking quality of rice.However,the genetic and molecular basis underlying grain protein content remains to be elucidated.In this study,we identified a genomic region associated with grain protein content in rice chromosome segment substitution lines containing the flowering gene Ghd7.1,which reduced grain protein content by repressing the transcription of the gene OsAAP6.Knockout of Ghd7.1 increased grain protein content and decreased the eating and cooking quality of rice.Introduction of the functional haplotype of Ghd7.1 into two elite rice cultivars reduced their protein content and increased their eating quality and grain yield with no effect on the regulation of flowering time.Ghd7.1 might be used for regulating the protein content and improving the eating quality of rice varieties.展开更多
Acquired isolated palatal palsy is a rare disease.It is commonly seen in children.It usually presents with acute onset nasal regurgitation of fluids,rhinolalia,and palatal asymmetry.Many causes of this disease,such as...Acquired isolated palatal palsy is a rare disease.It is commonly seen in children.It usually presents with acute onset nasal regurgitation of fluids,rhinolalia,and palatal asymmetry.Many causes of this disease,such as infections,trauma,tumor,and brainstem lesions,etc.,have been reported.However,the most plausible explanation is immunological/ischemic damage to the affected nerve.After ruling out major potential causes of this disease,the damage is often considered to be idiopathic in nature.This disease has a benign self-limiting course with excellent recovery.In accordance with a hypothesized immunological basis for this condition,treatment with steroids results in significant improvement in its clinical features.展开更多
Orofacial clefts (OFCs) are the most common congenital craniofacial disorders, of which the etiology is closely related to rare coding variants. Filamin B (FLNB) is an actin-binding protein implicated in bone formatio...Orofacial clefts (OFCs) are the most common congenital craniofacial disorders, of which the etiology is closely related to rare coding variants. Filamin B (FLNB) is an actin-binding protein implicated in bone formation. FLNB mutations have been identified in several types of syndromic OFCs and previous studies suggest a role of FLNB in the onset of non-syndromic OFCs (NSOFCs). Here, we report two rare heterozygous variants (p.P441T and p.G565R) in FLNB in two unrelated hereditary families with NSOFCs. Bioinformatics analysis suggests that both variants may disrupt the function of FLNB. In mammalian cells, p.P441T and p.G565R variants are less potent to induce cell stretches than wild type FLNB, suggesting that they are loss-of-function mutations. Immunohistochemistry analysis demonstrates that FLNB is abundantly expressed during palatal development. Importantly, Flnb^(−/−) embryos display cleft palates and previously defined skeletal defects. Taken together, our findings reveal that FLNB is required for development of palates in mice and FLNB is a bona fide causal gene for NSOFCs in humans.展开更多
Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental c...Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental caries or trauma. The aim of this study is to describe the clinical and therapeutic aspects of these two cases of palatal cellulitis of post-traumatic dental origin. Observation: The patients consulted for painful palatal swelling secondary to untreated dental trauma of the 21s. The diagnosis of palatal cellulitis was based on the inflammatory and fluctuating nature of the swelling. A probabilistic bi-antibiotic treatment and an incision and drainage associated with treatment of the portal of entry were carried out. Progression was favourable in both cases. Conclusion: Palatal cellulitis is a rare condition and can be prevented by systematic stomatological consultation after dental trauma. Diagnosis is clinical. However, CT scans are sometimes useful. The course is generally favorable with appropriate treatment.展开更多
基金supported by Scientific Research Foundation for Returned Scholars of the Ministry of Education of China (No. 245027)the Science and Technology Planning Program of Guangdong Province (No. 2006B35801004)
文摘Aim The purpose of this study was to conduct quantitative research on bone height and bone mineral density of palatal implant sites for implantation, and to provide reference sites for safe and stable palatal implants. Methodology Three-dimensional reformatting images were reconstructed by cone beam computed tomography （CBCT） in 34 patients, aged 18 to 35 years, using EZ Implant software. Bone height was measured at 20 sites of interest on the palate. Bone mineral density was measured at the 10 sites with the highest implantation rate, classified using K-mean cluster analysis based on bone height and bone mineral density. Results According to the cluster analysis, 10 sites were classified into three clusters. Significant differences in bone height and bone mineral density were detected between these three clusters （P〈0.05）. The greatest bone height was obtained in cluster 2, followed by cluster 1 and cluster 3. The highest bone mineral density was found in cluster 3, followed by cluster 1 and cluster 2. Conclusion CBCT plays an important role in pre-surgical treatment planning. CBCT is helpful in identifying safe and stable implantation sites for palatal anchorage.
基金Supported by National Natural Science Foundation of China,No.82001037the Research and Develop Program,West China Hospital of Stomatology,Sichuan University,No.RD-02-202007.
文摘BACKGROUND A palatal radicular groove is an unusual developmental deformity of the tooth,which may serve as a channel linking the periodontal and periapical inflammation,and yet no literature could be obtained analyzing microbiota within the palatal radicular grooves.CASE SUMMARY Four patients diagnosed with palatal radicular groove and concomitant periodontal-endodontic deformity in permanent maxillary lateral incisors were enrolled in this work.Twelve bacterial samples from 4 patients were collected from different parts of the palatal radicular groove during intentional replantation surgery.Illumina sequencing was performed to analyze the taxonomical composition and microbiome structure inside the palatal grooves,and 1162 operational taxonomic units were obtained.The phyla of Firmicutes and Proteobacteria predominated in most of the samples.An unknown genus from the Bacillaceae family,Lactococcus,and Porphyromonas were the most abundant genera identified.There was no difference in the microbiota richness and diversity in three sections of the groove.CONCLUSION The unique ecological niches inside the palatal grooves harbored bacterial communities that shared some component features of both the endodontic and periodontal infections.The existence of palatal groove may play an interaction bridge between the root apex and tooth cervix and thus impair the outcome of traditional therapeutic methods such as root canal treatment and periodontal management.
文摘Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer.This paper presents two cases of objective tinnitus related to palatal tremor,along with a literature review.Palatal tremor is a condition characterized by soft palate involuntary contractions.Two types of palatal tremor have been described:symptomatic palatal tremor and essential palatal tremor,with different clinical manifestations.Diagnostic workup is based on medical history and physical examination,including direct oropharynx exploration and cavum visualization through nasopharyngoscopy.Brain MRI is mandatory in all cases.If a secondary origin is suspected,additional lab tests should be performed based on clinical suspicion.First-line treatment is botulinum toxin injection into the levator veli palatini and tensor veli palatini muscles,with velopharyngeal insufficiency being its main adverse effect.Other medications have not been shown to be effective.
文摘The aim of the present clinical case report is to describe the singular root canal anatomy and endodontic management of a maxillary second molar with two palatal roots and two separate canal orifices. A 60 years-old female Hispanic/Latino patient attended the Endodontic Department at University of Buenos Aires School of Dentistry with acute pain in her maxillary left second molar. Clinical radiographs examination revealed unusual root morphology. Cleaning and shaping were completed with 5.25% NaOCl irrigation, 15% EDTA solution and hand/rotary instruments. Filling was performed with gutta-percha points and resin-based sealer. After one year follow-up periapical radiographs and CBCT images showed healing in the area and patient was asymptomatic.
文摘One of the known complications of cleft palate surgery is development of fistula. This study highlights our experience with cleft palate surgery in relation to fistula occurrence at our center. This is one of the first studies of this kind in Oman. We retrospectively reviewed 362 records of cleft palate patients. The most common technique used for cleft palate repair at our center was Veau-Wardill-Kilner technique. In our series we have noticed palatal fistulae in 32% of cases. This high rate is partially due to inclusion of very anterior fistulas in patients with complete cleft lips and palates, which actually represent part of the alveolar cleft rather than breakdown of the palatal repair. This will be closed during time of alveolar bone grafting at a later stage. We recommend a future prospective controlled study to study the factors that lower the incidence of fistula in our population.
文摘Cyst is a fluid accumulated in a cavity lined by epithelium. Cyst over the hard palate is very infrequent. Cyst is commonly seen along nasoalveolar duct or midline palatal cyst which are congenital. Only few cases of palatine cysts have been reported in literature. We present here a case of 21 years old male with a cystic lesion over the hard palate since 2 years.
文摘<strong>Background:</strong> This paper aims to examine published articles between January 2008 and January 2019 on the different palatal surgeries performed on OSA patients and the treatment outcomes, which in turn will be used to determine the effectiveness of various palatal surgical techniques in treating OSAS and the most effective of the palatal surgical techniques in treating OSAS. <strong>Patients and Methods:</strong> The current review followed the guidelines of preferred reporting items for systematic reviews and meta-analysis statement 2009 (PRISMA). The quality of relevant studies was assessed using NIH quality assessment tool for observational cohort and cross-sectional studies as well as NIH tool for quality assessment for case series studies. <strong>Results:</strong> Meta-analyses of relevant studies showed that the surgical technique that achieved the best reduction on AHI (Apnea/Hypopnea Index) was the lateral pharyngoplasty followed by the Anterior Palatoplasty, with a significant mean reduction of [(SMD = −0.848, 95% CI (−1.209 - −0.487), p-value < 0.001) and (SMD = −0.864, 95% CI (−1.234 - −0.494), p-value < 0.001), respectively]. The technique responsible for the best improvement in Epworth Sleepiness Score (ESS) was the Relocation Pharyngoplasty, with a significant mean reduction of [SMD = −0.998, 95% CI (−1.253 - −0.743), p-value < 0.001]. Minimal O2 saturation level improved most with the Expansion Sphincter Pharyngoplasty, with a significant mean reduction of [SMD = 1.011, 95% CI (0.581 - 1.440), p-value < 0.001]. The surgical procedure that results in the best post-operative Visual Analogue Scale (VAS) was Z-Palatoplasty, with a significant mean reduction of [SMD = −1.551, 95% CI (−2.049 - −1.052), p-value < 0.001]. Soft palate length changes with a significant mean reduction of [SMD = −2.219, 95% CI (−2.730 - −1.708), p-value < 0.001]. Finally, meta-analyses of relevant studies showed that expansion sphincter pharyngoplasty achieved the overall highest success rate [event rate = 77%, 95% CI (65.4% - 85.5%), p-value < 0.001]. <strong>Conclusion:</strong> The best procedure for treating OSA varies from patient to patient and there is no universal cure-all. Careful patient selection and pre-operative evaluation are mandatory.
基金Supported by Jilin Province Science and Techology Development Plan Project(No.20150414032GH)
文摘· AIM: To reconstruct the extensive full-thickness defects of eyelids is a challenge for the plastic surgeon because of their complex anatomy and special functions.This article presents and discusses an improved surgical technique in which the orbicularis oculi myocutaneous flap is rotated through a "subcutaneous tunnel" in conjunction with a palatal mucosal graft employed for lining.·METHODS: Data from 22 eyes with extensive full-thickness eyelid defects from various causes between2009 and 2013 were analyzed in this study. After the different layers of eyelid were separated completely, a temporally based orbicularis oculi myocutaneous flap was designed following fishtail lines and was mobilized,leaving the base of the pedicle intact with a submuscular tissue attachment. The flap was then rotated through a "subcutaneous tunnel" to the defect, and the donor site was closed primarily. Posterior lamellar reconstruction was performed with a mucosal graft harvested from the hard palate.·RESULTS: All the flaps were survived without any healing problems. There was no corneal irritation, flap contraction, or significant donor-site morbidity in the follow-up period. The incision scars were almost invisible.The defects were repaired completely, and the evaluations showed satisfactory function and appearance.·CONCLUSION: This technique is an improved singlestage operation and can be applied to repair large, full-thickness eyelid defects from various causes. With our method, the functional and aesthetic results can be obtained in either the upper or lower eyelids.
文摘<strong>Objective:</strong> The purpose of this pilot study is to compare the transverse palatal widths in untreated adult cleft palate patients with normal adult patients. <strong>Methods and Materials:</strong> The study was conducted in Bangladesh recruiting 10 patients with adult sized untreated cleft palate and 15 patients with normal adult sized palates. The control group was comprised of 7 males and 8 females with a mean age of 30.5 ± 4.4 years. The affected group comprised of 7 males and 3 females with a mean age 17 ± 3.3 years. Alginate impressions of the maxillary arch were taken and poured into plaster dental casts. The inter-canine, inter-premolar and intermolar widths were measured to evaluate the maxillary growth pattern in patients with unoperated cleft palate. Due to the small sample size, both independent T-test and Mann Whitney non-parametric tests were performed to analyze the statistical significance of the data. <strong>Results:</strong> According to both the T-test and Mann Whitney non-parametric tests, the inter-premolar width including both the first and second premolars was statistically significantly smaller in the affected group with p values of 0.003 and 0.00 respectively. There was no significant difference in the inter-canine width between the affected and control group due to the variable canine position in cleft palate patients. Due to small sample size, no significant difference in the intermolar width between the affected and control group could be established. <strong>Conclusion:</strong> The interpremolar width is significantly smaller in patients with adult sized cleft palates than individuals with normal adult sized palates.
文摘Background:Palatal rugae are asymmetrical elevations present on hard palate and are significant due to their uniqueness,stability and thus,aid in forensic identification.Objective:The objective is to determine palatal rugae morphology between parents and their offsprings and to determine their genetic inheritance.Materials and Methods:This randomized controlled cross-sectional single-blinded study was conducted on 50 families(randomly selected)who visited Vyas Dental College and Hospital.A total of 150 maxillary study models were examined and rugae were delineated and shape,size,and pattern of rugae were recorded.Results:Weak but significant correlation was seen in the nonspecific and angular type of palatal rugae between child and mother and child and father as P<0.05.Matching with either or both of their parent was seen for curved,wavy,divergent,straight,horseshoe,angular,and nonspecific type of rugae with the higher%of wavy pattern matching(52%with mother and 54%with father).A considerable number of samples showed high heritability of primary and secondary rugae from both parents,but more predominantly to their mothers(branched,nonspecific,and straight).Conclusion:Both environmental and genetic factors can influence the rugae pattern.Further,studies should be conducted on a larger sample size to get more significant results.
基金supported by a GRF grant(#9041707/CityU 146611)from the Research Grants Council of the Government of the Hong Kong Special Administrative Region
文摘The study^1 evaluates the quantal theory by analyzing the articulatory-acoustic relations in the four Cantonese palatal vowels[i:y:i y]through investigating the sensitivity of vowel formant frequencies to variation of linguo-palatal constriction location and that of constriction size along the vocal tract length during the vowels,using KMA AG5 0 0.The articulatory-acoustic data obtained in this study show non-linear relationship between the up-down and front-back displacements in linguo-palatal constriction during the vowels and the acoustic consequences,which is similar to what the quantal theory claims.Moderate displacements in constriction location and constriction size result in large spectral changes.The level of sensitivity of formant frequencies to variation of tongue displacement is lower for the unrounded[i:i]than the rounded counterparts[y:y],suggesting the quantal nature is more apparent in[i:i]than[y:y].In general,for the Cantonese palatal vowels the levels of sensitivity of F1 to the variation of constriction location and that of constriction size are similar,whereas F2 is more sensitive to the variation of constriction size than to the variation of constriction location.The latter is similar to the articulatory-acoustic relations in the Knglish vowels reported in the previous studies.
基金Supported by the 90th Anniversary of Chulalongkorn University Fund(Ratchadapiseksomphot Endowment Fund)Ratchadapiseksompotch Funds,Graduate Affairs,Faculty of Medicine,Chulalongkorn University,Bangkok,Thailand,No.GA68/028.
文摘BACKGROUND Excipients may improve the palatability of polyethylene glycol(PEG),the firstline treatment for childhood functional constipation(FC),leading to good compliance and improved treatment outcomes.AIM To compare the developed PEG-based formula(PEG-Chula)to the commercial formula for treating childhood FC.METHODS In this randomized controlled trial,we enrolled children aged<18 years with FC diagnosed by the Rome Ⅳ criteria to receive PEG-Chula[four flavors:(1)Strawberry;(2)Lychee;(3)Apple;and(4)Lychee-rose]or Forlax(orange-grapefruit flavor)for eight weeks.The primary outcomes included changes in stool frequency and consistency measured by the Bristol Stool scale.The secondary outcomes were constipation-related symptom improvement,adverse events,and palatability measured by the facial hedonic scale.RESULTS Fifty-two children diagnosed with FC[median age:4.21(2.33,7.88)years;35(67.31%)females]were enrolled.After the 8-week treatment,the mean weekly stool frequency increased in both groups,the mean change was 4.02(95%CI:3.09-4.95)in PEG-Chula and 3.78(95%CI:2.79-4.78)in commercial PEG compared to baseline(P<0.001).The extent of stool consistency improvement did not differ significantly.The most preferred PEG-Chula flavor was rated more palatable than the commercial PEG.Treatment compliance correlated with medication palatability(r=0.34,P=0.013).No significant differences in adverse events were found.CONCLUSION Both PEG-based formulas are effective and safe for managing pediatric FC.
基金funded by Polish National Science Foundation(NCN)(grant No.2018/31/B/NZ8/02786,project title:“How do largescale disturbances influence the relationship between ungulate herbivory and natural regeneration in temperate forests?”)from the Ministry of Science and Higher Education of the Republic of Poland within the framework of statutory activities SUB/040011-D019/2020 of the Department of Forest Biodiversity,University of Agriculture in Krakow.
文摘Herbivorous ungulates are vital elements of forest ecosystems,yet their impact on tree regeneration and forest dynamics is challenging to assess.Despite their significant influence,few studies measure browsing pressure independently of precise ungulate population data.This study aimed to determine the regeneration mechanisms of palatable tree species in natural forest ecosystems by measuring the forage abundance from young trees of focal species and estimating the browsing pressure exerted by ungulates.We analyzed an extensive dataset of 2,838 tree saplings in two national parks in Poland to examine relationships between variables using a zero-intercept linear regression,and multiple linear regression models,and performed parametric and nonparametric tests.We found that the browsing intensity index(BI)is a good predictor of browsing pressure.Both total abundance and twig dry mass loss due to ungulate browsing were more pronounced in shorter saplings,with these effects decreasing as sapling height increased.Picea abies was the most abundant browse source in the Tatra National Park(TNP),whereas Fagus sylvatica dominated in the Roztocze National Park(RNP).Acer pseudoplatanus and Sorbus aucuparia experienced significantly higher browsing pressure in the TNP,whereas Carpinus betulus was more heavily browsed than other species in the RNP.The increase in browse abundance rapidly reduced ungulate browsing pressure on highly palatable tree species.We conclude that despite the high browsing pressure on the palatable species,the contribution of browse from focal species helps to mitigate this pressure and supports their regeneration in the forest canopy.Therefore,this finding provides valuable insights for managing and conserving tree species vulnerable to ungulate browsing in natural forest ecosystems.In addition,the method we used in this study is novel to estimate browsing pressure and assess the recruitment potential of vulnerable tree species;hence,it can be applied in large-scale studies with similar scenarios.
文摘Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have been held regularly in China. The purpose of this audit was a retrospective analysis of a 9-year cleft lip and palate charity project operated in a tertiary hospital in China Shenzhen Area to evaluate perioperative and postoperative complications. Nevertheless, understanding the risk profile is essential for establishing a sustainable in-house cleft service in Shenzhen. Methods: A detailed analysis of hospital centralized record in the The University of Hong Kong-Shenzhen Hospital (HKUSZH) was reviewed since the first charity project held in 2015. The parameters of this audit were focused on perioperative complications including anesthesia related problems, early postoperative complications in patients who underwent primary or secondary cleft surgeries. A total of 430 consecutive admitted cases of 311 non-syndromic cleft lip & palate patients were enrolled into the charity project from June 2015 to July 2024. The main anesthesia related complications that occurred during general anesthesia were respiratory tract problems, while intraoperative complication was excessive bleeding, so as wound local infection and reaction were the main early postoperative complications. Results: In our 9-year clinical audit of 430 cleft lip and palate charity surgeries in Shenzhen, we observed no mortalities and a anesthesia-related complication rate of 1.16%. Specific intraoperative complications included excessive bleeding, while early postoperative issues were dominated by wound infections. The fistula rate of 18.7% post palate repair and the average hospital stay of 3.71 days complete the profile of our surgical outcomes. These data underscore the project’s efficacy and offer a reference for international cleft missions aiming for safe and efficient surgical care. Conclusions: This study provides a thorough data review of the complications in the past 9 years charity missions for cleft lip and palate surgery in a well-structured hospital infrastructure and logistic support by local surgical team. There were no perioperative or postoperative death during the study period and the overall short-term complication rate was low. Therefore, it could be a reference model for other international cleft mission in developing country for a safe and efficient service in future.
基金funded by grants from the National Natural Science Foundation of China(grant numbers 82170912 and 82370910)the Beijing Stomatological Hospital,Capital Medical University Young Scientist Program(No.YSP202404).
文摘Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology influenced by complex genetic and environmental risk factors such as maternal bacterial or virus infection.A prior case-control study revealed a surprisingly strong association between maternal periodontal disease and CP in offspring.However,the precise relationship remains unclear.In this study,the relationship between maternal oral pathogen and CP in offspring was studied by sonicated P.gingivalis injected intravenously and orally into pregnant mice.We investigated an obvious increasing CP(12.5%)in sonicated P.gingivalis group which had inhibited osteogenesis in mesenchyme and blocked efferocytosis in epithelium.Then glycolysis and H4K12 lactylation(H4K12la)were detected to elevate in both mouse embryonic palatal mesenchyme(MEPM)cells and macrophages under P.gingivalis exposure which further promoted the transcription of metallopeptidase domain17(ADAM17),subsequently mediated the shedding of transforming growth factor-beta receptor 1(TGFBR1)in MEPM cells and mer tyrosine kinase(MerTK)in macrophages and resulted in the suppression of efferocytosis and osteogenesis in palate,eventually caused abnormalities in palate fusion and ossification.The abnormal efferocytosis also led to a predominance of M1 macrophages,which indirectly inhibited palatal osteogenesis via extracellular vesicles.Furthermore,pharmacological ADAM17 inhibition could ameliorate the abnormality of P.gingivalis-induced abnormal palate development.Therefore,our study extends the knowledge of how maternal oral pathogen affects fetal palate development and provides a novel perspective to understand the pathogenesis of CP.
基金supported by the National Natural Science Foundation of China(32272071,No.32261143466)the Major Program of Science and Technology Development of Wuhan,China(2022021302024850)the Key Project for Research and Development of Hubei Province,China(2023BBB027)。
文摘Protein content plays a crucial role in determining the eating and cooking quality of rice.However,the genetic and molecular basis underlying grain protein content remains to be elucidated.In this study,we identified a genomic region associated with grain protein content in rice chromosome segment substitution lines containing the flowering gene Ghd7.1,which reduced grain protein content by repressing the transcription of the gene OsAAP6.Knockout of Ghd7.1 increased grain protein content and decreased the eating and cooking quality of rice.Introduction of the functional haplotype of Ghd7.1 into two elite rice cultivars reduced their protein content and increased their eating quality and grain yield with no effect on the regulation of flowering time.Ghd7.1 might be used for regulating the protein content and improving the eating quality of rice varieties.
文摘Acquired isolated palatal palsy is a rare disease.It is commonly seen in children.It usually presents with acute onset nasal regurgitation of fluids,rhinolalia,and palatal asymmetry.Many causes of this disease,such as infections,trauma,tumor,and brainstem lesions,etc.,have been reported.However,the most plausible explanation is immunological/ischemic damage to the affected nerve.After ruling out major potential causes of this disease,the damage is often considered to be idiopathic in nature.This disease has a benign self-limiting course with excellent recovery.In accordance with a hypothesized immunological basis for this condition,treatment with steroids results in significant improvement in its clinical features.
基金supported by the National Natural Science Foundation of China(No.81870747,82170916,81900984,and 82001030)the Fundamental Research Funds for the Central Universities(PKU2022XGK001)+2 种基金Natural Science Foundation of Beijing Municipality(7182184)Xi'an“Science and Technology+”Action Plan-Medical Research Project(20YXYJ0010[1])the Fundamental Research Funds for the Central Universities(xzy012020110).
文摘Orofacial clefts (OFCs) are the most common congenital craniofacial disorders, of which the etiology is closely related to rare coding variants. Filamin B (FLNB) is an actin-binding protein implicated in bone formation. FLNB mutations have been identified in several types of syndromic OFCs and previous studies suggest a role of FLNB in the onset of non-syndromic OFCs (NSOFCs). Here, we report two rare heterozygous variants (p.P441T and p.G565R) in FLNB in two unrelated hereditary families with NSOFCs. Bioinformatics analysis suggests that both variants may disrupt the function of FLNB. In mammalian cells, p.P441T and p.G565R variants are less potent to induce cell stretches than wild type FLNB, suggesting that they are loss-of-function mutations. Immunohistochemistry analysis demonstrates that FLNB is abundantly expressed during palatal development. Importantly, Flnb^(−/−) embryos display cleft palates and previously defined skeletal defects. Taken together, our findings reveal that FLNB is required for development of palates in mice and FLNB is a bona fide causal gene for NSOFCs in humans.
文摘Introduction: Palatal abscess or cellulitis of dental origin is a rare clinical form of circumscribed cellulitis that can sometimes pose a diagnostic problem. It is the consequence of poor or non-treatment of dental caries or trauma. The aim of this study is to describe the clinical and therapeutic aspects of these two cases of palatal cellulitis of post-traumatic dental origin. Observation: The patients consulted for painful palatal swelling secondary to untreated dental trauma of the 21s. The diagnosis of palatal cellulitis was based on the inflammatory and fluctuating nature of the swelling. A probabilistic bi-antibiotic treatment and an incision and drainage associated with treatment of the portal of entry were carried out. Progression was favourable in both cases. Conclusion: Palatal cellulitis is a rare condition and can be prevented by systematic stomatological consultation after dental trauma. Diagnosis is clinical. However, CT scans are sometimes useful. The course is generally favorable with appropriate treatment.
