The ability of human deciduous tooth dental pulp cells（HDDPCs） to differentiate into odontoblasts that generate mineralized tissue holds immense potential for therapeutic use in the field of tooth regenerative medic...The ability of human deciduous tooth dental pulp cells（HDDPCs） to differentiate into odontoblasts that generate mineralized tissue holds immense potential for therapeutic use in the field of tooth regenerative medicine. Realization of this potential depends on efficient and optimized protocols for the genetic manipulation of HDDPCs. In this study, we demonstrate the use of a Piggy Bac（PB）-based gene transfer system as a method for introducing nonviral transposon DNA into HDDPCs and HDDPC-derived inducible pluripotent stem cells. The transfection efficiency of the PB-based system was significantly greater than previously reported for electroporation-based transfection of plasmid DNA. Using the neomycin resistance gene as a selection marker, HDDPCs were stably transfected at a rate nearly 40-fold higher than that achieved using conventional methods. Using this system, it was also possible to introduce two constructs simultaneously into a single cell. The resulting stable transfectants, expressing td Tomato and enhanced green fluorescent protein, exhibited both red and green fluorescence. The established cell line did not lose the acquired phenotype over three months of culture. Based on our results, we concluded that PB is superior to currently available methods for introducing plasmid DNA into HDDPCs. There may be significant challenges in the direct clinical application of this method for human dental tissue engineering due to safety risks and ethical concerns. However, the high level of transfection achieved with PB may have significant advantages in basic scientific research for dental tissue engineering applications, such as functional studies of genes and proteins. Furthermore, it is a useful tool for the isolation of genetically engineered HDDPC-derived stem cells for studies in tooth regenerative medicine.展开更多
Intentional tooth replantation(ITR)is an advanced treatment modality and the procedure of last resort for preserving teeth with inaccessible endodontic or resorptive lesions.ITR is defined as the deliberate extraction...Intentional tooth replantation(ITR)is an advanced treatment modality and the procedure of last resort for preserving teeth with inaccessible endodontic or resorptive lesions.ITR is defined as the deliberate extraction of a tooth;evaluation of the root surface,endodontic manipulation,and repair;and placement of the tooth back into its original socket.Case reports,case series,cohort studies,and randomized controlled trials have demonstrated the efficacy of ITR in the retention of natural teeth that are untreatable or difficult to manage with root canal treatment or endodontic microsurgery.However,variations in clinical protocols for ITR exist due to the empirical nature of the original protocols and rapid advancements in the field of oral biology and dental materials.This heterogeneity in protocols may cause confusion among dental practitioners;therefore,guidelines and considerations for ITR should be explicated.This expert consensus discusses the biological foundation of ITR,the available clinical protocols and current status of ITR in treating teeth with refractory apical periodontitis or anatomical aberration,and the main complications of this treatment,aiming to refine the clinical management of ITR in accordance with the progress of basic research and clinical studies;the findings suggest that ITR may become a more consistent evidence-based option in dental treatment.展开更多
The contact characteristics of the rough tooth surface during the meshing process are significantly affected by the lubrication state.The coupling effect of tooth surface roughness and lubrication on meshing character...The contact characteristics of the rough tooth surface during the meshing process are significantly affected by the lubrication state.The coupling effect of tooth surface roughness and lubrication on meshing characteristics of planetary gear is studied.An improved three-dimensional(3 D)anisotropic tooth surface roughness fractal model is proposed based on the experimental parameters.Considering asperity contact and elastohydrodynamic lubrication(EHL),the contact load and flexibility deformation of the tooth surface are derived,and the deformation compatibility equation of the 3 D loaded tooth contact analysis(3 D-LTCA)method is improved.The asperity of the tooth surface changes the system from EHL to mixed lubrication and reduces the stiffness of the oil film.Compared with the sun planet gear,the asperity has a greater effect on the meshing characteristics of the ring-planet gear.Compared with the proposed method,the comprehensive stiffness obtained by the traditional calculation method considering the lubrication effect is smaller,especially for the ring-planet gear.Compared with roughness,speed and viscosity,the meshing characteristics of planetary gears are most sensitive to torque.展开更多
Tooth cracks may occur in spiral bevel gear transmission system of the aerospace equipment.In this study,an accurate and efficient loaded tooth contact analysis(LTCA)model is developed to predict the contact behavior ...Tooth cracks may occur in spiral bevel gear transmission system of the aerospace equipment.In this study,an accurate and efficient loaded tooth contact analysis(LTCA)model is developed to predict the contact behavior and time-varying meshing stiffness(TVMS)of spiral bevel gear pair with cracked tooth.The tooth is sliced,and the contact points on slices are computed using roll angle surfaces.Considering the geometric complexity of crack surface,a set of procedures is formulated to generate spatial crack and determine crack parameters for contact points.According to the positional relationship between contact point and crack path,each sliced tooth is modeled as a non-uniform cantilever beam with varying reduced effective load-bearing tooth thickness.Then the compliance model of the cracked tooth is established to perform contact analysis,along with TVMS calculations utilizing three different models.By employing spiral bevel gear pairs with distinct types of cracks as examples,the accuracy and efficiency of the developed approach are validated via comparative analyses with finite element analysis(FEA)outcomes.Furthermore,the investigation on effects of cracks shows that tooth cracks can induce alterations in meshing performance of both entire gear pair and individual tooth pairs,including not only cracked tooth pair but also adjacent non-cracked tooth pairs.Hence,the proposed model can serve as a useful tool for analyzing the variations in contact behavior and meshing stiffness of spiral bevel gears due to different cracks.展开更多
The regulatory processes in developmental biology research are significantly influenced by long non-coding RNAs(lncRNAs).However,the dynamics of lncRNA expression during human tooth development remain poorly understoo...The regulatory processes in developmental biology research are significantly influenced by long non-coding RNAs(lncRNAs).However,the dynamics of lncRNA expression during human tooth development remain poorly understood.In this research,we examined the lncRNAs present in the dental epithelium(DE)and dental mesenchyme(DM)at the late bud,cap,and early bell stages of human fetal tooth development through bulk RNA sequencing.Developmental regulators co-expressed with neighboring lncRNAs were significantly enriched in odontogenesis.Specific lncRNAs expressed in the DE and DM,such as PANCR,MIR205HG,DLX6-AS1,and DNM3OS,were identified through a combination of bulk RNA sequencing and single-cell analysis.Further subcluster analysis revealed lncRNAs specifically expressed in important regions of the tooth germ,such as the inner enamel epithelium and coronal dental papilla(CDP).Functionally,we demonstrated that CDP-specific DLX6-AS1 enhanced odontoblastic differentiation in human tooth germ mesenchymal cells and dental pulp stem cells.These findings suggest that lncRNAs could serve as valuable cell markers for tooth development and potential therapeutic targets for tooth regeneration.展开更多
Tissue interactions play a crucial role in tooth development.Notably,extracellular vesicle-mediated interactions between the mandible and tooth germ are considered essential.Here,we revealed that mandible extracellula...Tissue interactions play a crucial role in tooth development.Notably,extracellular vesicle-mediated interactions between the mandible and tooth germ are considered essential.Here,we revealed that mandible extracellular vesicles could modulate the proliferation and differentiation of dental mesenchymal cells by regulating the histone demethylase KDM2B.Further investigation showed that mandible derived extracellular vesicles could deliver miR-206 to KDM2B,thereby regulating tooth development.An animal study demonstrated that the miR-206/KDM2B pathway affected tooth morphogenesis and mineralization after eight weeks of subcutaneous transplantation in nude mice.In conclusion,this study suggested that the mandible played a critical role in tooth morphogenesis and mineralization,which could be a potential therapeutic target for abnormal tooth development and an alternative model for tooth regeneration.展开更多
Corticotomy is a clinical procedure to accelerate orthodontic tooth movement characterized by the regional acceleratory phenomenon(RAP).Despite its therapeutic effects,the surgical risk and unclear mechanism hamper th...Corticotomy is a clinical procedure to accelerate orthodontic tooth movement characterized by the regional acceleratory phenomenon(RAP).Despite its therapeutic effects,the surgical risk and unclear mechanism hamper the clinical application.Numerous evidences support macrophages as the key immune cells during bone remodeling.Our study discovered that the monocyte-derived macrophages primarily exhibited a pro-inflammatory phenotype that dominated bone remodeling in corticotomy by CX3CR1CreERT2;R26GFP lineage tracing system.Fluorescence staining,flow cytometry analysis,and western blot determined the significantly enhanced expression of binding immunoglobulin protein(BiP)and emphasized the activation of sensor activating transcription factor 6(ATF6)in macrophages.Then,we verified that macrophage specific ATF6 deletion(ATF6f/f;CX3CR1CreERT2 mice)decreased the proportion of pro-inflammatory macrophages and therefore blocked the acceleration effect of corticotomy.In contrast,macrophage ATF6 overexpression exaggerated the acceleration of orthodontic tooth movement.In vitro experiments also proved that higher proportion of pro-inflammatory macrophages was positively correlated with higher expression of ATF6.At the mechanism level,RNA-seq and CUT&Tag analysis demonstrated that ATF6 modulated the macrophage-orchestrated inflammation through interacting with Tnfαpromotor and augmenting its transcription.Additionally,molecular docking simulation and dual-luciferase reporter system indicated the possible binding sites outside of the traditional endoplasmic reticulum-stress response element(ERSE).Taken together,ATF6 may aggravate orthodontic bone remodeling by promoting Tnfαtranscription in macrophages,suggesting that ATF6 may represent a promising therapeutic target for non-invasive accelerated orthodontics.展开更多
Spiral bevel gears are critical transmission components,and are widely used in the aerospace field.This paper proposes a new multi-DOF envelope forming process for fabricating spiral bevel gears.Firstly,the multi-DOF ...Spiral bevel gears are critical transmission components,and are widely used in the aerospace field.This paper proposes a new multi-DOF envelope forming process for fabricating spiral bevel gears.Firstly,the multi-DOF envelope forming principle of spiral bevel gears is proposed.Secondly,the design methods for the envelope tool geometry and movement are proposed based on the envelope geometry and movement relationships.Thirdly,the metal flow and tooth filling laws are revealed through 3D FE simulation of the multi-DOF envelope forming process of a typical spiral bevel gear.Fourthly,a new method for separating the envelope tool and the formed spiral bevel gear with back taper tooth is proposed to avoid their interference.Finally,experiments on multi-DOF envelope forming of this typical spiral bevel gear are conducted using new heavy load multi-DOF envelope forming equipment.The simulation and experimental results show the feasibility of the proposed multi-DOF envelope forming process for fabricating spiral bevel gears with back taper tooth and the corresponding process design methods.展开更多
Background: Tooth loss results in impaired mastication, which in turn, makes it difficult to chew hard food, consequently leading to deteriorate dietary habits and to develop hypertension. The purpose of this study wa...Background: Tooth loss results in impaired mastication, which in turn, makes it difficult to chew hard food, consequently leading to deteriorate dietary habits and to develop hypertension. The purpose of this study was to examine the effect of tooth loss on blood pressure among Congolese population. Methods: A cross-sectional study was conducted from October 2019 until December 2023 among Congolese population aged at least 30 years reporting to the living in DR Congo. All participants were enrolled from Dental Clinic located in the DR Congo. To be eligible to participate in the study, were the willing to participate and having signed informed consent;had a missing tooth;had carried out blood pressure measurement (hypertension/normotensive). The exclusion criteria were determined: being less than 30 years old, being pregnant for women considering the risk of existing gestational hypertension, obesity, excessive alcohol consumption, smoking, and diabetes. Hypertension was defined as the mean of three measurements of systolic blood pressure (SBP) (140 mmHg or higher), diastolic blood pressure (DBP) (90 mm or higher) or physician diagnosed hypertension confirmed from medical records. We determined the number of tooth loss from oral examination. A multivariable logistic regression model was used to investigate the effect of tooth loss on blood pressure. Results: In all, 25,396 participants were enrolled among Congolese population for this study. After oral examination, 13,421 were excluded for no tooth loss and 11,975 participants were selected. The average number of tooth loss among study population was 11.06. Among the participants with hypertension had lost an average of 11 teeth, significantly higher than those without hypertension (6.09) (p = 0.001). After adjusting for covariates (socio-demographic characteristics), tooth loss (>10) was significantly associated with hypertension, with OR = 1.32 (95% CI 1.073 - 2.38). Conclusion: Tooth loss maybe associated with severe hypertension among Congolese population adults. Prevention of tooth loss is very important to the overall health of this population.展开更多
Neurodegeneration involves a wide range of neuropathological alterations affecting the integrity,physiology,and architecture of neural cells.Many studies have demonstrated neurodegeneration in different animals.In the...Neurodegeneration involves a wide range of neuropathological alterations affecting the integrity,physiology,and architecture of neural cells.Many studies have demonstrated neurodegeneration in different animals.In the case of Alzheimer's disease(AD),spontaneous animal models should display two neurohistopathological hallmarks:the deposition ofβ-amyloid and the arrangement of neurofibrillary tangles.However,no natural animal models that fulfill these conditions have been reported and most research into AD has been performed using transgenic rodents.Recent studies have also demonstrated that toothed whales-homeothermic,long-lived,top predatory marine mammals-show neuropathological signs of AD-like pathology.The neuropathological hallmarks in these cetaceans could help to better understand their endangered health as well as neurodegenerative diseases in humans.This systematic review analyzes all the literature published to date on this trending topic and the proposed causes for neurodegeneration in these iconic marine mammals are approached in the context of One Health/Planetary Health and translational medicine.展开更多
Meshing temperature analyses of polymer gears reported in the literature mainly concern the effects of various material combinations and loading conditions,as their impacts could be seen in the first few meshing cycle...Meshing temperature analyses of polymer gears reported in the literature mainly concern the effects of various material combinations and loading conditions,as their impacts could be seen in the first few meshing cycles.However,the effects of tooth geometry parameters could manifest as the meshing cycles increase.This study investigated the effects of tooth geometry parameters on the multi-cycle meshing temperature of polyoxymethylene(POM)worm gears,aiming to control the meshing temperature elevation by tuning the tooth geometry.Firstly,a finite element(FE)model capable of separately calculating the heat generation and simulating the heat propagation was established.Moreover,an adaptive iteration algorithm was proposed within the FE framework to capture the influence of the heat generation variation from cycle to cycle.This algorithm proved to be feasible and highly efficient compared with experimental results from the literature and simulated results via the full-iteration algorithm.Multi-cycle meshing temperature analyses were conducted on a series of POM worm gears with different tooth geometry parameters.The results reveal that,within the range of 14.5°to 25°,a pressure angle of 25°is favorable for reducing the peak surface temperature and overall body temperature of POM worm gears,which influence flank wear and load-carrying capability,respectively.However,addendum modification should be weighed because it helps with load bearing but increases the risk of severe flank wear.This paper proposes an efficient iteration algorithm for multi-cycle meshing temperature analysis of polymer gears and proves the feasibility of controlling the meshing temperature elevation during multiple cycles by tuning tooth geometry.展开更多
Based on the finite-discrete element method,a three-dimensional numerical model for axial impact rock breaking was established and validated.A computational method for energy conversion during impact rock breaking was...Based on the finite-discrete element method,a three-dimensional numerical model for axial impact rock breaking was established and validated.A computational method for energy conversion during impact rock breaking was proposed,and the effects of conical tooth forward rake angle,rock temperature,and impact velocity on rock breaking characteristics and energy transfer laws were analyzed.The results show that during single impact rock breaking with conical tooth bits,merely 7.52%to 12.51%of the energy is utilized for rock breaking,while a significant 57.26%to 78.10%is dissipated as frictional loss.An insufficient forward rake angle increases tooth penetration depth and frictional loss,whereas an excessive forward rake angle reduces penetration capability,causing bit rebound and greater energy absorption by the drill rod.Thus,an optimal forward rake angle exists.Regarding environmental factors,high temperatures significantly enhance impact-induced rock breaking.Thermal damage from high temperatures reduces rock strength and inhibits its energy absorption.Finally,higher impact velocities intensify rock damage,yet excessively high velocities increase frictional loss and reduce the proportion of energy absorbed by the rock,thereby failing to substantially improve rock breaking efficiency.An optimal impact velocity exists.展开更多
Short rotation plantation forestry(SRF)is being widely adopted to increase wood production,in order to meet global demand for wood products.However,to ensure maximum gains from SRF,optimised management regimes need to...Short rotation plantation forestry(SRF)is being widely adopted to increase wood production,in order to meet global demand for wood products.However,to ensure maximum gains from SRF,optimised management regimes need to be established by integrating robust predictions and an understanding of mechanisms underlying tree growth.Hybrid ecophysiological models,such as potentially useable light sum equation(PULSE)models,are useful tools requiring minimal input data that meet the requirements of SRF.PULSE models have been tested and calibrated for different evergreen conifers and broadleaves at both juvenile and mature stages of tree growth with coarse soil and climate data.Therefore,it is prudent to question:can adding detailed soil and climatic data reduce errors in this type of model?In addition,PULSE techniques have not been used to model deciduous species,which are a challenge for ecophysiological models due to their phenology.This study developed a PULSE model for a clonal Populus tomentosa plantation in northern China using detailed edaphic and climatic data.The results showed high precision and low bias in height(m)and basal area(m^(2)·ha^(-1))predictions.While detailed edaphoclimatic data produce highly precise predictions and a good mechanistic understanding,the study suggested that local climatic data could also be employed.The study showed that PULSE modelling in combination with coarse level of edaphic and local climate data resulted in reasonably precise tree growth prediction and minimal bias.展开更多
Gross primary production(GPP)is a crucial indicator representing the absorption of atmospheric CO_(2) by vegetation.At present,the estimation of GPP by remote sensing is mainly based on leaf-related vegetation indexes...Gross primary production(GPP)is a crucial indicator representing the absorption of atmospheric CO_(2) by vegetation.At present,the estimation of GPP by remote sensing is mainly based on leaf-related vegetation indexes and leaf-related biophysical para-meter leaf area index(LAI),which are not completely synchronized in seasonality with GPP.In this study,we proposed chlorophyll content-based light use efficiency model(CC-LUE)to improve GPP estimates,as chlorophyll is the direct site of photosynthesis,and only the light absorbed by chlorophyll is used in the photosynthetic process.The CC-LUE model is constructed by establishing a linear correlation between satellite-derived canopy chlorophyll content(Chlcanopy)and FPAR.This method was calibrated and validated utiliz-ing 7-d averaged in-situ GPP data from 14 eddy covariance flux towers covering deciduous broadleaf forest ecosystems across five dif-ferent climate zones.Results showed a relatively robust seasonal consistency between Chlcanopy with GPP in deciduous broadleaf forests under different climatic conditions.The CC-LUE model explained 88% of the in-situ GPP seasonality for all validation site-year and 56.0% of in-situ GPP variations through the growing season,outperforming the three widely used LUE models(MODIS-GPP algorithm,Vegetation Photosynthesis Model(VPM),and the eddy covariance-light use efficiency model(EC-LUE)).Additionally,the CC-LUE model(RMSE=0.50 g C/(m^(2)·d))significantly improved the underestimation of GPP during the growing season in semi-arid region,re-markably decreasing the root mean square error of averaged growing season GPP simulation and in-situ GPP by 75.4%,73.4%,and 37.5%,compared with MOD17(RMSE=2.03 g C/(m^(2)·d)),VPM(RMSE=1.88 g C/(m^(2)·d)),and EC-LUE(RMSE=0.80 g C/(m^(2)·d))model.The chlorophyll-based method proved superior in capturing the seasonal variations of GPP in forest ecosystems,thereby provid-ing the possibility of a more precise depiction of forest seasonal carbon uptake.展开更多
BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered...BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns.展开更多
Background: Vasovagal syncope (VVS) is a neurogenic reflex-mediated fainting episode characterized by sudden, transient, and self-limiting symptoms. While VVS accounts for a significant portion (around 60%) of emergen...Background: Vasovagal syncope (VVS) is a neurogenic reflex-mediated fainting episode characterized by sudden, transient, and self-limiting symptoms. While VVS accounts for a significant portion (around 60%) of emergent medical events in dental practice, it remains an underrecognized condition among dental professionals, often misdiagnosed as hypoglycemia, conversion disorder, or epilepsy. This case report describes a VVS episode induced by tooth extraction, aiming to improve dental clinicians’ awareness and diagnostic approach to VVS. Case Presentation: A 35-year-old female visited the dental department in April 2022 with a two-year history of food impaction in the upper right molar. Examination revealed an elongated, discolored, and tender tooth 18, lacking proper occlusion with the opposing tooth. After confirming no contraindications, the tooth was extracted using a minimally invasive technique. Following the procedure, the patient experienced dizziness upon standing;her blood pressure was 69/47 mmHg, and her heart rate was 65 bpm. The nursing staff assisted her to sit as she showed limb weakness, closed eyes, and briefly lost consciousness. Oxygen was administered, and her blood glucose was 6.5. Blood pressure later improved to 124/78 mmHg, with a pulse of 62 bpm. Oral glucose was given, which she vomited, and emergency services were called. Upon arrival, the patient was alert and cooperative. Neurology consultation and imaging (MRI, MRA, and DWI) ruled out cerebral infarction, initially diagnosing a conversion disorder. A subsequent tilt-table test, including sublingual nitroglycerin, induced a marked blood pressure drop and symptoms confirming a diagnosis of vasovagal syncope (VVS). Conclusions: This case shows that preoperative anxiety, fear, and prolonged waiting can trigger vasovagal reflex during tooth extraction, especially in patients with anxiety or cardiac arrhythmias. For such patients, preoperative precautions and intraoperative cardiac monitoring are advised. In cases of VVS, quick actions like monitoring blood pressure, placing the patient in a supine position, providing oxygen, and administering IV fluids or medications like atropine, if necessary, can help stabilize the patient.展开更多
Background: An independent relationship between tooth loss and hypertension appears to exist. Objectives: The aim of this study was to systematically review the relationship between tooth loss/number of teeth and hype...Background: An independent relationship between tooth loss and hypertension appears to exist. Objectives: The aim of this study was to systematically review the relationship between tooth loss/number of teeth and hypertension. Materials and Methods: This review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. We searched all the relevant studies in international databases of PubMed and Google Scholar search engines from January 2000 to December 2023. Results: Fourteen studies (11 cross sectionals, 2 descriptives and 1 Cohort) met the inclusion criteria for this review. Most cross-sectional studies showed that participants with more tooth loss exhibited a greater proportion of hypertension and higher systolic blood pressure than those with less tooth loss. Cohort study showed that the loss of 8 or more teeth was associated with a higher risk of developing hypertension. Descriptive studies reported that missing teeth were marginally significantly associated with hypertension. Conclusion: This study has revealed a significantly higher SBP in patients with fewer remaining teeth or more tooth loss. In addition, those with more tooth loss showed a higher risk of hypertension than those with less tooth loss.展开更多
In dentistry, panoramic X-ray images are extensively used by dentists for tooth structure analysis and disease diagnosis. However, the manual analysis of these images is time-consuming and prone to misdiagnosis or ove...In dentistry, panoramic X-ray images are extensively used by dentists for tooth structure analysis and disease diagnosis. However, the manual analysis of these images is time-consuming and prone to misdiagnosis or overlooked. While deep learning techniques have been employed to segment teeth in panoramic X-ray images, accurate segmentation of individual teeth remains an underexplored area. In this study, we propose an end-to-end deep learning method that effectively addresses this challenge by employing an improved combinatorial loss function to separate the boundaries of adjacent teeth, enabling precise segmentation of individual teeth in panoramic X-ray images. We validate the feasibility of our approach using a challenging dataset. By training our segmentation network on 115 panoramic X-ray images, we achieve an intersection over union (IoU) of 86.56% for tooth segmentation and an accuracy of 65.52% in tooth counting on 87 test set images. Experimental results demonstrate the significant improvement of our proposed method in single tooth segmentation compared to existing methods.展开更多
Neurite outgrowth inhibitor A(Nogo-A)is a major player in neural development and regeneration and the target of clinical trials aiming at promoting the regeneration of the central nervous system upon traumatic and isc...Neurite outgrowth inhibitor A(Nogo-A)is a major player in neural development and regeneration and the target of clinical trials aiming at promoting the regeneration of the central nervous system upon traumatic and ischemic injury.In this work,we investigated the functions of Nogo-A during tooth development to determine its role in dental physiology and pathology.Using immunohistochemistry and in situ hybridization techniques,we showed that Nogo-A is highly expressed in the developing mouse teeth and,most specifically,in the ameloblasts that are responsible for the formation of enamel.Using both Nogo-A knockout and K14-Cre;Nogo-A fl/fltransgenic mice,we showed that Nogo-A deletion in the dental epithelium leads to the formation of defective enamel.This phenotype is associated with overexpression of a set of specific genes involved in ameloblast differentiation and enamel matrix production,such as amelogenin,ameloblastin and enamelin.By characterising the interactome of Nogo-A in the dental epithelium of wild-type and mutant animals,we found that Nogo-A directly interacts with molecules important for regulating gene expression,and its deletion disturbs their cellular localisation.Furthermore,we demonstrated that inhibition of the intracellular,but not cell-surface,Nogo-A is responsible for gene expression modulation in ameloblasts.Taken together,these results reveal an unexpected function for Nogo-A in tooth enamel formation by regulating gene expression and cytodifferentiation events.展开更多
Due to the excellent self-centering and load-carrying capability,curvic couplings have been widely used in advanced aero-engine rotors.However,curvic tooth surface errors lead to poor assembly precision.Traditional ph...Due to the excellent self-centering and load-carrying capability,curvic couplings have been widely used in advanced aero-engine rotors.However,curvic tooth surface errors lead to poor assembly precision.Traditional physical-master-gauge-based indirect tooth surface error measurement and circumferential assembly angle optimization methods have the disadvantages of high cost and weak generality.The unknown tooth surface fitting mechanism is a big barrier to assembly precision prediction and improvement.Therefore,this work puts forward a data-driven assembly simulation and optimization approach for aero-engine rotors connected by curvic couplings.The origin of curvic tooth surface error is deeply investigated.Using 5-axis sweep scan method,a large amount of high-precision curvic tooth surface data are acquired efficiently.Based on geometric models of parts,the fitting mechanism of curvic couplings is uncovered for assembly precision simulation and prediction.A circumferential assembly angle optimization model is developed to decrease axial and radial assembly runouts.Experimental results show that the assembly precision can be predicted accurately and improved dramatically.By uncovering the essential principle of the assembly precision formation and proposing circumferential assembly angle optimization model,this work is meaningful for assembly quality,efficiency and economy improvement of multistage aero-engine rotors connected by curvic couplings.展开更多
基金supported in part by a Grant-in-Aid for Scientific Research (C) (grant no. 25463192) from the Ministry of Education, Science, Sports, Culture, and Technology of Japan
文摘The ability of human deciduous tooth dental pulp cells（HDDPCs） to differentiate into odontoblasts that generate mineralized tissue holds immense potential for therapeutic use in the field of tooth regenerative medicine. Realization of this potential depends on efficient and optimized protocols for the genetic manipulation of HDDPCs. In this study, we demonstrate the use of a Piggy Bac（PB）-based gene transfer system as a method for introducing nonviral transposon DNA into HDDPCs and HDDPC-derived inducible pluripotent stem cells. The transfection efficiency of the PB-based system was significantly greater than previously reported for electroporation-based transfection of plasmid DNA. Using the neomycin resistance gene as a selection marker, HDDPCs were stably transfected at a rate nearly 40-fold higher than that achieved using conventional methods. Using this system, it was also possible to introduce two constructs simultaneously into a single cell. The resulting stable transfectants, expressing td Tomato and enhanced green fluorescent protein, exhibited both red and green fluorescence. The established cell line did not lose the acquired phenotype over three months of culture. Based on our results, we concluded that PB is superior to currently available methods for introducing plasmid DNA into HDDPCs. There may be significant challenges in the direct clinical application of this method for human dental tissue engineering due to safety risks and ethical concerns. However, the high level of transfection achieved with PB may have significant advantages in basic scientific research for dental tissue engineering applications, such as functional studies of genes and proteins. Furthermore, it is a useful tool for the isolation of genetically engineered HDDPC-derived stem cells for studies in tooth regenerative medicine.
文摘Intentional tooth replantation(ITR)is an advanced treatment modality and the procedure of last resort for preserving teeth with inaccessible endodontic or resorptive lesions.ITR is defined as the deliberate extraction of a tooth;evaluation of the root surface,endodontic manipulation,and repair;and placement of the tooth back into its original socket.Case reports,case series,cohort studies,and randomized controlled trials have demonstrated the efficacy of ITR in the retention of natural teeth that are untreatable or difficult to manage with root canal treatment or endodontic microsurgery.However,variations in clinical protocols for ITR exist due to the empirical nature of the original protocols and rapid advancements in the field of oral biology and dental materials.This heterogeneity in protocols may cause confusion among dental practitioners;therefore,guidelines and considerations for ITR should be explicated.This expert consensus discusses the biological foundation of ITR,the available clinical protocols and current status of ITR in treating teeth with refractory apical periodontitis or anatomical aberration,and the main complications of this treatment,aiming to refine the clinical management of ITR in accordance with the progress of basic research and clinical studies;the findings suggest that ITR may become a more consistent evidence-based option in dental treatment.
基金Project(2024A1515240020)supported by the Guangdong Basic and Applied Basic Research Foundation,China。
文摘The contact characteristics of the rough tooth surface during the meshing process are significantly affected by the lubrication state.The coupling effect of tooth surface roughness and lubrication on meshing characteristics of planetary gear is studied.An improved three-dimensional(3 D)anisotropic tooth surface roughness fractal model is proposed based on the experimental parameters.Considering asperity contact and elastohydrodynamic lubrication(EHL),the contact load and flexibility deformation of the tooth surface are derived,and the deformation compatibility equation of the 3 D loaded tooth contact analysis(3 D-LTCA)method is improved.The asperity of the tooth surface changes the system from EHL to mixed lubrication and reduces the stiffness of the oil film.Compared with the sun planet gear,the asperity has a greater effect on the meshing characteristics of the ring-planet gear.Compared with the proposed method,the comprehensive stiffness obtained by the traditional calculation method considering the lubrication effect is smaller,especially for the ring-planet gear.Compared with roughness,speed and viscosity,the meshing characteristics of planetary gears are most sensitive to torque.
基金co-supported by the National Natural Science Foundation of China (No. 52175104)the Postdoctoral Fellowship Program of CPSF (No. GZC20233008)
文摘Tooth cracks may occur in spiral bevel gear transmission system of the aerospace equipment.In this study,an accurate and efficient loaded tooth contact analysis(LTCA)model is developed to predict the contact behavior and time-varying meshing stiffness(TVMS)of spiral bevel gear pair with cracked tooth.The tooth is sliced,and the contact points on slices are computed using roll angle surfaces.Considering the geometric complexity of crack surface,a set of procedures is formulated to generate spatial crack and determine crack parameters for contact points.According to the positional relationship between contact point and crack path,each sliced tooth is modeled as a non-uniform cantilever beam with varying reduced effective load-bearing tooth thickness.Then the compliance model of the cracked tooth is established to perform contact analysis,along with TVMS calculations utilizing three different models.By employing spiral bevel gear pairs with distinct types of cracks as examples,the accuracy and efficiency of the developed approach are validated via comparative analyses with finite element analysis(FEA)outcomes.Furthermore,the investigation on effects of cracks shows that tooth cracks can induce alterations in meshing performance of both entire gear pair and individual tooth pairs,including not only cracked tooth pair but also adjacent non-cracked tooth pairs.Hence,the proposed model can serve as a useful tool for analyzing the variations in contact behavior and meshing stiffness of spiral bevel gears due to different cracks.
基金supported by the National Key Research and Development Program(2022YFA1104401)Beijing Municipal Government grant(Beijing Laboratory of Oral Health,PXM2021-014226-000041)+3 种基金Beijing Municipal Govemment(Beijing Scholar Program,PXM2021-014226-000020)National Natural Science Foundation of China(82030031,92149301,81991504,L2224038,82270945)Innovation Research Team Project of Beijing Stomatological Hospital,Capital Medical University(CXTD202201)Chinese Research Unit of Tooth Development and Regeneration,Academy of Medical Sciences(2019-12M-5-031).
文摘The regulatory processes in developmental biology research are significantly influenced by long non-coding RNAs(lncRNAs).However,the dynamics of lncRNA expression during human tooth development remain poorly understood.In this research,we examined the lncRNAs present in the dental epithelium(DE)and dental mesenchyme(DM)at the late bud,cap,and early bell stages of human fetal tooth development through bulk RNA sequencing.Developmental regulators co-expressed with neighboring lncRNAs were significantly enriched in odontogenesis.Specific lncRNAs expressed in the DE and DM,such as PANCR,MIR205HG,DLX6-AS1,and DNM3OS,were identified through a combination of bulk RNA sequencing and single-cell analysis.Further subcluster analysis revealed lncRNAs specifically expressed in important regions of the tooth germ,such as the inner enamel epithelium and coronal dental papilla(CDP).Functionally,we demonstrated that CDP-specific DLX6-AS1 enhanced odontoblastic differentiation in human tooth germ mesenchymal cells and dental pulp stem cells.These findings suggest that lncRNAs could serve as valuable cell markers for tooth development and potential therapeutic targets for tooth regeneration.
基金supported by the National Natural Science Foundation of China(No.82071078,82370939)the Shaanxi Provincial High-level Talent Program and Young Talent Support Plan of Xi’an Jiaotong University.
文摘Tissue interactions play a crucial role in tooth development.Notably,extracellular vesicle-mediated interactions between the mandible and tooth germ are considered essential.Here,we revealed that mandible extracellular vesicles could modulate the proliferation and differentiation of dental mesenchymal cells by regulating the histone demethylase KDM2B.Further investigation showed that mandible derived extracellular vesicles could deliver miR-206 to KDM2B,thereby regulating tooth development.An animal study demonstrated that the miR-206/KDM2B pathway affected tooth morphogenesis and mineralization after eight weeks of subcutaneous transplantation in nude mice.In conclusion,this study suggested that the mandible played a critical role in tooth morphogenesis and mineralization,which could be a potential therapeutic target for abnormal tooth development and an alternative model for tooth regeneration.
基金supported by the National Natural Science Foundation of China(82071143,82371000,82270361)Key Research and Development Program of Jiangsu Province(BE2022795)+2 种基金the Postgraduate Research&Practice Innovation Program of Jiangsu Province(KYCX22_1801)the Jiangsu Province Capability Improvement Project through the Science,Technology and Education-Jiangsu Provincial Research Hospital Cultivation Unit(YJXYYJSDW4)Jiangsu Provincial Medical Innovation Center(CXZX202227).
文摘Corticotomy is a clinical procedure to accelerate orthodontic tooth movement characterized by the regional acceleratory phenomenon(RAP).Despite its therapeutic effects,the surgical risk and unclear mechanism hamper the clinical application.Numerous evidences support macrophages as the key immune cells during bone remodeling.Our study discovered that the monocyte-derived macrophages primarily exhibited a pro-inflammatory phenotype that dominated bone remodeling in corticotomy by CX3CR1CreERT2;R26GFP lineage tracing system.Fluorescence staining,flow cytometry analysis,and western blot determined the significantly enhanced expression of binding immunoglobulin protein(BiP)and emphasized the activation of sensor activating transcription factor 6(ATF6)in macrophages.Then,we verified that macrophage specific ATF6 deletion(ATF6f/f;CX3CR1CreERT2 mice)decreased the proportion of pro-inflammatory macrophages and therefore blocked the acceleration effect of corticotomy.In contrast,macrophage ATF6 overexpression exaggerated the acceleration of orthodontic tooth movement.In vitro experiments also proved that higher proportion of pro-inflammatory macrophages was positively correlated with higher expression of ATF6.At the mechanism level,RNA-seq and CUT&Tag analysis demonstrated that ATF6 modulated the macrophage-orchestrated inflammation through interacting with Tnfαpromotor and augmenting its transcription.Additionally,molecular docking simulation and dual-luciferase reporter system indicated the possible binding sites outside of the traditional endoplasmic reticulum-stress response element(ERSE).Taken together,ATF6 may aggravate orthodontic bone remodeling by promoting Tnfαtranscription in macrophages,suggesting that ATF6 may represent a promising therapeutic target for non-invasive accelerated orthodontics.
基金the National Science and Technology Major Project of China(No.2019-VII0017e0158)the National Natural Science Foundation of China(No.U21A20131)+1 种基金the Industry-University Research Cooperation Project,China(No.HFZL2020CXY025)the National Key Laboratory of Science and Technology on Helicopter Transmission,China(No.HTL-O-21G05).
文摘Spiral bevel gears are critical transmission components,and are widely used in the aerospace field.This paper proposes a new multi-DOF envelope forming process for fabricating spiral bevel gears.Firstly,the multi-DOF envelope forming principle of spiral bevel gears is proposed.Secondly,the design methods for the envelope tool geometry and movement are proposed based on the envelope geometry and movement relationships.Thirdly,the metal flow and tooth filling laws are revealed through 3D FE simulation of the multi-DOF envelope forming process of a typical spiral bevel gear.Fourthly,a new method for separating the envelope tool and the formed spiral bevel gear with back taper tooth is proposed to avoid their interference.Finally,experiments on multi-DOF envelope forming of this typical spiral bevel gear are conducted using new heavy load multi-DOF envelope forming equipment.The simulation and experimental results show the feasibility of the proposed multi-DOF envelope forming process for fabricating spiral bevel gears with back taper tooth and the corresponding process design methods.
文摘Background: Tooth loss results in impaired mastication, which in turn, makes it difficult to chew hard food, consequently leading to deteriorate dietary habits and to develop hypertension. The purpose of this study was to examine the effect of tooth loss on blood pressure among Congolese population. Methods: A cross-sectional study was conducted from October 2019 until December 2023 among Congolese population aged at least 30 years reporting to the living in DR Congo. All participants were enrolled from Dental Clinic located in the DR Congo. To be eligible to participate in the study, were the willing to participate and having signed informed consent;had a missing tooth;had carried out blood pressure measurement (hypertension/normotensive). The exclusion criteria were determined: being less than 30 years old, being pregnant for women considering the risk of existing gestational hypertension, obesity, excessive alcohol consumption, smoking, and diabetes. Hypertension was defined as the mean of three measurements of systolic blood pressure (SBP) (140 mmHg or higher), diastolic blood pressure (DBP) (90 mm or higher) or physician diagnosed hypertension confirmed from medical records. We determined the number of tooth loss from oral examination. A multivariable logistic regression model was used to investigate the effect of tooth loss on blood pressure. Results: In all, 25,396 participants were enrolled among Congolese population for this study. After oral examination, 13,421 were excluded for no tooth loss and 11,975 participants were selected. The average number of tooth loss among study population was 11.06. Among the participants with hypertension had lost an average of 11 teeth, significantly higher than those without hypertension (6.09) (p = 0.001). After adjusting for covariates (socio-demographic characteristics), tooth loss (>10) was significantly associated with hypertension, with OR = 1.32 (95% CI 1.073 - 2.38). Conclusion: Tooth loss maybe associated with severe hypertension among Congolese population adults. Prevention of tooth loss is very important to the overall health of this population.
文摘Neurodegeneration involves a wide range of neuropathological alterations affecting the integrity,physiology,and architecture of neural cells.Many studies have demonstrated neurodegeneration in different animals.In the case of Alzheimer's disease(AD),spontaneous animal models should display two neurohistopathological hallmarks:the deposition ofβ-amyloid and the arrangement of neurofibrillary tangles.However,no natural animal models that fulfill these conditions have been reported and most research into AD has been performed using transgenic rodents.Recent studies have also demonstrated that toothed whales-homeothermic,long-lived,top predatory marine mammals-show neuropathological signs of AD-like pathology.The neuropathological hallmarks in these cetaceans could help to better understand their endangered health as well as neurodegenerative diseases in humans.This systematic review analyzes all the literature published to date on this trending topic and the proposed causes for neurodegeneration in these iconic marine mammals are approached in the context of One Health/Planetary Health and translational medicine.
基金Supported by National Key R&D Program of China(Grant No.2019YFE0121300)。
文摘Meshing temperature analyses of polymer gears reported in the literature mainly concern the effects of various material combinations and loading conditions,as their impacts could be seen in the first few meshing cycles.However,the effects of tooth geometry parameters could manifest as the meshing cycles increase.This study investigated the effects of tooth geometry parameters on the multi-cycle meshing temperature of polyoxymethylene(POM)worm gears,aiming to control the meshing temperature elevation by tuning the tooth geometry.Firstly,a finite element(FE)model capable of separately calculating the heat generation and simulating the heat propagation was established.Moreover,an adaptive iteration algorithm was proposed within the FE framework to capture the influence of the heat generation variation from cycle to cycle.This algorithm proved to be feasible and highly efficient compared with experimental results from the literature and simulated results via the full-iteration algorithm.Multi-cycle meshing temperature analyses were conducted on a series of POM worm gears with different tooth geometry parameters.The results reveal that,within the range of 14.5°to 25°,a pressure angle of 25°is favorable for reducing the peak surface temperature and overall body temperature of POM worm gears,which influence flank wear and load-carrying capability,respectively.However,addendum modification should be weighed because it helps with load bearing but increases the risk of severe flank wear.This paper proposes an efficient iteration algorithm for multi-cycle meshing temperature analysis of polymer gears and proves the feasibility of controlling the meshing temperature elevation during multiple cycles by tuning tooth geometry.
基金Supported by Major Instrument Project of National Natural Science Foundation of China(52327803)Major Project of National Natural Science Foundation of China(52192622).
文摘Based on the finite-discrete element method,a three-dimensional numerical model for axial impact rock breaking was established and validated.A computational method for energy conversion during impact rock breaking was proposed,and the effects of conical tooth forward rake angle,rock temperature,and impact velocity on rock breaking characteristics and energy transfer laws were analyzed.The results show that during single impact rock breaking with conical tooth bits,merely 7.52%to 12.51%of the energy is utilized for rock breaking,while a significant 57.26%to 78.10%is dissipated as frictional loss.An insufficient forward rake angle increases tooth penetration depth and frictional loss,whereas an excessive forward rake angle reduces penetration capability,causing bit rebound and greater energy absorption by the drill rod.Thus,an optimal forward rake angle exists.Regarding environmental factors,high temperatures significantly enhance impact-induced rock breaking.Thermal damage from high temperatures reduces rock strength and inhibits its energy absorption.Finally,higher impact velocities intensify rock damage,yet excessively high velocities increase frictional loss and reduce the proportion of energy absorbed by the rock,thereby failing to substantially improve rock breaking efficiency.An optimal impact velocity exists.
基金The National Key Research and Development Program of China(Grant No.2021YFD2201203)the 5·5 Engineering Research&Innovation Team Project of Beijing Forestry University(No.BLRC2023C05)the Key Research and Development Program of Shandong Province(No.2021SFGC02050102)。
文摘Short rotation plantation forestry(SRF)is being widely adopted to increase wood production,in order to meet global demand for wood products.However,to ensure maximum gains from SRF,optimised management regimes need to be established by integrating robust predictions and an understanding of mechanisms underlying tree growth.Hybrid ecophysiological models,such as potentially useable light sum equation(PULSE)models,are useful tools requiring minimal input data that meet the requirements of SRF.PULSE models have been tested and calibrated for different evergreen conifers and broadleaves at both juvenile and mature stages of tree growth with coarse soil and climate data.Therefore,it is prudent to question:can adding detailed soil and climatic data reduce errors in this type of model?In addition,PULSE techniques have not been used to model deciduous species,which are a challenge for ecophysiological models due to their phenology.This study developed a PULSE model for a clonal Populus tomentosa plantation in northern China using detailed edaphic and climatic data.The results showed high precision and low bias in height(m)and basal area(m^(2)·ha^(-1))predictions.While detailed edaphoclimatic data produce highly precise predictions and a good mechanistic understanding,the study suggested that local climatic data could also be employed.The study showed that PULSE modelling in combination with coarse level of edaphic and local climate data resulted in reasonably precise tree growth prediction and minimal bias.
基金Under the auspices of the National Key Research and Development Program of China(No.2019YFA0606603)。
文摘Gross primary production(GPP)is a crucial indicator representing the absorption of atmospheric CO_(2) by vegetation.At present,the estimation of GPP by remote sensing is mainly based on leaf-related vegetation indexes and leaf-related biophysical para-meter leaf area index(LAI),which are not completely synchronized in seasonality with GPP.In this study,we proposed chlorophyll content-based light use efficiency model(CC-LUE)to improve GPP estimates,as chlorophyll is the direct site of photosynthesis,and only the light absorbed by chlorophyll is used in the photosynthetic process.The CC-LUE model is constructed by establishing a linear correlation between satellite-derived canopy chlorophyll content(Chlcanopy)and FPAR.This method was calibrated and validated utiliz-ing 7-d averaged in-situ GPP data from 14 eddy covariance flux towers covering deciduous broadleaf forest ecosystems across five dif-ferent climate zones.Results showed a relatively robust seasonal consistency between Chlcanopy with GPP in deciduous broadleaf forests under different climatic conditions.The CC-LUE model explained 88% of the in-situ GPP seasonality for all validation site-year and 56.0% of in-situ GPP variations through the growing season,outperforming the three widely used LUE models(MODIS-GPP algorithm,Vegetation Photosynthesis Model(VPM),and the eddy covariance-light use efficiency model(EC-LUE)).Additionally,the CC-LUE model(RMSE=0.50 g C/(m^(2)·d))significantly improved the underestimation of GPP during the growing season in semi-arid region,re-markably decreasing the root mean square error of averaged growing season GPP simulation and in-situ GPP by 75.4%,73.4%,and 37.5%,compared with MOD17(RMSE=2.03 g C/(m^(2)·d)),VPM(RMSE=1.88 g C/(m^(2)·d)),and EC-LUE(RMSE=0.80 g C/(m^(2)·d))model.The chlorophyll-based method proved superior in capturing the seasonal variations of GPP in forest ecosystems,thereby provid-ing the possibility of a more precise depiction of forest seasonal carbon uptake.
文摘BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns.
文摘Background: Vasovagal syncope (VVS) is a neurogenic reflex-mediated fainting episode characterized by sudden, transient, and self-limiting symptoms. While VVS accounts for a significant portion (around 60%) of emergent medical events in dental practice, it remains an underrecognized condition among dental professionals, often misdiagnosed as hypoglycemia, conversion disorder, or epilepsy. This case report describes a VVS episode induced by tooth extraction, aiming to improve dental clinicians’ awareness and diagnostic approach to VVS. Case Presentation: A 35-year-old female visited the dental department in April 2022 with a two-year history of food impaction in the upper right molar. Examination revealed an elongated, discolored, and tender tooth 18, lacking proper occlusion with the opposing tooth. After confirming no contraindications, the tooth was extracted using a minimally invasive technique. Following the procedure, the patient experienced dizziness upon standing;her blood pressure was 69/47 mmHg, and her heart rate was 65 bpm. The nursing staff assisted her to sit as she showed limb weakness, closed eyes, and briefly lost consciousness. Oxygen was administered, and her blood glucose was 6.5. Blood pressure later improved to 124/78 mmHg, with a pulse of 62 bpm. Oral glucose was given, which she vomited, and emergency services were called. Upon arrival, the patient was alert and cooperative. Neurology consultation and imaging (MRI, MRA, and DWI) ruled out cerebral infarction, initially diagnosing a conversion disorder. A subsequent tilt-table test, including sublingual nitroglycerin, induced a marked blood pressure drop and symptoms confirming a diagnosis of vasovagal syncope (VVS). Conclusions: This case shows that preoperative anxiety, fear, and prolonged waiting can trigger vasovagal reflex during tooth extraction, especially in patients with anxiety or cardiac arrhythmias. For such patients, preoperative precautions and intraoperative cardiac monitoring are advised. In cases of VVS, quick actions like monitoring blood pressure, placing the patient in a supine position, providing oxygen, and administering IV fluids or medications like atropine, if necessary, can help stabilize the patient.
文摘Background: An independent relationship between tooth loss and hypertension appears to exist. Objectives: The aim of this study was to systematically review the relationship between tooth loss/number of teeth and hypertension. Materials and Methods: This review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. We searched all the relevant studies in international databases of PubMed and Google Scholar search engines from January 2000 to December 2023. Results: Fourteen studies (11 cross sectionals, 2 descriptives and 1 Cohort) met the inclusion criteria for this review. Most cross-sectional studies showed that participants with more tooth loss exhibited a greater proportion of hypertension and higher systolic blood pressure than those with less tooth loss. Cohort study showed that the loss of 8 or more teeth was associated with a higher risk of developing hypertension. Descriptive studies reported that missing teeth were marginally significantly associated with hypertension. Conclusion: This study has revealed a significantly higher SBP in patients with fewer remaining teeth or more tooth loss. In addition, those with more tooth loss showed a higher risk of hypertension than those with less tooth loss.
文摘In dentistry, panoramic X-ray images are extensively used by dentists for tooth structure analysis and disease diagnosis. However, the manual analysis of these images is time-consuming and prone to misdiagnosis or overlooked. While deep learning techniques have been employed to segment teeth in panoramic X-ray images, accurate segmentation of individual teeth remains an underexplored area. In this study, we propose an end-to-end deep learning method that effectively addresses this challenge by employing an improved combinatorial loss function to separate the boundaries of adjacent teeth, enabling precise segmentation of individual teeth in panoramic X-ray images. We validate the feasibility of our approach using a challenging dataset. By training our segmentation network on 115 panoramic X-ray images, we achieve an intersection over union (IoU) of 86.56% for tooth segmentation and an accuracy of 65.52% in tooth counting on 87 test set images. Experimental results demonstrate the significant improvement of our proposed method in single tooth segmentation compared to existing methods.
基金supported by institutional funds from the University of Zurich(T.A.M)and from the Knut and Alice Wallenberg Foundation(C.C.)by additional competitive funds from the Swiss National Science Foundation(SNSF+2 种基金research grant 31003A_179389)(T.A.M.)from the Swiss Dental Association(SSOresearch grant 313-19)(T.A.M.,P.P.)。
文摘Neurite outgrowth inhibitor A(Nogo-A)is a major player in neural development and regeneration and the target of clinical trials aiming at promoting the regeneration of the central nervous system upon traumatic and ischemic injury.In this work,we investigated the functions of Nogo-A during tooth development to determine its role in dental physiology and pathology.Using immunohistochemistry and in situ hybridization techniques,we showed that Nogo-A is highly expressed in the developing mouse teeth and,most specifically,in the ameloblasts that are responsible for the formation of enamel.Using both Nogo-A knockout and K14-Cre;Nogo-A fl/fltransgenic mice,we showed that Nogo-A deletion in the dental epithelium leads to the formation of defective enamel.This phenotype is associated with overexpression of a set of specific genes involved in ameloblast differentiation and enamel matrix production,such as amelogenin,ameloblastin and enamelin.By characterising the interactome of Nogo-A in the dental epithelium of wild-type and mutant animals,we found that Nogo-A directly interacts with molecules important for regulating gene expression,and its deletion disturbs their cellular localisation.Furthermore,we demonstrated that inhibition of the intracellular,but not cell-surface,Nogo-A is responsible for gene expression modulation in ameloblasts.Taken together,these results reveal an unexpected function for Nogo-A in tooth enamel formation by regulating gene expression and cytodifferentiation events.
基金co-supported by the National Basic Research Project(Nos.J2022-VII-0001-0043 and 2017-VII-0010-0104)the Fundamental Research Funds for the Central Universities,and the National Natural Science Foundation of China(No.72231008)。
文摘Due to the excellent self-centering and load-carrying capability,curvic couplings have been widely used in advanced aero-engine rotors.However,curvic tooth surface errors lead to poor assembly precision.Traditional physical-master-gauge-based indirect tooth surface error measurement and circumferential assembly angle optimization methods have the disadvantages of high cost and weak generality.The unknown tooth surface fitting mechanism is a big barrier to assembly precision prediction and improvement.Therefore,this work puts forward a data-driven assembly simulation and optimization approach for aero-engine rotors connected by curvic couplings.The origin of curvic tooth surface error is deeply investigated.Using 5-axis sweep scan method,a large amount of high-precision curvic tooth surface data are acquired efficiently.Based on geometric models of parts,the fitting mechanism of curvic couplings is uncovered for assembly precision simulation and prediction.A circumferential assembly angle optimization model is developed to decrease axial and radial assembly runouts.Experimental results show that the assembly precision can be predicted accurately and improved dramatically.By uncovering the essential principle of the assembly precision formation and proposing circumferential assembly angle optimization model,this work is meaningful for assembly quality,efficiency and economy improvement of multistage aero-engine rotors connected by curvic couplings.
