Orthodontic forces have been reported to significantly increase nicotine-induced periodontal bone loss. At present, however, it is unknown, which further （side） effects can be expected during orthodontic treatment a...Orthodontic forces have been reported to significantly increase nicotine-induced periodontal bone loss. At present, however, it is unknown, which further （side） effects can be expected during orthodontic treatment at a nicotine exposure corresponding to that of an average European smoker. 63 male Fischer344 rats were randomized in three consecutive experiments of 21 animals each （A/B/C） to 3 experimental groups （7 rats, 112/3）. （A） cone-beam-computed tomography （CBCT）; （B） histology/serology; （C） reverse- transcription quantitative real-time polymerase chain reaction （RT-qPCR）/cotinine serology--（1） control; （2） orthodontic tooth movement （OTM） of the first and second upper left molar （NiTi closed coil spring, 0.25 N）; （3） OTM with 1.89 mg-kg- 1 per day s.c. of L（- ）-nicotine. After 14 days of OTM, serum cotinine and IL-6 concentration as well as orthodontically induced inflammatory root resorption （OIIRR）, osteoclast activity （histology）, orthodontic tooth movement velocity （CBCT, within 14 and 28 days of OTM） and relative gene expression of known inflammatory and osteoclast markers were quantified in the dental-periodontal tissue （RT-qPCR）. Animals exposed to nicotine showed significantly heightened serum cotinine and IL-6 levels corresponding to those of regular European smokers. Both the extent of root resorption, osteoclast activity, orthodontic tooth movement and gene expression of inflammatory and osteoclast markers were significantly increased compared to controls with and without OTM under the influence of nicotine. We conclude that apart from increased periodontal bone loss, a progression of dental root resorption and accelerated orthodontic tooth movement are to be anticipated during orthodontic therapy, if nicotine consumption is present. Thus patients should be informed about these risks and the necessity of nicotine abstinence during treatment.展开更多
This study evaluated,over a 4-month study period,the amount of apical root resorption occurring in maxillary central incisors following their retraction when employing either micro-implant or J-hook headgear anchorage...This study evaluated,over a 4-month study period,the amount of apical root resorption occurring in maxillary central incisors following their retraction when employing either micro-implant or J-hook headgear anchorage.The prospective randomised clinical trial was conducted in Orthodontic Clinic,College of Stomatology,China from 2008-2009.Subjects are patients requiring fixed appliances on waiting list (n=20).In female Han Chinese patients aged from 16-26 years,standardized periapical radiographs from 10 randomly assigned patients with maxillary protrusions comprising the micro-implant group,and from 10 similar patients comprising the J-hook headgear group,were assessed for maxillary central incisor apical root resorption.Measurements before and after orthodontic therapy were also obtained from lateral cephalometric radiographs to calculate incisor horizontal retraction and vertical intrusion distances.Estimated retraction force vectors were calculated in horizontal and vertical directions for both treatment groups.Data analysis employed t-tests and the Pearson correlation test,with α=0.05 for statistical significance.The results showed that when compared with the J-hook group,significantly more apical root resorption shortening of the maxillary central incisors was observed in the micro-implant group (1.27 mm difference,95% CI=0.70-1.84,P<0.001),which was associated with a significantly larger retraction distance (P=0.004) and a smaller vertical force component (P<0.0001).We are led to conclude that continuous activation of the nickel-titanium coil springs used in the micro-implant group resulted in significantly more apical root resorption shortening and maxillary central incisor retraction than when intermittent J-hook retraction was employed.The employment of continuous duration orthodontic forces presents a risk for increased apical root resorption that requires careful radiographic monitoring.展开更多
Summary： The purpose of this study was to develop a new way to localize the impacted canines from three dimensions and to investigate the root resorption of the adjacent teeth by using cone beam computed tomography ...Summary： The purpose of this study was to develop a new way to localize the impacted canines from three dimensions and to investigate the root resorption of the adjacent teeth by using cone beam computed tomography （CBCT）. Forty-six patients undergoing orthodontic treatments and having impacted canines in Tongii Hospital were examined. The images of CBCT scans were obtained from KaVo 3D exam vision. Angular and linear measurements of the cusp tip and root apex according to the three planes （mid-sagittal, occlusal and frontal） have been taken using the cephalometric tool of the InVivo Dental Anatomage Version 5.1.10. The measurements of the angular and linear coordinates of the maxillary and mandibular canines were obtained. Using this technique the operators could envision the location of the impacted canine according to the three clinical planes. Adjacent teeth root resorption.of 28.26 % was in the upper lateral incisors while 17.39% in upper central incisors, but no lower root resorption was found in our samples. Accurate and reliable localization of the impacted canines could be obtained from the novel analysis system, which offers a better surgical and orthodontic treatment for the patients with impacted canines.展开更多
This case presents an unusual transposition of an impacted canine on the central incisor that provides a multidisciplinary approach to its resolution. The patient comes to the consultation for mobility of the central ...This case presents an unusual transposition of an impacted canine on the central incisor that provides a multidisciplinary approach to its resolution. The patient comes to the consultation for mobility of the central incisor. Clinically, tooth mobility was confirmed with tooth crowding and persistence of the temporary canine. Cone beam tomography (CBCT) observed the atypical position of the permanent canine that caused root resorption of the ipsilateral central incisor and the need to extract both teeth. The conservative treatment of the bone structures during the dental enucleation of the impacted canine carried out by odontosection and the immediate bone grafting of the defect projected an acceptable regeneration of the bone volume for the insertion of the implant. The orthodontic treatment managed to correct the bite, position the upper premolar in the place of the canine tooth and maintain the space to place the implant in the central incisor. The three-year follow-up shows maintenance of the peri-implant crestal bone level, the success of orthodontic treatment with recovery of the patient’s function and aesthetics.展开更多
Introduction: One of the most common risks of fixed orthodontic therapy is the evidence of root resorption post orthodontic treatment ranging from mild root blunting to severe root resorption of significant portions o...Introduction: One of the most common risks of fixed orthodontic therapy is the evidence of root resorption post orthodontic treatment ranging from mild root blunting to severe root resorption of significant portions of the root structure. The etiology of apical root resorption is multifactorial but largely depends upon the type of orthodontic tooth movement and treatment duration. Study Objective: The primary aim of this study is to examine the association of external apical root resorption and vertical correction in anterior open bite malocclusions using panoramic radiographs for evaluation. Materials and Methods: Pre-treatment and post-treatment panoramic radiographs of 16 patients with anterior open bite malocclusions were scored to assess root resorption of anterior teeth (U/L 3-3). Initial and final root length and total tooth length for U/L 3-3 were measured on panoramic radiographs in Dolphin imaging. Results: Of the 24 pairs of measurements, 7 had a significant p-value (p Conclusions: A statistically significant amount of root resorption was observed, from pre-treatment to post-treatment radiographs. All mandibular anterior teeth except the mandibular right lateral incisors showed evidence of root resorption.展开更多
Root resorption is a significant complication in orthodontic treatment,with thin roots and reciprocal movement being recognized as high-risk factors.This paper reports a case of a 19-year-old female patient who underw...Root resorption is a significant complication in orthodontic treatment,with thin roots and reciprocal movement being recognized as high-risk factors.This paper reports a case of a 19-year-old female patient who underwent orthodontic treatment for dental irregularity.The patient had thin roots in the maxillary lateral incisors 12 and 22.During treatment,tooth 22 experienced reciprocal movement of labial expansion followed by retraction,while tooth 12 adopted passive ligation to reduce reciprocal movement.After 23 months of straight-wire extraction treatment,good occlusal relationships were achieved,but significant root resorption occurred in teeth 12 and 22,with tooth 22 showing more severe resorption.This case confirms the synergistic effect between thin roots and reciprocal movement,demonstrating that thin roots are more sensitive to reciprocal movement stimulation,producing a synergistic amplification effect.Additionally,standardized nursing guidance and patient compliance management play important roles in reducing resorption risk.This case emphasizes the importance of pretreatment risk assessment,individualized treatment strategy formulation,and comprehensive nursing intervention throughout treatment,providing reference for clinical prevention of root resorption.展开更多
BACKGROUND Canines are the most important teeth in the dentition.Usually,doctors choose to remove premolars rather than canines.Canine extraction is extremely rare in orthodontic treatment.However,dentists sometimes e...BACKGROUND Canines are the most important teeth in the dentition.Usually,doctors choose to remove premolars rather than canines.Canine extraction is extremely rare in orthodontic treatment.However,dentists sometimes encounter situations in which canines require extraction due to defects caused by improper medical treatment.CASE SUMMARY The present study reports a case of a class II adult patient treated with the extraction of maxillary canines and right mandibular second premolar.After postactive treatment for 28 mo,then the canines were substituted by the upper first premolar,a satisfactory occlusal was established,the lips were competent,and the profile was improved.Intraoral pictures and X-ray data retrieved 3 years after the end of orthodontic treatment demonstrated the possibility of canine extraction and premolar substitution of canines in function and beauty.CONCLUSION The extraction of canines and substitution by first premolars could be a feasible orthodontic treatment.展开更多
Orthodontic forces can cause stress and strain concentration and microcracks on tooth root surfaces.This study aimed to analyze whether a lingual orthodontic appliance was more likely to cause root stress concentratio...Orthodontic forces can cause stress and strain concentration and microcracks on tooth root surfaces.This study aimed to analyze whether a lingual orthodontic appliance was more likely to cause root stress concentration and root resorption than the traditional buccal appliance.A finite element model of the root of the maxillary central incisor with straight,buccal,and lingual curvatures was established.A load perpendicular to the tooth surface on the buccal and lingual surfaces of the central incisor was applied,and the stress and strain concentration at the root apex was compared.The stress and strain at the root apex of the lingual cingulum group were lesser than those of the buccal group;little difference was observed between the lingual and buccal clinical crown central augmentation groups.The stress and strain at the root apex of the lingual direction movement group were greater than those of the buccal direction movement group.The direction of the root curvature also influenced the amount of stress and strain at the root apex.The difference in the risk of root resorption between lingual and buccal orthodontics is dependent on the height of the bracket placement.The loading direction of the orthodontic force and direction of the root curvature also affect the stress and strain at the root apex.展开更多
Prolonged extra-oral period in dental avulsion is often associated with loss of viability of Periodontal fibroblasts (PDLF) and increased risk of ankylosis. Root surface treatment with bioactive agents to reduce the r...Prolonged extra-oral period in dental avulsion is often associated with loss of viability of Periodontal fibroblasts (PDLF) and increased risk of ankylosis. Root surface treatment with bioactive agents to reduce the risk of ankylosis can be a potential strategy. The objective of the study was to investigate the impact of an engineered chitosan nanoparticles (CSNP), photosensitizer Rose Bengal (RB) functionalized CSNP (CSRB) and sustained dexamethasone (CSDEX) releasing CSNP for application in management of delayed replantation of avulsed teeth. The 3D PDLF-macrophage (Mϕ) collagen model was developed and exposed to LPS, MCSF, RANKL with and without CSDEX/CSNP. Immunofluorescence and cytokine analysis was done at 2 and 7 days to assess cellular interactions. Maxillary right incisors in male Wistar rats were extracted, exposed to extraoral dry or LPS for 1 h and treated with or without CSDEX/CSRB for 1 min before replantation. Rats were euthanized after 21 days for micro-CT, TRAP, and immunofluorescence analysis. CSDEX/CSNP treatment in 3D model significantly reduced CD80, NFATc1, STAT6 and increased CD206 and periostin expression (p < 0.05). TNFα, MMP9 was downregulated and IL10, TGFβ1, MMP2 upregulated with CSDEX/CSNP (p < 0.05). CSDEX/CSRB in animal study significantly reduced resorption, ankylosis, TRAP activity and osteocalcin expression and increased periostin (p<0.05). CSDEX demonstrated higher anti-inflammatory activity by downregulating TNFα, while CSNP upregulated TGFβ1, periostin, and downregulated MMP9. The combination of matrix stabilization with CSRB with periostin upregulation and sustained releasing CSDEX showed potential for hampering root resorption and ankylosis in dental avulsion.展开更多
Dental development can be used to estimate age for forensic purposes.However,most of the currently available methods are less reliable for the Indonesian population due to population variability.This study presents a ...Dental development can be used to estimate age for forensic purposes.However,most of the currently available methods are less reliable for the Indonesian population due to population variability.This study presents a new method and evaluates other methods that utilize dental development to estimate the age of Indonesian people.Panoramic radiographs of 304 young Indonesian people aged 5–23 years old were analysed for deciduous tooth root resorption,permanent tooth calcification,and eruption.The extent of tooth root resorption was determined based on AlQahtani’s modified Moorrees et al.method.Tooth calcification was classified based on a modified Demirjian et al.method.Tooth eruption was evaluated based on AlQahtani’s modified Bengston system.The sequence of tooth root resorption,and permanent tooth calcification and eruption were grouped into 19 age categories(from 5–23 years old)in an atlas.The differences between males and females,between maxillary and mandibular teeth,and between right and left teeth were also analysed.There were minimal significant differences of tooth development between males and females,and between the right and left teeth(P>0.05),while the maxillary and mandibular dental development was significantly different(P<0.05).The newly developed atlas showed the development of the right side of maxillary and mandibular tooth of combined sex of Indonesian population.Another 34 panoramic radiographs of known-age and sex individuals from Indonesia were assessed using the newly developed Atlas of Dental Development in the Indonesian Population,Ubelaker’s Dental Development Chart,The London Atlas of Human Tooth Development and Eruption by AlQahtani,and the Age Estimation Guide-Modern Australia population by Blenkin-Taylor.Accuracy was assessed by comparing estimated age to actual chronological age using the Bland-Altmand test.Results show that the smallest range of error was found in the Atlas of Dental Development in the Indonesian Population(−0.969 to 1.210 years),followed by The London Atlas of Human Tooth Development and Eruption by AlQahtani(−2.013 to 1.990 years),the Age Estimation Guide-Modern Australia population by Blenkin-Taylor(−2.495 to 2.598 years),and the Dental Development Chart by Ubelaker(−2.960 to 3.289 years).These findings show that the Atlas of Dental Development constructed in this study performs better than the other three methods and presents greater accuracy of age estimation in the Indonesian population.展开更多
基金the ReForM-A-research funding programme of the Faculty of Medicine(University of Regensburg)for their financial supportsupported by a ReForM-A grant from the ReForM research funding programme of the Faculty of Medicine of the University of Regensburg,Germany(Kirschneck 31 March 2015)the German Research Foundation(DFG)within the funding programme Open Access Publishing
文摘Orthodontic forces have been reported to significantly increase nicotine-induced periodontal bone loss. At present, however, it is unknown, which further （side） effects can be expected during orthodontic treatment at a nicotine exposure corresponding to that of an average European smoker. 63 male Fischer344 rats were randomized in three consecutive experiments of 21 animals each （A/B/C） to 3 experimental groups （7 rats, 112/3）. （A） cone-beam-computed tomography （CBCT）; （B） histology/serology; （C） reverse- transcription quantitative real-time polymerase chain reaction （RT-qPCR）/cotinine serology--（1） control; （2） orthodontic tooth movement （OTM） of the first and second upper left molar （NiTi closed coil spring, 0.25 N）; （3） OTM with 1.89 mg-kg- 1 per day s.c. of L（- ）-nicotine. After 14 days of OTM, serum cotinine and IL-6 concentration as well as orthodontically induced inflammatory root resorption （OIIRR）, osteoclast activity （histology）, orthodontic tooth movement velocity （CBCT, within 14 and 28 days of OTM） and relative gene expression of known inflammatory and osteoclast markers were quantified in the dental-periodontal tissue （RT-qPCR）. Animals exposed to nicotine showed significantly heightened serum cotinine and IL-6 levels corresponding to those of regular European smokers. Both the extent of root resorption, osteoclast activity, orthodontic tooth movement and gene expression of inflammatory and osteoclast markers were significantly increased compared to controls with and without OTM under the influence of nicotine. We conclude that apart from increased periodontal bone loss, a progression of dental root resorption and accelerated orthodontic tooth movement are to be anticipated during orthodontic therapy, if nicotine consumption is present. Thus patients should be informed about these risks and the necessity of nicotine abstinence during treatment.
基金supported by the Priority Academic Program Development of Jiangsu Higher Education Institutions
文摘This study evaluated,over a 4-month study period,the amount of apical root resorption occurring in maxillary central incisors following their retraction when employing either micro-implant or J-hook headgear anchorage.The prospective randomised clinical trial was conducted in Orthodontic Clinic,College of Stomatology,China from 2008-2009.Subjects are patients requiring fixed appliances on waiting list (n=20).In female Han Chinese patients aged from 16-26 years,standardized periapical radiographs from 10 randomly assigned patients with maxillary protrusions comprising the micro-implant group,and from 10 similar patients comprising the J-hook headgear group,were assessed for maxillary central incisor apical root resorption.Measurements before and after orthodontic therapy were also obtained from lateral cephalometric radiographs to calculate incisor horizontal retraction and vertical intrusion distances.Estimated retraction force vectors were calculated in horizontal and vertical directions for both treatment groups.Data analysis employed t-tests and the Pearson correlation test,with α=0.05 for statistical significance.The results showed that when compared with the J-hook group,significantly more apical root resorption shortening of the maxillary central incisors was observed in the micro-implant group (1.27 mm difference,95% CI=0.70-1.84,P<0.001),which was associated with a significantly larger retraction distance (P=0.004) and a smaller vertical force component (P<0.0001).We are led to conclude that continuous activation of the nickel-titanium coil springs used in the micro-implant group resulted in significantly more apical root resorption shortening and maxillary central incisor retraction than when intermittent J-hook retraction was employed.The employment of continuous duration orthodontic forces presents a risk for increased apical root resorption that requires careful radiographic monitoring.
文摘Summary： The purpose of this study was to develop a new way to localize the impacted canines from three dimensions and to investigate the root resorption of the adjacent teeth by using cone beam computed tomography （CBCT）. Forty-six patients undergoing orthodontic treatments and having impacted canines in Tongii Hospital were examined. The images of CBCT scans were obtained from KaVo 3D exam vision. Angular and linear measurements of the cusp tip and root apex according to the three planes （mid-sagittal, occlusal and frontal） have been taken using the cephalometric tool of the InVivo Dental Anatomage Version 5.1.10. The measurements of the angular and linear coordinates of the maxillary and mandibular canines were obtained. Using this technique the operators could envision the location of the impacted canine according to the three clinical planes. Adjacent teeth root resorption.of 28.26 % was in the upper lateral incisors while 17.39% in upper central incisors, but no lower root resorption was found in our samples. Accurate and reliable localization of the impacted canines could be obtained from the novel analysis system, which offers a better surgical and orthodontic treatment for the patients with impacted canines.
文摘This case presents an unusual transposition of an impacted canine on the central incisor that provides a multidisciplinary approach to its resolution. The patient comes to the consultation for mobility of the central incisor. Clinically, tooth mobility was confirmed with tooth crowding and persistence of the temporary canine. Cone beam tomography (CBCT) observed the atypical position of the permanent canine that caused root resorption of the ipsilateral central incisor and the need to extract both teeth. The conservative treatment of the bone structures during the dental enucleation of the impacted canine carried out by odontosection and the immediate bone grafting of the defect projected an acceptable regeneration of the bone volume for the insertion of the implant. The orthodontic treatment managed to correct the bite, position the upper premolar in the place of the canine tooth and maintain the space to place the implant in the central incisor. The three-year follow-up shows maintenance of the peri-implant crestal bone level, the success of orthodontic treatment with recovery of the patient’s function and aesthetics.
文摘Introduction: One of the most common risks of fixed orthodontic therapy is the evidence of root resorption post orthodontic treatment ranging from mild root blunting to severe root resorption of significant portions of the root structure. The etiology of apical root resorption is multifactorial but largely depends upon the type of orthodontic tooth movement and treatment duration. Study Objective: The primary aim of this study is to examine the association of external apical root resorption and vertical correction in anterior open bite malocclusions using panoramic radiographs for evaluation. Materials and Methods: Pre-treatment and post-treatment panoramic radiographs of 16 patients with anterior open bite malocclusions were scored to assess root resorption of anterior teeth (U/L 3-3). Initial and final root length and total tooth length for U/L 3-3 were measured on panoramic radiographs in Dolphin imaging. Results: Of the 24 pairs of measurements, 7 had a significant p-value (p Conclusions: A statistically significant amount of root resorption was observed, from pre-treatment to post-treatment radiographs. All mandibular anterior teeth except the mandibular right lateral incisors showed evidence of root resorption.
文摘Root resorption is a significant complication in orthodontic treatment,with thin roots and reciprocal movement being recognized as high-risk factors.This paper reports a case of a 19-year-old female patient who underwent orthodontic treatment for dental irregularity.The patient had thin roots in the maxillary lateral incisors 12 and 22.During treatment,tooth 22 experienced reciprocal movement of labial expansion followed by retraction,while tooth 12 adopted passive ligation to reduce reciprocal movement.After 23 months of straight-wire extraction treatment,good occlusal relationships were achieved,but significant root resorption occurred in teeth 12 and 22,with tooth 22 showing more severe resorption.This case confirms the synergistic effect between thin roots and reciprocal movement,demonstrating that thin roots are more sensitive to reciprocal movement stimulation,producing a synergistic amplification effect.Additionally,standardized nursing guidance and patient compliance management play important roles in reducing resorption risk.This case emphasizes the importance of pretreatment risk assessment,individualized treatment strategy formulation,and comprehensive nursing intervention throughout treatment,providing reference for clinical prevention of root resorption.
文摘BACKGROUND Canines are the most important teeth in the dentition.Usually,doctors choose to remove premolars rather than canines.Canine extraction is extremely rare in orthodontic treatment.However,dentists sometimes encounter situations in which canines require extraction due to defects caused by improper medical treatment.CASE SUMMARY The present study reports a case of a class II adult patient treated with the extraction of maxillary canines and right mandibular second premolar.After postactive treatment for 28 mo,then the canines were substituted by the upper first premolar,a satisfactory occlusal was established,the lips were competent,and the profile was improved.Intraoral pictures and X-ray data retrieved 3 years after the end of orthodontic treatment demonstrated the possibility of canine extraction and premolar substitution of canines in function and beauty.CONCLUSION The extraction of canines and substitution by first premolars could be a feasible orthodontic treatment.
基金This work was supported by the National Natural Science Foundation of China(No.U20A20390 and 11827803).
文摘Orthodontic forces can cause stress and strain concentration and microcracks on tooth root surfaces.This study aimed to analyze whether a lingual orthodontic appliance was more likely to cause root stress concentration and root resorption than the traditional buccal appliance.A finite element model of the root of the maxillary central incisor with straight,buccal,and lingual curvatures was established.A load perpendicular to the tooth surface on the buccal and lingual surfaces of the central incisor was applied,and the stress and strain concentration at the root apex was compared.The stress and strain at the root apex of the lingual cingulum group were lesser than those of the buccal group;little difference was observed between the lingual and buccal clinical crown central augmentation groups.The stress and strain at the root apex of the lingual direction movement group were greater than those of the buccal direction movement group.The direction of the root curvature also influenced the amount of stress and strain at the root apex.The difference in the risk of root resorption between lingual and buccal orthodontics is dependent on the height of the bracket placement.The loading direction of the orthodontic force and direction of the root curvature also affect the stress and strain at the root apex.
基金American Association of Endodontists Foundation(#1208771)Natural Sciences and Engineering Research Council of Canada(Discovery grant)(AK-RGPIN-2020-05844)Canada Research Chair Program,and Dr.Lloyd and Mrs.Kay Chapman Chairship.
文摘Prolonged extra-oral period in dental avulsion is often associated with loss of viability of Periodontal fibroblasts (PDLF) and increased risk of ankylosis. Root surface treatment with bioactive agents to reduce the risk of ankylosis can be a potential strategy. The objective of the study was to investigate the impact of an engineered chitosan nanoparticles (CSNP), photosensitizer Rose Bengal (RB) functionalized CSNP (CSRB) and sustained dexamethasone (CSDEX) releasing CSNP for application in management of delayed replantation of avulsed teeth. The 3D PDLF-macrophage (Mϕ) collagen model was developed and exposed to LPS, MCSF, RANKL with and without CSDEX/CSNP. Immunofluorescence and cytokine analysis was done at 2 and 7 days to assess cellular interactions. Maxillary right incisors in male Wistar rats were extracted, exposed to extraoral dry or LPS for 1 h and treated with or without CSDEX/CSRB for 1 min before replantation. Rats were euthanized after 21 days for micro-CT, TRAP, and immunofluorescence analysis. CSDEX/CSNP treatment in 3D model significantly reduced CD80, NFATc1, STAT6 and increased CD206 and periostin expression (p < 0.05). TNFα, MMP9 was downregulated and IL10, TGFβ1, MMP2 upregulated with CSDEX/CSNP (p < 0.05). CSDEX/CSRB in animal study significantly reduced resorption, ankylosis, TRAP activity and osteocalcin expression and increased periostin (p<0.05). CSDEX demonstrated higher anti-inflammatory activity by downregulating TNFα, while CSNP upregulated TGFβ1, periostin, and downregulated MMP9. The combination of matrix stabilization with CSRB with periostin upregulation and sustained releasing CSDEX showed potential for hampering root resorption and ankylosis in dental avulsion.
文摘Dental development can be used to estimate age for forensic purposes.However,most of the currently available methods are less reliable for the Indonesian population due to population variability.This study presents a new method and evaluates other methods that utilize dental development to estimate the age of Indonesian people.Panoramic radiographs of 304 young Indonesian people aged 5–23 years old were analysed for deciduous tooth root resorption,permanent tooth calcification,and eruption.The extent of tooth root resorption was determined based on AlQahtani’s modified Moorrees et al.method.Tooth calcification was classified based on a modified Demirjian et al.method.Tooth eruption was evaluated based on AlQahtani’s modified Bengston system.The sequence of tooth root resorption,and permanent tooth calcification and eruption were grouped into 19 age categories(from 5–23 years old)in an atlas.The differences between males and females,between maxillary and mandibular teeth,and between right and left teeth were also analysed.There were minimal significant differences of tooth development between males and females,and between the right and left teeth(P>0.05),while the maxillary and mandibular dental development was significantly different(P<0.05).The newly developed atlas showed the development of the right side of maxillary and mandibular tooth of combined sex of Indonesian population.Another 34 panoramic radiographs of known-age and sex individuals from Indonesia were assessed using the newly developed Atlas of Dental Development in the Indonesian Population,Ubelaker’s Dental Development Chart,The London Atlas of Human Tooth Development and Eruption by AlQahtani,and the Age Estimation Guide-Modern Australia population by Blenkin-Taylor.Accuracy was assessed by comparing estimated age to actual chronological age using the Bland-Altmand test.Results show that the smallest range of error was found in the Atlas of Dental Development in the Indonesian Population(−0.969 to 1.210 years),followed by The London Atlas of Human Tooth Development and Eruption by AlQahtani(−2.013 to 1.990 years),the Age Estimation Guide-Modern Australia population by Blenkin-Taylor(−2.495 to 2.598 years),and the Dental Development Chart by Ubelaker(−2.960 to 3.289 years).These findings show that the Atlas of Dental Development constructed in this study performs better than the other three methods and presents greater accuracy of age estimation in the Indonesian population.
