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Table of Content

    01 January 2014, Volume 41 Issue 1 Previous Issue    Next Issue
    Surgical repair of root defects in periradicular microsurgery
    Yang Jinbo, Wu Li.
    Inter J Stomatol. 2014, 41 (1):  1-6.  DOI: 10.7518/gjkq.2014.01.001
    Abstract ( 1829 )   HTML ( 8 )   PDF(pc) (18080KB) ( 2518 )   Save

    Root defects primarily include root caries, fractures, cracks, external resorption, and perforation. In periradicular microsurgery, root defects are not rare; whether the defect can be completely repaired or not is crucial for the prognosis of the tooth. Several types of root defects, diagnosis, surgical repair procedures, and follow-up methods are summarized.

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    Need remove instrument separation in root canal therapy
    Ge Jiuyu, Hou Benxiang, Yu Qing, Huang Dingming, Peng Bin
    Inter J Stomatol. 2014, 41 (1):  7-12.  DOI: 10.7518/gjkq.2014.01.002
    Abstract ( 2808 )   HTML ( 26 )   PDF(pc) (1207KB) ( 1501 )   Save

    Because of the complexity of the root canal system, root canal instruments separation is one of common complications in root canal treatment, from the long-term curative effect, some of the root canal separation device can act as the role of root canal fillings, does not affect the prognosis of root canal treatment effect, but it is possible that the failure of root canal treatment on a hidden danger factors, but in the process of take out separation equipment often bring with tooth new complications, such as root canal side wear, broken teeth, etc., whether to need to take out is a difficult problem in clinical workers.Schools of thought contend in current column special invited five domestic well-known experts in the field of tooth pulp disease just discusses this problem, hoping to bring some enlightenment to clinical work.

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    Effects of Yunnan Baiyao on promoting osteoblast proliferation and differentiation in vitro
    Ren Xiaobin, He Hongbing, Lei Yayan, Zhang Wanli, Zhang Mingzhu.
    Inter J Stomatol. 2014, 41 (1):  13-15.  DOI: 10.7518/gjkq.2014.01.003
    Abstract ( 1255 )   HTML ( 2 )   PDF(pc) (2246KB) ( 597 )   Save

    Objective To investigate the effects of Yunnan Baiyao on promoting osteoblast proliferation and differentiation, and to provide theoretical basis for its bone repair mechanism. Methods Cranium was harvested from fetal SD rats. Then, osteoblast was acquired and cultured by repeating enzymatic digestion-adherent explant method identified via invert microscope, alkaline phosphorase stain, and stain of calcified nodules. After using different concentrations of Yunnan Baiyao stimulating osteoblasts, the proliferation of the acquired cells was examined through methyl thiazolyl tetrazolium assay. Alkaline phosphatase(ALP) activity and osteocalcin content were analyzed by using a spectrophotometer and enzyme linked immunosorbent assay in the cell lysate liquid. Results Compared with the controls, three different concentration groups can promote the proliferation of osteoblast; the 5 mg·L-1 group had more obvious roles in 5 and 7 d. It also increased the activity of ALP and promoted osteocalcin synthesis simultaneously. Conclusion Yunnan Baiyao can promote proliferation and differentiation of osteoblasts.

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    Effects of the marginal position of porcelain-fused-to-metal crown on gingival crevicular fluid volume and endotoxin aspartate transaminase levels
    Peng Bei, Ji Juanjuan, Yang Yang, Huang Dahai, Zhang Xiaoyu, Wang Xiangyun.
    Inter J Stomatol. 2014, 41 (1):  16-19.  DOI: 10.7518/gjkq.2014.01.004
    Abstract ( 1316 )   HTML ( 1 )   PDF(pc) (1138KB) ( 485 )   Save

    Objective This study aims to investigate the effect of the marginal position of porcelain-fused-to-metal(PFM) crown on periodontal health. Methods Sixty patients who needed PFM crown for the mandibular first molar were randomly divided into two groups of 30 patients each according to the difference in the marginal position of the crown. Group A comprised patients with crown margins under the gingival level, whereas Group B was composed of patients with crown margin at the gingival level. Gingival crevicular fluid(GCF) were collected at four time points, namely, before crown cementation and at 1, 3, and 6 months after crown cementation. GCF volume, endotoxin levels, and aspartate transaminase(AST) were detected using an automated chemical analyzer. The differences among the variations between pre- and post-crown cementation and between the two groups were analyzed. Results GCF volume, endotoxin levels, and AST in Group A increased at 1, 3, and 6 months after cementation compared with that before crown cementation(P<0.05). In Group B, the GCF volume, endotoxin levels, and AST remained stable and did not exhibit any changes(P>0.05). Significant statistical differences were found between the means of variation of Groups A and B at 1, 3, and 6 months after cementation(P<0.05). Conclusion Based on the results of this study, the PFM crown with gingival margin at gingival level is better than that under gingival level in terms of its benefit to periodontal health.

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    Multiple supernumerary mandibular premolars
    Zhou Ni, Zhang Canhua, Li Yanhong, Liu Juan.
    Inter J Stomatol. 2014, 41 (1):  20-22.  DOI: 10.7518/gjkq.2014.01.005
    Abstract ( 1656 )   HTML ( 2 )   PDF(pc) (9479KB) ( 1029 )   Save

    Multiple supernumerary teeth in mandibular premolar regions are particularly rare. We report a case of multiple supernumerary mandibular premolars in a 15-year-old girl. The possible etiological factors and treatment options are discussed based on the literature review.

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    Isolation and identification of exosomes secreted from cell line Tca8113 in tongue cancer
    Li Jin1, Liao Guiqing2, Chen Jufeng1, Liu Haichao2, Su Yuxiong2, Feng Lianqiang3, Luo Xiaofeng4.
    Inter J Stomatol. 2014, 41 (1):  23-25.  DOI: 10.7518/gjkq.2014.01.006
    Abstract ( 1198 )   HTML ( 0 )   PDF(pc) (1671KB) ( 806 )   Save

    Objective This study aims to verify whether Tca8113 can secrete exosomes, and to identify a new method for oral tumor immunotherapy. Methods Exosomes were isolated and purified from the culture supernatant of Tca8113 by ultraspeed centrifugation and density gradient centrifugation, and were subsequently confirmed using transmission electron microscopy and Western blot. Results Exosomes were successfully isolated and purified from the culture supernatant of Tca8113. Tca8113 contained protein and had a structure similar to other cells, as reported in previous studies. Conclusion Tca8113 can secrete exosomes, and contains numerous types of proteins that are associated with tumor immunity.

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    Influence of proinflammatory cytokines in inducing mouse osteoclast-like cell formation in vitro
    Yang Jun1, Ma Gang2, Zhang Ping1.
    Inter J Stomatol. 2014, 41 (1):  26-30.  DOI: 10.7518/gjkq.2014.01.007
    Abstract ( 1187 )   HTML ( 1 )   PDF(pc) (6867KB) ( 1212 )   Save

    Objective This study aims to investigate the influence of proinflammatory cytokines interleukin(IL)-1, IL-6, and tumor necrosis factor(TNF)-α on differentiation and formation of mouse osteoclast-like cells in vitro. Methods Osteoclast precursor cells from mice spleen were cultured under four conditions. Group A was cultured with macrophage colony stimulating factor(M-CSF). Group B was cultured with M-CSF and the soluble ligand of receptor activator of NF- κB(sRANKL). Group C was cultured with M-CSF, sRANKL, IL-1, IL-6, and TNF-α. Finally, Group D was cultured with M-CSF, IL-1, IL-6, and TNF-α. All groups were cultured in 24-well plates with bone slices. Tartrate-resistant acid phosphatase staining and inverted microscope were employed to determine differentiation. A scanning electron microscope was used to examine the bone slices. Results The number of osteoclast-like cells from Groups C and B was significantly higher than that in Groups A and D(P<0.05). The number of cells in Group C was greater than that in Group B(P<0.05). No osteoclast-like cells were found in Groups A and D(P>0.05). Conclusion Proinflammatory cytokines IL-1, IL-6, and TNF-α can promote the differentiation of osteoclast-like cells in vitro, which is dependent on sRANKL. These cytokines cannot directly induce the formation of osteoclast-like cells.

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    Influence of placing depth of implants with platform switching on stress distribution in peri-implant bone according to type Ⅱ bone by finite element analysis
    Zhang Qiang1, Li Ying2.
    Inter J Stomatol. 2014, 41 (1):  31-35.  DOI: 10.7518/gjkq.2014.01.008
    Abstract ( 1327 )   HTML ( 2 )   PDF(pc) (2078KB) ( 787 )   Save

    Objective This study aims to investigate the influence of placing depth of implants with platform switching on stress distribution in peri-implant bone according to typeⅡbone area to provide reference for clinical application. Methods CT scanning technology and software, such as Mimics 10.01, Solid Works 2007, and ANSYS 14.0, were used to establish five finite element models consisting of type Ⅱ bone of the anterior maxillary, implant with platform switching, and superstructure and incisor crown based on five different insertion depths. The stress distribution characteristics of peri-implant bone under vertical 100 N and inclined 100 N loading were investigated. Results The peri-implant bone stress was mainly concentrated in the contact area of the implant neck platform and cortical bone and shifted down at a deeper placing level. The burden of alveolar crest was reduced. The maximum Von-mises stress was effectively reduced when the placing depth was 1 mm below the alveolar crest level. The maximum Von-mises stresses under inclined loading were higher than those under vertical loading. Conclusion The implant neck platform should be located in the cortical bone. Placement at 1 mm below the alveolar crest level in the typeⅡ bone area can improve the stress distribution of the marginal bone.

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    Histological study on the intra-articular injection of glucosamine in the temporomandibular joint osteoarthritis treatment of rabbits
    Yin Jian1, Liao Shuang1, Zhang Weihua2, He Jia3, Wang Hang1.
    Inter J Stomatol. 2014, 41 (1):  36-39.  DOI: 10.7518/gjkq.2014.01.009
    Abstract ( 1440 )   HTML ( 2 )   PDF(pc) (7804KB) ( 1192 )   Save

    Objective This study aims to investigate the effect of glucosamine intra-articular injection in temporomandibular joint(TMJ) osteoarthritis(OA) treatment of rabbits. Methods Intra-articular injection of type Ⅱ collagenase was performed bilaterally in six rabbits to induce OA(3 mg each on Days 1 and 4). On Week 6, the right joint(experimental group) was injected with glucosamine(once a week for 5 weeks), and the left joint(control group) was injected with physiological saline. On Week 11, six rabbits were sacrificed, and the TMJs were dissected for histological comparison. Results All joints showed osteoarthritic-like change, but the degree in the experimental group was significantly less severe than that in the control group. Moreover, the scale of the experiment group was significantly less than that of the control group. Conclusion Intra-articular injection of glucosamine can significantly relieve TMJ OA in rabbits.

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    Primary culture of human epithelial cell rests of Malassez using two methods
    Zhang Lin1, Chen Yangxi2, Chen Yuxue2.
    Inter J Stomatol. 2014, 41 (1):  40-44.  DOI: 10.7518/gjkq.2014.01.010
    Abstract ( 1741 )   HTML ( 1 )   PDF(pc) (4213KB) ( 1918 )   Save

    Objective To explore an easier culturing method for human epithelial cell rests of Malassez(ERM) in vitro. Methods Tissues of periodontal ligament isolated from 104 normal human permanent teeth were collected and divided randomly into two groups, and then primarily cultured using tissue explant combination with serum-free culture and enzymatic digestion combination with serum-free culture. Cell growth and morphology were observed under an inverted microscope. Vimentin and keratin were identified by immunohistochemistry. Results Both culturing methods, including tissue explant combination with serum-free culture and enzyme digestion combination with serum-free culture, can successfully culture ERM in vitro. In the tissue explant method, obtaining ERM by mechanical curettage of periodontal ligament fibroblasts and changing to serum-free medium when the epithelial island was found are easier. Conclusion Primary human ERM was successfully isolated, cultured, and identified, which provided basis for development of better culturing methods of human ERM in vitro.

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    Quickly removing the implant that falls in the sinus: a case report
    Pei Zhongqiu.
    Inter J Stomatol. 2014, 41 (1):  45-46.  DOI: 10.7518/gjkq.2014.01.011
    Abstract ( 1981 )   HTML ( 4 )   PDF(pc) (1124KB) ( 1119 )   Save

    Due to inadequate bone height and other reasons, implants sometimes fall in the sinus. This article will introduce a method to remove the implant from the sinus quickly.

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    Effect of instrument separation on endodontic treatment prognosis
    Zhan Siyue, Ye Ling.
    Inter J Stomatol. 2014, 41 (1):  47-51.  DOI: 10.7518/gjkq.2014.01.012
    Abstract ( 1835 )   HTML ( 9 )   PDF(pc) (1242KB) ( 2176 )   Save

    Instrument separation(IS) is one of the possible complications during endodontic treatment. A separated instrument may serve as an obstacle in root canal preparation and cleaning, which may compromise the outcome and even result in treatment failure. At present, practitioners are still debating on how to avoid IS. Treatment decisions should be based on the evaluation of the effect of a separated instrument in situ on the result of the treatment and the risk of damage when retrieval is performed. Recent studies on the effect of IS on endodontic treatment prognosis are reviewed in this paper.

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    Using cone-beam computed tomography in quantitative studies on the structure of the temporomandibular joint
    Yao Jun, Liu Conghua.
    Inter J Stomatol. 2014, 41 (1):  52-56.  DOI: 10.7518/gjkq.2014.01.013
    Abstract ( 1392 )   HTML ( 1 )   PDF(pc) (1232KB) ( 1189 )   Save

    The temporomandibular joint(TMJ) is a complex articular system that is located deep between the mandible and the temporal bone. Cone-beam computed tomography(CBCT) provides abundant information on TMJ morphology. On three-dimensional images and two-dimensional slice images, changes in head position changes the position of anatomical landmarks on the same plane, but it can still be generally identified by astute clinicians. On coronal, sagittal, and transverse sections, CBCT displays the structure of TMJ to acquire joint spaces in all directions. The horizontal angle, height, radius, volume, and surface area of the condyle can also be measured to establish TMJ morphology, as well as articular eminence morphology(height, inclination, and thickness of fossa). Moreover, minimum distortion of osseous tissue is useful for analyzing bone change. Therefore, CBCT improves the diagnostic ability of temporomandibular disorders and effectively guide clinical treatment.

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    Gingival recession in orthodontic treatment
    Shi Youling1, Han Guangli2.
    Inter J Stomatol. 2014, 41 (1):  57-62.  DOI: 10.7518/gjkq.2014.01.014
    Abstract ( 1527 )   HTML ( 1 )   PDF(pc) (1176KB) ( 2228 )   Save

    Gingival recession is a common complication during orthodontic treatment that causes root dentin hypersensitivity, root caries, loss of periodontal support, and food impaction, and it may affect the appearance of patients. Gingival recession is caused by multiple factors, and it usually occurs in the anterior teeth and left side of the mandible. Gingival recession is divided into four classes. More than 50% of the healthy population have gingival recession and the degree of gingival recession is aggravated by increasing age. The preferred treatment for gingival recession is nonsurgical and involves controlling inflammation, occlusal grinding, and removing the etiology of food impaction during and after orthodontic treatment. The surgical methods include soft-tissue grafting through flap transplantation and guided tissue regeneration through regeneration of periodontal tissue. Gingival veneers can be used to restore the shape of the gingiva if nonsurgical and surgical methods are ineffective in physiologic gingival reconstruction.

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    Applying three-dimensional digital scanning in prosthodontics
    Xiao Jing1, Teng Wei2.
    Inter J Stomatol. 2014, 41 (1):  63-67.  DOI: 10.7518/gjkq.2014.01.015
    Abstract ( 1600 )   HTML ( 3 )   PDF(pc) (1172KB) ( 3370 )   Save

    The three-dimensional morphology of oral and facial tissues is obtained by obtaining an impression, followed by plaster model production via conventional methods. Considering the advancements in science and computer technology, digital scanning has been developed and applied in prosthodontics. Three-dimensional digital scanning improves patient comfort. On the other hand, digital models are easy to store, arrange, and use in remote communication. These techniques include contact mechanical scanning, laser scanning, structured light scanning, computed tomography, and so on. This review focuses on the principle, features, and application of these techniques in prosthodontics.

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    Optical coherence tomography and its application in the diagnosis of oral diseases
    Li Chang’e, Yu Danni.
    Inter J Stomatol. 2014, 41 (1):  68-71.  DOI: 10.7518/gjkq.2014.01.016
    Abstract ( 1359 )   HTML ( 2 )   PDF(pc) (1220KB) ( 649 )   Save

    Optical coherence tomography(OCT) is a novel optical imaging technique that combines optical coherence with confocal laser scanning. It allows real-time imaging, is non-invasive, uses nonionizing radiation, has a high resolution, and has a high speed. OCT is important in the detection and diagnosis of early stages of diseases involving the teeth, periodontal tissue, and the oral mucosa. This paper reviews the main principle and application progress of OCT for diagnosing oral diseases such as dental caries, periodontal disease, oral cancer and its precursor lesion, oral gland diseases, oral vascular lesions, oral mucositis, and apical microleakage.

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    Relevant factors for passive ultrasonic irrigation in root canal treatment
    Cai Xue, Wang Xiaoyan.
    Inter J Stomatol. 2014, 41 (1):  72-76.  DOI: 10.7518/gjkq.2014.01.017
    Abstract ( 1558 )   HTML ( 15 )   PDF(pc) (1241KB) ( 856 )   Save

    Passive ultrasonic irrigation(PUI) is a favorable technique to remove bacteria, hard tissue debris, and smear layer in the root canals, such as lateral canals, isthmus and irregularities. PUI causes less extrusion and enhances the density of the obturation. Factors such as instruments, techniques, and shape of the root canal systems affect PUI efficiency. The oscillating ultrasonic tips induce powerful acoustic microstreaming and cavitation, which can produce shear stresses along the root canal wall and remove debris and bacteria. Enhancing the frequency and intensity of ultrasonic device or reducing the radius of the ultrasonic tips can enhance acoustic microstreaming. A smooth wire can be as effective as a cutting K-file as the ultrasonic tip. Nickel–titanium tips cause significantly less ledging compared with stainless steel files. Irrigation with sodium hypochlorite is effective. Cleaning efficiency ranging from 1% to 5.25% has a positive correlation with concentration, but does not exhibit statistical difference. Solution pH and temperature have no significant effect on cleaning efficacy. PUI with a pulsation pattern is more effective in removing dentin debris than a continuous oscillation. Bigger taper and smaller curvature can achieve better efficacy of dentine debris removal.

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    High-mobility group protein box 1 and periodontal disease
    Mu Pingping, Song Hui, Sun Qinfeng.
    Inter J Stomatol. 2014, 41 (1):  77-81.  DOI: 10.7518/gjkq.2014.01.018
    Abstract ( 1301 )   HTML ( 0 )   PDF(pc) (1220KB) ( 675 )   Save

    High-mobility group protein box(HMGB) 1 protein is a highly conserved nuclear DNA-binding protein that has an important function in gene transcription and DNA recombination and repair. HMGB1 contributes in the inflammation process when secreted in the extracellular milieu. HMGB1 highly expressed in the periodontal tissue of periodontitis, aggressive periodontitis, and peri-implantitis. HMGB1 can increase the ratio of the receptor activator of nuclear factor-κB ligand and osteoprotegerin, contribute to osteoclast formation, and promote destruction of the alveolar bone. Interleukin is closely related to the inflammatory reaction of periodontitis. HMGB1 can promote production of interleukin and other inflammatory factors by periodontal ligament fibroblasts and accelerate the development of periodontal disease and alveolar bone resorption. This review will introduce the functions of HMGB1 in the nucleus and outside the cell, the release pathways of HMGB1, and the role of HMGB1 in the development of periodontal disease.

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    Pain development mediated by transient receptor potential vanillic and its regulatory mechanisms
    Lu Xiaowen, Kou Liang, Du Li.
    Inter J Stomatol. 2014, 41 (1):  82-87.  DOI: 10.7518/gjkq.2014.01.019
    Abstract ( 1577 )   HTML ( 3 )   PDF(pc) (1236KB) ( 1251 )   Save

    Trigeminal nerve as mixed nerve mainly conducts the feeling coming from tooth and maxillofacial region. Transient receptor potential vanilloid(TRPV) 1 is highly expressed on the membrane of trigeminal ganglion. TRPV1 is one of the members of transient receptor potential(TRP) family, which is a kind of cation selective channel contributing to the conduction of pain based on trigeminal ganglion, dorsal root ganglion and so on. Nociception on nerve can be directly stimulated by neuropeptide, bradykinin, prostaglandin, nerve growth factor, 5-hydroxytryptamine, as well as temperature and pH, through TRPV1 as a result of pain. The regulatory mechanisms of TRPV1 are various and complex as on the processes like gene transcription, translation and expression as well as the formation of the receptor subtype. These mechanisms have effects on maintaining the normal physiological functions, also are the possible causes of dysfunction of TRPV1 leading to pain rising. In this review, the pain development and regulatory mechanisms of TRPV1 are mainly reviewed.

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    Correlation between Parvimonas micra and periapical periodontitis
    Ji Hai, Hou Benxiang.
    Inter J Stomatol. 2014, 41 (1):  88-91.  DOI: 10.7518/gjkq.2014.01.020
    Abstract ( 6298 )   HTML ( 21 )   PDF(pc) (1236KB) ( 586 )   Save

    Parvimonas micra(P.micra) is a gram-positive anaerobic coccus that is often found in infected root canals of periapical periodontitis. Based on 16S rRNA PCR, correlations exist between P.micra and Fusobacterium nucleatum(F. nucleatum) and Prevotella intermedia and Peptostreptcoccus anaerobius. The detection rate of P.micra after F.nucleatum indicates that the former has obvious proteolytic activity. It can initiate or participate in inflammation by stimulating the release of some inflammatory mediators in macrophages, especially the formation of persistent inflammation. P.micra can use glutathione to produce volatile sulfur compounds, which may be related to root canal stench. This article summarizes research on the distribution of P.micra in the infected root canal, correlation between P.micra, and other dominant bacteria, and pathogenicity of P.micra.

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    Differential proteomics of Streptococcus mutans under stress condition
    Huang Ping, Wan Huchun, He Yonghong.
    Inter J Stomatol. 2014, 41 (1):  92-96.  DOI: 10.7518/gjkq.2014.01.021
    Abstract ( 1243 )   HTML ( 1 )   PDF(pc) (1249KB) ( 573 )   Save

    When external environment changes, Streptococcus mutans(S.mutans) can change its protein expression profile through induction or inhibition of some protein expressions to ensure survival in extreme environments. Under pH 5.5 and aerobic condition, the protein expression of S.mutans changes rapidly in a complicated manner by increasing or decreasing. The extracellular high osmotic pressure of bacteria can induce S.mutans to adjust its physiological function by activating or inactivating some special enzymes and transport proteins and changing the gene expression profile. When cultivated under high osmotic pressure, protein points of S.mutans may be increased or reduced. Adequate nutrition is very important for the growth of S.mutans. To adapt to lack of nutrition, cell size and composition of S.mutans fatty acid change with decrease in total synthesis rate of proteins. When environment temperature changes, the cells will produce denatured or abnormal proteins with increased or reduced expressions. The heat shock protein produced can induce protein peptides to refold; it can also restore the original conformation and function of proteins. Some Chinese herbal medicine extracts can significantly reduce the protein expression of S.mutans. With the application of proteomics techniques, changes in S.mutans protein expression pattern can be found under different stress states. These techniques reveal information on the mechanism of S.mutans to caries and provide a scientific basis for prevention and control of caries.

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    Application of selective laser melting technique in stomatology
    Chen Jianyu1, Zhang Zhiguang1, Li Zifu2.
    Inter J Stomatol. 2014, 41 (1):  97-101.  DOI: 10.7518/gjkq.2014.01.022
    Abstract ( 1577 )   HTML ( 8 )   PDF(pc) (1217KB) ( 34467 )   Save

    Selective laser melting(SLM) technique represents a new direction in rapid prototyping technology, which enables the fabrication of precise metal parts without the limitation of complex shapes, sizes, and inner cavities. The technique possesses many advantages, such as high efficiency, high flexibility and high digitalization. With the rapid development of three-dimensional reconstruction and SLM technique, individualized diagnoses and treatments have become widely used in many branches of stomatology, including oral and maxillofacial surgery, dental prosthesis, dental implantation and orthodontics. A technology that simplifies manufacturing and operational procedures, as well as decreases accumulated errors during processing, will become a research hotspot in the near future.

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    Areca nut-related carcinogens and oral cancer
    Huang Long, Jian Xinchun.
    Inter J Stomatol. 2014, 41 (1):  102-107.  DOI: 10.7518/gjkq.2014.01.023
    Abstract ( 2833 )   HTML ( 29 )   PDF(pc) (1233KB) ( 2512 )   Save

    Areca nut is a recently confirmed classⅠcarcinogen. The areca nut chewing habit is a primary environmental risk factor for the development of oral cancer due to cytotoxicity, genotoxicity, mutagenicity, and carcinogenicity of arecoline(ARC), areca-containing tannins, areca-specific nitrosamine(ASNA), and reactive oxygen species(ROS) produced during areca nut chewing. ARC is capable of inducing apoptosis of oral fibroblasts, keratinocytes, and human umbilical vein endothelial cells. The results of different types of short-term screening tests differ, so the genotoxicity and mutagenicity of areca-containing tannins remain controversial. Tannin-containing polyphenolic fraction is a primary carcinogenic ingredient. 3-Methyl-nitrosamino propionaldehyde can induce DNA strand breakage and DNA-protein crosslinkage for human buccal keratinocytes. 3-Methyl-nitrosamino propionitrile is a potent carcinogen that can induce nasal, esophageal, and tongue tumors in laboratory animals. ROS produced during areca nut chewing can promote tumorigenesis by inducing DNA oxidative damage and activating oncogenes. A newly found proteoglycan in the 3.0×104 to 10.0× 104 relative molecular mass fraction of areca nut extract induces oxidative stress and modulates a signaling cascade that upregulates hypoxia, inducing factor-1α expression in oral cancer cells, which eventually leads to autophagy. Autophagy can help cancer cells survive ARC-induced apoptosis and promote the development of oral cancer. Areca nut extract can enhance tongue cancer cell-induced platelet aggregation by generating ROS, thus promoting tongue cancer metastasis.

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    Application of tannins in the dental and oral fields
    Zhou Xiang, Liu Xuecong.
    Inter J Stomatol. 2014, 41 (1):  108-112.  DOI: 10.7518/gjkq.2014.01.024
    Abstract ( 1341 )   HTML ( 1 )   PDF(pc) (1212KB) ( 1778 )   Save

    Tannins, which are extracted from oak bark to produce leather, widely exist in the plant kingdom and exhibit various physiological properties, such as bacteriostatic, antivirus, antitumor, antioxidation, mucous membrane protection, hemostasis and convergence. Tannins can inhibit cariogenic bacteria growth and adhesion, check the ability for acid production, and decrease glucosyltransferase activity. Tannins can induce the protein to coagulate, whereas the toxic effects attenuate lipopolysaccharide by dental pulp cells. Tannins can also reduce micro-leakage, improve the success rate of root canal therapy to complement the prognosis, and provide good protection and pulp teeth pulpotomy after trauma. The application of tannin on gingivitis and periodontal disease treatment is good because it can significantly reduce herpetic stomatitis and oral ulcer pain, promote ulcer healing, and simultaneously prevent and treat oral and maxillofacial trauma, trauma infection, promote scald, burns, and burn wound healing. Notably, tannins can enhance the immune function of inhibiting tumor growth, inducing tumor cell apoptosis, and reducing the risk of tumors of the skin and other organs.

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    Research progress on denture cleaning and antibacterial activities
    Lü Zelin, Cao Weibin.
    Inter J Stomatol. 2014, 41 (1):  113-117.  DOI: 10.7518/gjkq.2014.01.025
    Abstract ( 1212 )   HTML ( 0 )   PDF(pc) (1144KB) ( 1478 )   Save

    Removal of partial and complete denture could damage the original microecological balance of the oral cavity. Denture removal could create conditions for the growth and engraftment of oral microorganisms, leading to oral diseases. Therefore, cleaning dentures and improving the self-cleaning ability of dentures are important. The methods for cleaning the surface of dentures can be divided into mechanical, chemical, and others. Mechanical methods include brushing and ultrasonic cleaning methods. Chemical methods mainly involve immersing dentures in hypochlorous acid salt agent, peroxide agent, acid agent, enzyme agent, natural medicines, and so on. All the above can effectively remove dental plaque, tartar, and pigmentation. However, the peroxide agent may change the color of the denture resin, and even bleach it. The acid agent exerts strong corrosion effects on the metal material and has harmful effects on the eyes, skin, and mucous membrane. Self-cleaning of dentures can be divided into denture-based surface treatment and simple treatment. The former mainly includes changes in the charge of the denture surface, nanometer amorphous diamond film on the denture surface, and polyelectrolyte multilayer film formed on the denture surface. The latter adds materials of drug controlled-release system, rich histone 5, quaternary ammonium salts, chitosan, nanometer silver-carrying antimicrobial agent, titanium dioxide, and nanometer zinc oxide to the denture resin materials, which will eliminate bacteria and fungi and inhibit subgingival bacterial adhesion. Single denture cleaning method could not obtain the best cleaning effect, so selecting composite cleaning methods is necessary.

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    Oral microbiome and diseases
    Li Yan, He Jinzhi, Xiao Liying, Zhou Xuedong.
    Inter J Stomatol. 2014, 41 (1):  118-122.  DOI: 10.7518/gjkq.2014.01.026
    Abstract ( 1974 )   HTML ( 24 )   PDF(pc) (1151KB) ( 1837 )   Save

    Human microbiome project(HMP) phase Ⅰ have been completed last year and a slew of genetic sequences have obtained from human oral microbiome project, a sub-project of HMP. This review summarized the extensive oral microbiome composition and diversity, including bacteria, fungi, virus and archae. By analyzing the microbiota of clinical samples collected from patient suffering from diseases such as caries, periodontal diseases and systematic diseases, the relationship between oral microbial shifts and human diseases was investigated.

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