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Table of Content

    01 November 2021, Volume 48 Issue 6 Previous Issue    Next Issue
    Expert Forum
    Clinical diagnosis, treatment, and management strategies of common oral infectious disease during pregnancy
    Liu Chengcheng, Ding Yi
    Int J Stomatol. 2021, 48 (6):  621-628.  DOI: 10.7518/gjkq.2021117
    Abstract ( 2037 )   HTML ( 381 )   PDF(pc) (1816KB) ( 2680 )   Save

    Oral infectious disease is one of the most common diseases during pregnancy. However, some dentists choose to refuse or postpone treatment of oral diseases during pregnancy due to concerns about safety and uncertain outcomes. As an important part of pregnancy health, proper intervention on oral diseases during pregnancy is beneficial to the physical and mental health of patients and may reduce the mother-to-child transmission of oral pathogens. Therefore, under the premise of following the principles of safety, necessity, comfort, and multidisciplinary cooperation, scientific and standardized management of oral infectious diseases is thus recommended. This strategy requires choosing the right time, according to the specific physiological characteristics of the patient during pregnancy. Prevention and treatment should also be carried out. In this paper, we summarize existing relevant literature and evidence and analyze the main points of the clinical management of common oral infectious diseases during pregnancy. We aim to provide a reference for the implementation of safe and favorable management decisions for oral infections during pregnancy.

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    Original Articles
    Study on apical sealing ability of three root canal filling techniques for different types of root canals
    Sun Liqing,Guo Yiqing,Yang Aihua,Xiao Wenlin,Sun Huibin
    Int J Stomatol. 2021, 48 (6):  629-634.  DOI: 10.7518/gjkq.2021091
    Abstract ( 2153 )   HTML ( 278 )   PDF(pc) (1385KB) ( 2672 )   Save

    Objective To detect the effects of three root canal filling methods on the apical sealing ability of different root canals using glucose quantitative method. Methods Fresh extracted premolars and molars were selected, and 10 mm roots were cut with a low speed diamond disc as samples. After cone beam CT (CBCT) photography, 3 groups of re-gular straight root canals, elliptical root canals and moderate and severe curved root canals were selected as experimental groups, with 10 samples in each group. iRoot SP was used as the root canal sealer,and the warm vertical compression technique,cold gutta-percha lateral compaction technique and single-cone obturation technique were used to complete the root canal. The apical microleakage was detected by the glucose quantitative method. Results For the regular straight root canals of the three groups, on the 1st, 7th, 14th, 21st and 28th days, for the moderate and severe curved root canals of the three groups, on the 1st, 7th and 14th days, and for the oval-shaped root canals of the three groups, on the first day there was no significant difference in apical microleakage (P>0.05). For the moderate and severe curved root canals of the three groups, on the 21st and 28th day, for the oval-shaped root canals of the three groups, on the 7th, 14th, 21st and 28th day, the microleakage value of the cold gutta-percha lateral compaction technique was significantly higher than that of the warm vertical compression technique group and the single-cone obturation technique group (P<0.05). There was no significant difference in microleakage between the latter two groups (P>0.05). Conclusion When iRoot SP is used as a root canal sealer for root canal filling of regular straight root canals,the apical sealing ability of the warm vertical compression technique, cold gutta-percha lateral compaction technique and single-cone obturation technique group are similar. For oval-shaped root canals, and moderate to severe curved root canals, the apical sea-ling ability of the warm vertical compression technique and single-cone obturation technique group is better than cold gutta-percha lateral compaction technique group.

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    Role of transforming growth factor-β2 in promoting the proliferation and differentiation of dental pulp stem cells
    Xiong Menglin,Wu Long,Ma Li,Zhao Jin
    Int J Stomatol. 2021, 48 (6):  635-639.  DOI: 10.7518/gjkq.2021111
    Abstract ( 556 )   HTML ( 21 )   PDF(pc) (13233KB) ( 87 )   Save

    Objective This work explores the effect of transforming growth factor-β2 (TGF-β2) on the proliferation and differentiation of dental pulp stem cells (DPSCs). Methods DPSCs were isolated, cultured, and randomly divided into negative control, positive control, and TGF-β2 groups. Tetramethylazoazole colorimetric method (MTT) was used to detect cell viability, and alkaline phosphatase (ALP) activity assay kit was applied to measure intracellular ALP activity. Western blot method was employed to detect Runt-related transcription factor 2 (Runx2), bone sialoprotein (BSP), and osteopontin (OPN) protein expression. Immunohistochemical staining was conducted to detect Runx2 positive expression. Results Compared with the positive control group, DPSCs activity continued to increase, intracellular ALP activity was up-regulated, Runx2, BSP, and OPN protein expression levels were increased, and Runx2 positive expression was increased after 3, 7, and 10 days of TGF-β2 treatment (P<0.05). Conclusion TGF-β2 can promote the proliferation and osteogenic differentiation of DPSCs.

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    Effect of preoperative width of cleft palate on fistula formation after Sommerlad-Furlow technique
    Wu Min,Li Chenghao,Li Yang,Gong Caixia,Shi Bing
    Int J Stomatol. 2021, 48 (6):  640-643.  DOI: 10.7518/gjkq.2021062
    Abstract ( 728 )   HTML ( 6 )   PDF(pc) (1344KB) ( 487 )   Save

    Objective This study aimed to evaluate the association between postoperative palatal fistula formation and the ratio of cleft width to the sum of palatal-shelf width by using the Sommerlad-Furlow technique (SF technique for short) for primary palate repair. Methods A total of 373 patients aged 8-18 months who underwent Huaxi SF technique for primary cleft palate without relaxation incision from April 2017 to December 2018 were included in the study. The incidence of palatal fistula was followed up 6 months after surgery. Gender, age, surgeon’s qualification, and the ratio of cleft width to the sum of palatal-shelf width were considered as the potential factors for affecting palatal fistula formation. Results The effect of gender, age, and surgeon’s qualification had no statistical significance (P>0.05). The effect of the ratio of cleft width to the sum of palatal-shelf width on postoperative fistula formation showed a strong association (P=0.048), with a width <5 mm (18 patients, no palatal fistula), from 5 mm to 10 mm (204 patients, 9 with palatal fistula), from 10 mm to 15 mm (137 patients, 11 with palatal fistula), and a cleft width >15 mm (14 patients, 3 with palatal fistula). Conclusion This study confirmed that the occurrence of palatal fistula was closely related to the preoperative cleft width repaired through the SF technique.

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    Systematic review on the effect of photon-initiated photoacoustic streaming in endodontic irrigation
    He Rong,Liu Xuejun,Zhou Yukun
    Int J Stomatol. 2021, 48 (6):  644-655.  DOI: 10.7518/gjkq.2021104
    Abstract ( 1011 )   HTML ( 60 )   PDF(pc) (1561KB) ( 608 )   Save

    Objective This work aims to evaluate the effect of photon-initiated photoacoustic streaming (PIPS) induced by Er: YAG laser activation on root canal irrigation. Methods Randomized controlled trials (RCTs) on the effect of PIPS in root canal irrigation in China were searched using China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, VIP Chinese Science and Technology Journal Database, PubMed, Embase, Cochrane Library, Web of Science, SCOPUS. All studies were published between January 2010 and July 2020 and were subsequently screened based on the inclusion and exclusion criteria. Item risk assessment and evaluation were conducted following the method of the Cochrane systematic review and PRISMA Guidelines. Results Forty-five eligible studies were included for description classification and systematic review. Results showed that PIPS has a significant effect on sterilizing; removing the smear layer, dentin debris, and calcium hydroxide from root canals; and increasing the depth of dentin tubule penetration. However, some findings failed to reflect the advantages of PIPS. At present, research on PIPS in terms of subjects (differences in length and curvature of isolated canals) remains lacking. The procedures and methods are not standardized, thus leading to differences in the research methods. Studies on root canal micro-fractures, irrigation solution and debris squeezed from apical foramen, standard parameters, comparison of various methods of irrigation, and randomized controlled clinical trials are also lacking. Conclusion Most studies showed that the PIPS of Er: YAG has significant effects on removing the bacteria, smear layer, dentin debris, and calcium hydroxide of root canals and increasing the depth of dentin tubule penetration. However, some results are controversial. This conclusion requires long-term, high-quality, and well-designed RCTs with large sample sizes for further validation.

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    Effects of mechanical adjacent surface plaque control measures on periodontal nonsurgical treatment: a systematic review
    Huang Xiaohui,Qi Benting,Yang Jie,Liu Yu,Sun Weibin
    Int J Stomatol. 2021, 48 (6):  656-663.  DOI: 10.7518/gjkq.2021107
    Abstract ( 581 )   HTML ( 19 )   PDF(pc) (3172KB) ( 549 )   Save

    Objective Numerous studies have been conducted on plaque control measures in the interdental space, including on dental floss, interdental brush, toothpicks, and dental water jet. The knowledge and skills of dentists should be upgraded to provide patients with excellent plaque control measures. This systematic review evaluated the effectiveness of mechanical plaque control measures on adjacent plaque control of patients with periodontitis and discussed effective evidence-based dental interventions so dentists can apply appropriate adjacent plaque control measures for their patients. Methods Articles published in PubMed, EMbase, Cochrane, Web of Science, CNKI, CBM, and Wanfang database were searched from March 1980 to April 2020. Articles that involved mechanical adjacent plaque control in patients with periodontitis were included in this study. Participants and interventions: patients who were diagnosed with periodontal disease and who were administered with adjacent plaque control measures during periodontal treatment were selected. The articles that met the inclusion criteria were systematically evaluated. Possible quantitative analyses were performed. Results Thirteen studies were finally included for the analysis. Results showed that compared with dental floss, interdental brush significantly improved plaque index (P<0.000 01). The sample size was small, and the range of publication time was broad. Conclusion The use of adjacent plaque control measures for patients with periodontitis can remove more dental plaques. As an auxiliary means of brushing the teeth, interdental brushes can remove more plaques than flossing alone.

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    Case Report
    Calcium pyrophosphate deposition disease complicated by temporomandibular joint dislocation
    Zhang Zhe,Liu Jin,Wang Weihong,Chen Zhiqiang,Yang Chun,Liu Li
    Int J Stomatol. 2021, 48 (6):  664-667.  DOI: 10.7518/gjkq.2021113
    Abstract ( 587 )   HTML ( 12 )   PDF(pc) (29601KB) ( 83 )   Save

    Calcium pyrophosphate deposition disease (CPPD) occurred in the temporomandibular joint is relatively rare. This report describes a case of CPPD combined multiple dislocations of the unilateral temporomandibular joint (TMJ) in a 54-year-old male patient who was successively misdiagnosed as having habitual TMJ dislocation, synovial chondroma and gout. Unexpectedly, the postoperative histopathological diagnosis was neoplastic calcium pyrophosphate crystalline deposition disease (pseudogout). Therefore, TMJ calcium pyrophosphate deposition disease should not be excluded in patients with chronic spontaneous unilateral TMJ dislocation, and should also be distinguished from TMJ synovial chondromas and condylar osteochondromas.

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    Reviews
    Research progress on cracked tooth
    Dong Xu,Xu Xin
    Int J Stomatol. 2021, 48 (6):  668-674.  DOI: 10.7518/gjkq.2021092
    Abstract ( 3324 )   HTML ( 774 )   PDF(pc) (1298KB) ( 4710 )   Save

    With the increase in the incidence of various diseases, cracked tooth has gradually become an important cause of adult tooth loss. The early clinical manifestations of a cracked tooth are usually obscure and often ignored by patients, leading to the progression of symptoms. A cracked tooth is difficult to diagnose early. Moreover, crack progression is difficult to monitor. Various treatment options and uncertain prognosis of the affected teeth pose a challenge to clinical dentists. This paper reviews the progress in clinical research on cracked tooth in three aspects, namely, aetiology, diagnosis and treatment strategies.

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    Evaluation of pulp status and selection of treatment in young permanent teeth after trauma
    Gao Huihui,Deng Shuli,He Xinmin,Hu Ji,an
    Int J Stomatol. 2021, 48 (6):  675-682.  DOI: 10.7518/gjkq.2021083
    Abstract ( 2666 )   HTML ( 499 )   PDF(pc) (1392KB) ( 3301 )   Save

    Tooth trauma is the damage of hard tissue and (or) periapical tissue caused by external force. It may induce pathological changes of dental-pulp tissue, thereby affecting the prognosis and long-term preservation of the affected teeth. In particular, permanent teeth have the unique anatomical and physiological characteristics of incomplete root deve-lopment, large apical foramen, and adequate blood supply. Once young permanent teeth suffer from trauma, the treatment of the affected teeth becomes greatly challenging. It also provides a physiological basis for the preservation of living pulp and pulp regeneration. In this paper, we review the different pulp states of young permanent teeth after trauma and the corresponding vital-pulp preservation treatment to provide a basis for oral clinicians to select the appropriate treatment stra-tegy.

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    Hybrid light source in vital dental bleaching
    Zhang Xuewen,Li Cong,Xu Xiaoyin,Gao Jing,Shen Jing
    Int J Stomatol. 2021, 48 (6):  683-689.  DOI: 10.7518/gjkq.2021105
    Abstract ( 760 )   HTML ( 80 )   PDF(pc) (1782KB) ( 779 )   Save

    Laser shows great potential application in vital dental bleaching but includes many potential risks, such as temperature increase in pulp cavity, damage to pulp tissues, and tooth sensitivity. Therefore, many studies involving different light types, light powers, bleaching agent concentrations, and bleaching procedures have been conducted to develop a safe and predictable process for clinical bleaching. The application of light-emitting diode (LED)-low level laser hybrid light source has attracted attention due to its conservative bleaching parameters. In this paper, the efficacy and safety of this novel bleaching system are reviewed to explore its possible advantages in vital dental bleaching.

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    Research progress on the application of dental-derived mesenchymal stem cells in periodontal defect repair
    Shi Peilei,Yu Chenhao,Xie Xudong,Wu Yafei,Wang Jun
    Int J Stomatol. 2021, 48 (6):  690-695.  DOI: 10.7518/gjkq.2021106
    Abstract ( 851 )   HTML ( 33 )   PDF(pc) (1226KB) ( 972 )   Save

    Periodontitis is a chronic infectious disease characterized by the destruction of periodontal tissue and is the most common cause of tooth loss among adults. The periodontium is a complex structure composed of soft and hard tissues; hence, the regeneration of its tissues is a challenging task. Self-renewal, multipotency, and accessibility make dental-derived mesenchymal stem cells an attractive source for periodontal tissue regeneration. With the development of cell-sheet engineering, biomaterial scaffolds, and 3D printing, dental-derived mesenchymal stem cells show great potential as seed cells in repairing periodontal tissue defects. This paper reviews the research progress on the application of dental-derived mesenchymal stem cells in periodontal defect repair.

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    Research progress on periodontal disease risk assessment and prognosis judgment tools
    Bai Haoliang,Yang He,Zhao Lei
    Int J Stomatol. 2021, 48 (6):  696-702.  DOI: 10.7518/gjkq.2021103
    Abstract ( 1315 )   HTML ( 63 )   PDF(pc) (1762KB) ( 1367 )   Save

    Periodontal disease is a multifactorial disease with plaque microorganism as the initiating factor. Related risk factors must be identified to develop effective treatment plan and help make correct prognosis judgment and maintenance period management for patients receiving periodontal treatment. The introduction of mathematical model tools of risk assessment and prognosis judgment can help doctors to obtain objective judgment and analysis results. Various periodontal disease risk assessment and prognosis assessment tools and evaluation have been reported. Differences were found for periodontal disease risk assessment parameters in relevant tools and their scope of application, advantages, and disadvantages. This paper summarized the periodontal disease risk assessment and prognosis judgment tools. The findings help clinicians conduct objective and reasonable periodontal disease risk assessment and prognosis judgment and assist clinicians to develop personalized periodontal system diagnosis and treatment plan.

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    Effects of parathyroid hormone and parathyroid hormone-related peptide on hard dental tissue formation
    Li Yuan-yuan,Chen Junyu,Cai He,Wan Qianbing
    Int J Stomatol. 2021, 48 (6):  703-710.  DOI: 10.7518/gjkq.2021110
    Abstract ( 780 )   HTML ( 11 )   PDF(pc) (1400KB) ( 623 )   Save

    Parathyroid hormone (PTH) and parathyroid hormone-related peptide (PTHrP) are critical regulators of calcium and phosphorus balance, which affects the formation and mineralization of tooth tissue. PTHrP, as the growth factor that mediates epithelial-mesenchymal interaction, plays an important role in regulating the proliferation and differentiation of tooth germ cells in an autocrine or paracrine manner. This review provides an overview of the effects of parathyroid hormone and PTHrP on the formation and mineralization of hard dental tissue, which could be beneficial to their potential applications in dental abnormalities and hard tissue defect.

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    Exosomes mediate the malignant progression of oral squamous cell carcinoma and its application in diagnosis and treatment
    Jiang Yulei,Xia Bin,Rao Nanquan,Yang Hefeng,Xu Biao
    Int J Stomatol. 2021, 48 (6):  711-717.  DOI: 10.7518/gjkq.2021109
    Abstract ( 598 )   HTML ( 22 )   PDF(pc) (1382KB) ( 376 )   Save

    Exosomes are extracellular vesicles that play an important role in intercellular communication and are widely present in human body fluids. Exosomes exert biological effects by carrying various active substances, such as proteins, mRNA, microRNA, and DNA. For example, those secreted by oral squamous cell carcinoma (OSCC) can affect the tumor microenvironment and promote the development of tumors by activating various signal pathways. Therefore, these vesicles provide a new treatment strategy for assisting the early diagnosis and prognosis of OSCC. Owing to their unique interaction in the tumor microenvironment, exosomes and their modified products can be used as effective carriers of genes and drugs for targeted OSCC therapy. This article reviews the production of exosomes, their role in OSCC, and the clinical diagnosis and treatment of exosomes in OSCC.

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    Research progress on genetics of five common syndromic subtypes of cleft lip and palate
    Sun Jialin,Lin Yansong,Shi Bing,Jia Zhonglin
    Int J Stomatol. 2021, 48 (6):  718-724.  DOI: 10.7518/gjkq.2021095
    Abstract ( 1363 )   HTML ( 39 )   PDF(pc) (1389KB) ( 1492 )   Save

    Cleft lip and palate is one of the most common congenital malformations. On the basis of the presence of additional clinical features, it can be divided into non-syndromic cleft lip and palate and syndromic cleft lip and palate. Stu-dies have found that non-syndromic cleft lip and palate is a multi-factorial genetic disease, which is affected by a variety of genetic factors and environmental risk factors. However, syndromic cleft lip and palate is a low-incidence defect and single-gene disease. It has clear pathogenic genes and shows obvious familial transmissibility in accordance with Mendelian inheritance. This review summarises the research progress on genetics of five common syndromic subtypes of cleft lip and palate and provides reference for future genetic study on this disease.

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    Research advances of low-level laser therapy on peri-implant tissue healing
    Wang Yue,Wen Bing,Deng Mengting,Li Jianping
    Int J Stomatol. 2021, 48 (6):  725-730.  DOI: 10.7518/gjkq.2021096
    Abstract ( 1064 )   HTML ( 105 )   PDF(pc) (1367KB) ( 1189 )   Save

    Low-level laser therapy (LLLT) is a kind of therapy that can use biological stimulation of the low-level laser to promote cell healing. In the field of oral implants, low-level lasers promote osseointegration of implants, enhance soft tissue healing, inhibit inflammation and reduce post-operative adverse reactions. This review mainly introduced the mechanism and clinical application of LLLT on peri-implant tissue, aiming to lay a foundation for further clinical application.

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    Research progress on high-frequency mutated genes in the PI3K/AKT/mTOR signalling pathway in salivary duct carcinoma
    Chai Guochao,Zhang Suxin
    Int J Stomatol. 2021, 48 (6):  731-736.  DOI: 10.7518/gjkq.2021094
    Abstract ( 922 )   HTML ( 19 )   PDF(pc) (1238KB) ( 698 )   Save

    Salivary duct carcinoma (SDC) is an aggressive subtype of salivary gland carcinoma with high recurrence and metastasis rates. The traditional treatment is surgical resection, lymph node dissection and adjuvant radiotherapy, and the prognosis is poor. In recent years, second-generation gene sequencing (NGS) and immunohistochemistry (IHC) technology have developed rapidly. High-frequency mutant genes were found in SDC by NGS and IHC. These mutant genes have biological effects on SDC with the PI3K/AKT/mTOR signalling pathway as the main target signal node. The author intends to summarise the PI3K/AKT/mTOR signalling pathway and its high-frequency mutant genes, as well as elaborate the molecular mechanism of the occurrence and development of SDC.

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    Research progress on drugs regulating the osteogenic differentiation of dental pulp stem cells
    Guo Yuting,Lü Xuechao
    Int J Stomatol. 2021, 48 (6):  737-744.  DOI: 10.7518/gjkq.2021088
    Abstract ( 718 )   HTML ( 21 )   PDF(pc) (1254KB) ( 748 )   Save

    Bone defects are a common complication of oral and maxillofacial diseases. Cleft lip and palate and chro-nic periodontitis can cause bone defects and affect the function and beauty of the face. Dental pulp stem cells (DPSCs) have good biological characteristics, such as multidirectional differentiation potential and self-renewal ability. Thus, they can provide a new idea for the repair of bone defects and have an important clinical-transformation value. This study found that the osteogenic differentiation of DPSCs was regulated by various factors. One of the most useful methods of inducing osteogenic differentiation of cells was by adding drugs to the culture system of DPSCs. On one hand, drugs can induce the osteogenic differentiation of DPSCs in vitro; on the other hand, drugs can be used in combination with DPSCs in the clinic. Clarifying which drugs can promote the osteogenic differentiation of DPSCs has significance for their transformations and applications. This thesis reviews the research progress of drugs associated with the regulation of osteogenic differentiation of DPSCs to provide a new strategy for research on DPSCs in regenerative medicine and clinical applications.

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