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25 December 2023, Volume 14 Issue 4
连补牙周缓释凝胶的制备及其对实验性牙周炎治疗作用的研究
2023, 14(4):  216-223. 
Abstract ( 100 )  
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Objective:Prepare Lianbu sustained-release gel, to examine its basic physicochemical properties, degree of release and toxicological properties, and to evaluate its pharmacodynamic effects in the treatment of experimental periodontitis. Methods:The prescription process for the preparation of Lianbu sustained-release gel was optimized by alkaline phosphatase assay to obtain the optimal mass ratio of the extract of coptis and the extract of rhizome drynariae. Glycerol, glyceryl triacetate, hydroxyethyl cellulose and polyacrylic acid resin were used as gel matrix to prepare Lianbu sustained-release gel with 2%, 4%, and 6% drug-loading rate, and their morphology, pH, stability, and the release rate in vitro were examined to optimize the optimal amount of drug loading. Acute toxicity test in mice at 20 g/kg by gavage using the maximum tolerated dose method. The mucosa of the lower lip of SD rats was sutured into a blind pouch, and then the sustained-release gel was injected into the pouch and applied to their lower gingival mucosa for local mucosal irritation experiments. Long-term toxicology experiments were conducted in SD rats by continuous gavage for 90 days to examine the blood routine and histopathological indexes. An experimental periodontitis model was established in SD rats, and the three-dimensional morphology of the alveolar bone of rats was observed using micro-CT, and the CEJ-ABC was measured. Results:The optimum mass ratio for the preparation of coptis extract and rhizome drynariae extract was 1∶10. The 2%, 4%, and 6% Lianbu sustained-release gel all had good injectability, were in the neutral pH range, and were well stabilized. 6% Lianbu sustained-release gel had the best effect on release. No acute toxic side effects were seen in mice given the sustained-release gel. The mucous membrane contact test did not show any significant irritant reactions such as erythema and edema. Long-term toxicology experiments showed no difference in general activity status, behavioral activities, diet, urine and stool, weight gain, hematology of rats in the Lianbu sustained-release gel group compared with the control group, and no obvious pathological changes were seen in the pathological examination of organs, indicating that the drug had no obvious toxic side effects. After treating experimental periodontitis rats for 4 weeks, micro-CT imaging results showed the alveolar bone resorption was significantly improved in 6% gel group and CEJ-ABC was significantly less than that in blank gel group and control group(P<0.05). Conclusions:The prepared 6% Lianbu sustained-release gel had excellent physicochemical properties and slow-release performance, and had certain therapeutic effects on experimental periodontitis rats.
小鼠杏仁中央核内TRPV1参与实验性正畸牙移动疼痛和焦虑的研究
2023, 14(4):  224-228. 
Abstract ( 76 )  
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Objective:To explore whether TRPV1 in CeA of mice was involved in tooth movement pain and anxiety. Methods:Forty 8-week-old adult male C57BL/6J mice were randomly divided into blank group, 0 cN, 10 cN, 30 cN and 50 cN groups according to the tooth movement force. Then the behavioral indexes were recorded at different time points. The pain level of mice was evaluated by face wiping test, the anxiety-like state was evaluated by open field test and elevated maze test. Immunofluorescence method was used to observe the distribution and expression of TRPV1 in CeA, western blot method was used to detect the change trend of TRPV1 protein expression in mouse CeA during orthodontic tooth movement. Results:All the force values of mice showed pain during the experimental tooth movement, in which the 30 cN group showed the highest level of face wiping on the 1st day. The mice with different force values also showed different degrees of anxiety-like behavior, and the anxiety-like indexes in the 30 cN group were significantly higher than those in the 0 cN group on the 28th day (P<0.05). Immunofluorescence staining showed that the expression of TRPV1 in the 30 cN 1 d group was higher than that in the 0 cN 1 d group (P<0.001). Western blot experiment showed that the expression of TRPV1 in CeA in 30 cN group was significantly higher than that in 0 cN 1 d group during experimental tooth movement, and reached the peak on the 1st and 28th day (P<0.05). Conclusions:TRPV1 in CeA participated in pain and anxiety of experimental tooth movement.
Nb2C生物涂层的体外生物学特性研究初探
2023, 14(4):  229-232. 
Abstract ( 80 )  
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Objective: Preparation of Nb2C/3D printed silicon nitride (Si3N4) composite tissue engineering scaffolds and investigation on biological characteristics in vitro of Nb2C MXene nanocoating. Methods: Si3N4 scaffold was prepared by 3D printing technology, and Nb2C nanosheet suspension was prepared by HCl-LiF hydrothermal in situ corrosion and stripping treatment,Nb2C biocoating was obtained by soaking the Si3N4 scaffold in 1.5 mg/mL Nb2C nanosolution; Nb2C/Si3N4 scaffold extracts were prepared and filtered and divided into four groups with MC3T3 cell lines, including blank control, positive control with 2% DMSO, Si3N4 and Nb2C/Si3N4 groups, and cell proliferation activity was measured by CCK-8. Results: Compared to blank group, the proliferation activity of MC3T3 cells was significantly increased for positive control group (P<0.05); Compared to Si3N4 group, the proliferation activity of MC3T3 cells was significantly increased for Nb2C/Si3N4 scaffold group (P<0.05). Conclusions: Nb2C/Si3N4 composite scaffold biolating can promote the proliferation of MC3T3 cells. It is a material with potential application for bone tissue engineering.

[Key words] Nb2C; MXene; silicon nitride; biological coating; osteoblasts; cell proliferation; bone tissue engineering

CKS2在口腔鳞状细胞癌中的表达及其生物学意义
2023, 14(4):  233-238. 
Abstract ( 115 )  
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Objective: To investigate the expression pattern of cyclin-dependent kinase regulatory subunit 2 (CKS2) and its effects on cell biological behavior in patients with oral squamous cell carcinoma (OSCC). Methods: Bioinformatics analysis was conducted to explore the expression level of CKS2 mRNA in OSCC and normal mucosal tissues. We selected 91 OSCC and 20 healthy oral mucosa samples. Immunohistochemical (IHC) staining was used to detect the expression level of CKS2 in 91 specimens of OSCC patients and 20 normal oral epithelial mucosa, and to explore the predictive value of CKS2 expression in OSCC patients. Small interfering RNA (siRNA) was used to silence CKS2 of Cal27 cells and its knockdown efficiency was determined by western blot. The effects of CKS2 silencing on the proliferation, cycle and migration of Cal27 cells were detected by cell clone formation assay, cycle assay and wound healing assay. Results: Bioinformatics analysis and IHC results showed that the expression of CKS2 in OSCC tissues was significantly higher than that of normal oral mucosa (P<0.05). The expression of CKS2 was correlated with tumor size, cervical lymph node metastasis and survival rate of patients (P<0.05). CKS2 silencing inhibited the proliferation and migration of Cal27 cells and induced G2 phase arrest (P0.05). Conclusions: Our findings revealed that CKS2 was overexpressed in OSCC, its high expression relating to the poor prognosis of OSCC patients, and involving in the positive regulation of OSCC cell proliferation, migration and cycle.

原发性颞下颌关节色素沉着绒毛结节性滑膜炎的潜在诊断标志物预测研究
2023, 14(4):  239-246. 
Abstract ( 79 )  
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Objective:To identify potential diagnostic markers and assess their role in the pathogenesis and progress of temporomandibular joint (TMJ) pigmented villous nodular synovitis (PVNS) based on bioinformatics analysis. Methods:The gene expression profile was analyzed at the probe level according to the raw matrix data of gene chip (GSE3698). R language programming was used to analyze and visualize the results. DEGs were screened in TMJ PVNS. The functional annotation and signal pathway enrichment analysis on these cell populations. PPI network was established based on the STRING database. Summary receiver operating characteristic curves were plotted to determine diagnostic biomarkers of TMJ PVNS. Quantitative analysis of immune cell subtypes in TMJ PVNS was calculated using CIBERSORT software from sequences and the association between diagnostic markers and infiltrating immune cells was also estimated accordingly. Results:?Totally 139 DEGs were found out including 46 downregulated and 93 upregulated genes. Functional enrichment analysis revealed that 44 biological process, 30 cellular component, 18 molecular function, and 22 signal pathways were statistically significant. Eight hub genes with significantly upregulated expression were screened by PPI network. FCER1G, HLA-DPB1, LAPTM5, and TYROBP were identified as potential diagnostic biomarkers for TMJ PVNS. Immunocyte infiltration analysis showed neutrophils and M2 macrophages were associated with the pathogenesis and progress of TMJ PVNS. In addition, the correlation analysis concerning the identified diagnostic markers and infiltrating immune cell subpopulations indicated that FCER1G, LAPTM5, TYROBP were negatively related to plasma cell infiltration; FCER1G, HLA-DPB1, LAPTM5, and TYROBP were positively related to M2 macrophage infiltration and that neutrophils. Conclusions:This investigation concluded that FCER1G, HLA-DPB1, LAPTM5, and TYROBP as potential diagnostic markers and immune cell infiltration played an important role in the pathogenesis and progress of TMJ PVNS.
重度牙周炎伴冠心病患者外周血miR-146a、miR-155水平变化及临床意义
2023, 14(4):  247-252. 
Abstract ( 87 )  
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Objective:To explore the changes and clinical significance of peripheral blood miR-146a and miR-155 levels in patients with coronary heart disease and severe periodontitis.Methods:Thirty-two patients with coronary heart disease and severe periodontitis (group A) admitted to the hospital from January 2020 to January 2023 were selected, another 54 patients with severe chronic periodontitis admitted to the same hospital during the same period (group B) were selected, another 45 healthy individuals were selected as the control group. The levels of miR-146a and miR-155 in peripheral blood of three groups were compared. The univariate analysis of factors affecting the occurrence of coronary heart disease in patients with severe periodontitis, and logistic regression analysis of the influencing factors. The receiver operating curve (ROC) was used to analyze the value of miR-146a and miR-155 levels in predicting the occurrence of coronary heart disease in patients with severe periodontitis. Results: The levels of miR-146a in peripheral blood of group A and group B were higher than those of the control group (P<0.05), and the levels of miR-146a in peripheral blood of group A were higher than those of group B (P<0.05). The peripheral blood miR-155 levels in group A and group B were lower than those in the control group (P<0.05), and the peripheral blood miR-155 levels in group A were lower than those in group B (P<0.05). The body mass index, serum CRP, and peripheral blood miR-146a levels of patients in group A were higher than those in group B (P<0.05), while the education years and peripheral blood miR-155 levels of patients in group A were lower than those in group B (P<0.05). Logistic multivariate regression analysis showed that serum CRP, peripheral blood miR-146a, and miR-155 levels were independent risk factors for the occurrence of coronary heart disease in patients with severe periodontitis (P<0.05). ROC analysis showed that the optimal cutoff points for miR-146a and miR-155 levels in peripheral blood predicting the occurrence of coronary heart disease in patients with severe periodontitis were 1.84 and 0.60, sensitivity was 81.25% and 84.37%, the specificity was 83.33% and 72.22%, and the area under the curve (AUC) was 0.857 and 0.766, respectively. The sensitivity, specificity, and AUC of the combination of the two were 81.25%, 98.15%, and 0.942, respectively. Conclusion: The miR-146a and miR-155 levelsin peripheral blood may experience abnormal changes in patients with coronary heart disease and severe periodontitis, clinical testing of peripheral blood miR-146a and miR-155 levels can serve as sensitive indicators for predicting the occurrence of coronary heart disease in patients with severe periodontitis, and the combined predictive value is higher.
单固位体悬臂式粘接桥修复个别前牙缺失的3年临床效果观察
2023, 14(4):  253-257. 
Abstract ( 132 )  
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Objective: To observe and analyze the clinical effect of single-retainer cantilever resin-bonded bridge in replacing single anterior tooth missing. Methods: Twenty single-retainer cantilever resin-bonded bridges were fabricated for single anterior tooth missing,and they were evaluated 6,12,24 and 36 months after restoration using the clinical evaluation criteria set by the American Public Health Association (APHA). At the same time, the periodontal indexes of the abutment tooth and the adjacent teeth before and after restoration were recorded to analyze the influence of the restoration on periodontal condition of the abutment teeth, and the VAS of patient satisfaction was quantified. Results: In 20 cases of single retainer cantilever resin-bonded bridge, no debonding or fracture occurred during 36 months of repair period. 1 case was classified as grade B due to edge coloring and the rest were graded. A 24 months after repair; 36 months after the completion of the restoration, 3 cases were classified as grade B due to edge coloring, and the rest were grade A. The patients' satisfaction with the restoration effect was 100%, and there was a significant difference in patients' satisfaction with the status of missing tooth area before and after restoration (P<0.05). And there was no significant difference in the periodontal indexes of the abutment tooth before and after restoration (P>0.05). Conclusions: For patients with single anterior tooth missing, using a single retainer cantilever resin-bonded bridge for restoration can obtain a relatively stable restoration results.

对力学响应的相关分子在牙发育中的作用研究进展
2023, 14(4):  258-262. 
Abstract ( 82 )  
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Mechanical forces play an important role in tissue development and various physiological and pathological processes, and many molecules, signaling pathways, and ion channels are involved. The mouth is an open environment, the teeth in the mouth will inevitably be stimulated by a variety of mechanical forces, and tooth development is the most important part of the tooth growth process, in this process there are also major factors, and affect the tooth development process to varying degrees. In this paper, the relevant molecules in response to mechanical stimulation in vivo and during tooth development are reviewed, so as to provide ideas for finding a method to promote tooth development and eruption through mechanical stimulation.
高级氧化技术在口腔医学中的研究进展
2023, 14(4):  269-272. 
Abstract ( 72 )  
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In recent years, AOPs-based antibacterial, decontamination, tooth whitening, and anti-tumor strategies, have been developed in the field of oral medicine to meet various application requirements, improving the therapy outcomes. Thus, this article aims to provide an overview of the current research status of AOPs in the field of oral medicine.