The research progress of immunomodulation in orthodontic tooth movement, elucidating the functions of diverse immune cells and cytokines, is summarized in this article, with a perspective on the future, facilitating a comprehensive understanding of the underlying biological mechanisms.
Bones, teeth, articulations, chewing muscles, and their innervating nerves form the interwoven stomatognathic system. This comprehensive system within the human organism supports mastication, speech, swallowing, and other vital functions. Biomechanical experimental methods, for directly measuring movement and force within the stomatognathic system, encounter significant challenges due to the complex anatomical structure and ethical considerations. Multi-body system dynamics is a key method for exploring the force and kinetic behavior of a multi-body system made up of objects moving relative to one another. Employing multi-body system dynamics simulation in engineering allows for investigation into the movement, soft tissue deformation, and force transfer characteristics of the intricate stomatognathic system. A concise presentation of multi-body system dynamics' historical trajectory, practical application strategies, and the commonly employed modeling methods forms the core of this paper. Human Tissue Products A thorough overview of the application and progress in multi-body system dynamics modeling within the field of stomatology was provided, encompassing future research directions and potential difficulties.
To treat gingival recession and insufficient keratinized gingival tissue, traditional mucogingival surgery often incorporates the use of subepithelial connective tissue grafts or free gingival grafts. The drawbacks of autologous soft tissue grafts, including the preparation of an additional surgical site, the limited tissue volume at the donor site, and the subsequent postoperative discomfort for patients, have spurred substantial interest in the development of autologous soft tissue substitute materials. In membranous gingival surgeries, a multitude of donor-substitute materials, originating from different sources, are currently being used, such as platelet-rich fibrin, acellular dermal matrix, xenogeneic collagen matrix, and so on. This paper examines the evolution of research and application of diverse substitute materials in soft tissue augmentation for natural teeth, aiming to elucidate the potential of autologous soft tissue substitutes in clinical gingival augmentation procedures.
The incidence of periodontal disease is high amongst Chinese patients, resulting in a significant imbalance of doctors to patients, particularly in the limited availability of periodontal specialists and educators. Developing skilled professional postgraduates in periodontology is a key method for resolving this difficulty. Peking University School and Hospital of Stomatology's periodontal postgraduate training, spanning over three decades, is evaluated in this paper. This includes the definition of learning objectives, the optimal deployment of instructional resources, and the improvement of clinical teaching quality controls, ensuring that postgraduates achieve the expected professional mastery in periodontics. This configuration became the blueprint for the current Peking University. Postgraduate periodontal clinical education in the domestic stomatology sector is characterized by a simultaneous presence of advantages and disadvantages. The authors are optimistic that continuous development and improvement of this teaching system will result in a robust growth in the clinical teaching of periodontology for postgraduate students in China.
A study into the digital production method of removable partial dentures with distal extensions. The selection of 12 patients (7 male, 5 female) with free-ending situations from the Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, occurred between November 2021 and December 2022. The alveolar ridge's relationship to jaw position was represented in a three-dimensional model obtained using the intraoral scanning method. The metal framework, following standard design, manufacturing, and trial-fitting stages for the removable partial denture, was positioned in the mouth and re-scanned, thereby generating a composite model that included the dentition, alveolar ridge, and the metal framework itself. By combining the digital model of the free-end alveolar ridge with the virtual metal framework model, the free-end modified model is produced. Effective Dose to Immune Cells (EDIC) From the free-end modified model, a three-dimensional design of the artificial dentition and base plate was created, and then fabricated using a resin model generated by digital milling technology. Through the meticulous process of accurately positioning the artificial teeth and base plate, bonding the metal framework with injection resin, grinding, and polishing the artificial dentition and resin base, a removable partial denture was created. The results, evaluated against the clinical trial design data, showed a 0.04-0.10 millimeter inaccuracy in the resin base-connecting rod joint of the artificial dentition and an inaccuracy of 0.003-0.010 millimeters in the artificial dentition-resin base bond. Post-denture delivery, two patients alone needed grinding adjustments in their subsequent visit for tenderness, the rest experiencing no discomfort. This study's digital fabrication process for removable partial dentures demonstrates a method to resolve issues in digital fabrication of modified free-end models and the assembly of artificial dentition with resin bases and metal frameworks.
This research project will investigate the effect of VPS26 on the differentiation of osteogenesis and adipogenesis in rat bone marrow mesenchymal stem cells (BMSCs) under high-fat conditions, and further explore its impact on implant osseointegration in high-fat rats and ectopic bone formation in nude mice models. BMSC cultures were divided into an osteogenic group (standard induction) and a high-fat osteogenic group. The high-fat group was transfected with VPS26 enhancer and inhibitor, and the expression of osteogenesis and adipogenesis-related genes was analyzed. At 7 and 14 days post-induction, the process of bone marrow stromal cell (BMSC) osteogenesis and adipogenesis was elucidated through alkaline phosphatase (ALP) and oil red O staining. Implantation of implants was carried out on eighteen male hyperlipidemic Wistar rats (12 weeks old, 160-200 g). Each of three groups (VPS26 overexpression lentivirus, negative control lentivirus, and saline) contained six rats. Femur samples were analyzed by micro-CT, hematoxylin and eosin, and oil red O staining to assess implant integration and lipid droplet formation. A total of twenty female nude mice, six weeks old and weighing 30-40 grams, were segregated into five groups. Each group received subcutaneous injections in their backs of either non-transfected osteogenic bone marrow stem cells (BMSCs) or BMSCs transfected with lentiviral vectors, including LV-VPS26, LV-nc, shVPS26, and shscr, respectively. Samples were instrumental in the observation of ectopic osteogenesis. Compared to the negative control (101003), mRNA levels of ALP were substantially higher in high-fat group BMSCs following VPS26 (156009) overexpression (t=1009, p<0.0001). Significantly, the mRNA levels of peroxisome proliferator-activated receptor- (PPAR-) and fatty acid-binding protein4 (FABP4) were demonstrably lower in the treated group compared to the negative control (101003) (t=644, p<0.0001 and t=1001, p<0.0001, respectively). The results of the Western blot assay indicated that overexpression of VPS26 in high-fat group BMSCs led to elevated protein expression of ALP and Runt-related transcription factor 2, a difference from the negative control, with a corresponding decrease in PPAR-γ and FABP4 expression. Enhanced ALP activity and reduced lipid droplet formation were observed in BMSCs from the high-fat group after VPS26 overexpression, contrasting with the negative control group. VPS26's co-localization with β-catenin and their interaction, as determined by immunofluorescence, immunoprecipitation, and dual luciferase reporter assays, resulted in a statistically significant 4310% elevation in the TOP/FOP ratio (t = -317, P = 0.0034). The overexpression of VPS26 protein promoted osseointegration and decreased the concentration of lipid droplets in high-fat rats, and additionally spurred the development of ectopic bone tissue in nude mice. VPS26's activation of osteogenesis differentiation in BMSCs, alongside its inhibition of adipogenic differentiation via the Wnt/-catenin pathway, facilitated osseointegration in high-fat rat implants and ectopic osteogenesis in nude mice.
To use computational fluid dynamics (CFD) to examine the upper airway flow patterns in patients with varying degrees of adenoid hypertrophy. From November 2020 through November 2021, cone-beam CT (CBCT) data were gathered for four patients (two male, two female; ages 5-7 years, average age 6.012 years) experiencing adenoid hypertrophy, hospitalized within the Orthodontics and Otolaryngology departments at Hebei Eye Hospital. WS6 in vivo Four patients' adenoid hypertrophy severity, categorized as normal S1 (A/N ratio less than 0.6), mild S2 (0.6 to less than 0.7), moderate S3 (0.7 to less than 0.9), and severe S4 (A/N 0.9 or greater), was determined by comparing adenoid thickness to nasopharyngeal cavity width. The ANSYS 2019 R1 software was instrumental in the creation of a CFD model of the upper airway, followed by a numerical simulation of the internal flow field within this model. For flow field data, eight sections were designated as observation and measurement planes. The flow field data set includes airflow distribution, velocity changes, and pressure fluctuations. In the S1 model, the 4th and 5th observation planes experienced the highest pressure difference, reaching a peak of 2798 (P=2798). The sixth observational plane was the location of the lowest recorded pressures and the highest observed flow rates for S2 and S3.