Loading...

Archive

    15 January 2015, Volume 8 Issue 1 Previous Issue    Next Issue

    For Selected: Toggle Thumbnails
    Science of dental occlusion:current understanding and prediction.
    WANG Mei-qing
    2015, 8(1): 1-4.  DOI: 10.7504/kq.2015.01.001
    Abstract ( )   PDF (924KB) ( )  

    Abstract:Occlusion is a branch of oral science focusing on the physiological and pathological features of dental occlusion. It covers not only the morphology and physiology of occlusion,but also the clinical features of occlusion normality and abnormalities. An aberrant occlusion plays a role in temporomandibular disorders,bruxism,cervical spine disorder and periodontal problem(s). It may play a part in tooth wear,tooth fracture,food impaction,dentinal hypersensitivity,mucosa bruise,allotriogeusia,fissured tongue and dyskinesia tongue. All these make the occlusion a source of some psychological symptoms. Currently,it is emergently necessary to investigate occlusion in a combination of views and methods of anatomy,physiology,biomechanics,molecular biology,pathology,etc.,based on which to develop the practical assessment systems,methods or techniques followed by a series of evidence-based therapeutic studies to draw up a guideline of occlusal treatment.

    Basic concept of occlusion and research status.
    KANG Hong,ZHANG Xue
    2015, 8(1): 5-8.  DOI: 10.7504/kq.2015.01.002
    Abstract ( )   PDF (904KB) ( )  

    Abstract:Occlusion is a static or dynamic occlusal contact relationship between upper and lower jaw dentition. Also it is recognized as a biologically harmonious interaction among components of stomatological system in the control of occlusal contact during function or dysfunction. Research on occlusion is focused on occlusal contact and explores the science of its pathophysiology and clinical application. Understanding the concepts of intercuspal position,retruded contact position,postural position,and centric relation is of great significance in dental clinic.

    Condylar position and its role in the diagnosis and treatment clinically.
    LIU Mu-qing,FU Kai-yuan
    2015, 8(1): 8-12.  DOI: 10.7504/kq.2015.01.003
    Abstract ( )   PDF (920KB) ( )  

    Abstract:The condylar position should be taken into account in the diagnosis and treatment of condyle fracture,orthognathic surgery,occlusal reconstruction and temporomandibular disorders. The normal condylar position in the glenoid fossa and its clinical significance in the diagnosis and treatment of temporomandibular disorders,for example the disc displacement,will be discussed here through the literature review and the combination of our research findings. Many research data suggested a centric position of condyle in a normal joint,with individually variances. A posterior condylar position might be a risk factor of disc displacement,and on the other hand,the disc displacement might induce condyle to move posteriorly. With the use of anterior repositioning splint for treating anterior disc displacement with reduction,the condyle moved anteriorly and inferiorly,the condyle-disc relationship could be improved immediately. Besides,splint therapy may facilitate regenerative remodeling of condyles.

    The issues of occlusion in implant dentures.
    WANG Lin-xia,MENG Yu-kun
    2015, 8(1): 13-16.  DOI: 10.7504/kq.2015.01.004
    Abstract ( )   PDF (876KB) ( )  

    Abstract:The development of dental implant technology provides a new clinical scope for prosthodontics. Occlusion in implant prosthesis is crucial not only for aesthetics and function,but also for the long-term success of the implant. Occlusal design and the difference between natural teeth and implant should be considered before implant restoration. According to the span of the edentulous space and design of the planned dentures,individual occlusal designs should be applied. The purpose of the paper is to probe into the occlusal issues in implant dentures.

    Effect of smoking on alveolar bone defect in patients with chronic periodontitis.
    GE Zi-ming,ZHAO Hai-jiao,YANG Xue,PAN Ya-ping
    2015, 8(1): 17-21.  DOI: 10.7504/kq.2015.01.005
    Abstract ( )   PDF (876KB) ( )  

    Abstract:Objective To study the effect of smoking on alveolar bone defect in patients with chronic peridontitis. Methods Select thirty patients respectively in smoking and non-smoking patients with chronic periodontitis,who are scanned by cone beam CT(CBCT). Florida probe is applied to measure the PD and AL of all the teeth(including teeth's mesial,distal,buccal,lingual). NNT software is applied to measure the average degree of alveolar bone defects in different regions:incisor area,canine area,premolar area and molar area(including teeth's mesial,distal,buccal,lingual). Results The periodontal probing depth and attachment loss level had no significant difference(P > 0.05)in smoking group and non-smoking group;smoking group's alveolar bone defect degree was more serious than non-smoking group,the difference being statistically significant(P < 0.05). Compared with the non-smoking group,alveolar bone defects in smoking group in each site of the same teeth were more serious,the difference being statistically significant(P < 0.05). In two groups,the alveolar bone defect of canine area was the mildest,the most serious part of the alveolar bone defect in molar area(P < 0.05). The alveolar bone defect had significant differences in smoking group among different sites of the same teeth(P < 0.05),while the most serious part in maxillary molars palatal. In smoking group,except for the distal sites of mandibular molar area and buccal and lingual sites of mandibular incisor area,the alveolar bone defect of maxillary teeth was more serious than mandibular teeth,the difference being statistically significant(P < 0.05). In non-smoking group,the alveolar bone defect of the same site in different teeth showed a decreasing trend from the molar area to the canine area. But the alveolar bone defect of each point in mandibullar incisor area was significantly higher than maxillary incisor area,the difference being statistically significant(P < 0.05). Conclusion In chronic periodontitis patients,the alveolar bone defect of smokers is more serious than non-smokers. The alveolar bone defects of smokers with chronic periodontitis present teeth and site-specific effects and the most serious area is located in maxillary molars palatal. The application of CBCT is conducive for the clinicians to have a better understanding of the alveolar bone defect forms,and provides more help to the diagnosis and treatment of periodontal disease.

    Evaluation on short-term clinical effect of splinted short implants in mandible of posterior region.
    ZHANG Bo,SHAO Lei,ZHAO Bao-hong,DENG Chun-fu,SHANG De-hao,ZHANG Chong,WANG Dan-ning
    2015, 8(1): 22-27.  DOI: 10.7504/kq.2015.01.006
    Abstract ( )   PDF (1185KB) ( )  

    Abstract:Objective To evaluate the short-term clinical effect of splinted short implants in the partly edentulous mandible of posterior regions. Methods Totally 65 patients(130 implants)who received short implants or standard implants to restore dentition defect in mandible of posterior regions during the period between January 2008 and January 2013 at the Implant Center of Hospital of Stomatology,China Medical University were selected,including 31 patients with 62 short implants(length ≤ 8.5 mm)as the short implant group and 34 patients with 68 standard implants(length ≥ 11.5 mm)as control group. Relevant clinical data was recorded and analyzed,such as cumulative success rate,biomechanical complications,marginal bone loss and Crown/Implant ratio. Results Two implants failed in both short implant group and control group. No significant differences in cumulative success rate,biomechanical complications and marginal bone loss were found between the two groups(P > 0.05). The clinical Crown/Implant ratio in short implant group was significantly greater than that of the control group(P < 0.01). Conclusion In the case of strict control of indications,the application of short implants to restore edentulous mandible of posterior regions for those who had bone defect can achieve more satisfactory clinical results,and additionally reduce the operation risk and the economic burden of patients.

    In vitro study of sealing ability of mineral trioxide aggregate and resinous inlay in repairing the large area of molar furcation.
    XIE Hui-lan,XU Jun-wu,CAO Bai-yu,ZHENG Ling-jian
    2015, 8(1): 28-31.  DOI: 10.7504/kq.2015.01.007
    Abstract ( )   PDF (880KB) ( )  

    Abstract:Objective To evaluate the sealing ability of mineral trioxide aggregate(MTA)and resinous inlay in repairing the large area of molar furcal perforation. Methods Totally 70 freshly extracted molars were selected in 2013 from March to June in Department of Stomatology,Fujian Provincial Hospital,and they were divided into two experiment groups A and B(n = 30),and one control group(n = 10). Cylindrical shaped cavity with diameter more than 3 mm in the furcal perforation in experiment groups. Perforations were not made in control group. Group A and B were repaired with MTA and resinous inlay. The furcal appearances were evaluated under stereomicroscope after repairing;micro-leakage was measured by glucose oxidase detection. Results The fineness rate of furcal appearances in group A was 36.7%,group B 83.3%. There were statistical difference between group A and B in fineness rate(χ2 = 6.79,P < 0.05). During the experiment,there were statistical difference between group A and B in the average daily sealing ability(P < 0.05). Conclusion The resinous inlay is better than MTA in repairing the large area of molar furcal perforation.

    Effect of fluid shear stress on the expression of LEF-1 mRNA in human periodontal ligament cells.
    ZHANG Gui-rong,CHEN Luo-ping,WANG Xue
    2015, 8(1): 32-35.  DOI: 10.7504/kq.2015.01.008
    Abstract ( )   PDF (1146KB) ( )  

    Abstract:Objective To study the expression of lymphoid enhancer factor-1 (LEF-1) mRNA in the human periodontal membrane cells under the action of fluid shear stress. Methods Human periodontal membrane cells were primarily cultured. The human periodontal membrane cells suffered from the fluid shear stress at 1.2 Pa for 0 h,0.5 h,2 h,4 h and 8 h by fluid shear loading system,then RT-PCR was used to test the expression of LEF-1 mRNA of cells before and after human periodontal membrane cells were stressed. Results The human periodontal membrane cells were stressed at 1.2 Pa for 8h by the fluid shear stress and the expression of LEF-1 mRNA increased. Conclusion The stimulation of fluid shear stress can activate the transcription of LEF-1 in human periodontal membrane cells. The reason of the expression increase of LEF-1 mRNA may be the response of Wnt signal pathway under the action of fluid shear stress.

    Clinical experience in Cerec AC chairside immediate all-ceramic restorations in 83 cases.
    MA Hong-mei*,LI Si-wen,JIA Xing-ya,WANG Li-sha
    2015, 8(1): 36-39.  DOI: 10.7504/kq.2015.01.009
    Abstract ( )   PDF (1208KB) ( )  

    Abstract:Objective To investigate the application value of Cerec AC chairside immediate all-ceramic restorations in tooth defects and esthetic restorations,and to summarize the methods of clinical application and operation essentials. Methods Totally 105 immediate all-ceramic restorations including 27 inlays,32 onlays,15 veneers and 31 crowns were fabricated by Cerec AC system in 83 patients. After careful tooth preparation,intraoral optical impressions were taken,and the restorations were designed and milled by CEREC AC system. All the prosthesis were glazed and cemented to the prepared teeth. The clinical efficacy was analyzed with modified USPHS criteria in 3 and 6 months. Results The retention,stability,margin fitness,fracture,color match,shape,occlusal relationship,secondary caries,and patient satisfaction of all the prosthesis had been proven to be good enough to the clinical standard. Conclusion Application of Cerec AC system to repair tooth defect can obtain good short- term curative and aesthetic effects.

    Research on the effect of initial periodontal therapy on drug-induced gingival overgrowth by phenytoin.
    WU Qi,LENG Ying,DUAN Chang-hua,QIU Feng
    2015, 8(1): 40-42.  DOI: 10.7504/kq.2015.01.010
    Abstract ( )   PDF (857KB) ( )  

    Abstract:Objective To evaluate the treatment effect of initial periodontal therapy on drug-induced gingival overgrowth by phenytoin. Methods Sixteen cases of gingival overgrowth induced by phenytoin from January 2011 to June 2013 in Chancheng District Xiangyang Hospital of Foshan & Chancheng Stomatological Hospital were selected in this clinical study. Initial periodontal therapy was done without changing to other drugs or withdrawing of phenytoin. The gingival hyperplastic index(GHI),plaque index(PLI),sulcus bleeding index(SBI)and probing depth(PD)were scored on labial sites of the anterior teeth. After initial periodontal therapy,the above indices were examined again at 1 month,3 months and 6 months. Results After 1,3 and 6 months,GHI,PLI,SBI and PD index improved gradually,gingival inflammation reduced gradually,and condition of gingival hyperplasia improved continuously;compared with the baseline before treatment,the differences had statistical significance(P < 0.05). Conclusion Initial periodontal therapy is effective in reducing drug-induced gingival overgrowth by phenytoin.

    Research progress in thallus surface virulence factors and pathogenesis of Porphyromonas gingivalis.
    ZHANG Yu,AI Li-si,LIN Li
    2015, 8(1): 43-47.  DOI: 10.7504/kq.2015.01.012
    Abstract ( )   PDF (863KB) ( )  

    Abstract:Alveolar resorption and periodontal pocket formation are the main pathologic change and clinical sign of periodontitis,which is a chronic infectious disease. Dental plaque is the main pathogenic factor. Multiple researches have proved that Porphyromonas gingivalis(P.gingivalis) is the main pathogenic bacteria of a variety of periodontitis,especially the chronic periodontitis. This article describes the structure and physiochemical characteristics of outer membrane protein of P.gingivalis,in order to be helpful to the prevention and treatment of periodontitis and the vaccine research and development.

    Research progress of vertical control of teeth by corticotomy in the orthodontic clinic.
    CHEN Wen-li,LIU Lin
    2015, 8(1): 48-51.  DOI: 10.7504/kq.2015.01.013
    Abstract ( )   PDF (849KB) ( )  

    Abstract:Periodontitis and temporomandibular joint disease are quite common among adult patients. The treatment mechanism for adult patients is relatively more complicated,leading to a long therapeutic course,which makes adult patients demand more towards the safety and period of the orthodontic treatment. One choice for accelerating tooth movement and reducing treatment time is “corticotomy”,which takes effect by cuts limited to cortical plate surrounding certain teeth,providing a new idea and train of thought for the vertical control in adult orthodontic treatment. Intraoperative auxiliary bone graft reduces the treatment risks and improves the patient's periodontium at the same time during the corticotomy. With the development of the technique,it has been widely used clinically in lots of foreign countries. This paper reviewed the development,clinical operation and application,merits and drawbacks and also the prospect of the corticotomy technique during vertical control in the orthodontic treatment.

    Research advances in the interactions between dental tissue-derived stem cells and inflammation.
    LIU Xue-mei,LIU Yao,CHEN Xu
    2015, 8(1): 52-55.  DOI: 10.7504/kq.2015.01.014
    Abstract ( )   PDF (856KB) ( )  

    Abstract:Dental tissue-derived stem cells have self-renewal,multipotential differentiation and immunomodulatory properties. Recent researches revealed that they play an important role in tissue regeneration,cell therapy of autoimmune and inflammation-ralated diseases. They have been found to interact closely with inflammation. On one hand,immune cells and pro-inflammatory cytikines can affect proliferation and differentiation of dental tissue-derived stem cells. On the other hand,dental tissue-derived stem cells have the ability to modulate immune and inflammation response via soluble factors and cell-cell contact. In this review,we discuss current studies on the immunomodulatory properties of dental tissue-derived stem cells and the effects of inflammation on dental tissue-derived stem cells.

    Preventive measures of environmental infection propagation in department of stomatology.
    CHEN Wen-ping,HUANG Shao-hong
    2015, 8(1): 56-60.  DOI: 10.7504/kq.2015.01.015
    Abstract ( )   PDF (887KB) ( )  

    Abstract:To avoid hospital infection in departments of stomatology,appropriate environmental management is of vital importance. Environmental management includes environmental cleaning,air management,water management and medical waste disposal. In order to provide reference to hospital infection management in departments of stomatology,we performed investigations of related theories from Prevention of hospital-acquired infections:A practical guide (published by WHO),Guidelines for infection control in dental health-care settings--2003 (promulgated by CDC),Operation rules of sterlization of dental medical instruments in medical institution (promulgated by Ministry of Health,2005),and with a combination of clinical practices,we conclude the operating process of environmental cleaning,air management,water management and medical waste disposal,which aims at providing a scientific,normative and executable reference for hospital infection management.

    Keywords:dental implant;onlay bone graft;bone augmentation
    2015, 8(1): 61-64.  DOI: 10.7504/kq.2015.01.016
    Abstract ( )   PDF (3031KB) ( )