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  • 1.
    Exploration and efficacy evaluation of a bypass-based strategy for retrieving complex separated instruments from root canals
    Yichen Yang, Xicheng Liao, Yuelin Ma, Ying Li, Xiangzhu Wang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (06): 369-377. DOI: 10.3877/cma.j.issn.1674-1366.2025.06.003
    Abstract (558) HTML (144) PDF (3684 KB) (203)
    Objective

    To explore techniques for retrieving separated instruments from root canals without direct access and with complex resistance, analyze the key points, advantages, and risks of the bypass-based retrieval method, and evaluate treatment outcomes.

    Methods

    Cases were collected from the Department of Endodontics at Xiangya Stomatological Hospital, Central South University, between 02/2017 and 01/2025. Preoperative imaging confirmed instrument separation within the root canals, where non-sleeve or ultrasonic methods were not indicated. Instead, endodontic files were used to bypass and prepare the canals around the separated instruments for retrieval. Follow-up data were collected for at least six months postoperatively. Patient demographics, instrument location, length, material, type, root canal morphology, postoperative imaging, clinical outcomes, and follow-up data were summarized. The frequency of each variable was recorded, and relevant influencing factors and treatment outcomes were analyzed.

    Results

    A total of 175 patients (175 teeth, 176 fractured instruments) were included, comprising 52 males (29.7%) and 123 females (70.3%). The oldest patient was 73 years old, while the youngest was nine years old, and the average age was 28 years. Separated instruments were made of stainless steel in 44 cases, nickel-titanium in 108 cases, and carbon steel in 24 cases with an average length of 4.1 mm and an average fragment diameter of 0.32 mm. The fragments were located in the apical third of 67.6% of cases, with 46 cases (26.1%) occurring in the blind zone. The average distance from the canal orifice was 5.6 mm. The file tip extended beyond the apical foramen in 17 cases. Moderate to severe root canal curvature (≥10°) was observed in 93.7% of cases, with an average curvature angle of 29.3°. Preoperative periapical radiolucency was observed in 151 cases (86 of which had symptoms), while 24 cases showed no periapical radiolucency (seven of which had clinical symptoms). Complete retrieval was achieved in 160 cases. Secondary separation occurred in four cases, and retrieval failed in six cases. Postoperative imaging revealed significant canal deviation in 34 cases (including three cases with deviation and perforation), while no significant morphological deviation was observed in 141 cases (80.6%). Follow-up results showed that among patients with preoperative periapical radiolucency and symptoms, 83 cases experienced symptom relief or healing after retrieval, while one case still had symptoms and periapical radiolucency after six months. Among asymptomatic patients with preoperative periapical radiolucency, two cases developed symptoms after retrieval, and two cases still had symptoms after six months, though one of these showed healing of periapical radiolucency. Among symptomatic patients without preoperative periapical radiolucency, two cases experienced symptom relief after retrieval, while three cases still had symptoms after six months, with one of these developing radiolucency. Asymptomatic patients without preoperative periapical radiolucency (17 cases) remained symptom-free after retrieval, though four cases developed symptoms after six months, with two of these showing periapical radiolucency.

    Conclusion

    The bypass technique can serve as a safe and reliable method for retrieving separated instruments from root canals with complex resistance but direct access.

  • 2.
    Single-cell RNA sequencing in periodontal research:Technological development,applications,and future perspectives
    Ruiming Guo, Wei Qiu, Fuchun Fang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 75-83. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.001
    Abstract (415) HTML (12) PDF (1411 KB) (55)

    Single-cell RNA sequencing(scRNA-seq)technology,a powerful tool able to analyze gene expression at single-cell resolution,has been widely used in periodontitis research in recent years,greatly advancing the understanding of cellular heterogeneity and mechanisms of pathological progression in periodontal tissues.Herein,we review the development of scRNA-seq technology from early attempts to maturity and diversification,and focus on the present progress of its application in periodontitis research.By constructing a single-cell atlas of periodontal tissues,the researchers revealed cellular heterogeneity and identified key cellular subpopulations and molecular markers associated with disease progression and repair.Cellular heterogeneity analysis and pseudotime analysis further elucidated the functional properties of different cells in periodontitis and the dynamic course of the disease.The cellcell communication analysis resolved the intercellular signaling network,which provided new perspectives for disease diagnosis and treatment.These studies revealled the periodontitis -associated cell subpopulations and the key molecular mechanisms,which provided important clues for precise diagnosis and targeted treatment of the disease.In addition,this review provides an insight into the future direction of scRNAseq in periodontics,including spatial transcriptomics,multiomics integration,the application of big data and artificial intelligence,and the prospects for precision diagnosis and treatment.Although scRNA-seq still faces challenges such as high cost and data complexity,through technical optimization,data integration and interdisciplinary cooperation,this technology is expected to further advance the development of periodontitis research and strongly contribute to precision medicine and health management.

  • 3.
    Bioinformatics analysis of insulin-like growth factor 2-binding protein 2 in predicting prognosis of oral cancer
    Xiangzhu Wang, Yuelin Ma, Xiaoli Xie, Haiye Jiang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 84-95. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.002
    Abstract (360) HTML (18) PDF (27632 KB) (71)

    Objective

    To investigate the role of insulin-like growth factor 2-binding protein 2(IGF2BP2),an important effector of N6-methyladenosine(m6A),in the development and progression of oral cancer.

    Methods

    The transcriptome data and clinical information related to oral cancer were selected from the cancer genome atlas(TCGA)and gene expression omnibus(GEO)databases from 2012-2024.Genome enrichment analysis(GSEA),Kyoto Encyclopedia of Genes and Genomes(KEGG)analysis,gene ontology(GO)analysis,correlation analysis,and Cox regression analysis were performed on the data using the R package.Pathological sections of oral cancer were obtained from Xiangya Stomatology Hospital,Central South University.The expression level of IGF2BP2 was verified by immunohistochemistry and immunofluorescence analysis,and the results were statistically analyzed based on t test.

    Results

    The dysregulation of m6A-related protein played an important role in the development of tumors.It was found that the higher the expression of the m6A-related molecule IGF2BP2,the lower the overall survival rate of patients with oral cancer(P<0.05).IGF2BP2 was the most upregulated m6A-related protein in oral cancer(P<0.001),and the ROC curve showed that the coefficient of IGF2BP2 in predicting oral cancer was 0.839.Immunohistochemical and immunofluorescence analysis showed that the expression of IGF2BP2 in oral cancer was significantly higher than that in the normal oral tissues(P<0.05).High expression of IGF2BP2 was positively correlated with high grade(P<0.05),stage(P<0.05),and primary site(P<0.05)of oral cancer.Univariate(P<0.05)and multivariate(P=0.074)regression analysis showed that IGF2BP2 had independent prognostic value in oral cancer.GSEA,KEGG,GO,and correlation analysis further demonstrated that upregulated IGF2BP2 affected immunity by altering the distribution of macrophage M0 and regulatory T cells(Tregs)and interacting with immune checkpoint genes,thereby affecting the efficacy of immunotherapy.

    Conclusions

    Upregulated IGF2BP2 was positively correlated with higher tumor stage and poorer prognosis of oral cancer.IGF2BP2 played an important role in the occurrence and development of oral cancer.

  • 4.
    Functional and aesthetic reconstruction of anterior teeth assisted by digital techniques: A case report
    Xiaofu Jiang, Tao Yang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (05): 323-332. DOI: 10.3877/cma.j.issn.1674-1366.2025.05.006
    Abstract (334) HTML (24) PDF (4524 KB) (44)

    This case report described the functional and aesthetic rehabilitation of anterior teeth using digital techniques. The patient complained of aesthetic dissatisfaction and occlusal discomfort following previous porcelain-fused-to-metal union crowns. Comprehensive functional and aesthetic evaluations were conducted utilizing digital smile design (DSD), electronic facebow, and intraoral scanning, so as to analyze occlusal relationships and tooth aesthetic proportions, allowing for the development of an individualized treatment plan. DSD was used for aesthetic preview and effective patient communication, clarifying expectations and potential risks. The electronic facebow and virtual articulator facilitated the adjustment of the incisal guidance of the provisional crown, alleviating mandibular movement limitations and masseter fatigue. CAD/CAM and intraoral scanning enabled precise replication of provisional restorations and ensured optimal harmony in contour, shade, and function for the final prostheses. After two years of follow-up, the patient reported satisfaction with both esthetic outcome and occlusal comfort. This case highlighted the critical role of digital techniques in integrating aesthetics and function, enhancing predictability and ensuring long-term stability in complex anterior restorations.

  • 5.
    Research progress of biosensors based on Pyrococcus furiosus Argonaute in detection of pathogenic microorganisms
    Guangda Li, Jingfu Wang, Jin Shi, Lei Tian, Mingchao Ding
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 124-131. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.007
    Abstract (320) HTML (20) PDF (3869 KB) (57)

    The detection of pathogenic microorganisms is a common method for clinical diagnosis of infectious diseases,and its efficient and accurate detection is particularly important in the identification of etiology,diagnosis and treatment.With the continuous development of biotechnology and sensor technology,intelligent and portable biosensors have made great contributions to human health in microbial detection.At present,scholars have discovered an Argonaute protein from Pyrococcus furiosus,which is widely used in the detection of pathogenic microorganisms.Compared with the traditional microbial detection technology,Pyrococcus furiosus Argonaute(PfAgo)enzyme has outstanding advantages and is suitable for rapid and accurate detection of pathogenic microorganisms in various complex environments.This article briefly introduces the development,principle and advantages of PfAgo enzyme,and expounds the application cases of biosensors based on PfAgo enzyme in the detection of pathogenic microorganisms.Comprehensive analysis shows that the biosensor detection technology based on PfAgo enzyme has the advantages of simple operation,low reagent consumption,fast detection speed,low false positive rate and high automation,and has a very broad development space and application prospect for pathogenic microorganism detection.

  • 6.
    Identification of shared hub genes between periodontitis and non-alcoholic steatohepatitis based on the gene expression omnibus datasets
    Jiayi Li, Nan Wu
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (03): 170-180. DOI: 10.3877/cma.j.issn.1674-1366.2025.03.004
    Abstract (302) HTML (6) PDF (15581 KB) (34)

    Objective

    To identify shared hub genes between periodontitis(PD)and nonalcoholic steatohepatitis (NASH) using bioinformatics methods,and to explore potential common pathogenic mechanisms of the two diseases.

    Methods

    Gene expression datasets related to the diseases were obtained from the gene expression omnibus(GEO)database between 2008 and 2016.GSE16134 and GSE89632 were selected as training datasets for PD and NASH,respectively. Differentially expressed genes(DEGs)were identified,and overlapping DEGs were extracted by intersecting the two datasets.Gene ontology(GO)and Kyoto encyclopedia of genes and genomes(KEGG)enrichment analyses were performed on the overlapping DEGs.Hub genes were further screened through weighted gene co-expression network analysis(WGCNA)and the least absolute shrinkage and selection operator(LASSO)regression analysis. Subsequently,the expression levels of hub genes were validated in independent datasets(PD:GSE10334;NASH:GSE33814),and their diagnostic performance was evaluated using receiver operating characteristic(ROC)curve analysis.

    Results

    A total of 36 overlapping DEGs were identified from GSE16134 and GSE89632,including 19 upregulated and 17 downregulated genes. GO and KEGG enrichment analysis indicated that these genes were associated with cell adhesion,cytokine and chemokine signaling pathway. By intersecting overlapping DEGs with module genes from WGCNA,eight candidate hub genes were identified:ANXA6,CD48,GIMAP2,GPR34,HAL,ITGAL,PTPRCAP,SLC19A2. Among them,ANXA6,CD48,GIMAP2,GPR34,ITGAL and PTPRCAP were significantly upregulated in disease groups(P<0.05),while HAL and SLC19A2 were significantly downregulated(P<0.05). Further LASSO regression analysis identified four potential shared hub genes(ANXA6,GIMAP2,HAL and SLC19A2). Among these genes,ANXA6,GIMAP2 and SLC19A2 consistently exhibited stable differential expression and considerable diagnostic performance(AUC>0.7)across multiple datasets,and were ultimately identified as shared hub genes between PD and NASH.

    Conclusions

    This study identified three potential shared hub genes between PD and NASH based on bioinformatics analyses,providing novel insights into their common pathogenic mechanisms and offering potential targets for future therapeutic strategies.

  • 7.
    Pre - radiotherapy oral preparation of nasopharyngeal carcinoma
    Kaitong Ouyang, Jingyuan Li, Yu Du
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (03): 145-152. DOI: 10.3877/cma.j.issn.1674-1366.2025.03.001
    Abstract (251) HTML (34) PDF (3457 KB) (95)

    Nasopharyngeal carcinoma (NPC) is a prevalent oral-maxillofacial head and neck cancer in China.Radiotherapy,the radical treatment for NPC,often causes oral adverse effects including osteoradionecrosis, mucositis,xerostomia and radiotherapy related caries. Inadequate pre -radiotherapy oral preparation not only impairs patients' oral health and subsequently reduces the quality of life,but also increases the complexity and difficulty of subsequent dental treatment,thus hindering optimal therapeutic outcome. Preradiotherapy oral preparation is of positive significance for both patients and dentists,but most dentists have limited knowledge of the content and timing of pre-radiotherapy oral preparation currently. This review summarizes common oral complications of radiotherapy,the significance,objectives and specific measures of oral preparation for NPC,aiming to provide clinical reference.

  • 8.
    Transcriptomic analysis of Caenorhabditis elegans model of Alzheimer's disease for oral-neural disease research
    Tianyu Ding, Xinna Bai, Yali Wang, Ting Shen, Jianying Zhang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (03): 160-169. DOI: 10.3877/cma.j.issn.1674-1366.2025.03.003
    Abstract (251) HTML (16) PDF (14985 KB) (53)

    Objective

    To investigate the molecular pathological mechanisms of Alzheimer's disease(AD)through transcriptome analysis using Caenorhabditis elegans as a model organism,aiming to provide an in vivo experimental platform for oral-neural disease research.

    Methods

    Transcriptome sequencing was performed on wild-type N2 and AD model worms(CL2355)expressing pan-neuronal human Aβ1-42 using Illumina HiSeq platform.Differential expression analysis,gene ontology(GO)enrichment analysis,Kyoto encyclopedia of genes and genomes(KEGG)pathway analysis,and gene set enrich analysis(GSEA)were conducted to systematically detect changes in gene expression.

    Results

    Compared to wild-type,1 899 upregulated and 2 018 downregulated genes were identified in the AD model. GO analysis revealed significant enrichment of upregulated genes in neurite guidance and cell differentiation,while downregulated genes were enriched in mRNA splicing and DNA repair. KEGG analysis showed significant upregulation of drug and xenobiotic metabolism pathways,and downregulation of RNA surveillance and endocytosis pathways.GSEA revealed significant downregulation of the apoptosis pathway[normalized enrichment score(NES)=-1.775,P = 0.008 1]with decreased expression of key genes including ced-9 and ced-3.

    Conclusions

    This study revealed systematic changes in gene expression in the C.elegans AD model,providing an ideal experimental model for investigating the role of oral infection factors in AD pathogenesis.

  • 9.
    Research progress and clinical performance assessments of periodontal regenerative materials
    Yaozhong Pan, Jian Zhao, Yaping Pan
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (04): 217-228. DOI: 10.3877/cma.j.issn.1674-1366.2025.04.001
    Abstract (218) HTML (28) PDF (4653 KB) (52)

    Periodontitis-induced alveolar bone resorption and destruction significantly compromise patients′ masticatory function and aesthetics. To reconstruct and regenerate periodontal tissue defects, periodontal regenerative therapies have advanced continuously, with extensive clinical application of various bone grafts, biologic, and osteoinductive pharmacological agents. The selection of bone grafts varies depending on the surgical objectives, extent of bone destruction, and local microenvironmental conditions. This article comprehensively reviews current clinical applications of periodontal bone grafting materials and evaluates recent research progress in novel biomaterials, along with their clinical performance assessments.

  • 10.
    A rare case of complete unilateral cleft lip complicated with maxillary duplication:Apropos of a case report and systematic literature review
    Chenxi Li, Zhongcheng Gong, Xinhua Zhang, Lu Zhang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 119-123. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.006
    Abstract (218) HTML (25) PDF (8530 KB) (78)

    Craniofacial duplication is a kind of extremely rare birth defect.This congenital deformity demonstrates significantly various phenotypes and must be treated with personalized protocol based on the extent of soft and osseous tissue involvement and affected physiologic functions.Here we report a case of complete unilateral cleft lip complicated with maxillary duplication.Its clinical manifestation and surgical procedures are described.The literature covering its etiology and management is also systematically reviewed.

  • 11.
    Effect of periodontal accelerated osteogenic orthodontics on periodontal soft and hard tissue augmentation in anterior teeth of patients with skeletal ClassⅡ malocclusion
    Li Gao, Chenrong Xu, Shiwen Wu, Xi Huang, Tiantong Shu, Yan Zhang, Chuanjiang Zhao
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (04): 247-255. DOI: 10.3877/cma.j.issn.1674-1366.2025.04.004
    Abstract (203) HTML (27) PDF (3859 KB) (44)
    Objective

    To evaluate the clinical effect of periodontal accelerated osteogenic orthodontics (PAOO) on periodontal soft and hard tissue modification in anterior teeth of patients with skeletal ClassⅡ malocclusion.

    Methods

    This study enrolled 21 patients with ClassⅡ malocclusion who underwent PAOO and orthodontics treatment in Hospital of Stomatology of Sun Yat-sen University from 2021 to 2024. Intraoral photographs and cone-beam computed tomography (CBCT) examinations were performed before PAOO surgery and one year after the surgery to measure labial alveolar bone thickness (LT), labial alveolar bone height (LH) and keratinized gingiva width (KGW). The LH, LT and KGW of the two groups were statistically analyzed by using Wilcoxon rank-sum test, Mann-Whitney U Test and Kruskal-Wallis H Test.

    Results

    Compared to preoperative, LT at the crestal level, mid-root level and apical leval (T1, T2, T3) was significantly increased at one year postoperatively (ZT1 = -7.828, PT1<0.001; ZT2 = -10.825, PT2<0.001; ZT3 = -10.389, PT3<0.001), respectively, to (0.71 ± 0.08), (1.83 ± 0.09), (2.36 ± 0.16) mm. LH and KGW significantly increased (5.05 ± 0.33) and (0.78 ± 0.13) mm compared to preoperative (ZLH = -10.357, PLH<0.001; ZKGW = -6.833, PKGW<0.001). The increase of mandibular T1 and LH was higher than that of maxilla [T2mandible = 1.99 ± 0.11, T2maxilla = 1.51 ± 0.16; Hmandible = - (5.58 ± 0.36), Hmaxilla = - (3.95 ± 0.67) ], the difference was statistically significant (ZT2 = -2.328, PT2 = 0.020; ZH = -2.465, PH = 0.014). There was no significant difference in soft and hard tissue augmentation among different teeth.

    Conclusion

    PAOO has the potential to improve periodontal soft and hard tissue.

  • 12.
    Advance in comparative analysis of upper airway flow field in obstructive sleep apnea patients before and after treatment based on computational fluid dynamics
    Yunda Huang, Qi Zhou, Donghui He, Minfang Huang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 139-144. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.009
    Abstract (178) HTML (12) PDF (885 KB) (32)

    Obstructive sleep apnea(OSA)is a sleepdisordered breathing condition characterized by the recurrent collapse of the upper airway during sleep,resulting in ventilation dysfunction and disruption of sleep architecture.Advances in medical imaging and computational technologies have facilitated the application of computational fluid dynamics(CFD)as a critical tool for investigating the fluid dynamics of the upper airway in OSA patients.CFD is particularly valuable for simulating changes in upper airway flow fields under different treatment modalities and for predicting treatment efficacy,demonstrating significant potential in clinical applications.This review summarizes the research progress in CFD-based comparative analysis of upper airway flow fields in OSA patients before and after treatment,so as to provide a reference for the management and therapeutic optimization of OSA.

  • 13.
    Sequential occlusal reconstruction for malocclusion with severe dental wear: A case report
    Maohua Yang, Sixing Liu, Jiayi Zhu, Shuangshan Deng, Yajie Zhang, Shanshan Gao
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (05): 306-315. DOI: 10.3877/cma.j.issn.1674-1366.2025.05.004
    Abstract (173) HTML (19) PDF (4520 KB) (40)

    Severe dental wear is a chronic disease characterized by progressive loss of hard dental tissues, often leading to reduced occlusal vertical dimension, disordered jaw relationships, and decreased masticatory function, seriously affecting patients' stomatognathic system function and quality of life. Occlusal reconstruction for this condition faces challenges including difficulty in determining jaw position, limited restorative space, and multidisciplinary coordination requirements. This article reports the sequential treatment of a patient with occlusal disorder accompanied by severe dental wear and anterior open bite, summarizing the treatment experience for such complex cases. A 56-year-old male patient presented with severe bilateral posterior tooth wear and anterior open bite, with a 20-year history of bruxism, and refused to wear an occlusal splint. A selective restoration strategy was formulated based on the degree of wear and functional requirements, using sequential treatment methods for occlusal reconstruction. The treatment was divided into 4 phases: (1) Acute symptom control and basic prevention phase, using digitally-guided selective occlusal adjustment to stabilize occlusal relationships; (2) Disease control phase, completing periodontal basic treatment and root canal treatment; (3) Functional and aesthetic reconstruction phase, completing implant restoration and all-ceramic crown and veneer restoration for worn teeth; (4) Maintenance phase, fabricating night guards and conducting regular follow-ups. After treatment, the patient's anterior open bite was completely corrected, with significant improvement in both aesthetics and function. At 12-month follow-up, the patient's stomatognathic system functions including occlusion, joints, and phonetics were well-coordinated. Prosthetic restorations remained intact. Oral Health Impact Profile-14 (OHIP-14) scores were improved from 41 to 12 points. Masticatory efficiency increased from 1.89 to 2.68. The patient was satisfied with the treatment outcomes. This case provides a feasible treatment approach for patients with severe wear who refuse splint therapy.

  • 14.
    The design and realization of anterior guidance in aesthetic restoration
    Zimeng Li, Yongfeng Liang, Yuanyuan Ma, Xiaodong Wang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (05): 285-292. DOI: 10.3877/cma.j.issn.1674-1366.2025.05.001
    Abstract (169) HTML (23) PDF (3626 KB) (49)

    Anterior guidance is of crucial importance for maintaining the health of oral and maxillofacial system. Inadequate anterior guidance has been demonstrated to result in tooth wear, mechanical complications of restorations, and temporomandibular joint disorders. At present, no consensus exists on quantitative standards for ideal anterior guidance due to considerable inter-individual variability. Nevertheless, it can be considered that ideal anterior guidance must adhere to five qualitative standards: (1) Anterior guidance must not disturb mandibular movement. (2) The inclination of incisal guidance must be steeper than that of the condylar guidance. (3) Symmetrical guidance of the anterior teeth and disocclusion of the posterior teeth during protrusion. (4) Lateral movement facilitated with canine protection or group function, with no interference on the balanced side. (5) Positive subjective experiences of patients in terms of aesthetics, pronunciation, and mastication. It is incumbent upon clinical dentists to prioritize the rationality of the anterior guide when designing and implementing anterior aesthetic restorations. In the event of a rational anterior guidance, there is a strong recommendation for digital occlusal function design and fully anatomical all-ceramic restorations. In cases where the anterior guidance is either irrational or ineffective, reconstruction is strongly advised during the aesthetic restoration.

  • 15.
    Research advancement of the key properties and applications of machinable polymer-infiltrated-ceramicnetwork(PICN)composites for dental restorations
    Yuxin Hu, Guangchao Lyu, Xiao Ma, Shanshan Cao, Qiulan Li, Ke Zhao, Xinping Zhang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 132-138. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.008
    Abstract (167) HTML (6) PDF (950 KB) (41)

    Polymer-infiltrated-ceramic-network(PICN)composites have been given increasing attention as dental restorative materials due to the excellent combination of the mechanical compatibility with natural teeth,the lifelike aesthetic property stemmed from ceramics and the good machinability ascribed to the resin.This article presents a stateof-the -art review on PICN composites regarding their key properties,such as mechanical properties,aesthetic properties,biocompatibility and adhesive properties,as well as the changes of the above properties under different environment conditions,and finally provides an outlook for their future development trend.The main purpose of this article was to provide valuable instructions for researchers to further optimize the design of material properties,and also to offer a basis for dentists to reasonably select and use PICN composites according to patients′ personal preferences and practical use scenarios in clinical applications.

  • 16.
    Study of occlusal function changes before and after clear functional aligner mandibular advancement in adolescent patients
    Hua Xiao, Yueying Zhang, Qiuyue Wu, Tianlu Jiang, Kangping He, Yusen Du, Jing Yang, Zuolin Jin, Feifei Li
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 104-111. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.004
    Abstract (161) HTML (7) PDF (936 KB) (32)

    Objective

    The aim of this study was to investigate changes in occlusal function in adolescent patients with mandibular retrusion using clear functional aligners before orthodontic treatment,after mandibular advancement(MA)treatment and at the end of orthodontic treatment.

    Methods

    This ambispective cohort study was conducted in the Department of Orthodontics,the Fourth Military Medical University from 2022 to 2024.A total of 18 adolescent patients with mandibular retrusion[mean age(13.22 ± 1.17)years]were included.This study was divided into three stages:before orthodontic treatment(T0),after MA treatment(T1)[treatment duration:(12.62±0.66)months]and at the end of orthodontic treatment(T2)[treatment duration:(22.76±0.63)months].The intercuspal position(ICP),protrusive occlusion and lateral occlusion were recorded by T-Scan occlusion analysis system.Friedman test was used to compare the occlusal function before orthodontic treatment,after MA and at the end of orthodontic treatment.

    Results

    The difference of the relative occlusal force and occlusal contact area of the left and right sides of the dental arch before orthodontic treatment in ICP was 21.03(15.00,26.05),20.62(15.08,23.05)at T0,9.90(5.37,11.75),9.71(8.23,11.61)at T1,and 11.20(9.62,12.44),10.01(6.67,11.96)at T2,respectively.The difference of the relative occlusal force and occlusal contact area of the left and right sides of the dental arch at T1 and at T2 was smaller than that at T0(P<0.001),but there was no significant difference between them(P>0.05).In ICP,the size of the total relative occlusal force in the full arch at T1 was smaller than that at T0,and it gradually increased at T2 stage,but it was still smaller than at T0 stage(P<0.001).In ICP,the relative positions of the center of force(COF)of the left and right sides of the dental arch were not statistically different between T0,T1 and T2,but they became closer to the ideal COF position;the COF position of the dental arch anterior and posterior segments was statistically different from T0 to T1 stage,moving toward the dental arch anterior segment(P<0.001),and it was statistically different from T0 to T2 stage,moving toward the dental arch posterior segment(P<0.001).The occlusion time of ICP and the disclusion time of protrusive and lateral occlusion were significantly shorter at T1 and T2 than those at T0 stage(P<0.05).

    Conclusions

    In adolescent patients with mandibular retrusion treated with clear functional aligners,differences in left-right occlusal force,occlusion time,and disclusion time in ICP,protrusive,and lateral occlusion were reduced following MA and at the end of orthodontic treatment.These findings indicated an improvement in occlusal function.The occlusion became more balanced and stable after MA and orthodontic treatment.

  • 17.
    Prognosis assessment and management decisions for separated instruments in endodontic treatment
    Zhuo Huang, Weiwei Qiao, Li Wang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (06): 360-368. DOI: 10.3877/cma.j.issn.1674-1366.2025.06.002
    Abstract (159) HTML (30) PDF (3757 KB) (95)

    Instrument separation is a common complication in endodontic treatment, and its prognosis depends on multiple factors, including the periapical status and the location of the separated instrument. In teeth with vital pulp or without periapical lesions, retaining the instrument followed by careful root canal obturation generally results in a favorable prognosis. In contrast, for infected canals or those with periapical periodontitis, instrument removal and, when necessary, endodontic surgical intervention are more clinically significant. With the development of advanced techniques such as dental microscopy, ultrasonics, cone-beam computed tomography (CBCT), and artificial intelligence, the diagnosis and management of separated instruments have become increasingly precise. Nevertheless, further evidence-based research is required. This article analyzes and summarizes the existing evidence in combination with clinical experience to provide a reference for clinical decision-making.

  • 18.
    Recent advances in Er,Cr:YSGG laser technology for the treatment of dentin hypersensitivity
    Yang Meng, Ting Liu, Rui Du, Qi Cui, Chuanrong Yin, Yan Liu, Jia Song
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (03): 210-216. DOI: 10.3877/cma.j.issn.1674-1366.2025.03.009
    Abstract (155) HTML (10) PDF (923 KB) (63)

    The Er,Cr:YSGG laser demonstrates significant advantages in the treatment of dentin hypersensitivity.Through its thermal effect,this laser causes the denaturation of organic substances and the melting of inorganic substances within the dentinal tubules,thereby effectively sealing the dentinal tubules and rapidly relieving the symptom of hypersensitivity. At the same time,the treatment process is comfortable,and patients have a high degree of acceptance.This article systematically reviewed the advantages of Er,Cr:YSGG laser in the treatment of dentin hypersensitivity.Combined with the research findings in histology,it deeply expounded on the mechanism of dentinal tubule sealing by this treatment method and the morphological impact on the surrounding tissues. The aim was to provide a theoretical basis and practical guidance for the rational,safe,and efficient treatment of dentin hypersensitivity in clinical practice.

  • 19.
    Influence of the oral environment on the stability of prosthetic screws based on resonance frequency analysis
    Jiaer Guo, Xiaolu Wang, Zhixin Liu, Jianying Zhou, Lin Wang
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (02): 96-103. DOI: 10.3877/cma.j.issn.1674-1366.2025.02.003
    Abstract (154) HTML (9) PDF (8567 KB) (17)

    Objective

    To explore the impact of saliva and resonance cavities on the stability of prosthetic screws based on resonance frequency analysis.

    Methods

    Mandibular edentulous gypsum casts with screw-retained definitive fixed dental prostheses supported by 6 implants were used.The control group was placed in a standard indoor environment,while the experimental group was placed in a simulated oral environment with artificial saliva in a dental manikin.Different insertion torques were applied to the screws using a digital torque wrench,forming a parameter matrix related to screw stability.A tapping simulation was directly applied to the buccal side of the tested screw,and a pickup device was used to collect the acoustic signals.The resonance peak frequencies of these signals were extracted by using time-frequencydomain analysis based on short-time Fourier transform.The spectrograms of acoustic signal were plotted,and the coefficients of variation for each prosthetic screw at 15 N·cm were calculated for both groups.Bland-Altman analysis was used to evaluate the consistency of the resonance frequencies related to prosthetic screw stability in both groups.Pearson correlation analysis was conducted to investigate the relationship between prosthetic screw stability and corresponding resonance frequencies(α = 0.05).

    Results

    The spectrograms of acoustic signal showed that both groups had energy concentration bands in the 7 to 9 kHz range,and as the insertion torque value decreased,the energy concentration band shifted left.The coefficient of variation results indicated that the resonance frequencies of the prosthetic screws in the experimental group at 15 N·cm ranged from(7 329±8)Hz to(8 400±8)Hz,with coefficients of variation ranging from 0.001 to 0.002.In the control group,the resonance frequencies ranged from(7 329±6)Hz to(8 463±11)Hz,with coefficients of variation ranging from 0.000 8 to 0.002.Pearson correlation analysis showed that a linear positive correlation between screw stability and resonance frequency in both groups(r=0.483 ~0.937,P<0.001)and the correlation coefficient values for the same screw were similar.Bland-Altman analysis revealed that the normalized resonance frequencies in the experimental group ranged from 0.569 to 0.892,while those in the control group ranged from 0.585 to 0.881.The differences in resonance frequencies between the two groups were not statistically significant(t=-1.816 ~0.859,P>0.05),with the absolute difference ranging from 0.001 to 0.016.

    Conclusions

    The moist and resonant oral environment did not have an adverse effect on the acoustic-vibration characteristics of implant prostheses based on tapping.Acoustic resonance frequency analysis showed good clinical prospects for reflecting the stability of the prosthetic screw.

  • 20.
    Research progress on the correlation between periodontitis and upper gastrointestinal tract cancers
    Wangji Zhong, Jieyu Zhou, Lei Zhao
    Chinese Journal of Stomatological Research(Electronic Edition) 2025, 19 (04): 279-284. DOI: 10.3877/cma.j.issn.1674-1366.2025.04.008
    Abstract (153) HTML (25) PDF (2386 KB) (62)

    Periodontitis is an oral chronic inflammatory disease initiated by plaque biofilm, which can lead to the destruction of periodontal supporting tissues, compromise oral health, and decrease the quality of life of patients. As the gateway to the gastrointestinal tract, oral pathogens can easily be transferred to the upper gastrointestinal tract through saliva swallowing, suggesting that the oral cavity may be a potential source of gastrointestinal tract diseases. Recent studies have indicated a potential correlation between periodontitis and upper gastrointestinal cancers (esophageal and gastric cancers). However, the causal relationship and specific mechanisms remain unclear. This article reviews the latest research progress on the relationship between periodontitis and upper gastrointestinal cancers, aiming to provide a reference for further investigation into the mechanisms underlying the association between these two diseases.

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