The contour of the temple area can significantly influence the overall facial shape and proportions. To date, various methods and techniques have been used to augment the deficient temporal fossa; however, each of these approaches has certain inherent limitations. The present study aimed to transfer the temporoparietal fascia flap (TPFF) to the frontotemporal regions for aesthetic temporal augmentation. This was a retrospective study of 13 cases with temporal depression who underwent a TPFF procedure for aesthetic temporal augmentation. These cases were operated for three years, from January 1, 2020, to December 1, 2023, at Nanjing Second Hospital, Nanjing, China. The data of bilateral temple width showed a measurement of 12.20 ± 0.53 cm (preoperative) and 14.36 ± 0.41 cm (postoperative), with a statistically significant difference (p < 0.001). There were no postoperative complications, including hematomas, infection, or facial nerve injuries. All patients were followed for 6 to 48 months (mean: 18 months) and exhibited cosmetic improvement. Overall, 10 patients were satisfied with the aesthetic results, while 3 were unsatisfied due to undercorrected depression. During the follow-up period, the temple volume was maintained. The frontal temple exhibited a smooth contour, and scalp baldness at the incision site was inconspicuous. Compared with other methods, the pedicled TPFF flap transfer is a safe and effective technique for correcting depressions in the frontotemporal regions. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors. www.springer.com/00266 .

Cancer is a disease with a high mortality rate; therefore, research on new treatment strategies is essential. There has been increased interest in novel drug delivery systems (DDS) in recent years, such as calixarene, one of the most important principal molecules in supramolecular chemistry. Calixarene is a cyclic oligomer of phenolic units linked by methylene bridges that belongs to the third generation of supramolecular compounds. By modifying the phenolic hydroxyl end (lower edge) or the para-position, a wide range of calixarene derivatives can be obtained (upper edge). Drugs are combined with calixarenes to modify and have new properties, such as strong water solubility, the ability to bond with guest molecules, and excellent biocompatibility. In this review, we summarize the applications of calixarene in the construction of anticancer drug delivery systems and its application in clinical treatment and diagnosis. It provides theoretical support for the diagnosis and treatment of cancer in the future.

Self-etch adhesive systems have the advantages of simple operating steps and low technique sensitivity. However, some deficiencies of self-etch adhesive result that the immediate bonding strength between self-etch adhesive and dentine is not so high. Non-thermal atmospheric pressure plasma (NTAPP) can be used for surface modification. Previous studies of our research group have proven that NTAPP can improve bonding durability between dentine and etch-and-rinse adhesive. However, it is still unknown whether NTAPP can improve bonding strength between dentine and self-etch adhesive. The study observed the contact angle on dentine surface, the adhesive permeability and MTBS. The study proved that NTAPP can improve dentine surface wettability, clear up smear layer, and enhanced the self-etch adhesive permeability in dentine bonding interface. In conclusion, NTAPP could improve the bonding strength between dentine and self-etch adhesive systems. The most optimum treating time was 15 s.

Abstract Background Icariin (ICA), a main active ingredient of Herba Epimedium, could promote bone formation, inhibit bone resorption and alleviate inflammatory responses. The aim of this study was to investigate the effect of ICA on the inhibition of bacteria associated with peri-implantitis, and fabricate a calcium phosphate cement (CPC) with ICA-loaded gelatin microspheres (GMs) as a local drug delivery system efficiently promoting bone formation and alleviating inflammation. Results In this study, ICA exhibited antibacterial activity against P. gingivalis with a MIC value of 1 × 10–4 mol/L. When the concentration of ICA was 0.5 mM, the encapsulation efficiency of GMs reached the maximum value of 76.26 ± 3.97%. GMs with ICA revealed a controlled release profile, 0.5 mM ICA exhibited a higher ICA release profile than the other groups during a 21 d monitoring span. The results of SEM and XRD demonstrated successful fabrication of a calcium phosphate cement with ICA-loaded GMs. ICA released from CPC/GMs (ICA) was slower than ICA released from GMs within 10 days. CPC/GMs (ICA) exhibited antibacterial activity against P. gingivalis, but the antibacterial rate of CPC/GMs (ICA) was only 17.15 ± 6.06%. In addition, CPC/GMs (ICA) promoted the proliferation of BMSCs and significantly stimulated the differentiation and maturation of BMSCs. In vivo, H&E and Masson staining experiments demonstrated that CPC/GMs (ICA) exhibited better capacity for bone regeneration than CPC/GMs and CPC, and the expression of TNF-α and IL-1β in the tissue around CPC/GMs (ICA) was significantly lower than CPC/GMs and CPC in IHC staining (P < 0.05). Conclusion In this study, ICA exhibited limited antibacterial activity against bacteria associated with peri-implantitis. A composite material of calcium phosphate cement with ICA-loaded gelatin microspheres was developed, which not only promoting osteoinductivity and bone formation, but also alleviating inflammation, demonstrating its potential as a promising bone substitute material for treatment of peri-implantitis.

The aim of this work was to preparation of ornidazole/pefloxacin-loaded PLGA sustained microspheres with optimized characteristics and in vivo evaluation of the pharmacological effect on chronic periodontitis. Double-emulsion solvent evaporation technique was used to prepare the microspheres. After optimization through orthogonal, the microspheres were smooth, in good balling index and in less adhesion state, with particle sizes in normal distribution (14 similar to 30 mu m). The encapsulation efficiency of ornidazole and pefloxacin was 68.15 +/- 0.40% and 64.07 +/- 0.37% respectively, drug loadings was 6.18 +/- 0.15% and 3.95 +/- 0.21% respectively. Over time, the drug release rate remained stable. At 20 d, ornidazole in vitro released about 95% by degrees, pefloxacin released above 97%. These results indicated that microspheres prepared were suitable for local injection treatment of periodontitis. Subsequently, the microspheres exerted no obvious influence on the proliferation of periodontal ligament fibroblasts by MTT assay. In the treatment of rats with periodontitis mode, the local sustained release microspheres could significantly reduce the numbers of inflammatory cell infiltration and inhibit destruction of cementum. In conclusion, these microspheres prepared by this method were adjuvant to periodontal instruments with certain advantages and potential values.

Liver cancer is one of the top six leading causes of cancer-related death. Radiofrequency ablation (RFA) is an important means of treating liver cancer. Residual cancer after RFA is the most frequent cause of recurrence in cases of liver cancer. The main difference between residual cancer cells and ordinary liver cancer cells is that residual cancer cells experience heat shock. The secretable form of trimeric human tumor necrosis factor-related apoptosis-inducing ligand (stTRAIL) induces apoptosis in a variety of human cancers but not in normal tissues. It has shown potent cancer-selective killing activity and has drawn considerable attention as a possible cancer therapy. In the present work, the therapeutic potential of this stTRAIL-based gene therapy was evaluated in hepatocellular carcinoma subjected to RFA. Rat bone marrow mesenchymal stem cells (BM-MSCs) were isolated and transduced with a lentiviral vector encoding stTRAIL (stTRAIL-MSCs, T-MSCs). Cells treated with heat treatment at 43 °C for 45 min served as simulated residual cancer cells. After treatment with T-MSCs, apoptosis in heat-shock-treated liver cancer cells increased significantly, and caspase-3 was upregulated. When T-MSCs were subcutaneously injected into nude mice, they localized to the tumors and inhibited tumor growth, significantly increasing survival. Collectively, the results of the present study indicate that BM-MSC can provide a steady source of stTRAIL and may be suitable for use in the prevention of the recurrence of hepatocellular carcinoma after RFA with secretable trimeric TRAIL.

OBJECTIVES:This study examined the use of methacryloxylethyl cetyl dimethyl ammonium chloride (DMAE-CB) as a potential matrix metalloproteinases (MMPs) inhibitor on both soluble recombinant and dentine matrix-bound endogenous MMPs, meanwhile attempted to determine the effective anti-MMP group of quaternary ammonium methacrylates (QAMs). METHODS:The possible inhibitory effects of five DMAE-CB mass concentrations (0.1%, 0.5%, 1%, 3%, 5%) on soluble rhMMP-9 were measured using a colorimetic assay kit. Methyl methacrylate (MMA) and [2-(methacryloyloxy)ethyl] trimethylammonium chloride (METMAC) were also screened against rhMMP-9 to compare the inhibitory effect with DMAE-CB. Matrix-bound endogenous MMP-activity was evaluated in completely demineralized dentine beams. Thirty beams were randomly divided into three groups (N=10) and respectively placed into 500μL of calcium- and zinc-containing media (CM; control), 0.2% chlorhexidine or 3% DMAE-CB in CM aged for 30 days. The changes in modulus of elasticity, loss of dry mass and solubilization of collagen peptides were measured via three-point bending, precision weighing and hydroxyproline assay, respectively. RESULTS:0.5-5% mass concentrations of DMAE-CB were highly effective (P<0.05) in inhibiting rhMMP-9 varied between 76.56±6.44% and 97.06±3.24%, the inhibitory effect of MMA was much lower than that of METMAC and DMAE-CB at the same concentration (P<0.05). Dentine beams incubated in 3% DMAE-CB showed only a 26.34% decrease in the modulus of elasticity (75.74% decrease in control), a 1.72±1.56% loss of dry mass (29.70±9.12% loss in control), and significantly less solubilized hydroxyproline when compared with the control (P<0.05). CONCLUSIONS:DMAE-CB is effective in inhibiting both soluble recombinant MMPs and matrix-bound dentine MMPs. Quaternary ammonium group is the effective anti-MMP group of QAMs. CLINICAL SIGNIFICANCE:The incorporation of DMAE-CB into dental adhesives has the potential to enhance the durability of dentine bonding and thus increases the longevity of restorations.

OBJECTIVE:To evaluate the effect of quaternary ammonium methacrylates incorporation into a dental adhesive on the resistance of enzymatic degradation of resin-dentine interfaces.METHODS:Thirty caries-free extracted human third molars were randomly divided into three groups (n = 10): 2-methacryloxylethyl dodecylmethyl ammonium bromide (MAE-DB) incorporated adhesive served as the experimental group, pre-treatment with chlorhexidine (CHX) served as a positive control, Adper(TM) Single Bond 2 served as a negative control. The resin-dentin interfaces were prepared using total etch bond system. After storage in distilled water at 37 °C for 24 h, the bonded teeth were vertically sectioned into beams. Beams were respectively immersed in artificial saliva containing 2 g/L MMP-8 at 37 °C for 0 h, 24 h and 120 h (n = 30). Micro-tensile bond strength, failure modes and nanoleakage were examined.RESULTS:There were no significantly differences of micro-tensile bond strength between groups before hydrolysis (P > 0.05). After the enzymatic hydrolysis of 24 h and 120 h, the micro-tensile bond strength of MAE-DB groups [(31.13 ± 8.77) MPa, (24.14 ± 6.64) MPa] were significantly higher than that of the negative control groups [(25.63 ± 6.90) MPa, (15.22 ± 6.57) MPa] (P < 0.05). Most of the failures were found in the base part of the hybrid layer in the negative control group, while failures occurred through the top of the hybrid layer in CHX and MAE-DB groups after the enzymatic hydrolysis.Specimens from each immediate group showed minor silver deposits in hybrid layer. After beams being enzymatic hydrolyzed for 120 h, it was shown that the silver nitrate uptake in the negative control group were significantly different from those in the CHX and MAE-DB groups (P < 0.05).CONCLUSIONS:Dental adhesive incorporation of MAE-DB could improve the anti-degrade ability of resin-dentin interfaces.

近20年来,牙科粘接技术和粘接材料发展迅猛.现有的牙本质粘接剂已具备理想的即刻粘接性能,但牙本质粘接界面的长期稳定性仍是制约粘接修复体使用寿命的一个重要因素.如何提高牙本质粘接界面的稳定性,是目前口腔粘接领域亟待解决的问题. 粘接剂树脂单体渗入部分脱矿的牙本质基质中,并与胶原纤维网形成紧密结合的交联,单体固化后形成混合层,是牙本质粘接的基础.混合层的质量直接影响牙本质粘接界面的稳定性[1],影响混合层质量的因素,包括粘接剂性能、粘接剂在牙本质界面的渗透性及其与胶原纤维的结合性、胶原纤维的长期稳定性等,成为决定牙本质粘接界面稳定性的关键因素.现根据以上影响因素对提高牙本质粘接稳定性的方法进行综述.

Objective: To investigate the effect of chlorhexidine preconditioning on the bonding when using mechanical load cycling as an aging challenge.Methods: Thirty-six non-carious third molars were randomly divided into four groups according to the dentin treatments: Adper Single Bond 2 or 2% chlorhexidine preconditioning plus Adper Single Bond 2.The specimens in each group were subjected to the microtensile bond strength(μTBS) and interfacial nanoleakage evaluation with or without aging by mechanical load cycling and thermocycling.Results: Pre-treatment with CHX presented significantly a higher μTBS and a lower degree of nanoleakage than those of SB group after aging(P<0.05).Conclusion: Pre-treatment with chlorhexidine can inhibit the degradation of resin-dentin bonds induced by fatigue and thus improve the bonding stability.

BACKGROUND:The purpose of the current study is to evaluate the effects of systemic ornidazole (SO) and systemic and local compound ornidazole and pefloxacin mesylate (SCOPM/LCOMP) on the inflammatory response associated with rat experimental chronic periodontitis (ECP) in sites with subgingival debridement.MATERIAL/METHODS:Periodontitis was induced in male Sprague-Dawley rats by placing a thin steel ligature around the upper first molars and inoculating them with Porphyromonas gingivalis 381. After the successful induction of the rat ECP, the periodontitis rats were randomly divided into 3 different combined treatment groups: (A) SO with scaling and root planing (SRP); (B) SCOMP with SRP; and (C) LCOMP with SRP. After 2 weeks the effects of the treatments were evaluated based on gingivitis, plaque index, probing pocket depth, aspartate aminotransferase, alveolar bone loss, and hematoxylin-eosin staining of the region around the first molars.RESULTS:After treatment, comparison with ECP was performed. The mean percentage reductions of SBI in SO, SCOPM, and LCOPM were 27.73%, 33.61%, and 58.82%, respectively. Those of PI were 33.20%, 42.80%, and 60.00%; those of PPD were 48.66%, 55.70%, and 72.48%; those of GCF-AST were 41.64%, 49.03%, and 66.42%; and those of ABL were 41.19%, 43.63%, and 54.47%, respectively. The inflammatory score of H&E showed median scores of 2.5, 1.75, 1.63, and 0.95 for ECP, SO, SCOMP, and LCOMP, respectively. All 3 treatment groups exhibited significantly reduced inflammation indicators (P<0.05). Of the 3, group C was the most effective (P<0.05).CONCLUSIONS:Although all the combined treatment groups responded to therapy with significant resolution of the infection, adjunctive LCOMP therapy is more effective for periodontitis.