Recently, the dental application of nano materials has made progress in clinical treatment, such as implant surface modification as well as antibacterial, and controlled release. However, the active physical and chemical properties of nanomaterials may pose a potential safety risk in humans. Dental nanomaterials used for oral application can be released into the blood through a variety of mechanisms, and they can penetrate the blood-brain barrier and enter the central nervous system. Moreover, nanomaterials can also directly affect the central nervous system through the olfactory nerve and via sensory nerve terminal transport, causing organic and functional damage to central nerves, and even causing neurotoxicity during embryo development. Nanomaterials can interact with biomolecules such as cells, genes, and proteins in the body, and can produce neurotoxicity through the mechanisms of inducing oxidative stress, inflammatory responses, cell autophagy, apoptosis, genotoxicity, etc. Factors affecting the toxicity of nanomaterials include particle size, concentration, and solubility. Dental nanomaterials and their pathways into the central nervous system, as well as the mechanisms that may cause neurotoxicity, will be discussed on this review.
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Open Access
Review Article
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Open Access
Prevention and Treatment Practice
Issue
Human dental erosion is an irreversible loss of dental structure caused by acid dissolution, which can leads to tooth fracture, clinical crown loss and occlusal disorders. Early diagnosis, timely blocking the destruction of acidic substances and do the corresponding repairment according to the tooth defect is a challenge for dentists. This paper reports a case of porcelain laminate veneer restoration of tooth defect caused by early acid etching with minimal invasive and bonding repair in order to protect and repair the remaining tooth structure.
Open Access
Review
Issue
Periodontitis is an infectious disease caused by an imbalance between the local microbiota and host immune response. Epidemiologically, periodontitis is closely related to the occurrence, development, and poor prognosis of T2D and is recognized as a potential risk factor for T2D. In recent years, increasing attention has been given to the role of the virulence factors produced by disorders of the subgingival microbiota in the pathological mechanism of T2D, including islet β-cell dysfunction and insulin resistance (IR). However, the related mechanisms have not been well summarized. This review highlights periodontitis-derived virulence factors, reviews how these stimuli directly or indirectly regulate islet β-cell dysfunction. The mechanisms by which IR is induced in insulin-targeting tissues (the liver, visceral adipose tissue, and skeletal muscle) are explained, clarifying the influence of periodontitis on the occurrence and development of T2D. In addition, the positive effects of periodontal therapy on T2D are overviewed. Finally, the limitations and prospects of the current research are discussed. In summary, periodontitis is worthy of attention as a promoting factor of T2D. Understanding on the effect of disseminated periodontitis-derived virulence factors on the T2D-related tissues and cells may provide new treatment options for reducing the risk of T2D associated with periodontitis.
Oral cancer is a common malignant tumor of the head and neck, and surgery combined with radiotherapy and chemotherapy is the primary treatment modality. However, a positive resection margin that may lead to recurrence after surgery has always been a critical issue to address. Furthermore, radiotherapy and chemotherapy also have shortcomings such as resistance to chemotherapy and radiation, lack of targeting, and severe side effects. Therefore, exploring new methods of tumor surgical navigation and tumor treatment is of great significance for oral cancer. Although, the emerging near-infrared II (NIR-II, 1,000–1,700 nm) region fluorescent imaging has revolutionized surgical navigation, a high tumor-targeting fluorescent probe remains lacking. Furthermore, while emerging photothermal therapy (PTT) can overcome chemoradiotherapy’s shortcomings and achieve precise treatment of tumors, its clinical application is still limited by the lack of high photothermal conversion efficiency, high photothermal stability, and highly penetrating materials. Herein, a NIR-II dye SQ890 is developed for tumor imaging and PTT of oral cancer. By assembling into nanoparticles (NPs) and being modified with epithelial growth factor receptor (EGFR)-targeting peptides GE11, SQ890 NPs-Pep can specifically accumulate in tumor sites via active targeting, and realize photoacoustic/NIR-II fluorescence dual-modality imaging-guided PTT of oral cancer.
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