Search

Diabetes has made it challenging to repair alveolar bone defects. A successful method for bone repair utilizes a glucose-sensitive osteogenic drug delivery. This study created a new glucose-sensitive nanofiber scaffold with controlled dexamethasone (DEX) release. DEX-loaded polycaprolactone/chitosan nanofibers scaffolds were created using electrospinning. The nanofibers had high porosity (>90%) and proper drug loading efficiency (85.51 ± 1.21%). Then, glucose oxidase (GOD) was immobilized on the obtained scaffolds by a natural biological cross-linking agent, genipin (GnP), after soaking in the mixture solution containing GOD and GnP. The enzyme properties and glucose sensitivity of the nanofibers were investigated. The results showed that GOD was immobilized on the nanofibers and exhibited good enzyme activity and stability. Meanwhile, the nanofibers expanded gradually in response to the increase in glucose concentration, followed by the release of DEX increased. The phenomena indicated that the nanofibers could sense glucose fluctuation and possess favorable glucose sensitivity. In addition, the GnP nanofibers group showed lower cytotoxicity in the biocompatibility test compared with a traditional chemical cross-linking agent. Lastly, the associated osteogenesis evaluation found that the scaffolds effectively promoted MC3T3-E1 cells’ osteogenic differentiation in high-glucose environments. As a result, the glucose-sensitive nanofibers scaffolds offer a viable treatment option for people with diabetes with alveolar bone defects.

Background: Retention of deciduous teeth (RDT) is a tooth replacement abnormality that affects the oral cavity and health of adolescents. However, evidence of the quantitative effects of determinants on RDT is still limited. A better understanding of the quantifying determinants of RDT would support evidence-based policymaking to reduce the incidence of RDT in China and other developing areas globally. Methods: The target population of this study focuses on the 12- to 15-year-old age group amounting to 11,351 sample individuals derived from the Fourth National Oral Health Survey of China (2015) and the First Oral Health Survey of Shanxi Province, China (2018). Propensity score matching(PSM) method and logical regression model were employed to explore the epidemiological characteristics and determinants of RDT in adolescents. Results: The retention rate of deciduous teeth (RRDT) of adolescents aged 12–15 in Shanxi Province was 11.74% (95% confidence interval [CI]: 9.78–13.70%). Dental caries was found to be a risk factor, with a corresponding odds ratio (OR) of 1.22 (95%CI: 1.04–1.43). Relative to a non-only child, the OR of an only-child was 0.72 (95%CI: 0.60–0.86). For adolescents, brushing their teeth every day and having their teeth examined can lower their risk of RDT. The education level of the mother and body mass index were found to be protective factors of RDT. Conclusions: Socio-economic factors and individual characteristic behaviours are closely related to the RDT of adolescents aged 12–15 years. More attention should be paid to the RDT of adolescents in China and other areas worldwide.

Hydrogel microspheres are flexible microstructures with many fascinating functions, such as three-dimensional cell culture, injection therapy, drug delivery, organoids and microtissues construction. The traditional methods of manufacturing hydrogel microspheres more or less have some shortcomings, such as atomization/emulsion method with uneven sizes; piezoelectric-/thermal-/electric-assisted inkjet with high cell damage and unknown cell growth effects; microfluidic manufacturing with sophisticated microdevices etc, which lead to poor user experiences. Here, we designed a user-friendly microfluidic device to generate hydrogel microspheres with sharp needles that can be replaced at will. Specifically, a commercial tapered opening sharp needle was inserted into a transparent silicone tube with the tapered opening facing the upper wall of the silicone tube. Then, gelatin methacrylate (GelMA) solution and paraffin oil were pumped into the sharp needle and the silicone tube respectively. GelMA microdroplets were formed under the shear stress of the silicone tube and the oil phase, and after being photo-crosslinked in situ, GelMA microspheres with uniform and adjustable sizes can be generated. Due to the simplicity of our original device, heterogeneous microspheres such as Janus, core–shell and hollow microspheres can be easily manufactured by simple modification of the device. In addition, we demonstrated the strong flexibility and maneuverability of the microspheres through macroscopic free assembly. Finally, we prepared different cell-laden GelMA microspheres, and the cells showed stretching behavior similar to that in vivo after a short period culture, which indicated the high bioactivity of GelMA microspheres. Meanwhile, we cultured the Janus cell-laden GelMA microspheres and the assembly of cell-laden GelMA microspheres, where the cells stretched and interacted, demonstrating the potential of GelMA microspheres for co-culture and fabrication of large-scale tissue constructs. In view of the above results, our user-friendly microfluidic manufacturing method of hydrogel microspheres with sharp needles will provide great convenience to relevant researchers.

Background The aim of this study is to explore the spatial heterogeneity of the retention of PFS in children aged 7–9 years in Shanxi Province, North China and investigate the risk factors associated with PFS retention. Methods In this study, 937 children aged 7–9 years from Shanxi Province, China were randomly selected, all of whom had at least one first permanent tooth sealed with PFS in 2016. The children were surveyed after 12 months (in 2017) and 24 months (in 2018). The Geo-detector model was used to explore the spatial heterogeneity of the retention rate of PFS and analyze the influence and interactions of the ecological factors on PFS. Results 3299 teeth from 937 children were analyzed. The PFS full retention rates after 12 months (in 2017) and 24 months (in 2018) were 81.6% and 75.1%, respectively. The incidence of caries of the first molar was 2.1% after 12 months and 5.4% after 24 months. The spatial heterogeneity of the PFS retention rate after 24 months was significant, which was shown as the retention rate of PFS increased from north to south after 24 months. Remarkably, the natural environmental factors exerted greater influence than the socioeconomic and medical resources factors after 12 months, where the interaction of fluorine in water (FW) had the strongest explanatory power of 52% (P P Conclusion The natural environmental factors and medical resources factors are important ecological factors determining the spatial pattern. The government should strengthen medical and technician construction in North China, comprehensively control fluoride in water, optimize the allocation of medical resources, and promote the balanced development of regional medicine.

The bone healing defects resulting from bone disease remain a significant clinical challenge. The bone tissue engineering scaffolds combined with osteoinductive compounds represent an effective approach to overcome this challenge. In this study, a novel chitosan-based scaffold was prepared by incorporating modified natural diatomite (DE) as filler and adsorption element. Specifically, modified-diatomite (MDE) was synthesized by grafting polyethyleneimine (PEI) on the surface of diatomite