牛河梁红山文化人群龋齿的统计与分析

本文通过对牛河梁遗址出土的31例红山文化时期人类牙齿龋病的统计与分析, 获知: 1)牛河梁遗址男女两性的患龋率、龋齿率没有明显的性别差异; 2)他们的患龋率和龋齿率有随年龄增长逐步增高的趋势; 3)上颌的龋齿罹患率高于下颌; 4)龋齿的发生主要集中在臼齿,且以咬合面部位为主; 5)他们的患龋率和龋齿率均较低。牛河梁红山文化人群相对偏低的龋齿率可能暗示出他们的经济生活方式还处在以采集狩猎为主体的模式中, 农耕经济可能处于较低层次的状态。     

郑州青台遗址新石器时代中晚期人群龋齿的统计与分析

本文通过对郑州青台遗址新石器时代中晚期91例个体、1913枚牙齿罹患龋齿的统计与分析可知,青台人群患龋率为71.43%,龋齿率为13.38%。其中,龋齿率女性高于男性,可能与女性孕期生理变化、食物选择及性别分工等有关。上颌龋齿率高于下颌,臼齿及咬合面为龋齿易患齿类及部位。通过对比可知青台人群显示出较高的龋齿罹患率,暗示该人群饮食中应包含较多的碳水化合物类食物,这可能与新石器时代中晚期黄河中游发达的旱作农业有关。此外,龋齿率在黄河及长江中、下游新石器时代农业人群中的区域性差异可能与龋病病因的复杂性和各地区不同的文化面貌、人群生活方式有关。     

广西顶蛳山遗址人骨的龋齿病理观察

顶蛳山遗址位于广西壮族自治区南宁市邕宁区,保存了丰富的新石器时代文化遗存以及大量的古人类骨骼遗存。本文主要从龋齿研究入手,对顶蛳山二、三期文化(8-7 ka BP)中大于15岁的169个体的2737枚恒齿进行了观察。分别统计了龋齿等级和个体和牙齿患龋率以评估人群患龋情况,进而分析顶蛳山遗址人群的口腔健康状况,并探讨了食物构成、饮食行为与社会经济等。统计结果表明,顶蛳山遗址人群的个体和牙齿患龋率都较高。患龋率在两性、葬式、年龄段间都存在差异,女性患龋程度要高于男性;不同葬式之间差异也显著,随着年龄的增长患龋的比例和程度也随之加深。通过与其他8组新石器时代国内遗址人群的个体和牙齿患龋率的对比,我们看到包含顶蛳山在内的三组华南渔猎采集遗址的个体和牙齿患龋率都要高于其他遗址,农业遗址的人群要低于华南遗址的患龋率,而混合经济遗址的患龋率最低。龋齿的出现与人类饮食中的碳水化合物关系密切。据此,我们推测顶蛳山及其他两组华南遗址的高患龋与碳水化合物的摄入关系密切,但这与一般所认为的农业的出现没有联系。三组遗址都是以渔猎采集主导的社会经济形态,并且这时期农业并未传播至华南地区。因此我们的分析表明高患龋率与农业并没有必然联系,而华南地区当时人群所食用的碳水化合物可能源于当地的块茎类和含蔗糖类植物。     

桂林甑皮岩新石器时代遗址居民的龋病

作者对新石器时代早期的桂林甑皮岩遗址出土的16例龋病作了观察。这批遗存的人骨材料的患龋率为93.75％,龋均为6.07。该遗址居民患龋病的普遍性及严重性远大于同时代的居民及现代居民。     

窝沟封闭和涂氟同时应用对乳磨牙龋病干预的研究

目的:探讨同时应用窝沟封闭和涂氟预防干预乳磨牙预防龋齿的效果,为学龄前儿童乳磨牙龋齿的预防提供新的干预措施。方法:通过Cariostat法对150名学龄前儿童乳磨牙进行龋蚀活跃性试验,将其分为龋活跃高危人群和低危人群,检查其乳磨牙患龋情况,计算龋均。随机抽取30名龋活跃高危人群儿童做为实验组1,30名龋活跃低危人群儿童做实验组2,应用窝沟封闭和多乐氟护齿剂同时对乳磨牙进行龋病预防干预;同时抽取30名龋活跃低危人群做对照组应用多乐氟护齿剂对乳磨牙进行龋病预防干预,于干预后6、12、18个月计算龋病发病率。结果:龋活跃高危人群和低危人群的患龋率分别为68.75%、28.6%,两组比较有显著性差异(P<0.05)。干预后6个月时,实验组1、实验组2、对照组龋病发病率分别为12.3%、11.6%、13.1%,三组比较无显著性差异(P>0.05);12个月时,龋病发病率分别为12.4%、11.8%、23.2%,实验组1、实验组2比较无显著性差异(P>0.05),实验组1、实验组2均显著低于对照组,有显著性差异(P<0.05);18个月时,龋病发病率分别为13.2%、12.9%、29.3%,实验组1、实验组2均显著低于对照组,有显著性差异(P<0.05),但实验组1、实验组2比较无显著性差异(P>0.05)。结论:同时应用窝沟封闭和涂氟对乳磨牙可以有效防龋,降低学龄前儿童的龋发病率。     

济南大辛庄遗址商代居民的牙齿疾病

大辛庄遗址位于济南市历城区大辛庄村,是山东省内已知面积最大的一处商代遗址,甲骨文及其他丰富遗存的出土对于鲁北及整个山东地区商文化研究具有重要意义。本文主要从人骨的牙齿健康状况入手,对济南大辛庄商代遗址2003、2010年出土的45例人骨标本的牙病情况,尤其是龋病、牙周病、牙结石以及牙齿磨耗情况进行统计与分析,得知大辛遗址商代人群牙齿疾病的基本情况：1)牙结石的出现率男女之间存在明显的性别差异,除此之外其他牙病在罹患率的性别分组上的差异不显著,但均为女性的罹患率要高于男性;2)牙病的罹患率在年龄分组上存在显著差异,随年龄的增长罹患牙病的风险增高;3)龋病、牙周病及牙结石多好发于臼齿;4)重度磨耗牙齿患牙病的风险增加,牙周病表现尤为明显;5)牙病的罹患率不仅受到性别、年龄、牙位以及齿冠磨耗程度的影响,而且与大辛庄商代人群农业经济发展的食物结构有关。     

郑州汪沟遗址仰韶文化居民的牙齿磨耗及口腔健康状况

对汪沟遗址出土的174例仰韶文化居民的2816枚牙齿进行统计与分析,计算出牙齿的平均磨耗等级和前后部牙齿磨耗差别指数,统计特殊磨耗、龋齿、骨质隆起在样本中的出现率.结果显示,汪沟组牙齿平均磨耗等级为3.403262级,男性牙齿平均磨耗等级为3.63级,女性为3.61级;男女两性牙齿磨耗差异不显著(p＞0.05);前后部...     

山东广饶县中南世纪城墓地出土明代人骨的初步研究

本文对广饶县中南世纪城墓地出土的明代人骨进行了多方面的生物考古学研究,包括性别、年龄的分布,身高的复原以及古病理的观察。牙病方面,对龋病、牙釉质发育不全和错牙合畸形进行了观察记录,从性别、年龄、龋患程度及好发牙位等方面对该人群的龋患情况进行统计分析。研究结果表明,该人群牙齿患龋率不具备明显的性别差异,与年龄变化也无显著相关性,好发牙位多为臼齿。此外,还观察到多孔性骨肥厚、骨关节疾病等病理现象以及一处愈合较好的骨折创伤。     

广西敢造遗址史前居民口腔的健康状况

广西扶绥敢造遗址是华南新石器时代一处典型的河岸贝丘遗址,其人骨测年结果的上限为8488 BC,下限为6492 BC。本文对敢造遗址2014年出土的108例个体的999枚恒齿进行观察统计,结果显示居民的饮食结构应是以肉食为主并辅以富含淀粉的块茎类植物。该遗址居民的龋齿率高于部分农业人群,但远低于同为华南渔猎—采集经济的鲤鱼墩、甑皮岩和顶蛳山遗址,其原因应与食用块茎类植物的多寡有关。较高的牙结石罹患率(89.86%)可能与鱼类、贝类等高蛋白饮食有关。相比农业、游牧或狩猎人群,该遗址居民偏重的牙齿磨耗可能与食用含沙量较大的螺类、贝类等有关;肉类食物的食用导致该遗址居民上颌前部牙齿磨耗重于后部牙齿,而“上颌前部牙齿舌侧过度磨耗”现象的出现则与食用块茎类植物有关。     

郑州孙庄遗址仰韶文化居民的颅骨形态

孙庄遗址位于河南省郑州市中原区孙庄村南,是分布在黄河中下游地区的一处仰韶文化晚期遗存。通过对遗址出土的10例保存基本完整的颅骨进行测量与观察后,得出以下结论：孙庄组的颅面部特征为高颅型与狭颅型相结合的颅型特点、中等偏大的面部扁平度、狭额型、中鼻型、低眶型、中面角属平颌型、犬齿窝和鼻根凹欠发达、颅顶缝简单等。孙庄组古代居民颅骨的形态特征归属于亚洲蒙古人种范围。颅骨形态学特征分析结果显示,孙庄组与亚洲蒙古人种近代华南组（R=1.26）关系最为密切,与近代蒙古组（R=1.80）和通古斯组（R=2.06）关系疏远;在与各新石器时代组的对比中,孙庄男性组与仰韶合并组（R=1.00）、庙子沟组（R=1.00）、西山组（R=1.07）、大汶口组（R=1.13）关系接近,孙庄女性组最接近于大汶口组（D_ij=3.10）、徐堡组（D_ij=4.58）和西山组（D_ij=4.60）。综上,我们可知分布在黄河中下游地区的仰韶时代中晚期人群在颅面部特征上颇为一致,具有较高的同源性,应同属于“古中原类型”居民。     

甘肃临潭磨沟墓地人骨的牙齿健康状况

本文通过甘肃临潭磨沟齐家文化墓地出土的262例人骨标本的牙病情况尤其是龋病、牙周病、根尖周病以及牙结石情况的统计与分析,得知磨沟墓地古代居民牙齿疾病的基本情况:1)牙病的罹患率性别差异显著,女性龋病和根尖周病的罹患率高于男性,而在牙周病和牙结石的出现率上则是男性高于女性;2)牙病的罹患率随着年龄增长而增高;3)龋病、牙周病及根尖周病多发于臼齿,牙结石多发于门齿;4)重度磨耗牙齿多发牙周病及根尖周病;5)牙病罹患率不仅受到性别、年龄、牙位以及齿冠磨耗程度的影响,而且与磨沟组古代居民农业种植食物和采集食物并重的食物结构有关。     

Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS

The aim of the present study was to investigate determinant factors associated with the presence of dental caries and lesion activity in preschool children. A population-based, cross-sectional study was carried out with 843 children of aged three to five years enrolled at public and private preschools in the city of Campina Grande, Brazil. A questionnaire addressing socio-demographic data and oral health care was self-administered by parents/caregivers. Three dentists previously calibrated examined the children for the diagnosis of dental caries and lesion activity using the International Caries Detection and Assessment System (ICDAS). Nutritional status was evaluated based on the body mass index. Logistic regression analysis for complex samples was performed (α = 5%). The prevalence of dental caries was 66.3%. Among the children with caries, 88.0% had active lesions. Dental caries was more prevalent in girls (OR = 1.53, 95%CI: 1.05–2.23), in children from families with a monthly household income ≤US$312.50 (OR = 2.38, 95%CI: 1.65–3.43) and those whose mothers had up to eight years of schooling (OR = 1.55, 95%CI: 1.07–2.23). Lesion activity was significantly associated with mother’s schooling ≤ 8 years (OR = 2.15, 95%CI: 1.15–4.00). The prevalence rates of dental caries and lesion activity were high and mainly associated with a lower socioeconomic status and mother’s schooling.     

Validation of Self-Reported Information on Dental Caries in a Birth Cohort at 18 Years of Age

Objective

Estimate the prevalence of dental caries based on clinical examinations and self-reports and compare differences in the prevalence and effect measures between the two methods among 18-year-olds belonging to a 1993 birth cohort in the city of Pelotas, Brazil.

Method

Data on self-reported caries, socio-demographic aspects and oral health behaviour were collected using a questionnaire administered to adolescents aged 18 years (n = 4041). Clinical caries was evaluated (n = 1014) by a dentist who had undergone training and calibration exercises. Prevalence rates of clinical and self-reported caries, sensitivity, specificity, positive and negative predictive values, absolute and relative bias, and inflation factors were calculated. Prevalence ratios of dental caries were estimated for each risk factor.

Results

The prevalence of clinical and self-reported caries (DMFT>1) was 66.5% (95%CI: 63.6%–69.3%) and 60.3% (95%CI: 58.8%–61.8%), respectively. Self-reports underestimated the prevalence of dental caries by 9.3% in comparison to clinical evaluations. The analysis of the validity of self-reports regarding the DMFT index indicated high sensitivity (81.8%; 95%CI: 78.7%–84.7%) and specificity (78.1%; 95%CI: 73.3%–82.4%) in relation to the gold standard (clinical evaluation). Both the clinical and self-reported evaluations were associated with gender, schooling and self-rated oral health. Clinical dental caries was associated with visits to the dentist in the previous year. Self-reported dental caries was associated with daily tooth brushing frequency.

Conclusions

Based on the present findings, self-reported information on dental caries using the DMFT index requires further studies prior to its use in the analysis of risk factors, but is valid for population-based health surveys with the aim of planning and monitoring oral health actions directed at adolescents.     

Prevalence and Correlates of Dental Caries in an Elderly Population in Northeast China

Objectives

The present study aimed to investigate the prevalence and correlates of dental caries in elderly population in northeast China.

Methods

A community-based, cross-sectional study among 2376 elderly subjects (age: 65–74 years) from nine urban areas and nine rural areas in three provinces of northeast China was conducted using multistage stratified random sampling per the World Health Organization oral health survey methodology. Decayed-missing-filled teeth (DMFT) and decayed-filled teeth (DFT) indices were used to evaluate the prevalence of dental caries. Face-to-face questionnaire survey on oral health was performed in a randomly selected subset (n = 1197). T test and chi square test were employed to compare groups for continuous and categorical variables, respectively. Multivariate logistic regression was used to estimate odds ratios (ORs) and corresponding confidence intervals (CIs).

Results

67.5% of elderly subjects reported dental caries (average DFT = 2.68±3.40), and the prevalence was higher in urban areas (P<0.01). Missing teeth accounted for 80.72% of DMFT, and filled teeth due to caries accounted for 2.08% with a rate higher in urban areas (P<0.01). Logistic regression analysis indicated significant association among elderly population in urban areas (OR 1.713; 95% CI 1.337–2.195), smoking (OR 1.779; 95% CI 1.384–2.288), and individuals without dental insurance (OR 2.050; 95% CI 1.120–3.754) with dental caries.

Conclusions

The prevalence of dental caries in the elderly population in northeast China is high. The elderly from urban areas who smoke and who do not have a dental insurance are at a higher risk to develop dental caries.     

不同去龋技术在乳牙龋病治疗中的应用疗效分析

目的:比较传统机械切割法、非创伤性充填法(atraumatic restorative treatment,ART)和Carisolv化学法在临床乳牙龋病治疗中的应用效果差异。方法:选取2011年1月-2012年6月来我科就诊的5-8岁儿牙患者96名,患牙180颗,随机分为3个不同的治疗组:传统机械去龋组、ART组和Carisolv化学去龋组进行相应牙体充填治疗,通过去龋效果、去龋时间、术中疼痛发生率和术后长期疗效等方面比较不同去龋技术之间的差异。结果:常规机械去龋组和Carisolv组的去龋效果明显优于ART组(P0.05),二者之间无明显差异(P0.05);3种去龋方法的去龋操作时间无明显差异(P0.05);Carisolv组和ART组去龋治疗中患儿术中疼痛发生例数明显低于常规机械去龋组(P0.05),二者之间无明显差异(P0.05);治疗1年后的复诊发现,常规机械去龋组和Carisolv组中患牙继发龋发生率明显低于ART组(P0.05),二者之间无明显差异(P0.05);三种方法治疗后患牙充填物折断/脱落发生率无明显差异(P0.05)。结论:Carisolv化学去龋法能有效减轻术中疼痛和术后复发率,值得在临床乳牙治疗中推广应用;ART的去龋效果和远期疗效可能限制其广泛应用。     

缺氧诱导因子-1α调节叉头框蛋白1表达促进大鼠外周血间充质干细胞缺氧存活

间充质干细胞(mesenchymal stem cells, MSCs)是再生医学中临床使用最多的干细胞之一。外周血间充质干细胞(peripheral blood mesenchymal stem cells, PBMSCs)以其获取简便、创伤小和具有多向分化能力等优势,在人类缺血性疾病的治疗方面具有重要应用前景。但尚未建立在缺氧环境下,使PBMSCs高存活和高扩增培养方法。本研究旨在探讨HIF-1α(hypoxia-inducible factor -1α, HIF-1α)通过调节叉头框蛋白1(forkhead box C1, FoxC1)表达,促进PBMSCs缺氧存活和扩增的作用。采取SD大鼠外周血,分离出单个核细胞(mononuclear cells, MNCs),培养第3代后得到MSCs,随机将细胞进行以下3种处理,并分组:未处理组(Control, CON)、HIF-1α激动剂组(dimethyloxallyl glycine, DMOG,0.1 mmol/L,DMOG组)和HIF-1α抑制剂组(BAY87-2243,50 nmol/L,BAY组),进行缺氧培养PBMSCs,观察各组不同时间点(1 h、10 h、20 h、30 h、40 h、50 h、60 h、70 h、80 h)PBMSCs凋亡和增殖情况。应用qRT-PCR和Western 印迹观察细胞FoxC1表达情况,及抗凋亡分子Bcl2和凋亡信号分子Bax和胱天蛋白酶3(caspase3)表达情况。MNCs经过3代培养后,可得到纯度较高的PBMSCs。但是,这些细胞在体外缺氧培养30 h即发生凋亡,但经HIF-1α激动剂DMOG能抑制其凋亡,能使PBMSCs缺氧延长到60 h以上。与CON组比较,DMOG处理使DMOG组PBMSCs活力升高2.6倍(P<0.001),细胞老化率(SA-β-gal阳性细胞百分率)降低70.1%(P<0.001),细胞凋亡率(Annexin V+PI+细胞百分率)减少64.6%(P<0.001)。加入HIF-1α抑制剂BAY87-2243则引起相反的变化:培养20 h后细胞增殖能力明显减弱,与CON组比较,BAY组细胞活力明显下降(P<0.001),老化率增加35.6%(P<0.001),细胞凋亡率增加38.1%(P<0.001)。进一步研究发现,DMOG可上调HIF-1α表达,促进FoxC1表达(DMOG组较CON组升高2.3倍,P<0.001),上调抗凋亡蛋白Bcl2(DMOG组较CON组升高3.8倍,P<0.001)、下调凋亡蛋白Bax和胱天蛋白酶3表达(各下降86.5%和85.0%,均P<0.001),而加入BAY87-2243显著降低HIF-1α、FoxC1和Bcl2表达,上调Bax和胱天蛋白酶3表达(与CON组比较,均P<0.001)。由此可见,HIF-1α-FoxC1是影响MSCs缺氧存活和增殖的重要信号途径,这有助于提高PBMSCs在缺氧环境中存活和扩增。     

Dental reductions and dental caries

Although first permanent molar hypoconulid absence, third molar agenesis, and small tooth size are all part of the evolutionary trend of dental reduction, each bears a different relationship to dental caries. Caries prevalence in the maxillary and mandibular permanent first molars of the Burlington Research Centre serial experimental group at age 16 years was less in the children whose first molars were missing the hypoconulid. Conversely, caries prevalence in mandibular first molars was greater in the children who had agenesis of third molars. The extraction of first molars due to caries was more frequent in children with agenesis of third molars, less frequent in those with absence of hypoconulids of the first molars and unrelated to tooth size. Caries prevalence was less in small teeth, and occurred least in the small mandibular first molars with four cusps. Whereas this is in harmony with the hypothesis that evolutionary dental reductions resulted from the pressure of caries, the increased prevalence of caries and extractions coinciding with third molar agenesis does not support this view. In addition, agenesis of hypoconulids and agenesis of third molars were related to changes in structures unrelated to caries.     

Caries in the infundibulum of the second upper premolar tooth in the horse

Background  

Swedish equine dental practices have empirically found that the prevalence of infundibular caries as a primary disorder in the first permanent premolar teeth (P2) of the horse upper jaw has increased during the last 10 years. A previously unknown bacterial species, Streptococcus devriesei (CCUG 47155^T), which is related to Streptococcus mutans, has recently been isolated from these carious lesions. To understand the aetiology of caries in horses, it is essential to elucidate the relationship between S. devriesei and P2 infundibular caries.