Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology最新文献

{"title":"[Impact of disc displacement on adolescent dento-maxillofacial morphology].","authors":"Dian Jing, Yazhen Li, Yufeng Duan, Bing Fang, Ning Zhao","doi":"10.7518/hxkq.2026.2025363","DOIUrl":"10.7518/hxkq.2026.2025363","url":null,"abstract":"<p><p>Disc displacement (DD) is the primary type of temporomandibular disorder. Adolescence marks a period of high incidence for DD and is also a critical phase for dentofacial development. There is a strong correlation between DD and condyle size, ramus height, mandibular morphology and position. However, whether they are directly related, whether DD can cause or exacerbate dento-maxillofacial deformities, and the degree of association between different types of DD and adolescent craniofacial development remain inconclusive. This research reviews the abovementioned issues to deepen the understanding of the potential impact of DD on dento-maxillofacial development during adolescence. The aim is to offer comprehensive clinical recommendations for the etiological mechanisms, clinical diagnosis, and treatment planning of dento-maxillofacial deformities.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research advances in clear aligner].","authors":"Song Chen","doi":"10.7518/hxkq.2026.2025400","DOIUrl":"10.7518/hxkq.2026.2025400","url":null,"abstract":"<p><p>This study systematically reviews the latest research advances in clear aligners across materials science, clinical treatment outcomes, and impacts on oral health. In materials science, research focuses on membrane biocompatibility, development of bio/smart composite aligners, and direct printing technology for clear aligners. Although mainstream materials are generally safe, some still harbor cytotoxic risks. Smart composite materials offer novel strategies for monitoring and preventing enamel demineralization and bacterial biofilm formation by integrating sensors or incorporating antimicrobial agents. Directly printed aligner technology demonstrates significant potential due to its customizability and high precision. Regarding clinical efficacy, evidence indicates that clear aligners achieve comparable results with fixed appliances for mild-to-moderate malocclusions, though their efficiency and effectiveness are slightly inferior in complex extraction cases. Regarding specific tooth movement control, arch expansion primarily relies on crown inclination, yielding results below design expectations; molar distalization achievement is also limited. Studies refute the notion that a specific \"bite-ramp effect\" causes mandibular counterclockwise rotation. For skeletal class Ⅱ malocclusions in children, clear aligners combined with functional orthodontic modules show promising applications, though evidence levels require further enhancement. Regarding oral health impacts, multiple studies confirm that clear aligners effectively reduce enamel demineralization risk, decrease plaque accumulation, and improve periodontal health compared with fixed appliances. In summary, clear aligner technology has advanced toward great precision, efficiency, and personalization. However, clinicians must recognize its tool-like nature. Successful treatment fundamentally relies on comprehensive diagnosis, appropriate treatment planning, and meticulous clinical execution.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Efficacy and cost analysis of two fluoride varnishes in community-based interventions for early childhood caries].","authors":"Chaoqing Yang, Jinmei Yu, Yishan Zhang, Fanghong Liu, Qiuling Pang, Yulu Xie, Lingshan Ran, Rongmin Qiu","doi":"10.7518/hxkq.2026.2025174","DOIUrl":"10.7518/hxkq.2026.2025174","url":null,"abstract":"<p><strong>Objectives: </strong>A community intervention mo-del was used to investigate the preventive effects and cost-effectiveness of I-ReHealth^® and Duraphat^® in early childhood caries.</p><p><strong>Methods: </strong>Children from Yizhou District, Hechi City, were enrolled and randomly assigned into two groups: the I-ReHealth^® group and the Duraphat^® group. Each group received topical fluoride varnish applications and dental health education every 6 months. After 1.5 years, the incidence of caries and associated costs were compared between the two groups before and after the intervention. Cost minimization analysis was employed to evaluate economic efficiency, and sensitivity analysis was performed to assess the influence of variations in key parameters on result stability and to quantify the probabilistic differences in cost benefits between the two fluoride varnishes under equivalent caries-preventive effects.</p><p><strong>Results: </strong>Prior to the intervention, we found no statistically significant differences in caries prevalence or mean dmft scores between the two groups (<i>P</i>>0.05). After 1.5 years of treatment, both groups still showed no statistically significant differences in caries prevalence (<i>P</i>>0.05), mean dmft scores (<i>P</i>>0.05), caries incidence rate (<i>P</i>>0.05), or increment in mean dmft (<i>P</i>>0.05). The one-sided 97.5% confidence interval for the difference in mean dmft increment was below the non-inferiority threshold, confirming non-inferiority (<i>P</i><0.025). Cost minimization analysis revealed lower total costs in the I-ReHealth^® group (¥25 411.44) than in the Duraphat^® group (¥26 692.98). One-way sensitivity analysis identified material price as the most influential parameter affecting total costs. Monte Carlo simulation with 1 000 iterations demonstrated a 73.1% probability that the I-ReHealth^® group will yield cost savings compared with the Duraphat^® group.</p><p><strong>Conclusions: </strong>I-ReHealth^® is non-inferior to Duraphat® in caries-preventive efficacy but superior in cost-effectiveness in reducing patient expenses.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"129-136"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Comparative study on the treatment of molar-incisor hypomineralization].","authors":"Xiaoxia Shan, Qiaoyun Yang, Xinghua Yang, Yuxin Yang, Ya'nan Ma, Ziang Zhao, Ruimin Li","doi":"10.7518/hxkq.2025.2025123","DOIUrl":"10.7518/hxkq.2025.2025123","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the efficacy of different treatment methods on local plaque lesions of incisors and the sealing of pits and fissures in first permanent molars in patients with mild molar-incisor hypomineralization (MIH).</p><p><strong>Methods: </strong>Patients clinically diagnosed with mild MIH were selected as research subjects for a prospective clinical comparative study on the treatment of local plaque lesions in incisors and the pits and fissures of first permanent molars. Infiltrative resin and fluoride varnish were used to treat local plaque lesions on incisors. The area of local plaque lesions on incisors and lightness (L), red-green hue (a), and yellow-blue hue (b) of the lesion area were measured before treatment and at 1, 3, and 6 months after treatment. The color difference value (ΔE) and tooth whiteness index (WI_D) were then calculated. Two methods, phosphoric acid etching pit and fissure sealing and self-etching pit and fissure sealing, were used for the treatment of pits and fissures of first permanent molars. The incidence rate of caries, sealant retention rate, and success rate of pit and fissure sealing for the two methods were calculated at 1, 3, and 6 months after treatment.</p><p><strong>Results: </strong>In patients with mild MIH, local plaque lesions on incisors exhibited a significant reduction in area at 1, 3, and 6 months post-treatment in the infiltrative resin group (<i>P</i><0.05), whereas no significant change was observed in the fluoride application group (<i>P</i>>0.05). After infiltrative resin treatment, the L value and ΔE value showed a decreasing trend (<i>P</i><0.05), whereas the L value in the fluoride application group did not change significantly (<i>P</i>>0.05). In patients with first permanent molars, the phosphoric acid etching pit and fissure sealing group exhibited superior success and retention rates at 6 months post-treatment compared with the self-etching pit and fissure sealing group (<i>P</i><0.05) and a lower loss rate than the self-etching pit and fissure sealing group (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>Infiltrative resin treatment can reduce the L value and ΔE value of local plaque lesions on incisors in patients with mild MIH. It demonstrates a significant improvement in plaque lesion area, with relatively stable effects within 6 months. Phosphoric acid etching is recommended for the pit and fissure sealing of first permanent molars in patients with mild MIH.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"137-143"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Strategic orthodontic treatment for multiple mesioangular impacted molars: a case report].","authors":"Jiaqi Zhan, Jiaqi Zhang, Wenjie Fan, Hanni Fu, Xianzhe He, Li Hu","doi":"10.7518/hxkq.2025.2025321","DOIUrl":"10.7518/hxkq.2025.2025321","url":null,"abstract":"<p><p>Tooth impaction is a prevalent dentofacial developmental anomaly, mostly observed in third molars, whereas second molar impaction occurs with lower frequency. This article presents a case of a male adolescent with mesially impacted second molars resulting in the external root resorption of multiple first molars. The patient received orthodontic and surgical treatments simultaneously, achieving dental alignment and enhanced occlusal function. The treatments mitigated the long-term adverse complications of external root resorption.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Assistance and breakthrough of digitalization and intelligent digitalization in implant restoration of edentulous jaws].","authors":"Yue Sa, Yingqi Cai, Yitong Sun, Mingyu Zhao, Shici Xia","doi":"10.7518/hxkq.2026.2025440","DOIUrl":"10.7518/hxkq.2026.2025440","url":null,"abstract":"<p><p>Digital and intelligent digital technologies can help optimize the clinical workflow of edentulous jaw implant restoration, significantly improving precision, predictability, and efficiency throughout all stages of treatment. In the preoperative phase, by acquiring the patient's digital information model and integrating data with the assistance of an artificial intelligence-driven planning system, personalized design of implant positions and prosthesis morphologies can be achieved, thereby realizing accurate functional and aesthetic matching. During the surgical procedure, the adoption of static implant guides, dynamic navigation systems, or implant robotic systems can effectively enhance surgical precision and minimize patient trauma to the greatest extent. In the immediate and final restoration phases, digital impression technology based on intraoral and extraoral scanning systems enables accurate acquisition of information regarding implants, as well as hard and soft tissues related to edentulous jaw implantation. Among these technologies, the application of AI-assisted algorithms and modified intraoral scan bodies can further improve patient comfort and chairside work efficiency. When encountering metal restoration artifact interference, the use of artifact correction algorithms or methods to increase identifiable marker points can both enhance the fitting precision of virtual data, reduce the impact of metal artifacts on data matching, and provide more reliable data support for digital preoperative planning. For complex edentulous cases, such as pterygoid implant placement, implant robotic systems based on digital three-dimensional modeling enable high-precision implantation with intraoperative dynamic calibration, thereby improving prosthetic predictability. Although challenges remain in data interoperability and standardization of clinical protocols, the integration of unified data standards, comprehensive intelligent platforms, and standardized workflows may facilitate the standardized and intelligent application of digital technologies in edentulous implant rehabilitation. It is foreseeable that in the future, digital and intelligent digital technologies will continue to drive the development of the edentulous jaw implant restoration field, providing patients with more high-quality, efficient, and safe implant restoration solutions.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"72-81"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Discussion on the application of clear aligner treatment in multidisciplinary complex cases].","authors":"Wenli Lai","doi":"10.7518/hxkq.2026.2025346","DOIUrl":"10.7518/hxkq.2026.2025346","url":null,"abstract":"<p><p>Clear aligner treatment has evolved over the last 20 years. It has transformed from a simple tool for tooth alignment to an essential component of multidisciplinary oral treatment. It has shown significant advantages in the orthodontic treatment of periodontal disease, the orthodontic treatment of temporomandibular joint disorder (TMD), integrated approaches with dental implant restoration, and the combined treatment of orthodontics and orthognathic surgery. The objective of orthodontic treatment for periodontal disease is to enhance health and stability. Commencement of clear aligner treatment is advised after the management of periodontal inflammation. The principle of applying gentle and gradual force must be adhered to. The extent of tooth movement should be reduced. The coverage of the aligner should be minimized. The time between aligner replacements should be extended. The objective of orthodontic treatment for TMD is to achieve occlusal-joint coordination, eliminate occlusal trauma, stabilize joint function, align the teeth, and improve occlusion. Clear aligner intervention is only suitable for stable TMD. Emphasis is placed on collaborative multidisciplinary management. Informed consent for orthodontic treatment of patients with TMD is crucial. The goal of combined orthodontic and restorative treatment is to integrate space and aesthetics. The digital design of clear aligners can optimize spacing, expand the area for dental implants, intrude over-erupted opposing teeth, upright tilted abutment teeth, ensure optimal gingival distance and mesiodistal diameter for dental implants, and when combined with smile design, it can significantly improve the pink and white aesthetic score. Precise orthodontic-surgical coordination is achieved for the combined treatment of severe skeletal malocclusion via orthodontics and orthognathic surgery. The digital design of clear aligners facilitates the alignment of the upper and lower dental arches more effectively compared with fixed orthodontic treatment. It effectively reduces chairside operation time and significantly improves treatment efficiency. At present, the application of clear aligners in multidisciplinary fields remains limited, and high-quality studies are lacking. We anticipate further high-quality research in the future to enhance our understanding of clear aligner treatment. This will facilitate the exact and rapid completion of clear aligner therapy for patients, resulting in aesthetically pleasing smiles.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Mechanism underlying carvacrol-induced alveolar bone repair via the phosphatidylinositol 3-kinase pathway in periodontal disease].","authors":"Nian Teng, Zhaoxun Li, Tiantian Gao, Yanrui Xiang, Lulu Zhou, Xiang Gao","doi":"10.7518/hxkq.2025.2025050","DOIUrl":"10.7518/hxkq.2025.2025050","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore the mechanism of carvacrol (CV) in regulating alveolar bone repair in periodontal disease.</p><p><strong>Methods: </strong>A rat model of periodontal disease (P group) was created by ligating the first molar and injecting lipopolysaccharide (LPS). A control model (C group) was also created. The treatment models received low (L group), medium (M group), and high (H group) doses of CV hydrogel. Hematoxylin-eosin (HE) staining was used to observe the pathological changes in periodontal tissues. Immunohistochemical staining was employed to analyze the expression of collagen typeⅠ(COL1) and Runt-related transcription factor 2 (Runx2). <i>In vitro</i>, the rat osteoblast cells were divided into C, P, L, M, H, CV and CV+LY294002 (CV+LY) groups. Western blot analysis detected the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/glycogen synthase kinase 3 beta (GSK-3β) pathway-related and osteoblastic proteins. Quantitative reverse-transcription po-lymerase chain reaction was used to measure the expression of inflammatory factors and osteoblastic proteins. The alkaline phosphatase (ALP) colorimetric kit and alizarin red S staining kit were utilized to assess osteogenic ability. Immunofluorescence (IF) was used to detect COL1 expression in osteoblasts. Transmission electron microscopy was applied to detect cell apoptosis.</p><p><strong>Results: </strong>CV hydrogel alleviated periodontal symptoms, upregulated PI3K/AKT/GSK-3β pathway-related and osteoblastic proteins, and increased the expression of ALP and the number of calcified nodules. However, it decreased cell apoptosis and inflammatory factors. LY294002 inhibited the PI3K/AKT pathway and decreased osteoblastic protein expression, ALP coloration, and calcified nodule quantity.</p><p><strong>Conclusions: </strong>CV hydrogel promotes the proliferation and differentiation of alveolar bone osteoblasts by activating the PI3K pathway and inhibiting inflammation-induced bone resorption. This study emphasizes the potential of CV for the treatment of periodontal diseases.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"94-105"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Root fracture in endodontically versus nonendodontically treated posterior teeth: the cone beam computed tomography characteristics in Chinese population].","authors":"Chengyi Fu, Xiao Pan, Shu Liu, Zitong Lin","doi":"10.7518/hxkq.2025.2025057","DOIUrl":"10.7518/hxkq.2025.2025057","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the clinical and cone beam computed tomography (CBCT) characteristics of root fractures in endodontically versus nonendodontically treated posterior teeth.</p><p><strong>Methods: </strong>A total of 340 posterior teeth from 305 patients were retrospectively collected. The fractured teeth were divided into endodontically treated (ET) teeth and nonendodontically treated (NET) teeth. The clinical information (age and gender of patients) was recorded. The type of fractured tooth, fractured root, orientation of fracture lines (vertical, horizontal, oblique, and irregular), direction of vertical fracture lines, location of horizontal root fractures, and bone resorption around fractured roots were evaluated and recorded based on CBCT images.</p><p><strong>Results: </strong>1) The distribution of teeth was significantly different between NET and ET teeth (<i>P</i>=0.028). Root fractures predominantly occurred in mandibular and maxillary molars. However, the proportion of premolars was significantly higher in ET teeth (27.2%) than in NET teeth (14.2%). 2) We observed a significant difference in root distribution between NET roots and ET roots (<i>P</i>=0.037). The mesial roots of mandibular molars were the most common fractured roots in NET and ET roots (36.4% in NET roots and 32.2% in ET roots); however, the second most common roots were the palatal roots of maxillary molars in NET roots (23.0%) and the maxillary premolar roots in ET roots (20.3%). 3) A statistically significant difference in the orientation of root fractures was observed between the two groups (<i>P</i><0.001). Vertical root fractures accounted for only 43.6% of all root fractures in NET root fractures, whereas they accounted for 75.6% in ET root fractures. 4) For vertical root fractures, the direction of fracture lines between NET and ET root fractures was not significantly different (<i>P</i>=0.58), with both types predominantly presenting as buccal-palatal fractures (86.0% and 84.1%). 5) No significant difference was observed in the location of horizontal fractures between NET and ET root fractures (<i>P</i>=0.132), and the most common site was the cervical third of roots. 6) Bone loss around fractured lines significantly differed between NET and ET root fractures (<i>P</i><0.001). Around 59% exhibited obvious bone loss around fractured roots in NET root fractures, whereas 91.8% of fractured roots presented bone loss in ET root fractures.</p><p><strong>Conclusions: </strong>The NET root fractured teeth and ET root fractured teeth presented quite different clinical and CBCT characteristics. The complex and diverse traits of NET root fractured teeth indicate the influence of multifaceted occlusal factors in their occurrence. By contrast, ET root fractured teeth demonstrate high uniformity, indicating that their occurrence may be related to the structural changes caused by endodontic treatment.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"113-119"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Orthodontic treatment strategies and considerations in adult patients with periodontal disease].","authors":"Ge Feng, Wenjie Zhong, Jinlin Song","doi":"10.7518/hxkq.2025.2025339","DOIUrl":"10.7518/hxkq.2025.2025339","url":null,"abstract":"<p><p>The primary objectives of orthodontic treatment in adult patients with periodontal disease are to improve dental alignment and occlusal relationships, optimize oral hygiene conditions, restore masticatory function, and enhance aesthetic outcomes. During treatment, orthodontists should comprehensively and continuously evaluate the patient's periodontal health status, adopt personalized biomechanical control strategies, enhance multidisciplinary collaboration, and implement targeted prevention and management measures for potential orthodontic risks. This article provides an overview of common clinical issues encountered in the orthodontic treatment of adult periodontal patients. Key areas addressed include the relationship between periodontal disease and the development of malocclusion, the formulation of treatment objectives, indications and contraindications, key aspects of treatment process control, the role of radiographic examination in treatment planning and monitoring, and post-orthodontic retention protocols.</p>","PeriodicalId":94028,"journal":{"name":"Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology","volume":"44 1","pages":"34-40"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}