ABSTRACT
BACKGROUND: Recombinant human parathyroid hormone 1-34 (rhPTH 1-34), also known as teriparatide, is the amino terminal fragment of parathyroid hormone. Teriparatide, as a bone anabolic drug, has become a research hotspot because it can directly stimulate new bone formation and increase bone mass. It also attracts attention and application in the oral field due to its strong osteogenesis effect. OBJECTIVE: To review the osteogenic mechanisms, efficacy and safety of teriparatide and its research progress in the oral field. METHODS: The first author searched the PubMed and WanFang databases for relevant literature published over the past two decades. The keywords were “rhPTH(1-34); teriparatide; osteoporosis; stomatology; Jaw; implant-osseointegration; periodontal” in English and Chinese, respectively. Fifty-six eligible articles were finally reviewed. RESULTS AND CONCLUSION: Teriparatide can directly stimulate the formation of osteoblasts in new bone and achieve effective anabolic metabolism. Studies of teriparatide in the oral field have shown good results in promoting implant-osseointegration, periodontal regeneration, bone defect healing and the stability of orthodontics, but increasing high-quality animal experiments and clinical studies are still needed. Future use of parathyroid hormone drugs and their analogues can be combined with bone tissue engineering technology to provide favorable effects in bone repair as well as in oral and maxillofacial repair.
ABSTRACT
BACKGROUND: At present, there is no uniform standard for the treatment time of chemical reagents for surface treatment of glass fiber posts. Therefore, studying the effect of treatment time of glass fiber post surface treatment reagents on the bond strength between fiber posts and resin cements is of great significance. OBJECTIVE: To evaluate the effect of two chemical agents on the bonding strength of glass fiber post and resin cement after surface pretreatment of glass-fiber posts at different times. METHODS: Forty-eight glass fiber posts were randomly divided into eight groups according to different surface treatment methods, six in each group. Group A received no special treatment; group B was treated with silanization for 1 minute; group C1 underwent a 30% hydrogen peroxide surface treatment for 5 minutes prior to 1-minute silanization; group C2underwent a 30% hydrogen peroxide surface treatment for 10minutes prior to 1-minutesilanization; group C3 underwent a 30% hydrogen peroxide surface treatment for 15 minutes prior to 1-minute silanization; group D1 underwent a 35% phosphoric acid surface treatment for 30 seconds prior to 1-minute silanization; group D2 underwent a 35% phosphoric acid surface treatment for 60 seconds prior to 1-minute silanization; group D3 underwent a 35% phosphoric acid surface treatment for 90 seconds prior to 1-minute silanization. The surface morphology of the treated glass fiber posts was observed under scanning electron microscope. The glass fiber post was bonded to the resin cement to form a cylindrical resin block and cut into a thin sample. The sheet was placed on a universal testing machine for micro-extrusion experiments. The failure mode of the specimens was observed under a stereomicroscope. RESULTS AND CONCLUSION: (1) Scanning electron microscope: the surface of the fiber post had different degrees of matrix dissolution and fiber bundle exposure after hydrogen peroxide and phosphoric acid treatment, but did not destroy the integrity of the fiber bundle. (2) Micro-extrusion experiments: the order of the bonding strength was as follows: group C3 > group C2 > group C1 > group D2 > groupD3 > groupD1> group B > group A, and there was significant difference between groups (P< 0.05) except for groups A and B, groups C2 andC3, and groups D2and D3. (3) Stereo microscope: the failure mode in the groups A and B was almost destruction in adhesion. The other six groups showed destruction in adhesion, but the cohesive failure and mixed failure were increased, and the failure mode changed from destruction in adhesion into cohesive failure and mixed failure. (4) These results indicate that the optimal treatment time of 30% hydrogen peroxide is 10 minutes, and the optimal treatment time of 35% phosphoric acid is 60 seconds. 30% hydrogen peroxide solution treatment of fiber post surface for 10 minutes has great clinical application value.