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1.
Proc Natl Acad Sci U S A ; 120(11): e2214796120, 2023 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-36897981

RESUMO

How cells regulate their cell cycles is a central question for cell biology. Models of cell size homeostasis have been proposed for bacteria, archaea, yeast, plant, and mammalian cells. New experiments bring forth high volumes of data suitable for testing existing models of cell size regulation and proposing new mechanisms. In this paper, we use conditional independence tests in conjunction with data of cell size at key cell cycle events (birth, initiation of DNA replication, and constriction) in the model bacterium Escherichia coli to select between the competing cell cycle models. We find that in all growth conditions that we study, the division event is controlled by the onset of constriction at midcell. In slow growth, we corroborate a model where replication-related processes control the onset of constriction at midcell. In faster growth, we find that the onset of constriction is affected by additional cues beyond DNA replication. Finally, we also find evidence for the presence of additional cues triggering initiations of DNA replication apart from the conventional notion where the mother cells solely determine the initiation event in the daughter cells via an adder per origin model. The use of conditional independence tests is a different approach in the context of understanding cell cycle regulation and it can be used in future studies to further explore the causal links between cell events.


Assuntos
Proteínas de Escherichia coli , Escherichia coli , Escherichia coli/genética , Ciclo Celular , Divisão Celular , Replicação do DNA , Proteínas de Escherichia coli/metabolismo
2.
Methods ; 226: 35-48, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38604413

RESUMO

G protein-coupled receptors (GPCRs) are membrane proteins that transmit specific external stimuli into cells by changing their conformation. This conformational change allows them to couple and activate G-proteins to initiate signal transduction. A critical challenge in studying and inferring these structural dynamics arises from the complexity of the cellular environment, including the presence of various endogenous factors. Due to the recent advances in cell-expression systems, membrane-protein purification techniques, and labeling approaches, it is now possible to study the structural dynamics of GPCRs at a single-molecule level both in vitro and in live cells. In this review, we discuss state-of-the-art techniques and strategies for expressing, purifying, and labeling GPCRs in the context of single-molecule research. We also highlight four recent studies that demonstrate the applications of single-molecule microscopy in revealing the dynamics of GPCRs. These techniques are also useful as complementary methods to verify the results obtained from other structural biology tools like cryo-electron microscopy and x-ray crystallography.


Assuntos
Conformação Proteica , Receptores Acoplados a Proteínas G , Imagem Individual de Molécula , Receptores Acoplados a Proteínas G/química , Receptores Acoplados a Proteínas G/metabolismo , Imagem Individual de Molécula/métodos , Humanos , Microscopia Crioeletrônica/métodos , Microscopia de Fluorescência/métodos , Animais
3.
Environ Sci Technol ; 54(4): 2389-2400, 2020 02 18.
Artigo em Inglês | MEDLINE | ID: mdl-31967798

RESUMO

Laser printers emit high levels of nanoparticles (PM0.1) during operation. Although it is well established that toners contain multiple engineered nanomaterials (ENMs), little is known about inhalation exposures to these nanoparticles and work practices in printing centers. In this report, we present a comprehensive inhalation exposure assessment of indoor microenvironments at six commercial printing centers in Singapore, the first such assessment outside of the United States, using real-time personal and stationary monitors, time-integrated instrumentation, and multiple analytical methods. Extensive presence of ENMs, including titanium dioxide, iron oxide, and silica, was detected in toners and in airborne particles collected from all six centers studied. We document high transient exposures to emitted nanoparticles (peaks of ∼500 000 particles/cm3, lung-deposited surface area of up to 220 µm2/cm3, and PM0.1 up to 16 µg/m3) with complex PM0.1 chemistry that included 40-60 wt % organic carbon, 10-15 wt % elemental carbon, and 14 wt % trace elements. We also record 271.6-474.9 pmol/mg of Environmental Protection Agency-priority polycyclic aromatic hydrocarbons. These findings highlight the potentially high occupational inhalation exposures to nanoparticles with complex compositions resulting from widespread usage of nano-enabled toners in the printing industry, as well as inadequate ENM-specific exposure control measures in these settings.


Assuntos
Nanopartículas , Exposição Ocupacional , Monitoramento Ambiental , Exposição por Inalação , Tamanho da Partícula , Impressão Tridimensional , Singapura , Estados Unidos
4.
Nucleic Acids Res ; 44(13): 6262-73, 2016 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-27166373

RESUMO

Protein-DNA complexes are one of the principal barriers the replisome encounters during replication. One such barrier is the Tus-ter complex, which is a direction dependent barrier for replication fork progression. The details concerning the dynamics of the replisome when encountering these Tus-ter barriers in the cell are poorly understood. By performing quantitative fluorescence microscopy with microfuidics, we investigate the effect on the replisome when encountering these barriers in live Escherichia coli cells. We make use of an E. coli variant that includes only an ectopic origin of replication that is positioned such that one of the two replisomes encounters a Tus-ter barrier before the other replisome. This enables us to single out the effect of encountering a Tus-ter roadblock on an individual replisome. We demonstrate that the replisome remains stably bound after encountering a Tus-ter complex from the non-permissive direction. Furthermore, the replisome is only transiently blocked, and continues replication beyond the barrier. Additionally, we demonstrate that these barriers affect sister chromosome segregation by visualizing specific chromosomal loci in the presence and absence of the Tus protein. These observations demonstrate the resilience of the replication fork to natural barriers and the sensitivity of chromosome alignment to fork progression.


Assuntos
Replicação do DNA/genética , Proteínas de Ligação a DNA/genética , Proteínas de Escherichia coli/genética , Segregação de Cromossomos/genética , Cromossomos Bacterianos/genética , DNA Helicases/genética , Proteínas de Ligação a DNA/metabolismo , Escherichia coli/genética , Proteínas de Escherichia coli/metabolismo , Substâncias Macromoleculares/metabolismo
5.
J Prosthet Dent ; 115(2): 137-40, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26412002

RESUMO

The problem of small oral aperture is big. Irrespective of the etiology, this problem may be overcome by adjunctive therapies in the form of prosthesis, surgery, or exercise. A patient is described with this problem, which was overcome by revisiting the 3 adjunctive therapies including a commissural stent designed with the patient's edentulous state in mind.


Assuntos
Microstomia/terapia , Boca Edêntula/reabilitação , Próteses e Implantes , Humanos , Masculino , Microstomia/etiologia , Pessoa de Meia-Idade
6.
J Nanobiotechnology ; 11: 12, 2013 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-23575419

RESUMO

BACKGROUND: Controlled restriction of cellular movement using microfluidics allows one to study individual cells to gain insight into aspects of their physiology and behaviour. For example, the use of micron-sized growth channels that confine individual Escherichia coli has yielded novel insights into cell growth and death. To extend this approach to other species of bacteria, many of whom have dimensions in the sub-micron range, or to a larger range of growth conditions, a readily-fabricated device containing sub-micron features is required. RESULTS: Here we detail the fabrication of a versatile device with growth channels whose widths range from 0.3 µm to 0.8 µm. The device is fabricated using electron beam lithography, which provides excellent control over the shape and size of different growth channels and facilitates the rapid-prototyping of new designs. Features are successfully transferred first into silicon, and subsequently into the polydimethylsiloxane that forms the basis of the working microfluidic device. We demonstrate that the growth of sub-micron scale bacteria such as Lactococcus lactis or Escherichia coli cultured in minimal medium can be followed in such a device over several generations. CONCLUSIONS: We have presented a detailed protocol based on electron beam fabrication together with specific dry etching procedures for the fabrication of a microfluidic device suited to study submicron-sized bacteria. We have demonstrated that both Gram-positive and Gram-negative bacteria can be successfully loaded and imaged over a number of generations in this device. Similar devices could potentially be used to study other submicron-sized organisms under conditions in which the height and shape of the growth channels are crucial to the experimental design.


Assuntos
Elétrons , Escherichia coli/citologia , Lactococcus lactis/citologia , Técnicas Analíticas Microfluídicas/instrumentação , Microtecnologia/instrumentação , Dimetilpolisiloxanos , Escherichia coli/crescimento & desenvolvimento , Corantes Fluorescentes/metabolismo , Ouro , Quimografia , Lactococcus lactis/crescimento & desenvolvimento , Microscopia Eletrônica de Varredura , Silício , Fatores de Tempo
7.
J Craniofac Surg ; 24(3): e283-4, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23714992

RESUMO

The maxillary sinus is in close proximity of the maxillary dentition; due to the close interaction between these two, there is a possibility of any disease process affecting one that can spread or concomitantly affect the other. This proximity may lead to foreign bodies to displace into the maxillary sinus and lead to development of infection. The signs and symptoms of affecting one structure can superimpose on the other; this can lead to diagnostic dilemmas.


Assuntos
Corpos Estranhos/etiologia , Doença Iatrogênica , Seio Maxilar/patologia , Feminino , Corpos Estranhos/cirurgia , Humanos , Pessoa de Meia-Idade , Dente Molar/patologia , Fístula Bucoantral/etiologia , Fístula Bucoantral/cirurgia , Tampões de Gaze Cirúrgicos/efeitos adversos , Extração Dentária/efeitos adversos , Raiz Dentária/patologia , Cimento de Óxido de Zinco e Eugenol/efeitos adversos
8.
Commun Biol ; 6(1): 1218, 2023 11 30.
Artigo em Inglês | MEDLINE | ID: mdl-38036689

RESUMO

Mutations that constitutively activate G protein-coupled receptors (GPCRs), known as constitutively activating mutations (CAMs), modify cell signaling and interfere with drugs, resulting in diseases with limited treatment options. We utilize fluorescence imaging at the single-molecule level to visualize the dynamic process of CAM-mediated activation of the human A2A adenosine receptor (A2AAR) in real time. We observe an active-state population for all CAMs without agonist stimulation. Importantly, activating mutations significantly increase the population of an intermediate state crucial for receptor activation, notably distinct from the addition of a partner G protein. Activation kinetics show that while CAMs increase the frequency of transitions to the intermediate state, mutations altering sodium sensitivity increase transitions away from it. These findings indicate changes in GPCR function caused by mutations may be predicted based on whether they favor or disfavor formation of an intermediate state, providing a framework for designing receptors with altered functions or therapies that target intermediate states.


Assuntos
Adenosina , Receptor A2A de Adenosina , Humanos , Receptor A2A de Adenosina/genética , Receptor A2A de Adenosina/metabolismo , Proteínas de Ligação ao GTP/metabolismo , Transdução de Sinais , Mutação
9.
Nucleic Acids Res ; 38(Web Server issue): W724-31, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20529877

RESUMO

Biomedical applications have become increasingly complex, and they often require large-scale high-performance computing resources with a large number of processors and memory. The complexity of application deployment and the advances in cluster, grid and cloud computing require new modes of support for biomedical research. Scientific Software as a Service (sSaaS) enables scalable and transparent access to biomedical applications through simple standards-based Web interfaces. Towards this end, we built a production web server (http://ws.nbcr.net) in August 2007 to support the bioinformatics application called MEME. The server has grown since to include docking analysis with AutoDock and AutoDock Vina, electrostatic calculations using PDB2PQR and APBS, and off-target analysis using SMAP. All the applications on the servers are powered by Opal, a toolkit that allows users to wrap scientific applications easily as web services without any modification to the scientific codes, by writing simple XML configuration files. Opal allows both web forms-based access and programmatic access of all our applications. The Opal toolkit currently supports SOAP-based Web service access to a number of popular applications from the National Biomedical Computation Resource (NBCR) and affiliated collaborative and service projects. In addition, Opal's programmatic access capability allows our applications to be accessed through many workflow tools, including Vision, Kepler, Nimrod/K and VisTrails. From mid-August 2007 to the end of 2009, we have successfully executed 239,814 jobs. The number of successfully executed jobs more than doubled from 205 to 411 per day between 2008 and 2009. The Opal-enabled service model is useful for a wide range of applications. It provides for interoperation with other applications with Web Service interfaces, and allows application developers to focus on the scientific tool and workflow development. Web server availability: http://ws.nbcr.net.


Assuntos
Pesquisa Biomédica , Software , Biologia Computacional , Sistemas de Gerenciamento de Base de Dados , Internet , Interface Usuário-Computador
10.
J Craniofac Surg ; 23(6): e642-3, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23172510

RESUMO

A submucous cleft is a palatal defect that is bridged over by mucosa; such a defect has been recognized for many years. A small portion of all cleft palate defects shows this phenomenon, but the cryptic nature of the lesion and the frequent failure to include it in the differential diagnosis of speech problems may make the defect's discovery a belated one. This report is a case of incomplete submucous cleft palate and its management.


Assuntos
Fissura Palatina/diagnóstico , Fissura Palatina/cirurgia , Adolescente , Feminino , Humanos , Retalhos Cirúrgicos , Técnicas de Sutura
11.
Cell Rep ; 38(12): 110539, 2022 03 22.
Artigo em Inglês | MEDLINE | ID: mdl-35320717

RESUMO

Escherichia coli cell cycle features two critical cell-cycle checkpoints: initiation of replication and the onset of constriction. While the initiation of DNA replication has been extensively studied, it is less clear what triggers the onset of constriction and when exactly it occurs during the cell cycle. Here, using high-throughput fluorescence microscopy in microfluidic devices, we determine the timing for the onset of constriction relative to the replication cycle in different growth rates. Our single-cell data and modeling indicate that the initiation of constriction is coupled to replication-related processes in slow growth conditions. Furthermore, our data suggest that this coupling involves the mid-cell chromosome blocking the onset of constriction via some form of nucleoid occlusion occurring independently of SlmA and the Ter linkage proteins. This work highlights the coupling between replication and division cycles and brings up a new nucleoid mediated control mechanism in E. coli.


Assuntos
Proteínas de Escherichia coli , Escherichia coli , Proteínas de Transporte/metabolismo , Divisão Celular , Cromossomos Bacterianos/genética , Cromossomos Bacterianos/metabolismo , Constrição , Replicação do DNA , Escherichia coli/metabolismo , Proteínas de Escherichia coli/genética , Proteínas de Escherichia coli/metabolismo
12.
EBioMedicine ; 82: 104174, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35850011

RESUMO

Advances in discovery and validation of diagnostic, prognostic and treatment-monitoring transcriptomic signatures of tuberculosis (TB) disease could accelerate the goal to end TB. We conducted a review to evaluate whether mRNA transcriptomics technologies are sufficiently mature to develop accurate next-generation TB diagnostic tests. Early studies tended to be limited in sample size, diversity of population groups, sample collection and processing methods, while recent prospective studies have addressed these limitations. Some of the existing signatures could be used for triage; however, high cost and complexity could limit their use. For a confirmatory test, setting an optimal cut-off to maintain specificity across populations and settings is a challenge. mRNA signatures have shown the potential to quantitatively monitor response to treatment. No prognostic signatures can accurately predict progression to active TB over 2 years while short term prediction is possible. The management strategy should be defined for individuals with positive prognostic tests. FUNDING: Development of this manuscript was supported by funding received from the Stop TB Partnership and USAID for the New Diagnostics Working Group. The funders had no role in paper design, article selection and review, interpretation, or writing of the paper.


Assuntos
Mycobacterium tuberculosis , Tuberculose , Humanos , Mycobacterium tuberculosis/genética , Prognóstico , Estudos Prospectivos , RNA Mensageiro/genética , Transcriptoma , Tuberculose/diagnóstico , Tuberculose/genética
13.
J Comput Chem ; 32(7): 1488-91, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21425296

RESUMO

APBS and PDB2PQR are widely utilized free software packages for biomolecular electrostatics calculations. Using the Opal toolkit, we have developed a Web services framework for these software packages that enables the use of APBS and PDB2PQR by users who do not have local access to the necessary amount of computational capabilities. This not only increases accessibility of the software to a wider range of scientists, educators, and students but also increases the availability of electrostatics calculations on portable computing platforms. Users can access this new functionality in two ways. First, an Opal-enabled version of APBS is provided in current distributions, available freely on the web. Second, we have extended the PDB2PQR web server to provide an interface for the setup, execution, and visualization of electrostatic potentials as calculated by APBS. This web interface also uses the Opal framework which ensures the scalability needed to support the large APBS user community. Both of these resources are available from the APBS/PDB2PQR website: http://www.poissonboltzmann.org/.


Assuntos
Simulação por Computador , Internet , Eletricidade Estática , Interface Usuário-Computador , Integração de Sistemas
14.
Elife ; 102021 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-34854811

RESUMO

Collection of high-throughput data has become prevalent in biology. Large datasets allow the use of statistical constructs such as binning and linear regression to quantify relationships between variables and hypothesize underlying biological mechanisms based on it. We discuss several such examples in relation to single-cell data and cellular growth. In particular, we show instances where what appears to be ordinary use of these statistical methods leads to incorrect conclusions such as growth being non-exponential as opposed to exponential and vice versa. We propose that the data analysis and its interpretation should be done in the context of a generative model, if possible. In this way, the statistical methods can be validated either analytically or against synthetic data generated via the use of the model, leading to a consistent method for inferring biological mechanisms from data. On applying the validated methods of data analysis to infer cellular growth on our experimental data, we find the growth of length in E. coli to be non-exponential. Our analysis shows that in the later stages of the cell cycle the growth rate is faster than exponential.


All cells ­ from bacteria to humans ­ tightly control their size as they grow and divide. Cells can also change the speed at which they grow, and the pattern of how fast a cell grows with time is called 'mode of growth'. Mode of growth can be 'linear', when cells increase their size at a constant rate, or 'exponential', when cells increase their size at a rate proportional to their current size. A cell's mode of growth influences its inner workings, so identifying how a cell grows can reveal information about how a cell will behave. Scientists can measure the size of cells as they age and identify their mode of growth using single cell imaging techniques. Unfortunately, the statistical methods available to analyze the large amounts of data generated in these experiments can lead to incorrect conclusions. Specifically, Kar et al. found that scientists had been using specific types of plots to analyze growth data that were prone to these errors, and may lead to misinterpreting exponential growth as linear and vice versa. This discrepancy can be resolved by ensuring that the plots used to determine the mode of growth are adequate for this analysis. But how can the adequacy of a plot be tested? One way to do this is to generate synthetic data from a known model, which can have a specific and known mode of growth, and using this data to test the different plots. Kar et al. developed such a 'generative model' to produce synthetic data similar to the experimental data, and used these data to determine which plots are best suited to determine growth mode. Once they had validated the best statistical methods for studying mode of growth, Kar et al. applied these methods to growth data from the bacterium Escherichia coli. This showed that these cells have a form of growth called 'super-exponential growth'. These findings identify a strategy to validate statistical methods used to analyze cell growth data. Furthermore, this strategy ­ the use of generative models to produce synthetic data to test the accuracy of statistical methods ­ could be used in other areas of biology to validate statistical approaches.


Assuntos
Ciclo Celular/fisiologia , Divisão Celular/fisiologia , Crescimento Celular , Proliferação de Células/fisiologia , Escherichia coli/crescimento & desenvolvimento , Modelos Teóricos , Interpretação Estatística de Dados
16.
Future Gener Comput Syst ; 25(4): 466-473, 2009 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-21308003

RESUMO

Over the past several years, with the advent of the Open Grid Services Architecture (OGSA) (19) and the Web Services Resource Framework (WSRF) (25), Service-oriented Architectures (SOA) and Web service technologies have been embraced in the field of scientific and Grid computing. These new principles promise to help make scientific infrastructures simpler to use, more cost effective to implement, and easier to maintain. However, understanding how to leverage these developments to actually design and build a system remains more of an art than a science. In this paper, we present some positions learned through experience that provide guidance in leveraging SOA technologies to build scientific infrastructures. In addition, we present the technical challenges that need to be addressed in building an SOA, and as a case study, we present the SOA that we have designed for the National Biomedical Computation Resource (NBCR) (9) community. We discuss how we have addressed these technical challenges, and present the overall architecture, the individual software toolkits developed, the client interfaces, and the usage scenarios. We hope that our experiences prove to be useful in building similar infrastructures for other scientific applications.

18.
Front Chem ; 6: 1, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29441345

RESUMO

Self-aggregating calix[4]arenes carrying four DOTA ligands on the upper rim for stable complexation of paramagnetic GdIII-ions have already been proposed as MRI probes. In this work, we investigate the luminescence properties of TbIII-DOTA-calix[4]arene-4OPr containing four propyl-groups and compare them with those of the analog substituted with a phthalimide chromophore (TbIII-DOTA-calix[4]arene-3OPr-OPhth). We show that, given its four aromatic rings, the calix[4]arene core acts as an effective sensitizer of Tb-centered luminescence. Substituents on the lower rim can modulate the aggregation behavior, which in turn determines the luminescence properties of the compounds. In solid state, the quantum yield of the phthalimide derivative is almost three times as high as that of the propyl-functionalized analog demonstrating a beneficial role of the chromophore on Tb-luminescence. In solution, however, the effect of the phthalimide group vanishes, which we attribute to the large distance between the chromophore and the lanthanide, situated on the opposite rims of the calix[4]arene. Both quantum yields and luminescence lifetimes show clear concentration dependence in solution, related to the strong impact of aggregation on the luminescence behavior. We also evidence the variability in the values of the critical micelle concentration depending on the experimental technique. Such luminescent calix[4]arene platforms accommodating stable lanthanide complexes can be considered valuable building blocks for the design of dual MR/optical imaging probes.

19.
Radiother Oncol ; 83(3): 374-82, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17532074

RESUMO

BACKGROUND AND PURPOSE: Hypoxia is a common feature of solid tumors associated with therapy resistance, increased malignancy and poor prognosis. Several approaches have been developed with the hope of identifying patients harboring hypoxic tumors including the use of microarray based gene signatures. However, studies to date have largely ignored the strong time dependency of hypoxia-regulated gene expression. We hypothesized that use of time-dependent patterns of gene expression during hypoxia would enable development of superior prognostic expression signatures. MATERIALS AND METHODS: Using published data from the microarray study of Chi et al., we extracted gene signatures correlating with induction during either early or late hypoxic exposure. Gene signatures were derived from in vitro exposed human mammary epithelial cell line (HMEC) under 0% or 2% oxygen. Gene signatures correlating with early and late up-regulation were tested by means of Kaplan-Meier survival, univariate, and multivariate analysis on a patient data set with primary breast cancer treated conventionally (surgery plus on indication radiotherapy and systemic therapy). RESULTS: We found that the two early hypoxia gene signatures extracted from 0% and 2% hypoxia showed significant prognostic power (log-rank test: p=0.004 at 0%, p=0.034 at 2%) in contrast to the late hypoxia signatures. Both early gene signatures were linked to the insulin pathway. From the multivariate Cox-regression analysis, the early hypoxia signature (p=0.254) was found to be the 4th best prognostic factor after lymph node status (p=0.002), tumor size (p=0.016) and Elston grade (p=0.111). On this data set it indeed provided more information than ER status or p53 status. CONCLUSIONS: The hypoxic stress elicits a wide panel of temporal responses corresponding to different biological pathways. Early hypoxia signatures were shown to have a significant prognostic power. These data suggest that gene signatures identified from in vitro experiments could contribute to individualized medicine.


Assuntos
Hipóxia Celular/genética , Perfilação da Expressão Gênica , Fator 1 Induzível por Hipóxia/genética , Fator 1 Induzível por Hipóxia/metabolismo , Neoplasias/genética , Oxigênio/metabolismo , Bases de Dados Genéticas , Células Epiteliais/metabolismo , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Neoplasias/fisiopatologia , Análise de Sequência com Séries de Oligonucleotídeos , Valor Preditivo dos Testes , Prognóstico , Análise de Sobrevida , Fatores de Tempo
20.
Indian J Dent Res ; 26(5): 542-4, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26672429

RESUMO

Fracture of an edentulous mandible is a difficult task primarily due to the absence of teeth. The management becomes even more difficult if the patient is geriatric and osteoporotic. A simple technique of using bite block splint, maxillomandibular fixation screws, and intermaxillary fixation has been presented to enable healing of fracture of mandible in such cases. The technique, which crosses the boundaries of conventional fracture management provides, promising results with minimum morbidity thus imparting optimum quality of life ahead for the patient.


Assuntos
Mandíbula/cirurgia , Boca Edêntula/cirurgia , Idoso , Humanos , Masculino
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