Minimally invasive surgical removal of bilateral impacted mandibular supernumerary teeth using 3D surgical guide template: a case report.

Impacted supernumerary teeth are defined as the presence of one or more teeth in a patient's upper and lower jaws in addition to the normal number of teeth in the dental arch. It has an incidence rate of approximately 1%-14% and more frequently occurs in males than females, may be single or multiple, unilateral or bilateral, erupted or impacted. In this article, we describe the case of a patient with two supernumerary teeth between the roots of the mandibular second premolar and the first molar, which influenced the effectiveness of the first orthodontic treatment. The special anatomical position of the complex supernumerary teeth made tooth extraction challenging. Given the higher risk status of surgery, we implemented a novel tooth extracting technique for this patient. Thus, in this study, we describe a case of minimally invasive extraction of bilateral mandibular impacted supernumerary teeth using a digital 3D positioning guide plate.

Comparative health risk assessment of realgar and NiuHuangJieDu tablets based on tissue arsenic levels after multiple oral administration to rats.

ETHNOPHARMACOLOGICAL RELEVANCE: Realgar (As2S2), a mineral traditional Chinese medicine (TCM), is proved to have great therapeutic effects in clinic and has been widely used in China for hundreds of years. As one of the most popular realgar-containing TCMs, NiuHuangJieDu Tablets (NHJDT) is used as OTC (over-the-counter) drug in daily life for fever relieving, detoxicating, as well as cure of sore throat and gingival swelling. However, the safety of realgar and its-containing TCMs still remains unclear. AIM OF THE STUDY: This study was to investigate the accumulation of arsenic in rat body and evaluate the safety of realgar-containing TCMs in vivo. MATERIALS AND METHODS: The health risk of arsenic was evaluated in rats by tissue distribution and histopathology, as well as arsenic speciation in plasma after multiple oral gavage of low and high doses of realgar and NiuHuangJieDu Tablets (NHJDT), respectively. Total arsenic and arsenic speciation were determined by hydride generation-atomic fluorescence spectrometry (HG-AFS) and high performance liquid chromatography-hydride generation-atomic fluorescence spectrometry (HPLC-HG-AFS), respectively. RESULTS: Arsenic accumulated in rat tissues especially in heart, liver, spleen, lung, kidney, uterus and ovary. Dimethylarsenic acid (DMA) was detected as the predominant species in rat plasma after dosing. In comparison of realgar, NHJDT with co-existing components significantly alleviated tissues injury, and reduced arsenic concentration in rat tissues and plasma. CONCLUSIONS: NHJDT with co-existing components combination was relatively safer than realgar, but the accumulation of arsenic was still significant after long-term medication. Therefore, great attentions should be paid to realgar-containing TCMs to avoid toxicity from arsenic accumulation. Moreover, the dose regimen of realgar-containing TCMs should be designed rationally for clinical application. These results may provide useful references for the application of realgar-containing TCMs and might be helpful for the understanding of TCM compound compatibility.

QCM based enantioselective discrimination of enantiomers by a pair of serine derived homochiral coordination polymers.

Decoding enantioselective molecular interactions between sensors and guests into readable signal represents a great challenge in developing selective sensing technology. In this work, a pair of serine derivatives based homochiral coordination polymer (HCP) enantiomers, (L)-SA-Cd and (D)-SA-Cd, were synthesized and explored as enantioselective sensors towards guest enantiomers. Quartz crystal microbalance (QCM) technology was employed to indicate the gravimetric change of (L)- and (D)-SA-Cd towards variable chiral guests, and an enantioselective factor of 1.72 ±â€¯0.15, 1.81 ±â€¯0.08, 1.37 ±â€¯0.03 and 2.89 ±â€¯0.09 were achieved for lactic acid, menthol, valinol and 1-phenylethylamine (PEA), respectively. PEA was further selected to comprehensively study the enantioselectivity via electrochemical tests, HPLC analysis and theoretical calculations. By comparison with state-of-art works, the enantioselective discrimination for PEA enantiomers is better than a vast majority of similar reports. (L)- and (D)-form of SA-Cd exhibited mirror behaviors towards guest enantiomers, and control experiments indicated the role of HCP construction in enhancing enantioselectivity. H-bonding effect was found to be the binding force between SA-Cd and PEA, as verified by FT-IR and UV-Vis titration studies. Further DFT calculations revealed the existence of conformation oriented H-bonding between the chiral -OH groups of serine fragment and -NH2 group of PEA. The findings indicate that HCP construction represents an effective strategy for promoting enantioselectivity, and monitoring gravimetric change could be a promising general method in decoding most of the enantioselective recognition process.

Zirconium based metal-organic framework in-situ assisted hydrothermal pretreatment and enzymatic hydrolysis of Platanus X acerifolia exfoliating bark for bioethanol production.

Metal-organic framework (MOF) assisted hydrothermal pretreatment and co-catalysis strategy based on UiO-66 MOF is developed for the first time. The Planetree exfoliating bark was pretreated with or without UiO-66 assisted hydrothermal method at a temperature ranging from 160 to 240 °C for 1-3 h residence. With the rise of pretreatment severity, the total reducing sugar (TRS) was increased till reached maximum, 180 mg g-1, in the presence of UiO-66. The fitting models validate the optimal hydrothermal condition was at 180 °C and 1 h, which was characterized with high TRS and very low yield of furfural and HMF. The TRS from enzymatic hydrolysis reaches maximum, 391 mg g-1, in the presence of MOF co-catalysis and the maximum ethanol yield achieved was 73%. Altered morphology, higher surface area and porosity are noticed after MOF assisted hydrothermal pretreatment. This study insights the MOFs' application in lignocellulose biomass processing.

Health risk assessment of arsenic in Realgar and NiuHuangJieDu Tablets based on pharmacokinetic study.

NiuHuangJieDu Tablets (NHJDT), a popular realgar (As4S4) containing patented traditional Chinese medicine (TCM), is widely used in the treatment of acute tonsillitis, pharyngitis, periodontitis and mouth ulcer. However, arsenic is considered as one of the most toxic elements, leading to growing concerns about the quality and safety of realgar-containing TCMs recently. In this study, health risk assessment of arsenic in realgar and NHJDT was conducted through oral administration of both substances to rats with single and multiple doses, respectively. The total blood arsenic concentration was used as the health risk indicator and determined by hydride generation-atomic fluorescence spectrometry after modified Kjeldahl digestion, and then applied to the pharmacokinetic study. For single oral dose study in rats, the low, medium, and high doses of realgar and NHJDT were set equivalent to 1, 5 and 20 times the human therapeutic dose (1.3 mg realgar/kg), respectively. Multiple doses were given at low and high dose levels every 12 h for seven consecutive days, respectively. Significant differences in the total blood arsenic pharmacokinetic profiles were observed between the corresponding realgar and NHJDT groups. These results indicated that NHJDT significantly reduced the total blood arsenic exposure present in realgar, and the detoxification mechanism might be attributed to herb-herb interactions in NHJDT. However, the accumulation of blood total arsenic was significant due to the long elimination half-life and high accumulation index in both realgar and NHJDT groups. Therefore, the potential health risk of arsenic caused by the administration of realgar-containing TCMs should be taken into account for excessive or long-term medication. Precautions should be taken for the clinical application of realgar-containing TCMs.

Hydrolysis of cellulose using cellulase physically immobilized on highly stable zirconium based metal-organic frameworks.

Developing a new cellulase-MOF composite system with enhanced stability and reusability for cellulose hydrolysis was aimed. Physical adsorption strategy was employed to fabricate two cellulase composites, and the activity of composite was characterized by hydrolysis of carboxymethyl cellulose. The NH2 functionalized UiO-66-NH2 MOF exhibited higher protein loading than the precursor UiO-66, due to the extra anchor sites of NH2 groups. The immobilized cellulase showed enhanced thermostability, pH tolerance and lifetime. The maximum activity attained at 55 °C could be kept 85% when used at 80 °C, and the residual activities were 72% after ten cycles and 65% after 30 days storage. The abundant NH2 and COOH groups of MOF adsorb cellulase and enhance its stability, and the resulted heterogeneity offered the opportunity of recovering composite via mild centrifuge. The findings suggest the promising future of developing cellulase-MOF composite with ultrahigh activities and stabilities for practical application.

Direct electrochemical characterization of Vitreoscilla sp. hemoglobin entrapped in organic films.

The redox properties of a prokaryotic, Vitreoscilla sp. hemoglobin (VHb) in fuzzy organic films are studied with electrochemistry. This VHb exhibits irreversible electrochemical response at bare pyrolytic graphite (PG) electrode surfaces. However, upon being entrapped in organic films, the heterogeneous electron transfer rate of VHb will be sufficiently high to produce a quasi-reversible electrochemical response. The observation of electrocatalysis (reduction of O2) by hemes suggests that the protein can retain its biological activity under these conditions.