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Search Results (722)

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23 pages, 7187 KB  
Article
Genome-Wide Identification of the TIFY Family in Cannabis sativa L. and Its Potential Functional Analysis in Response to Alkaline Stress and in Cannabinoid Metabolism
by Yuanye Zhang, Ming Zhang, Yuyan Fang, Nan Zheng, Bowei Yan, Yue Sui and Liguo Zhang
Int. J. Mol. Sci. 2025, 26(17), 8171; https://doi.org/10.3390/ijms26178171 - 22 Aug 2025
Viewed by 210
Abstract
TIFY transcription factors play crucial regulatory roles in secondary metabolism and stress response. However, the expression patterns of the Cannabis sativa L. TIFY gene family under alkali stress, their involvement in cannabinoid metabolism, and their underlying genetic evolutionary mechanisms remain largely unexplored. In [...] Read more.
TIFY transcription factors play crucial regulatory roles in secondary metabolism and stress response. However, the expression patterns of the Cannabis sativa L. TIFY gene family under alkali stress, their involvement in cannabinoid metabolism, and their underlying genetic evolutionary mechanisms remain largely unexplored. In this study, we used bioinformatics approaches to conduct genome-wide identification and functional characterization of the C. sativa TIFY gene family. Fourteen TIFY genes were identified and mapped onto seven chromosomes. These genes were classified into four subfamilies: TIFY, JAZ, ZML, and PPD, with the JAZ subfamily further subdivided into five distinct branches. Collinearity analysis suggested that gene duplication events contributed to the expansion of the TIFY gene family in C. sativa. Weighted gene coexpression network analysis (WGCNA) revealed that CsJAZ2, CsJAZ3, and CsJAZ6 participated in the cannabinoid regulatory network. Cis-element analysis indicated that the promoter regions of TIFY genes were enriched in hormone- and stress-responsive elements. Furthermore, transcriptome and RT-qPCR analyses were conducted to examine gene expression patterns under alkaline stress (the RNA employed in RT-qPCR was extracted from the apical leaves of samples subjected to short-duration alkaline stress treatment). The results showed that CsJAZ5 and CsJAZ6 were downregulated, whereas CsPPD1, CsTIFY1, and CsZML1 were upregulated in response to alkali stress. In summary, CsJAZ5, CsPPD1, and CsTIFY1 may serve as candidate genes for the development of alkali-tolerant cultivars, while CsJAZ2 and CsJAZ3 may be valuable targets for enhancing cannabinoid production. This study provides important molecular insights and a theoretical basis for future research on the evolutionary dynamics and functional roles of TIFY transcription factors, particularly in stress adaptation and cannabinoid metabolism. Full article
(This article belongs to the Section Molecular Genetics and Genomics)
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11 pages, 1579 KB  
Article
Mechanochemical Synthesis, Spectroscopic Characterization and Molecular Structure of Piperidine–Phenytoin Salt
by María Isabel Amil-Miranda, Armando Pineda-Contreras, Francisco Javier Martínez-Martínez, Marcos Flores-Álamo, Hector García-Ortega and Juan Saulo González-González
Organics 2025, 6(3), 38; https://doi.org/10.3390/org6030038 - 22 Aug 2025
Viewed by 111
Abstract
Phenytoin is an anticonvulsant drug that suffers from low aqueous solubility. The formation of phenytoin salts is a strategy employed to address this issue. A phenytoin–piperidine salt (PPD–PNT) was synthesized by solvent-assisted grinding and characterized by infrared (IR) spectroscopy, 1H and 13 [...] Read more.
Phenytoin is an anticonvulsant drug that suffers from low aqueous solubility. The formation of phenytoin salts is a strategy employed to address this issue. A phenytoin–piperidine salt (PPD–PNT) was synthesized by solvent-assisted grinding and characterized by infrared (IR) spectroscopy, 1H and 13C Nuclear Magnetic Resonance (NMR), and powder and single crystal X-ray diffraction. The IR and NMR spectra obtained differed from those of the starting compounds, showing shifts in the N-H and C=O group signals, as well as the appearance of NH+ signals, indicating proton transfer and salt formation. Powder X-ray diffraction confirmed the formation of a new solid phase corresponding to the salt. Single crystal X-ray diffraction showed the molecular structure of the PPD–PNT salt. Full article
(This article belongs to the Special Issue Chemistry of Heterocyclic Compounds)
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15 pages, 3468 KB  
Article
Transcriptomic and Proteomic Insights into 6PPD/6PPD-Q Induced Oxidative Stress in Black-Spotted Frogs
by Wenhui Sun, Bingyi Wang, Sihan Zhang, Zhiquan Liu, Yinan Zhang and Hangjun Zhang
Antioxidants 2025, 14(8), 1019; https://doi.org/10.3390/antiox14081019 - 20 Aug 2025
Viewed by 280
Abstract
N-(1,3-dimethylbutyl)-N′-phenyl-p-phenylenediamine (6PPD) and its oxidation product 6PPD-quinone (6PPD-Q) can have lethal effects on aquatic organisms, interfering with gene expression and protein content in aquatic animals. In this study, we performed proteomics and transcriptomics analyses on the livers of black-spotted frogs exposed to 6PPD [...] Read more.
N-(1,3-dimethylbutyl)-N′-phenyl-p-phenylenediamine (6PPD) and its oxidation product 6PPD-quinone (6PPD-Q) can have lethal effects on aquatic organisms, interfering with gene expression and protein content in aquatic animals. In this study, we performed proteomics and transcriptomics analyses on the livers of black-spotted frogs exposed to 6PPD and 6PPD-Q. The results showed that 6PPD and 6PPD-Q can cause oxidative stress in the liver, significantly reducing catalase (CAT) and glutathione peroxidase (GSH-Px) levels, with 6PPD-Q having a more significant toxic effect. Through transcriptomics and proteomics analysis, this study identified oxidative stress and immune defense pathways. In this study, the liver of the black-spotted frog provided some molecular insights into the toxicity of 6PPD and 6PPD-Q. Nonetheless, additional investigations are required to gain a clearer comprehension of the possible mechanisms that drive how aquatic organisms react to the toxic effects of 6PPD and 6PPD-Q. Full article
(This article belongs to the Special Issue Antioxidant Defenses and Oxidative Stress Management in Aquaculture)
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19 pages, 2563 KB  
Systematic Review
The Prevalence and Risk Factors of Postpartum Depression Among Saudi Arabian Women—A Systematic Review and Meta-Analysis
by Mohamed Zarroug, Mohammed F. Altaf, Safwaan Shaikh, Abdousabour Tidjani, Omnia Bashir, Mohammad I. Ayash, Hana K. Abdalla and Samah H. O. Zarroug
Healthcare 2025, 13(16), 2040; https://doi.org/10.3390/healthcare13162040 - 18 Aug 2025
Viewed by 512
Abstract
Background: Postpartum depression (PPD) is a major public health issue affecting maternal well-being and infant development. This systematic review and meta-analysis aimed to determine the prevalence and risk factors of PPD among Saudi women. Methods: A systematic search of PubMed, Web of Science, [...] Read more.
Background: Postpartum depression (PPD) is a major public health issue affecting maternal well-being and infant development. This systematic review and meta-analysis aimed to determine the prevalence and risk factors of PPD among Saudi women. Methods: A systematic search of PubMed, Web of Science, ProQuest, and EBSCOHost was conducted for studies published up to 31 March 2025. Statistical analysis was performed using R software (v4.4.2) with a random effects model. Study quality was assessed using the Joanna Briggs Institute (JBI) tool. Results: A total of 32 studies published between 2014 and 2024, including 10,975 women with a mean age of 30.38 ± 6.22 years, were analyzed. Prevalence of PPD varied based on the cutoff scores of the Edinburgh Postnatal Depression Scale (EPDS): 18% (95% CI: 10–27%) at EPDS ≥ 14, 30% (95% CI: 21–38%) at EPDS ≥ 13, 59% (95% CI: 33–85%) at EPDS ≥ 12, and 45% (95% CI: 28–62%) at EPDS ≥ 10. Across studies, 32 significant risk factors for PPD were identified. The most frequently reported included lack of social support, delivery method, young maternal age, and personal or family history of depression. In the meta-analysis, three factors showed statistically significant associations with postpartum depression: limited family support (p < 0.00001), poor spouse support (p < 0.00001), and unplanned pregnancy (p = 0.04). Conclusions: PPD is highly prevalent among Saudi women, with marked regional disparities. These findings highlight the need for tailored mental health strategies and region-specific interventions. Full article
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19 pages, 5482 KB  
Article
Genome-Wide Identification and Expressional Analysis of the TIFY Gene Family in Eucalyptus grandis
by Chunxia Lei, Yingtong Huang, Rui An, Chunjie Fan, Sufang Zhang, Aimin Wu and Yue Jing
Int. J. Mol. Sci. 2025, 26(16), 7914; https://doi.org/10.3390/ijms26167914 - 16 Aug 2025
Viewed by 322
Abstract
The TIFY gene family participates in crucial processes including plant development, stress adaptation, and hormonal signaling cascades. While the TIFY gene family has been extensively characterized in model plant systems and agricultural crops, its functional role in Eucalyptus grandis, a commercially valuable [...] Read more.
The TIFY gene family participates in crucial processes including plant development, stress adaptation, and hormonal signaling cascades. While the TIFY gene family has been extensively characterized in model plant systems and agricultural crops, its functional role in Eucalyptus grandis, a commercially valuable tree species of significant ecological and economic importance, remains largely unexplored. In the present investigation, systematic identification and characterization of the TIFY gene family were performed in E. grandis using a combination of genome-wide bioinformatics approaches and RNA-seq-based expression profiling. Nineteen EgTIFY genes were identified in total and further grouped into four distinct subfamilies, TIFY, JAZ (subdivided into JAZ I and JAZ II), PPD, and ZML, based on phylogenetic relationships. These genes exhibited considerable variation in gene structure, chromosomal localization, and evolutionary divergence. Promoter analysis identified a multitude of cis-acting motifs involved in mediating hormone responsiveness and regulating abiotic stress responses. Transcriptomic profiling indicated that EgJAZ9 was strongly upregulated under methyl jasmonate (JA) treatment, suggesting its involvement in JA signaling pathways. Taken together, these results offer valuable perspectives on the evolutionary traits and putative functional roles of EgTIFY genes. Full article
(This article belongs to the Special Issue Advances in Genetics and Phylogenomics of Tree)
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20 pages, 1265 KB  
Article
Validation of the Player Personality and Dynamics Scale
by Ayose Lomba Perez, Juan Carlos Martín-Quintana, Jesus B. Alonso-Hernandez and Iván Martín-Rodríguez
Appl. Sci. 2025, 15(15), 8714; https://doi.org/10.3390/app15158714 - 6 Aug 2025
Viewed by 258
Abstract
This study presents the validation of the Player Personality and Dynamics Scale (PPDS), designed to identify player profiles in educational gamification contexts with narrative elements. Through a sample of 635 participants, a questionnaire was developed and applied, covering sociodemographic data, lifestyle habits, gaming [...] Read more.
This study presents the validation of the Player Personality and Dynamics Scale (PPDS), designed to identify player profiles in educational gamification contexts with narrative elements. Through a sample of 635 participants, a questionnaire was developed and applied, covering sociodemographic data, lifestyle habits, gaming practices, and a classification system of 40 items on a six-point Likert scale. The results of the factorial analysis confirm a structure of five factors: Toxic Profile, Joker Profile, Tryhard Profile, Aesthetic Profile, and Coacher Profile, with high fit and reliability indices (RMSEA = 0.06; CFI = 0.95; TLI = 0.91). The resulting classification enables the design of personalized gamified experiences that enhance learning and interaction in the classroom, highlighting the importance of understanding players’ motivations to better adapt educational dynamics. Applying this scale fosters meaningful learning through the creation of narratives tailored to students’ individual preferences. Full article
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18 pages, 2727 KB  
Article
Comparative Evaluation of Tongue and Periodontal Pocket Microbiome in Relation to Helicobacter pylori Gastric Disease: 16S rRNA Gene Sequencing Analysis
by Fausto Zamparini, Alessio Buonavoglia, Francesco Pellegrini, Georgia Diakoudi, Matteo Pavoni, Giulia Fiorini, Vittorio Sambri, Andrea Spinelli, Dino Vaira, Maria Giovanna Gandolfi and Carlo Prati
Antibiotics 2025, 14(8), 804; https://doi.org/10.3390/antibiotics14080804 - 6 Aug 2025
Viewed by 349
Abstract
Objective: To analyze the composition of the oral microbiome in periodontal pocket lesions and on the tongue dorsum of patients with Helicobacter pylori-associated gastric disease. Materials and Methods: Patients diagnosed with gastric disease and H. pylori (HP+) were evaluated in comparison to [...] Read more.
Objective: To analyze the composition of the oral microbiome in periodontal pocket lesions and on the tongue dorsum of patients with Helicobacter pylori-associated gastric disease. Materials and Methods: Patients diagnosed with gastric disease and H. pylori (HP+) were evaluated in comparison to a control group of H. pylori-negative patients without gastric disease (HP−). Periodontal and oral health clinical parameters (PPD, BoP, PSE, plaque score and modified DMFT) were assessed for each patient. Microbiological samples were collected from the deepest periodontal pockets and tongue dorsum, followed by DNA extraction, 16S rRNA PCR amplification, and Next-Generation-Sequencing (NGS) analyses. Results: Sixty-seven patients (27F; 40M, aged 35–85 years) were enrolled. Of these, 52 were HP+ and 15 were HP−. HP+ patients exhibited a significantly higher presence of decayed teeth (p < 0.05) and slightly fewer missing teeth (p > 0.05). The plaque score was significantly higher in HP+ patients (p < 0.05), while PPD and BoP showed no significant differences (p > 0.05). NGS analysis revealed no presence of H. pylori in any samples of both periodontal and tongue sites. HP+ patients showed a distinct microbial composition, including higher prevalence of Capnocytophaga, Fusobacterium, and Peptostreptococcus genera in both locations (pockets and tongue dorsum). Conclusions: The study demonstrated that HP+ patients exhibit distinct oral microbial profiles compared to HP− patients, especially in areas with deeper periodontal pockets. H. pylori was not detected in the oral microbiomes of either group. Full article
(This article belongs to the Special Issue Microbial Biofilms: Identification, Resistance and Novel Drugs)
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35 pages, 6795 KB  
Article
Thermal Analysis of Energy Efficiency Performance and Indoor Comfort in a LEED-Certified Campus Building in the United Arab Emirates
by Khushbu Mankani, Mutasim Nour and Hassam Nasarullah Chaudhry
Energies 2025, 18(15), 4155; https://doi.org/10.3390/en18154155 - 5 Aug 2025
Viewed by 549
Abstract
Enhancing the real-world performance of sustainably designed and certified green buildings remains a significant challenge, particularly in hot climates where efforts to improve thermal comfort often conflict with energy efficiency goals. In the United Arab Emirates (UAE), even newly constructed facilities with green [...] Read more.
Enhancing the real-world performance of sustainably designed and certified green buildings remains a significant challenge, particularly in hot climates where efforts to improve thermal comfort often conflict with energy efficiency goals. In the United Arab Emirates (UAE), even newly constructed facilities with green building certifications present opportunities for retrofitting and performance optimization. This study investigates the energy and thermal comfort performance of a LEED Gold-certified, mixed-use university campus in Dubai through a calibrated digital twin developed using IES thermal modelling software. The analysis evaluated existing sustainable design strategies alongside three retrofit energy conservation measures (ECMs): (1) improved building envelope U-values, (2) installation of additional daylight sensors, and (3) optimization of fan coil unit efficiency. Simulation results demonstrated that the three ECMs collectively achieved a total reduction of 15% in annual energy consumption. Thermal comfort was assessed using operative temperature distributions, Predicted Mean Vote (PMV), and Predicted Percentage of Dissatisfaction (PPD) metrics. While fan coil optimization yielded the highest energy savings, it led to less favorable comfort outcomes. In contrast, enhancing envelope U-values maintained indoor conditions consistently within ASHRAE-recommended comfort zones. To further support energy reduction and progress toward Net Zero targets, the study also evaluated the integration of a 228.87 kW rooftop solar photovoltaic (PV) system, which offset 8.09% of the campus’s annual energy demand. By applying data-driven thermal modelling to assess retrofit impacts on both energy performance and occupant comfort in a certified green building, this study addresses a critical gap in the literature and offers a replicable framework for advancing building performance in hot climate regions. Full article
(This article belongs to the Special Issue Energy Efficiency and Thermal Performance in Buildings)
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12 pages, 2302 KB  
Article
Edentulous Mandibles Restored with Fiber-Reinforced Composite Prostheses Supported by 5.0 mm Ultra-Short Implants: Ten-Year Follow-Up
by Giulia Petroni, Fabrizio Zaccheo, Cosimo Rupe and Andrea Cicconetti
Prosthesis 2025, 7(4), 94; https://doi.org/10.3390/prosthesis7040094 - 1 Aug 2025
Viewed by 760
Abstract
Background/Objectives: This study aimed to assess the long-term clinical performance of full-arch fixed restorations made of fiber-reinforced composite (FRC) supported by four ultra-short implants (4.0 × 5.0 mm) in patients with edentulous, atrophic mandibles. Methods: Ten patients were treated at Sapienza University of [...] Read more.
Background/Objectives: This study aimed to assess the long-term clinical performance of full-arch fixed restorations made of fiber-reinforced composite (FRC) supported by four ultra-short implants (4.0 × 5.0 mm) in patients with edentulous, atrophic mandibles. Methods: Ten patients were treated at Sapienza University of Rome and monitored over a 10-year period. Each case involved the placement of four plateau-design implants with a pure conometric connection and a calcium phosphate-treated surface. The final prostheses were fabricated using CAD/CAM-milled Trinia® fiber-reinforced composite frameworks. Clinical parameters included implant and prosthesis survival, marginal bone level (MBL), peri-implant probing depth (PPD), and patient-reported outcome measures (PROMs). Results: Implant and prosthesis survival reached 100% over the 10-year follow-up. MBL data showed a minor bone gain of approximately 0.11 mm per 5 years (p < 0.0001). PPD remained stable under 3 mm, with a minimal increase of 0.16 mm over the same period (p < 0.0001). PROMs reflected sustained high patient satisfaction. No technical complications, such as chipping or framework fracture, were observed. Conclusions: Rehabilitation of the edentulous mandible with ultra-short implants and metal-free FRC prostheses proved to be a minimally invasive and long-lasting treatment option. The 10-year follow-up confirmed excellent implant and prosthetic outcomes, favorable peri-implant tissue health, and strong patient satisfaction. Nonetheless, further studies with larger sample sizes are needed to confirm these encouraging results and strengthen the clinical evidence. Full article
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11 pages, 1298 KB  
Technical Note
Ultrasound Imaging: Advancing the Diagnosis of Periodontal Disease
by Gaël Y. Rochefort, Frédéric Denis and Matthieu Renaud
Dent. J. 2025, 13(8), 349; https://doi.org/10.3390/dj13080349 - 29 Jul 2025
Viewed by 382
Abstract
Objectives: This pilot study evaluates the correlation between periodontal pocket depth (PPD) measurements obtained by manual probing and those derived from an AI-coupled ultrasound imaging device in periodontitis patients. Materials and Methods: Thirteen patients with periodontitis underwent ultrasonic probing with an [...] Read more.
Objectives: This pilot study evaluates the correlation between periodontal pocket depth (PPD) measurements obtained by manual probing and those derived from an AI-coupled ultrasound imaging device in periodontitis patients. Materials and Methods: Thirteen patients with periodontitis underwent ultrasonic probing with an AI engine for automated PPD measurements, followed by routine manual probing. Results: A total of 2088 manual and 1987 AI-based PPD measurements were collected. The mean PPD was 4.2 mm (range: 2–8 mm) for manual probing and 4.5 mm (range: 2–9 mm) for AI-based ultrasound, with a Pearson correlation coefficient of 0.68 (95% CI: 0.62–0.73). Discrepancies were noted in cases with inflammation or calculus. AI struggled to differentiate pocket depths in complex clinical scenarios. Discussion: Ultrasound imaging offers non-invasive, real-time visualization of periodontal structures, but AI accuracy requires further training to address image artifacts and clinical variability. Conclusions: The ultrasound device shows promise for non-invasive periodontal diagnostics but is not yet a direct alternative to manual probing. Further AI optimization and validation are needed. Clinical Relevance: This technology could enhance patient comfort and enable frequent monitoring, pending improvements in AI reliability. Full article
(This article belongs to the Special Issue Feature Papers in Digital Dentistry)
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23 pages, 5813 KB  
Article
Integrated Lighting and Solar Shading Strategies for Energy Efficiency, Daylighting and User Comfort in a Library Design Proposal
by Egemen Kaymaz and Banu Manav
Buildings 2025, 15(15), 2669; https://doi.org/10.3390/buildings15152669 - 28 Jul 2025
Viewed by 387
Abstract
This research proposes an integrated lighting and solar shading strategy to improve energy efficiency and user comfort in a retrofit project in a temperate-humid climate. The study examines a future library addition to an existing faculty building in Bursa, featuring highly glazed façades [...] Read more.
This research proposes an integrated lighting and solar shading strategy to improve energy efficiency and user comfort in a retrofit project in a temperate-humid climate. The study examines a future library addition to an existing faculty building in Bursa, featuring highly glazed façades (77% southwest, 81% northeast window-to-wall ratio), an open-plan layout, and situated within an unobstructed low-rise campus environment. Trade-offs between daylight availability, heating, cooling, lighting energy use, and visual and thermal comfort are evaluated through integrated lighting (DIALux Evo), climate-based daylight (CBDM), and energy simulations (DesignBuilder, EnergyPlus, Radiance). Fifteen solar shading configurations—including brise soleil, overhangs, side fins, egg crates, and louvres—are evaluated alongside a daylight-responsive LED lighting system that meets BS EN 12464-1:2021. Compared to the reference case’s unshaded glazing, optimal design significantly improves building performance: a brise soleil with 0.4 m slats at 30° reduces annual primary energy use by 28.3% and operational carbon emissions by 29.1% and maintains thermal comfort per ASHRAE 55:2023 Category II (±0.7 PMV; PPD < 15%). Daylight performance achieves 91.5% UDI and 2.1% aSE, with integrated photovoltaics offsetting 129.7 kWh/m2 of grid energy. This integrated strategy elevates the building’s energy class under national benchmarks while addressing glare and overheating in the original design. Full article
(This article belongs to the Special Issue Lighting in Buildings—2nd Edition)
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14 pages, 720 KB  
Article
An Evaluation of the Peri-Implant Tissue in Patients Starting Antiresorptive Agent Treatment After Implant Placement: A Nested Case–Control Study
by Keisuke Seki, Ryo Koyama, Kazuki Takayama, Atsushi Kobayashi, Atsushi Kamimoto and Yoshiyuki Hagiwara
Medicina 2025, 61(8), 1348; https://doi.org/10.3390/medicina61081348 - 25 Jul 2025
Viewed by 244
Abstract
Background and Objectives: We wished to evaluate the effect of antiresorptive agents (ARAs) on peri-implant tissues and to examine the risk factors for peri-implant medication-related osteonecrosis of the jaw (MRONJ). Materials and Methods: The study cohort consisted of patients who underwent [...] Read more.
Background and Objectives: We wished to evaluate the effect of antiresorptive agents (ARAs) on peri-implant tissues and to examine the risk factors for peri-implant medication-related osteonecrosis of the jaw (MRONJ). Materials and Methods: The study cohort consisted of patients who underwent implant surgery or maintenance treatment between March 2012 and December 2024. The patients were divided into two groups: those in whom bisphosphonates (BPs) or denosumab (Dmab) was used to treat osteoporosis after implant treatment (the ARA group) and a control group. Peri-implant clinical parameters (implant probing depth (iPPD), implant bleeding on probing (iBoP), marginal bone loss (MBL), and mandibular cortical index (MCI)) measured at the baseline and at the final visit were statistically evaluated and compared in both groups. Risk factors were examined using a multivariate analysis of adjusted odds ratios (aORs). Results: A total of 192 implants in 61 patients (52 female, 9 male) were included in this study. The ARA group consisted of 89 implants (22 patients). A comparison of the clinical parameters showed that the ARA group had significantly higher variations in their maximum iPPD and iBoP values over time than those in the control group. Risk factors for peri-implantitis as objective variables were the use of ARAs (aOR: 3.91; 95% confidence interval [CI]: 1.29–11.9) and the change in the maximum iPPD over time (aOR: 1.86; 95% CI: 0.754–4.58). Conclusions: During long-term implant maintenance treatment, patients’ health and medication status change. Monitoring peri-implantitis, the presumed cause of peri-implant MRONJ, is essential, especially in patients who started ARA treatment after implant placement, and special attention should be paid to changes in implant pocket depth. Full article
(This article belongs to the Section Dentistry and Oral Health)
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12 pages, 442 KB  
Article
Clinical and Microbiological Study on Local Application of an Ozonated Olive Oil Gel in the Periodontal Pockets: A Randomized Double-Blind Trial
by Roberta Grassi, Fabio Ciccone, Domenico De Falco, Matteo Castaldi, Maria Teresa Agneta, Gianna Maria Nardi and Massimo Petruzzi
J. Clin. Med. 2025, 14(15), 5182; https://doi.org/10.3390/jcm14155182 - 22 Jul 2025
Viewed by 483
Abstract
Objectives: This study aims to evaluate the clinical and microbiological efficacy of a novel Activated Ozonated Extra-Virgin Olive Oil (AOEOO) gel as a topical adjunct in the treatment of periodontal pockets. Methods: In this double-blind, randomized clinical trial, patients diagnosed with [...] Read more.
Objectives: This study aims to evaluate the clinical and microbiological efficacy of a novel Activated Ozonated Extra-Virgin Olive Oil (AOEOO) gel as a topical adjunct in the treatment of periodontal pockets. Methods: In this double-blind, randomized clinical trial, patients diagnosed with stage II–IV periodontitis received either scaling and root planing (SRP) and placebo gel or SRP combined with subgingival AOEOO gel application (test group). Periodontal indices—probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), and bleeding on probing (BOP)—were measured at baseline, 3, and 6 months. Microbiological analysis using real-time PCR quantified six key periodontal pathogens at baseline and after 6 months. Results: AOEOO-treated patients showed significantly greater improvements in PPD, CAL, PI, and BOP at both 3 and 6 months compared to the placebo group (p < 0.05). Also, microbiologically, the AOEOO group exhibited a significant reduction in total bacterial load and in all target pathogens, with reductions ranging from 63.8% to 98.7% (p < 0.05). No adverse effects were reported. Conclusions: The adjunctive use of AOEOO gel significantly improved periodontal outcomes and reduced pathogenic bacterial load, supporting its potential role as a safe and effective supportive treatment in periodontitis management. Full article
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16 pages, 857 KB  
Article
The Effect of Antimicrobial Photodynamic Therapy on the Healing of the Post-Extraction Socket of the Mandibular Third Molar: A Randomized Clinical Study
by Alessia Pardo, Maria Lonardi, Annarita Signoriello, Gianluca Colapinto, Funda Goker, Margherita Tumedei, Massimo Albanese and Massimo Del Fabbro
J. Clin. Med. 2025, 14(14), 5029; https://doi.org/10.3390/jcm14145029 - 16 Jul 2025
Viewed by 299
Abstract
Objectives: We aimed to evaluate the efficacy of antimicrobial photodynamic therapy (aPDT) in promoting wound healing after the surgical removal of inferior third molars. Methods: Patients in need of unilateral mandibular third molar extraction were randomly assigned to either a test [...] Read more.
Objectives: We aimed to evaluate the efficacy of antimicrobial photodynamic therapy (aPDT) in promoting wound healing after the surgical removal of inferior third molars. Methods: Patients in need of unilateral mandibular third molar extraction were randomly assigned to either a test or control group before surgery. During the test, a photoactive substance activated with laser light (20 mW, 660 nm) was applied to the post-extraction site for 60 s before suturing to promote healing and disinfection. The control group did not receive any laser applications after tooth removal. The probing pocket depth (PPD), bleeding on probing (BOP), plaque index (PI), gingival recession (REC), and levels of clinical attachment loss (CAL) before surgery (T0), 14 days after surgery (T1), and after 3 months after surgery (T2) were evaluated for the adjacent second molar. Post-operative swelling, pain (VAS index), the number of painkillers taken, alveolar probing, and Landry’s healing index were recorded at T1. Results: Sixty-five patients, aged between 14 and 39 years, were assigned randomly to test (n = 32) or control (n = 33) groups. Five dropouts occurred. Post-operative swelling and the VAS index were significantly lower in the test group compared to the control (p = 0.002 and p = 0.04, respectively). All periodontal indexes except recession significantly worsened at T1 in both groups. After three months, a significant improvement for PPD, CAL, and PI was recorded in the test group compared to the control (p = 0.001). Conclusions: According to the results of this study, the use of aPDT seems to have a beneficial effect on post-operative swelling and pain, as well as the plaque index, in the short-term follow-up. Full article
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25 pages, 2239 KB  
Systematic Review
The Adjunctive Role of Antimicrobial Photodynamic Therapy to Non-Surgical Treatment in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis
by Alessia Pardo, Annarita Signoriello, Elena Messina, Elia Stilo, Rachele De’ Manzoni Casarola, Elisabetta Ferrara, Giorgio Lombardo and Massimo Albanese
Healthcare 2025, 13(14), 1703; https://doi.org/10.3390/healthcare13141703 - 15 Jul 2025
Viewed by 502
Abstract
Background: This systematic review aimed to assess the outcomes related to the use of antimicrobial photodynamic therapy (aPDT) as an adjunct to non-surgical periodontal treatment (NSPT) of patients affected by periodontitis and with type 2 diabetes mellitus (T2DM). Methods: PubMed, Cochrane Library, Scopus, [...] Read more.
Background: This systematic review aimed to assess the outcomes related to the use of antimicrobial photodynamic therapy (aPDT) as an adjunct to non-surgical periodontal treatment (NSPT) of patients affected by periodontitis and with type 2 diabetes mellitus (T2DM). Methods: PubMed, Cochrane Library, Scopus, and Web of Science (core collection) were queried up to January 2025. The PICO question investigated the comparison between T2DM patients undergoing NSPT with or without aPDT, in terms of improvement of clinical parameters. Two independent operators performed the study selection, data extraction, and risk of bias assessment (RoB-2 tool). The meta-analysis examined the reduction in bleeding on probing (BoP) and probing pocket depth (PPD) in sites > 4 mm, reporting mean difference (MD) and 95% confidence intervals (CIs). Results: Among 502 studies retrieved, 15 were finally included in the systematic review and meta-analysis. In T2DM individuals, the adjunct of aPDT to NSPT demonstrated a substantial reduction in BoP and PPD after 3 and 6 months compared to the use of NSPT alone. Conclusions: The outcomes of this systematic review suggest that adjunctive aPDT may provide additional benefit to NSPT in reducing inflammation in T2DM patients with periodontitis, indicating that this combined therapy could represent a potentially useful approach for individuals with T2DM. Review registration: registration in PROSPERO (International prospective register of systematic reviews) with ID CRD42024506295 on 6 February 2024. Full article
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