Guoliang Zhang’s research while affiliated with Air Force Medical University and other places

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Publications (3)


Alveolar Ridge Preservation With Deproteinized Bovine Bone Graft and Collagen Membrane and Delayed Implants
  • Article

August 2014

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259 Reads

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59 Citations

The Journal of craniofacial surgery

Chaoyuan Pang

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To evaluate clinically and radiographically an alveolar ridge, preservation technique with deproteinized bovine bone graft and absorbable collagen membrane and then restoration with delayed implants were done. The study included 30 patients. The trial group's sockets were filled with deproteinized bovine bone graft (Bio-Oss) and covered with absorbable collagen membrane (Bio-Gide). The control group's sockets healed without any treatment. Panoramic radiograph and computed tomography were taken immediately after graft and 3 and 6 months later to evaluate the height, width, and volume change of the alveolar ridge bone. Dental implants were inserted in all sockets at 6 months, and osseointegration condition was evaluated in the following 12 months. All sockets healed uneventfully. In the trial group, the mean (SD) height reduction of the alveolar ridge bone was 1.05 (0.24) mm at 3 months and 1.54 (0.25) mm at 6 months. The width reduction was 1.11 (0.13) mm at 3 months and 1.84 (0.35) mm at 6 months. Bone volume reduction was 193.79 (21.47) mm at 3 months and 262.06 (33.08) mm at 6 months. At the same trend, in the control group, the bone height reduction was 2.12 (0.15) mm at 3 months and 3.26 (0.29) mm at 6 months. The width reduction was 2.72 (0.19) mm at 3 months and 3.56 (0.28) mm at 6 months. Bone volume reduction was 252.19 (37.21) mm at 3 months and 342.32 (36.41) mm at 6 months. There was a significant difference in alveolar ridge bone height, width, and volume reduction in the 2 groups. The osseointegration condition had no significant difference between the 2 groups. This study suggested that the deproteinized bovine bone graft and absorbable collagen membrane were beneficial to preserve the alveolar ridge bone and had no influence on the osseointegration of delayed implant.


Improved sedation for dental extraction by using video eyewear in conjunction with nitrous oxide: A randomized, controlled, crossover clinical trial

February 2012

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113 Reads

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7 Citations

The purpose of this study was to investigate the effect of a portable video eyewear entertainment system used in conjunction with nitrous oxide/oxygen sedation during the removal of impacted lower third molars. Thirty-eight patients had their bilateral third molars removed under local anesthesia and nitrous oxide/oxygen inhalation sedation in 2 visits. On one side, video eyewear was used (group NE). On the other side, the tooth was removed without the use of video eyewear (group N). Vital signs were monitored. Overall behavior and the outcome of treatment were assessed. All 38 patients completed the study. The mean scores on behavior rating in group NE were significantly higher than those in group N (P < .05). The majority of patients (92.1%) preferred nitrous oxide with video eyewear. The use of video eyewear appeared to augment the effectiveness of nitrous oxide sedation in dental extraction patients.


Fig 2. Representative microscopic photographs of TRAP-stained histological sections of the trabecular bone. Osteoclast was labelled as red-stained cell. (A) control group, (B) sympathectomy group, (C) stress group. Original amplfication 10×10, Bar=100 μm. The number of osteoclasts (Oc.N/BS) and the osteoclast surface (Oc.S/BS) were increased in the stress group rats in contrast to other two group rats.  
Fig 3. Representative fluoroscopic photographs of uncalcified double-labelling (tetracycline and calcein) histological section of of the trabecular bone. (A) control group, (B) sympathectomy group, (C) stress group. Original amplfication 10×20, Bar=100 μm. Interlabel width was decreased in the stress group rats in contrast to other two group rats.  
Fig 4. Histomorphometry analysis in the distal femur. The number of osteoclasts (Oc.N/BS) and the osteoclast surface (Oc.S/BS) were increased by 91.2% (p<0.01) and 45.6% (p<0.01) respectively while the bone formation rate (BFR) was decreased by 46.6% (p<0.05) in the stress group rats compared to the control group rats. BFR = measurement of interlabel width/ interval days.  
The effect of chemical sympathectomy and stress on bone remodeling in adult rats
  • Article
  • Full-text available

January 2010

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123 Reads

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9 Citations

Neuro Endocrinology Letters

Objectives: Bone remodeling has recently been revealed to be under sympathetic nerve control. The role of the sympathetic nerve system is not clearly understood. The present study aim to explore the effect of chemical sympathectomy and stress on bone remodeling in adult rats. Methods: 24 twelve-month-old Wistar rats were divided into three group (sympathectomy, stress and control). The sympathectomy and stress group rats were administered 6-hydroxydopamine (150 mg/kg each day) and saline (1 ml/kg each day) intraperitoneal respectively for one week and exposed to stress procedure for another three weeks. The stress procedure was mild, unpredictable footshock, administered for one hour once daily. Analysis of serum chemistry, microcomputed tomography, dual energy X-ray absorptiometry, biomechanical testing and bone histomorphometry were employed. Results: The stress group rats showed increased bone resorption in contrast to the sympathectomy and control group rats. The serum level of calcium and phosphorus cations and norepinephrine were enhanced, the cancellous bone volume and bone mineral density were reduced, bone mechanical property such as strength, ductility and toughness were weakened, the osteoclast counts and osteoclast surfaces were increased and the bone formatin rate were decreased significantly in the stress group rats in contrast to the other two groups rats. There was no significant difference of bone remodeling between the sympathectomy group and control group rats. Conclusion: Our study showed stress-increased sympathetic nerve system activity enhanced bone resorption while chemical sympathectomy inhibited bone resorption under stress. We postulate sympathetic neurotransmitter and neuropepitide may play a role in regulating bone remodeling.

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Citations (3)


... The effectiveness of collagen membranes and bone replacements in ARP has been assessed in a number of trials. One study, for example, found that the absorbable collagen membrane and deproteinized bovine bone graft helped preserve the alveolar ridge bone while having no negative effects on the osseointegration of delayed implants [44] . Another trial aimed to reduce the dimensional changes in the alveolar bone post-tooth extraction by using an equine collagen membrane and a collagen cone, suggesting the potential of collagen materials in ARP [45] . ...

Reference:

Alveolar Ridge Preservation Comparing Allograft, Alloplast, and Autogenous Tooth Graft: A Randomized Clinical Trial
Alveolar Ridge Preservation With Deproteinized Bovine Bone Graft and Collagen Membrane and Delayed Implants
  • Citing Article
  • August 2014

The Journal of craniofacial surgery

... Kaygı düzeyini azaltmak için yapılabilecek uygulamalar arasında hastanın işlem konusunda bilgilendirilmesi, ortamın rahatlatıcı olmasının sağlanması, hastaya güven verilmesi ve gerektiği durumlarda sedatif ajanların kullanılması sayılabilir. Birçok diş hekimliği işlemi öncesi hastalar çeşitli düzeylerde kaygı hissetmekle birlikte, cerrahi sonrası ağrı, kanama, şişlik, ağız açıklığında azalma ve normal günlük aktivitelerde kısıtlanma ile bağlantılı bulunan ağız cerrahisi işlemleri en yüksek kaygı seviyesi ile ilişkilendirilmektedir. 22,23 SONUÇ Araştırmada kullanılan üç farklı kaygı ölçeği (DKE, SKE ve MDKÖ) arasında pozitif yönde ve orta düzeyde anlamlı bir ilişki olması bireylerin genel kaygı düzeyleri ile dental alandaki uygulamalara (implant tedavisi türü) ilişkin kaygı düzeyi arasında tutarlı bir ilişki olduğunu göstermiş, bu yönüyle literatürdeki benzer çalışmalarla uyumlu bulunmuştur.4,7 ...

Improved sedation for dental extraction by using video eyewear in conjunction with nitrous oxide: A randomized, controlled, crossover clinical trial
  • Citing Article
  • February 2012

... 75 A study involving chemically sympathectomized rats revealed that stress increased SNS activity, leading to enhanced bone resorption, while chemical sympathectomy inhibited stress-induced bone resorption. 76 Similarly, studies have found that treatment with the β-AR agonist isoproterenol decreased bone mass in mice, while treatment with the β-AR antagonist propranolol increased bone mass and reversed the bone loss phenotype caused by ovariectomy. 77 SNS can activate Rankl expression through β-AR signaling to promote osteoclast differentiation and bone resorption, 74,78,79 as well as negatively impact the proliferation and osteogenic differentiation of BMSCs. ...

The effect of chemical sympathectomy and stress on bone remodeling in adult rats

Neuro Endocrinology Letters