Publications by authors named "Richard Sturm"

Purpose: Evaluation of different composites with varying viscosity for their suitability as intracanal anchorage (ICA) materials using push-out bond strength testing.

Materials And Methods: 48 human maxillary incisors were root filled, crowns partially removed except one residual wall, and distributed into four groups (n = 12), according to one of the following ICA composites: Ormocer (AFx), preheated composite (VB), core build-up (RDC) or flowable (SDR). A 4 mm deep root canal enlargement was prepared using Gates Glidden burrs, and hard tissues were conditioned using a universal adhesive in etch-and-rinse mode.

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Purpose: To investigate the effect of tooth age on dentin adhesion of different luting systems to the root canal.

Materials And Methods: 180 root canals of extracted teeth were divided into three age-specific groups (n = 60): young 20-35 (y), middle-aged 45-60 (m), and older 70-85 (o) years. Ten teeth of each age group were assigned to a luting system: Panavia 21 with ED Primer (P21, Kuraray); Core X Flow with Prime&Bond active and Self-Cure Activator (CXF, Dentsply Sirona); Multilink Automix with Multilink Primer (ML, Ivoclar Vivadent); Panavia SA Cement Plus (PSA, Kuraray); Smart Cem 2 (SM2, Dentsply Sirona); Speed CEM Plus (SCP, Ivoclar Vivadent).

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Article Synopsis
  • A significant portion (2-20%) of cutaneous melanoma cases are diagnosed as amelanotic/hypopigmented melanoma (AHM), which complicates early detection due to their lack of pigmentation.
  • The study investigates mutations in key pigmentation genes linked to albinism and hypopigmentation, revealing that AHM patients have a higher frequency of rare germline variants compared to pigmented melanoma patients.
  • Findings include that specific gene variants associated with red hair pigmentation are common in AHM cases, and some AHM tumors show chromosomal abnormalities related to these pigmentation genes, indicating a genetic basis for the lack of pigmentation in these melanomas.
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is the second most frequently reported gene (after ) in familial melanoma. Pathogenic variants are associated with earlier onset and/or multiple primary melanomas (MPMs). To date, phenotypical reports have been largely restricted to associated malignancies, and description of the dermatological landscape has been limited.

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An apical component of the cell cycle checkpoint and DNA damage repair response is the ataxia-telangiectasia mutated (ATM) Ser/Thr protein kinase. A variant of ATM, Ser49Cys (rs1800054; minor allele frequency = 0.011), has been associated with an elevated risk of melanoma development; however, the functional consequence of this variant is not defined.

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  • Nodular melanoma (NM) is hard to diagnose early due to its fast growth and unusual appearance, making it a major cause of melanoma-related deaths.
  • The study analyzed genetic differences between NM patients and those with non-NM by examining rare genetic variants in 500 candidate genes in a cohort of 131 NM and 194 non-NM participants from Australia.
  • Findings showed that NM patients were mostly older males with lighter skin and red hair, and identified key genes associated with NM, suggesting a link to the Hedgehog signaling pathway, emphasizing the need to consider rare variants in risk assessment for NM.
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Aim: To establish the inter-rater reliability of the Composite Quality Score (CQS-2) and to test the null hypothesis that it did not differ significantly from that of the first CQS version (CQS-1).

Materials And Methods: Four independent raters were selected to rate 45 clinical trial reports using CQS-1 and CQS-2. The raters remained unaware of each other's participation in this study until all rating had been completed.

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Aims: Drivers of the drug tolerant proliferative persister (DTPP) state have not been well investigated. Histone H3 lysine-4 trimethylation (H3K4me3), an active histone mark, might enable slow cycling drug tolerant persisters (DTP) to regain proliferative capacity. This study aimed to determine H3K4me3 transcriptionally active sites identifying a key regulator of DTPPs.

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MITF E318K moderates melanoma risk. Only five MITF E318K homozygous cases have been reported to date, one in association with melanoma. This novel report uses 3D total-body-photography (TBP) to describe the dermatological phenotype of a homozygous MITF E318K individual.

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Article Synopsis
  • Skin cancer is a major global health issue, and early detection is essential for better health outcomes; 3D total-body photography is an emerging technology that aids in monitoring skin changes over time.
  • The "Mind Your Moles" study aimed to understand the prevalence and development of melanocytic naevi in adults and their links to skin cancers, running from December 2016 to February 2020 with biannual participant evaluations.
  • The study found that a significant percentage of participants had lesions of concern, leading to numerous referrals and diagnoses, including 39 cases of non-melanoma skin cancers and six in situ melanomas, highlighting the effectiveness of 3D imaging in identifying skin cancers.
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Background: Population-wide screening for melanoma is not cost-effective, but genetic characterization could facilitate risk stratification and targeted screening. Common Melanocortin-1 receptor (MC1R) red hair colour (RHC) variants and Microphthalmia-associated transcription factor (MITF) E318K separately confer moderate melanoma susceptibility, but their interactive effects are relatively unexplored.

Objectives: To evaluate whether MC1R genotypes differentially affect melanoma risk in MITF E318K+ vs.

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  • The study aimed to compare the effectiveness of the modified Peyton teaching method for rotary root canal instrumentation against the traditional "see one-do one" method.
  • Forty undergraduate students were randomly assigned to two groups: one using the Peyton method (G1) and the other learning from a teaching video (G2), with their performances analyzed by two blinded observers.
  • Results showed that students taught with the Peyton method significantly outperformed those who learned via video in various technical aspects, indicating that this teaching approach may lead to better long-term outcomes in their root canal procedures.
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(1) Background: Due to advantages such as avoidance of chipping, pulp-friendly tooth preparation and cost reduction, zirconia is increasingly being used monolithically without veneering. Nevertheless, to enable good aesthetics, various multilayer systems have been developed. The aim of this study was to investigate the impact of different zirconia multilayer strategies and yttria levels on fracture load, fracture pattern, stress distribution and surface roughness.

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Oculocutaneous albinism (OCA) is a rare condition characterized by hypopigmentation. A female proband and her sister, both with primary amelanotic/hypopigmented melanoma, underwent three-dimensional total-body photography and dermoscopy. Both sisters had exome sequencing along with their brother, who had OCA but no history of melanoma.

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Background: Digital 3D total-body photography of the skin surface is an emerging imaging modality that can facilitate the identification of new and changing nevi.

Objective: We aimed to describe the experiences of study participants drawn from the general population who were provided 3D total-body photography and dermoscopy for the monitoring of nevi.

Methods: A population-based prospective study of adults aged 20-70 years from South East Queensland, Australia was conducted.

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Melanoma incidence rates are high among individuals with fair skin and multiple naevi. Established prognostic factors are tumour specific, and less is known about prognostic host factors. A total of 556 stage I to stage IV melanoma patients from Germany with phenotypic and disease-specific data were analysed; 64 of these patients died of melanoma after a median follow-up time of 8 years.

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Background: Although the majority of human papillomavirus (HPV) infections are cleared by the immune system, a small percentage of them progress to develop HPV-driven cancers. Cervical cancer studies highlight that HPV persistence and cancer risk are associated with genetic factors, especially at the human leukocyte antigen (HLA) genes. This study was conducted to investigate such associations in head and neck cancer (HNC).

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Phenotypic plasticity drives cancer progression, impacts treatment response, and is a major driver of therapeutic resistance. In melanoma, a regulatory axis between the MITF and BRN2 transcription factors has been reported to promote tumor heterogeneity by mediating switching between proliferative and invasive phenotypes, respectively. Despite strong evidence that subpopulations of cells that exhibit a BRN2/MITF expression profile switch to a predominantly invasive phenotype, the mechanisms by which this switch is propagated and promotes invasion remain poorly defined.

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Acquired melanocytic nevi grow and persist in a stable form into adulthood. Using genome-wide methylation profiling, we evaluated 32 histopathologically and dermoscopically characterized nevi to identify the key epigenetic regulatory mechanisms involved in nevogenesis. Benign (69% globular and 31% nonspecific dermoscopic pattern) and dysplastic (95% reticular/nonspecific dermoscopic pattern) nevi were dissimilar, with only two shared differentially methylated loci.

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Cutaneous melanoma remains the most lethal skin cancer, and ranks third among all malignancies in terms of years of life lost. Despite the advent of immune checkpoint and targeted therapies, only roughly half of patients with advanced melanoma achieve a durable remission. Sirtuin 5 (SIRT5) is a member of the sirtuin family of protein deacylases that regulates metabolism and other biological processes.

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Here, we present a rare case of a patient who developed multiple primary melanomas within the boundaries of two nevi depigmentosa. The melanomas were excised, and as a preventive measure, the remainder of the nevi depigmentosa were removed. We performed whole-exome sequencing on excised tissue from the nevus depigmentosus, adjacent normal skin, and saliva to explain this intriguing phenomenon.

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