School of Dentistry, The University of Adelaide, South Australia, Australia; Institute of Dentistry, Queen Mary University of London, United Kingdom.
Aust Dent J. 2014 Jun;59 Suppl 1:13-22. doi: 10.1111/adj.12158. Epub 2014 Mar 12.
Complex systems are present in such diverse areas as social systems, economies, ecosystems and biology and, therefore, are highly relevant to dental research, education and practice. A Complex Adaptive System in biological development is a dynamic process in which, from interacting components at a lower level, higher level phenomena and structures emerge. Diversity makes substantial contributions to the performance of complex adaptive systems. It enhances the robustness of the process, allowing multiple responses to external stimuli as well as internal changes. From diversity comes variation in outcome and the possibility of major change; outliers in the distribution enhance the tipping points. The development of the dentition is a valuable, accessible model with extensive and reliable databases for investigating the role of complex adaptive systems in craniofacial and general development. The general characteristics of such systems are seen during tooth development: self-organization; bottom-up emergence; multitasking; self-adaptation; variation; tipping points; critical phases; and robustness. Dental findings are compatible with the Random Network Model, the Threshold Model and also with the Scale Free Network Model which has a Power Law distribution. In addition, dental development shows the characteristics of Modularity and Clustering to form Hierarchical Networks. The interactions between the genes (nodes) demonstrate Small World phenomena, Subgraph Motifs and Gene Regulatory Networks. Genetic mechanisms are involved in the creation and evolution of variation during development. The genetic factors interact with epigenetic and environmental factors at the molecular level and form complex networks within the cells. From these interactions emerge the higher level tissues, tooth germs and mineralized teeth. Approaching development in this way allows investigation of why there can be variations in phenotypes from identical genotypes; the phenotype is the outcome of perturbations in the cellular systems and networks, as well as of the genotype. Understanding and applying complexity theory will bring about substantial advances not only in dental research and education but also in the organization and delivery of oral health care.
复杂系统存在于社会系统、经济系统、生态系统和生物学等多个领域,因此与牙科研究、教育和实践密切相关。生物发育中的复杂适应系统是一个动态过程,在这个过程中,较低层次的相互作用的组成部分会出现更高层次的现象和结构。多样性对复杂适应系统的性能做出了实质性的贡献。它增强了过程的稳健性,允许对外部刺激和内部变化做出多种响应。多样性导致结果的变化和重大变化的可能性;分布中的离群值增强了临界点。牙齿的发育是一个有价值的、可访问的模型,有广泛而可靠的数据库可用于研究复杂适应系统在颅面和一般发育中的作用。这种系统的一般特征在牙齿发育中可见:自组织;自下而上涌现;多任务处理;自我适应;变异;临界点;关键阶段;稳健性。牙科发现与随机网络模型、阈值模型以及无标度网络模型(具有幂律分布)相兼容。此外,牙齿发育表现出模块化和聚类的特征,形成层次网络。基因(节点)之间的相互作用表现出小世界现象、子图模式和基因调控网络。遗传机制参与了发育过程中变异的产生和进化。遗传因素在分子水平上与表观遗传和环境因素相互作用,并在细胞内形成复杂的网络。从这些相互作用中出现了更高层次的组织、牙原基和矿化牙齿。以这种方式研究发育可以探究为什么相同基因型会出现表型的变异;表型是细胞系统和网络中的扰动以及基因型的结果。理解和应用复杂性理论不仅将在牙科研究和教育方面带来实质性的进展,而且将在口腔保健的组织和提供方面带来实质性的进展。
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