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PubMed2003

Nutritional status of the older adult is associated with dentition status.

OBJECTIVE: This study was designed to examine associations between the number of posterior occlusal pairs of teeth and the nutritional status of older adults participating in the third National Health and Nutrition Examination Survey (NHANES III) survey. DESIGN: Impaired dentition was assessed by number of posterior occluding pairs of teeth (grinding teeth, n=8 pairs) and complete denture status. Nutritional status was measured by nutrient intake, Healthy Eating Index (HEI) score, serum values, and body mass index (BMI). Subjects/setting Data from 5,958 participants in NHANES III ages 50 years and over with dental examination were included in the analysis. Statistical analyses performed Analysis of covariance and multivariate linear regression analyses were performed to examine associations between number of tooth pairs and nutritional status indicators controlled for potential confounders. RESULTS: Compared with individuals with five to eight posterior occluding pairs (HEI=68.2), those with impaired dentition (no posterior pairs, one to four pairs remaining, or full dentures) had consistently lower HEI scores (HEI=64.3, 66.5, and 66.5, respectively), consumed fewer servings of fruits, and had lower serum values of beta carotene and ascorbic acid. Participants with one to four posterior pairs also had a higher mean BMI (28.0) than those with five or more pairs (27.2). Participants in one or more groups with impaired dentition had lower dietary intake levels of vitamin A, carotene, folic acid, and vitamin C, and scored less well on diet variety, cholesterol, and sodium components of the HEI. APPLICATIONS/CONCLUSIONS: Results show that dental health is closely associated with nutritional status and suggest that status of dentition should be considered in nutritional counseling and assessment of older adults.

Aged↗
PubMed2002

Developmental constraints conserve evolutionary pattern in an osteichthyan dentition.

The lungfish dentition is different from other osteichthyan fish because it has a characteristic and unique pattern of teeth arranged as toothplates. Growth, addition of teeth, and retention as part of a statodont dentition are determined by the initiation pattern. In adult lungfish new teeth are only added laterally to each radial row in the dentition. This is in marked contrast to marginal rows of teeth with regular, alternating replacement in most osteichthyans. We analyze development from fossil hatchling forms of the Late Devonian dipnoan Andreyevichthys and compare with those of Neoceratodus, the Australian lungfish. The specific pattern of development, unique within lungfish, is also present in the transitory, marginal, anterior dentition in both, reflecting a strongly conserved developmental pattern. These marginal teeth form but are then lost in both, so that also this program of development is conserved within lungfish for 360 million years, from the earliest known form.

Animals↗
PubMed1992

Longitudinal study and cost-benefit analysis of the effect of early treatment of posterior cross-bites in the primary dentition.

The aim of this study was to follow longitudinally a cohort of preschool children regarding the prevalence of lateral cross-bites and the effect of treatments carried out. Two-hundred-and-twenty-four children were examined when they were 3-5 years old and re-examined at 13-15 years of age. Orthodontic treatment of lateral cross-bites was registered from annual dental records from the Public Dental Service. In the primary dentition, 23.3 per cent of the children showed lateral cross-bites, of whom 5.7 per cent showed a lateral edge-to-edge relation. Selective grinding was carried out in the Public Dental Service in 62 per cent of the cross-bite children. Correction was registered in 64 per cent of these cases. Nine (45 per cent) of the 20 children with untreated lateral deviation showed spontaneous correction. Of the 171 children without cross-bites in the primary dentition, 14 (8 per cent) developed cross-bites in the permanent dentition. Although the benefits of early treatment for the developing dentition are obvious for functional reasons, the effectiveness of grinding, the type of treatment and the timing can be discussed from a cost-benefit point of view.

Adolescent↗
PubMed2004

Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need.

Early interceptive treatment for the elimination of factors inhibiting dental arch development and mandibular and maxillary growth is applied varyingly by orthodontists, possibly because there is little scientific evidence that such interventions are of actual benefit. The aim of this study was to determine specific factors for treatment need in the early mixed dentition period in order to obtain basic data to support early intervention. The study was part of a larger survey of 8768 children aged between 6 and 17 years. From this sample, 1975 children aged between 6 and 8 years were used to estimate the prevalence of malocclusions using the Index of Orthodontic Treatment Need (IOTN) during the early mixed dentition period. The results showed that deep overbite and overjet, both more than 3.5 mm, were the most frequent discrepancies, affecting 46.2 and 37.5 per cent of patients, respectively. An anterior open bite was registered in 17.7 per cent, crossbite in 8.2 per cent, and a reverse overjet in 3.2 per cent. A tooth width to arch length discrepancy was recorded in 12 per cent of teeth in the upper arch and in 14.3 per cent in the lower arch. The proportion of children estimated using the Dental Health Component of the IOTN to have a great or very great treatment need (grades 4 and 5) was 26.2 per cent. The higher values of treatment need during the mixed dentition period may account for temporary changes in the dentition and for the discrepancy in overjet and overbite. These discrepancies will be compensated in part during mandibular growth and development of the dental arch. Nevertheless, the findings indicate the early development of progressive malocclusion symptoms which are evidenced in the IOTN and concur with the acronym 'MOCDO' hierarchy (missing, overjet, crossbite, displacement, overbite). This early formation of progressive symptoms inhibiting or disturbing mandibular or maxillary growth or the development of the normal dental arch, i.e. crossbite, reverse overjet and increased overjet with myofunctional disorders, should be treated at an early stage.

Adolescent↗
PubMed1982

Effects of age and dentition status on measures of food acceptability.

The current cross-sectional investigation was undertaken to determine whether observed losses in masticatory function due to missing teeth impair perceptual estimates of food acceptability. To quantify the effect of impaired masticatory ability, 566 male participants from the Veterans Administration Dental Longitudinal Study were subdivided into three age groups (less than 40 years, 40 to 49 years, and 50 or more years) and three dentition categories (intact, partially compromised, and compromised). Bivariate analysis revealed that dentition status significantly influenced the acceptance modalities of taste, texture, perceived ease of chewing, and frequency of ingestion. Age, per se, had little effect. Significant changes in the acceptance variables were noted only in persons with compromised dentition. These findings suggested that a moderate degree of unreplaced tooth loss had no significant effect on perceptual estimates of food acceptability, and unilateral intact dentition can provide sufficient masticatory performance for maintaining food acceptance.

Adult↗
PubMed1984

A standardized programme for studying the occlusal force pattern during chewing and biting in prosthetically restored dentitions.

A recently described method for studying occlusal forces in prosthetically restored dentitions (Lundgren & Laurell, 1984) was applied in a standardized programme to elucidate the occlusal force pattern and the functional capability of a dentition during chewing and biting. The method is based on the use of strain gauge transducers mounted into preformed matrices evenly distributed over the tooth-arch. The programme was tested in a subject prosthetically restored with a fixed bridge of cross-arch design in the upper jaw, and with unsplinted teeth in the lower jaw. It involved chewing of (a) peanuts, (b) roast beef with potato salad, biting with maximal strength in habitual occlusion and biting over one limited contact area at a time. The magnitude of the occlusal forces developed during chewing and swallowing was well below all biting forces. The magnitude of the total force acting over the entire dentition when biting at maximal strength in habitual occlusion did not seem to be limited by reactions from the teeth or the periodontal tissues but, seemingly, by the capability of the jaw-closing muscles themselves. The magnitude of the local bite force over one limited contact area at a time was much smaller than that which the jaw-closing muscles were able to develop. This indicated that feedback mechanisms in the periodontal tissues and/or the temporo-mandibular joints were limiting factors for these forces. The programme will be applied to studies of dentitions supplied with prosthetic constructions of various design and with different distribution of periodontal support.

Bite Force↗
PubMedDate not supplied

Expression of Dlx genes during the development of the zebrafish pharyngeal dentition: evolutionary implications.

In order to investigate similarities and differences in genetic control of development among teeth within and between species, we determined the expression pattern of all eight Dlx genes of the zebrafish during development of the pharyngeal dentition and compared these data with that reported for mouse molar tooth development. We found that (i) dlx1a and dlx6a are not expressed in teeth, in contrast to their murine orthologs, Dlx1 and Dlx6; (ii) the expression of the six other zebrafish Dlx genes overlaps in time and space, particularly during early morphogenesis; (iii) teeth in different locations and generations within the zebrafish dentition differ in the number of genes expressed; (iv) expression similarities and differences between zebrafish Dlx genes do not clearly follow phylogenetic and linkage relationships; and (v) similarities and differences exist in the expression of zebrafish and mouse Dlx orthologs. Taken together, these results indicate that the Dlx gene family, despite having been involved in vertebrate tooth development for over 400 million years, has undergone extensive diversification of expression of individual genes both within and between dentitions. The latter type of difference may reflect the highly specialized dentition of the mouse relative to that of the zebrafish, and/or genome duplication in the zebrafish lineage facilitating a redistribution of Dlx gene function during odontogenesis.

Animals↗
PubMed1993

Marginal bone loss in the primary dentition of patients with juvenile periodontitis.

118 patients with juvenile periodontitis (JP), diagnosed when the patients were 13-19 years old, were studied retrospectively with respect to radiographic marginal bone loss in the primary dentition, experienced when the patients were 5-12 years old. 168 other 13-19 year old patients without any signs of bone loss in the permanent teeth were used as a reference group. The JP patients were classified into 2 groups according to the number of sites with bone loss in the permanent dentition: JP group I having 1 site with bone loss (n = 45) and JP group II having > or = 2 sites with bone loss (n = 73). It was found that 35 patients (52%) of JP group II displayed 1 or more sites with bone loss in the primary dentition during the age of 5-12 years. The corresponding numbers for JP group I and the reference group were 9 (20%) and 8 (5%) respectively. These findings indicate that juvenile periodontitis, at least in some individuals, may have its onset already in the primary dentition.

Adolescent↗
PubMed1990

Development of the dentition in cleidocranial dysplasia.

The purpose of the present investigation was to describe the formation, maturation and eruption of the dentition, including supernumerary teeth in a sample of patients with cleidocranial dysplasia. The dentition was evaluated from orthopantomograms, intraoral radiographs, cephalometric films, surgically removed teeth and intraoral photographs in 19 patients (9 men, 10 women), aged 3.5 to 34 years. Formation of primary teeth was normal, whereas all patients but one had supernumerary permanent teeth. Frequency of supernumerary teeth ranged from 22% in the maxillary incisor region to 5% in the molar regions. Supernumerary teeth were formed lingually and occlusally to the normal teeth. Maturation of the primary dentition was normal, while permanent teeth were delayed from 1 to 4 yr. Supernumerary teeth were delayed about 4 years in relation to normal permanent teeth. Eruption of primary teeth was normal, whereas all patients had severe eruption problems of permanent teeth. It was hypothesized that the dental lamina for both primary and permanent dentition is normal, but does not resolve completely and therefore may form supernumerary teeth. Abnormalities of tooth morphology is related to inadequate space and arrested eruption. Delayed or arrested eruption is probably caused by diminished resorption of bone and of primary teeth and to the presence of multiple supernumerary teeth.

Adolescent↗
PubMed2001

Influence of dentition status on physical disability, mental impairment, and mortality in institutionalized elderly people.

The loss of teeth is known to influence the mastication of foods and nutritional status. Therefore, we hypothesize that poor dentition status can impair the systemic health of the aged. To clarify the influence of dentition status on deterioration in physical ability, mental impairment, and mortality, we conducted a six-year prospective cohort study of the institutionalized elderly living in 29 of the 30 institutions for the elderly in Kitakyushu, Japan. Bivariate analysis revealed that worse dentition status at baseline led to significantly worse physical and mental impairment, and higher mortality. In a multiple logistic regression analysis, the physical ability of edentulous subjects without dentures significantly deteriorated compared with that of dentate subjects with 20 or more teeth. The six-year mortality rate of the edentulous subjects without dentures was significantly higher than that of the subjects with 20 or more teeth. Poorer dentition status, especially edentulousness without dentures, may therefore be related to deterioration in the systemic health of the aged.

Aged↗
PubMed1999

Management of space problems in the primary and mixed dentitions.

BACKGROUND: According to the Third National Health and Nutrition Examination Survey, crowding and irregularity remain a consistent problem for children. Management of space problems continues to play an important role in a dental practice. It also represents an area of major interaction between the primary provider and the specialists. This article attempts to update clinicians on the current knowledge of space management. DESCRIPTION OF CONDITION: Proper management of space in the primary and mixed dentitions can prevent unnecessary loss in arch length. Diagnosing and treating space problems requires an understanding of the etiology of crowding and the development of the dentition to render treatment for the mild, moderate and severe crowding cases. Most crowding problems with less than 4.5 millimeters can be resolved through preservation of the leeway space, regaining space or limited expansion in the late mixed dentition. In cases with 5 to 9 mm of crowding, some can be approached with expansion after thorough diagnosis and treatment planning. Most of these cases will require extraction of permanent teeth to preserve facial esthetics and the integrity of the supporting soft tissue. Serial extraction or guidance of eruption is reserved for treatment of severe tooth-size/arch-size discrepancies. Due to variations in the timing and extraction sequence depending on the diagnosis, serial extraction should be reserved for those who can complete the treatment successfully. CLINICAL IMPLICATIONS: The recommended timing of referring patients with moderate crowding to specialists for treatment is in the late mixed-dentition stage of development. Patients with severe crowding will require earlier evaluation for serial extraction.

Adolescent↗
PubMedDate not supplied

[Malocclusion prevalence in the deciduous and permanent dentition of schoolchildren in the city of São Paulo, Brazil, 1996].

The purpose of this study was to estimate the prevalence of malocclusion in deciduous and permanent dentition of schoolchildren enrolled in public and private schools in the city of Sao Paulo, Brazil, in 1996. Occlusal conditions were classified as normal, mild, and moderate/severe according to World Health Organization criteria. The results refer to 985 schoolchildren ages five and 12 years. Prevalence of malocclusion was high, increasing from 48.97 +/- 4.53% in the deciduous dentition to 71.31 +/- 3.95% in the permanent dentition. The proportion of moderate/severe malocclusion was nearly twice as great in the second dentition (OR = 1.87; 95% CI = 1.43-2.45; p < 0.001). No significant difference was observed according to gender or public vs. private school. Statistically significant differences were associated with ethnicity, indicating the complexity and diversity of occlusion in the population and suggesting the need for longitudinal studies.

Brazil↗
PubMedDate not supplied

Integration of 3-D shapes of dentition and facial morphology using a high-speed laser scanner.

PURPOSE: The purpose of this study was to develop a method to integrate three-dimensional data of dentition and facial morphology measured by a high-speed laser scanner, and visualize them by computer graphics. The accuracy of integration was also examined. MATERIALS AND METHODS: The 3-D shapes of upper and lower dental casts and the face of a subject were measured by a high-speed laser scanner with zoom lens facility. As an interface to integrate the coordinates between dentition and face, an extraoral marker plate attached to the occlusal record plate was devised. It was applied between the upper and lower dental casts, and with the subject, and measured. Integration was attempted by coinciding the data of the interface. The accuracy of integration was examined using the conditions of the marker plate such as surface shape and attachment angle. RESULTS: Integration of the data of dentition and face was accomplished. The 3-D relationship between them could be visualized in any direction or section by computer graphics. For optimal accuracy of integration, the marker plate with a mixed shape of flat and sinusoidal wave attached at 45 degrees to the occlusal record plate showed the most appropriate results. CONCLUSION: An original method to integrate the 3-D data of dentition and face measured by 3-D laser scanner was developed and shown to have acceptable accuracy.

Adult↗
PubMed2004

[The biomechanical research on the different stress distributions between complete and defective dentition].

PURPOSE: To evaluate the stress distribution of crowns under mastication from the biomechanical respect, and observe the physical effects on different teeth through the interproximal contacts. METHODS: A healthy adult skull with both maxilla and mandible was selected, which had normal overbite and overjet, standard occlusal relationship, and tightly contacting with interproximal teeth. After preparation, a 1mm x 1mm strain foil was bonded on every crown. In centric occlusion, 20 kg vertical load was applied on it. The stress value of crown(GPa) was detected by the YJD-17strain gauge. There were three groups: group 1 with complete dentition, group 2 with the first molar missing, and group 3 with missing of right mandibular first molar, lateral incisor and central incisor. RESULTS: The stress value in complete dentition was 3.4641 in second molar, 0.5132 in second premolar, 1.0264 in canine, and 0 in others. In group 2, the stress value was 5.003 in second molar, 1.4113 in second premolar, the values of other teeth equal to that of group 1. In group 3, the stress value was 5.2603 in second molar,1.6679 in second premolar,3.2075 in canine, 0 in first premolar, respectively. CONCLUSION: In complete dentition, the occlusal strength is distributed through the contact area between interproximal teeth, therefore, the stress value of crown is low. However, in the area near the defective dentition, it will be obviously high.

Biomechanical Phenomena↗
PubMedDate not supplied

Temporomandibular disorders in Turkish children with mixed and primary dentition: prevalence of signs and symptoms.

The prevalence of signs and symptoms related to TM (temporomandibular) disorders was examined in 40 children with primary dentition and in 40 children with mixed dentition. The purpose of this study was to evaluate the relationship between dentition and TM disorders in the examined population. Maximum mouth opening was also evaluated. Clinical examination was done by one investigator. A questionnaire was used in combination with the clinical examination. The results showed that there was an increase in signs and symptoms from the primary to the mixed dentition group, but only the joint sounds were found significantly different between the two groups. There was no statistically significant difference in maximum mouth opening capacity between the groups.

Adolescent↗
PubMedDate not supplied

Effects of nonnutritive sucking habits on occlusal characteristics in the mixed dentition.

PURPOSE: Little is known about the extent to which nonnutritive sucking habits contribute to malocclusion in the mixed dentition. The purpose of this study was to report on the relationship between certain occlusal traits in the mixed dentition and longitudinal sucking behaviors. METHODS: Dental examinations were conducted on 630 children in the mixed dentition who participated in a large, ongoing longitudinal study. Five hundred eighty consented to impressions, and 524 adequate study models were obtained. Of these, 444 also had adequate longitudinal nonnutritive sucking data obtained via mailed questionnaires to parents at 3- to 6-month intervals from birth to 8 years. Sucking behaviors were grouped by predominant type and duration. Study models were hand articulated using wax bites to evaluate the occlusion for the presence of open bite, crossbite, molar relationship, and excessive overjet. Bivariate statistical analyses related presence of these malocclusions to sucking duration and type. RESULTS: Fifty-five percent of the children had malocclusions (anterior open bite, posterior crossbite, bilateral Class II molar relationship, or overjet >4 mm). Class II molar relationship was most common (30%). Overall, anterior open bite and posterior crossbite was associated with habits of 36 months or more. Sustained pacifier habits, including those of 24 to 47 months, were associated with anterior open bite and Class II molar relationships, while digit habits were associated with anterior open bite when sustained for 60 months or longer. CONCLUSIONS: Malocclusions are quite prevalent in the mixed dentition, and anterior open bite and posterior crossbite may be preventable by modifying nonnutritive sucking behaviors.

Chi-Square Distribution↗
PubMed2006

[Correlation analysis on the malocclusion and articulation of skeletal angle III malocclusion in mixed dentition].

OBJECTIVE: To investigate the effects of skeletal Class III malocclusion in mixed dentition on speech articulation and to look for which factors lead to the speech errors. METHODS: Thirty-eight children with skeletal Angle Ill malocclusion in mixed dentition were selected as a sample group and 40 children with normal occlusion in mixed dentition as a control group. Two phoneticians evaluated their articulations and wrote down error phonemes respectively. The correlation analysis was undertaken between the number of errors and the measurements of patients' cephalometry. RESULTS: The number of errors were correlated significantly with overbite, UI-LI, OBJ (OB+OJ) and TD-PW. CONCLUSION: There is articulatory malfunction in the majority of skeletal Angle III malocclusion patients in mixed dentition. Articulatory malfunction is related to the position of incisors and the tongue.

Cephalometry↗
PubMed2006

Therapeutic approach to intrusive luxation injuries in primary dentition. A clinical follow-up study.

AIM: This paper reports the results of a fifteen-year study carried out at the Dentoalveolar trauma study Centre of the University of Cagliari Dental Department, on treatment modes utilised for the recovery of periodontal injuries in primary dentition. MATERIALS AND METHODS: The data referred to dental injuries were collected and recorded according to Andreasen's dental trauma classification: clinical signs and symptoms, patient's age and gender, lesion site and extent of the injury, timeframe between trauma and first dental examination. The authors focused their attention on intrusive luxations in primary dentition, which are a very frequent trauma in children between 1 and 4 years of age. It is extremely difficult to treat such injuries and there is an ongoing discussion about the advisability of extracting the intruded teeth, as opposed to wait and assist their natural repositioning using non-invasive techniques aimed at the maintenance of the eruptive space in the dental arch. RESULTS: This careful conservative approach allowed the repositioning of about 60% of the 85 intruded teeth examined. It substantially reduced the number and severity of undesirable sequelae, both local (enamel-hypoplasia) and occlusal (tooth retention), so that only in about 25% of the followed-up cases damages of the successor tooth were found in the permanent dentition. CONCLUSION: The authors conclude their study emphasizing that all those involved in paediatric dentistry must be familiar with periodontal injuries and trained in their treatment, particularly as regards intrusive luxations in primary dentition.

Child, Preschool↗