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PubMed1991

[An analysis of craniofacial changes from deciduous to the first stage of mixed dentition].

Analysis has been done, with intention to observe dynamic of craniofacial changes, from deciduous to the end of the first phase of the mixed dentition. In the longitudinal sample, consisted of 67 children both sexes, observed from 3.5 to 8.5 year of age, the determined measurements of craniofacial variables, and indexes of the skull and face, were examined. The figures were elaborated statistically. Results show the slow reduction of the brachiocephals, while the frequency of mesiocephalics increases, especially at girls, what measurement of indexes confirm. From the deciduous period to the beginning of the mixed dentition, slow growth of the number of euriprosops and reduction of mesioprosops was found, while during the deciduous dentition the situation was opposite. Analysis of each craniofacial dimension shows that the length and the width of cranium are reduced until the beginning of the mixed dentition and increased after that. The other variables show continued increase of dimensions, especially at last period. Correlations are significant and very significant, between the width of the skull and the upper width of the face (and less significant at lower width of the face, which is in a high degree correlated with the height, than between the length of cranium and the height of the face. It is confirmed by factor analysis. At the multivariate analysis, two or three varimax factors can be isolated, dependent on phases: factor of wideness, factor of length height, and factor of age.

Cephalometry↗
PubMed1990

[Psychological study of questionnaire relating to dentition and orthodontic treatment].

Concern of patients for dentition and receptivity of orthodontic treatment was studied by a general population questionnaire. Subjects (general population) consisted of elder elementary school boys and girls (157), junior high school (274) and high school students (90) and adults (45) in Tokushima, Kagawa and Kouchi prefectures. Twenty-three questions, previously selected from forty-seven using the Quantification III for orthodontic patients. Furthermore, ten questions were selected from these twenty-three using the same method and categorized into two groups. Each category was given a meaning. Five answers in each category were given marks: a positive answer was 'point one' and a negative one was 'point zero'. Mean points in each category were compared with eight groups according to age and sex. AIC (Akaike Information Criterion) was used for statistical analysis. The following results were obtained. 1. Two categories were independently identified. One had meaning in relation to concern for dentition and other had meaning in relation to receptivity of orthodontic treatment. 2. Orthodontic patients showed significantly higher points than general population for concern and receptivity. 3. Females in each group showed higher points for concern of dentition in general population, but males showed higher points for receptivity of orthodontic treatment. 4. Junior high school and high school students showed significantly lower points in two categories, in addition, males in this group showed lower points in these categories. 5. There were no significant differences between subjects in three prefectures. It is possible for general population to evaluate instructions or education methods for promoting interest in dentition by this study. Orthodontic patients will also be encouraged by the present study to receive orthodontic treatment.

Adolescent↗
PubMedDate not supplied

[Simplified caries index for ages 4 to 6 and 7 to 10 (deciduous and mixed dentition)].

The purpose of this research is to obtain a simplified caries index. Four hundred and twenty children, both sexes, 4 to 10 years of age were divided in two groups: 4-6 years and 7-10 years. For caries prevalence, on the deciduous dentition, we used a modified GR JEBBEL index and for permanente teeth, the criteria established by KLEIN et alii, 1938. Considering the cumulative effects of caries, in the mixed dentition, we considered the sum of dmfs and DMFS. A simplification of the total index was performed, for the ages 4 to 6 years considering the teeth 54, 61, 75, 82 and for mixed dentition we added the tooth 26 and 26. The results showed in both dentition, that simplified caries index showed significant correlation with the total index.

Brazil↗
PubMed1996

Orthodontic treatment in the mixed dentition.

In the mixed dentition, the goal of orthodontic treatment is to maintain or improve arch integrity for the eruption of the permanent teeth, and to prevent the development of a more complicated malocclusion. The importance of correct diagnosis prior to the treatment of mixed-dentition patients cannot be over emphasized. An understanding of the mixed dentition's normal development allows clinicians to determine if the occlusion is developing outside of the normal range. Appropriate treatment can only be planned after this determination has been made. Once it is concluded that orthodontic treatment is required, decisions must be made regarding the timing of treatment, the specific type of treatment needed, and the provider of treatment. By employing a systematic approach to examination and treatment planning, the general dental practitioner can provide an important service to patients with a mixed dentition.

Child↗
PubMed1995

Case report of lateral crossbite. Part I. Mixed dentition.

Lateral crossbite on mixed dentition does not always cause facial asymmetry or functionally abnormal movement of the mandible in children. However, it is often observed that facial asymmetry will worsen during growth in the absence of orthodontic treatment. In adult cases, lateral crossbite is one of the etiological factors of temporomandibular joint disorder. This case report presents two cases of lateral crossbite of mixed dentition. The terms of treatment were shorter than those in cases with permanent dentition. Also, methods of treatment were simpler, and the patients developed favorably. The opposite results were obtained in cases of permanent dentition.

Age Factors↗
PubMed1996

The state of dentition in relation to nutrition in elderly Europeans in the SENECA Study of 1993.

OBJECTIVE: To analyse the state of dentition and related aspects and to study their influence on the dietary intake of nutrients. DESIGN AND SUBJECTS: In the second cross-sectional measurement of SENECA's follow-up study, 12 research towns in 10 European countries and one town in Connecticut (USA) participated, involving 1424 elderly men and women born between 1913 and 1918. Dentition-related data were obtained from a general questionnaire; nutritional data were collected using a standardized modified dietary history. RESULTS: A large variation in the dental state existed among the towns. Women were more often edentulous and had fewer teeth. Self-reported chewing difficulties varied enormously. Most complaints were found in: women, edentulous subjects without dentures and in the towns in Spain, Portugal and Poland. More dentate women reported having visited their dentist. In the edentulous groups, differences between towns were small; for the dentate groups the percentage of dental visits varied from 0 in Coimbra (Portugal) to 96 in Mansfield (Connecticut/USA). For the edentulous subjects without any prosthetic supply, intakes of carbohydrate and vitamin B6 were significantly reduced. Also intakes of vitamin B1, vitamin C, dietary fibre, calcium and iron tended to be lower in this group. Town-dentition interactions existed for most nutrients. CONCLUSIONS: Substantial differences existed between towns in the influence of dentition on dietary intake.

Aged↗
PubMed2004

Taste bud form and distribution on lips and in the oropharyngeal cavity of cardinal fish species (Apogonidae, Teleostei), with remarks on their dentition.

The oral dentition and type and number of taste buds (TB) on the lips and in the oropharyngeal cavity were compared by means of SEM in 11 species of cardinal fishes (Apogonidae) belonging to five genera. The occurrence of a dense cover of skin papillae on the lips of some species (e.g., Apogon frenatus), as well as differences in structure of vomer, tongue, and palatinum, expose additional morphological characters important for clarification of the taxonomy of this group of fishes. Differences are also revealed in the type of dentition, such as on the vomer and epi-hypopharyngeal bones. Strong and dense dentition of the anterior part of the oral cavity and a high number of TB on this site in species feeding on larger prey (e.g., Cheilodipterus spp) is compared to the relatively feeble jaw armor and richness of TB on the more pharyngeal site in species feeding on smaller prey (e.g., Apogon angustatus, A. frenatus). In addition to the three types of TB (Types I-III) previously described from various teleost fish, a fourth type (Type IV), comprising very small buds, was found in some cardinal fish (Apogon angustatus, A. frenatus). The various TB are distributed from the lips to the pharyngeal bones, on the breathing valves, tongue, palatinum, and pharyngeal bones; their number and type on the various sites differ in the different species. In all species studied the Types I and II TB, elevated above the surrounding epithelium, dominated the lips and anterior part of mouth, while Types III and IV, which end apically at the level with the epithelium, dominated the more posterior pharyngeal region. The highest number of TB, around 24,600, were found in Fowleria variegata, a typical nocturnal species, and the lowest in the diurnal and crepuscular Apogon cyanosoma (1,660) and Cheilodipterus quinquestriatus (2,400). Differences are also revealed in the type of dentition, such as on the vomer and epi-hypopharyngeal bones. The number of TB increased with growth of the fishes. The differences in the total number of TB and their distribution in the oropharyngeal cavity in the various species indicates possible different mechanisms of foraging and food-recognition.

Animals↗
PubMed2002

Different morphotypes of functional dentition in the lower molar region of tabby (EDA) mice.

OBJECTIVES: To sort and classify the highly variable lower molar dentition in tabby (Ta) mice postnatally. The Ta syndome is homologous to the anhidrotic (hypohidrotic) ectodermal dysplasia (EDA) in human and includes severe developmental defects of teeth, hair and sweat glands. DESIGN: Analysis of tooth shape and cusp pattern and measurement of the mesio-distal crown length. SETTING AND SAMPLE POPULATION: Institute of Experimental Medicine, Academy of Sciences, Prague. Fixed heads of 107 tabby (Ta) homozygous and hemizygous mice and 90 wild type mice aged from post-natal day 11 to adulthood, collected during 1995-2001. OUTCOME MEASURE: Identification of distinct morphotypes of Ta dentition. Reduced tooth length in Ta teeth and specific differences in tooth length between distinct morphotypes. RESULTS: The variable dentitions in the lower molar region of Ta mice were classified in two basic morphotypes I and II. The morphotype I was further subdivided into particular morphotypes Ia, Ib and Ic. Proportion of the basic morphotypes I and II was different in the offspring of heterozygous (84% and 12%) compared with homozygous + hemizygous (45% and 52%) mothers. The proportions of particular morphotypes within a basic morphotype were similar in both offspring groups. CONCLUSION: The identification of the distinct morphotypes made possible to classify the structural variability of the mandibular functional dentition in Ta mice.

Animals↗
PubMed2002

Different morphotypes of the tabby (EDA) dentition in the mouse mandible result from a defect in the mesio-distal segmentation of dental epithelium.

OBJECTIVES: Prenatal identification of the different dentition morphotypes, which exist in the lower molar region of tabby (Ta) adult mice, and investigation of their origin. The mouse Ta syndrome and its counterpart anhidrotic (hypohidrotic) ectodermal dysplasia (EDA) in human are characterized by absence or hypoplasia of sweat glands, hair and teeth. DESIGN: Analysis of tooth morphogenesis using serial histological sections and 3D computer aided reconstructions of the dental epithelium in the cheek region of the mandible. SETTING AND SAMPLE POPULATION: Institute of Experimental Medicine, Academy of Sciences, Prague. Heads of 75 Ta homozygous and hemizygous mice and 40 wild type (WT) control mice aged from embryonic day (ED) 14.0-20.5 (newborns), harvested during 1995-2001. OUTCOME MEASURE: Prenatal identification of five distinct morphotypes of Ta dentition on the basis of differences in tooth number, size, shape, position and developmental stage and of the morphology of the enamel knot in the most mesial tooth primordium. RESULTS: The mesio-distal length of the dental epithelium was similar in the lower cheek region in Ta and WT mice. In Ta embryos, there was altered the mesio-distal segmentation of the dental epithelium giving rise to the individual tooth primordia. Prenatally, two basic morphotypes I and II and their particular subtypes (Ia, Ib, Ic, and IIa, IIb, respectively) of the developing dentition were identified from day 15.5. The incidence of the distinct morphotypes in the present sample did not differ from postnatal data. The proportion of the morphotype I and II was dependent on mother genotype. CONCLUSION: The different dentition morphotypes in Ta mice originate from a defect in the mesio-distal segmentation of the dental epithelium in mouse embryos. This defect presumably leads to variable positions of tooth boundaries that do not correspond to those of the WT molars. One tooth primordium of Ta mice might be derived from adjacent parts of two molar primordia in WT mice.

Animals↗
PubMed1998

Factors affecting the lifespan of the human dentition in Britain prior to the seventeenth century.

OBJECTIVE: To confirm that compensatory eruption (supereruption) of teeth past a stable periodontium occurs in response to severe occlusal attrition. DESIGN: Regression analysis study from radiographs and direct measurements. SETTING: Archaeological material at the University of Aberdeen. SUBJECTS: 47 individuals > 21 years old and dating from Late Mediaeval times (1300-1600 AD). MAIN OUTCOME MEASURES: Occlusal attrition was recorded on the first permanent mandibular molars. Measurements on radiographs of the teeth from the fixed point of the inferior dental canal were taken to the occlusal surface, the alveolar crest and the tooth apex. Regression analysis was undertaken between these variables and related to attrition (age). RESULTS: Continuous eruption of the permanent human dentition past a stable periodontium does occur in response to tooth height lost by wear, despite the fact that supereruption may lead to the eventual self destruction of the dentition. This mechanism was primarily responsible for the early loss (at 40-45 years of age) of dentitions in Mediaeval times. CONCLUSIONS: Stability of occlusal height appears to be an important function of the dentition and if triggered by severe wear will lead to increasing root exposure and eventual exfoliation of the teeth. It is important not to confuse bone loss due to periodontitis with root exposure due to supereruption of the teeth.

Adult↗
PubMed2002

Tooth abrasion in unilateral posterior crossbite in the deciduous dentition.

The aim of this study was to evaluate the degree of abrasion in posterior teeth of subjects with unilateral posterior crossbite in the deciduous dentition. A group of 54 untreated subjects in deciduous dentition (test group, TG) was selected from a parent sample of 1500 patients from the files of the Department of Orthodontics of the University of Florence. A sample of 20 subjects with normal occlusion in the deciduous dentition was selected as the control group (CG). As experimental units in TG, 54 crossbite sides (CB, consisting of 33 right and 21 left crossbite sides) and 54 noncrossbite sides (NCB) were used. In CG, one randomly chosen single side for each subject (NCBC) was used for comparisons. The findings of the present study indicated that subjects with unilateral crossbite in the deciduous dentition showed a significantly smaller degree of dental abrasion in the crossbite side when compared with both the opposite side and control group sides. The lack of abrasion in crossbite sides was primarily due to a significantly lesser degree of abrasion of the upper deciduous canines.

Case-Control Studies↗
PubMed2003

The post-amalgam era: a selection of materials and their longevity in the primary and young permanent dentitions.

OBJECTIVES: During the last decade there has been a rapid change in the selection of dental restorative materials as the use of amalgam has decreased. The aim of this study was to obtain information on children's restorative dental care in Finland and to analyse the longevity of failed restorations. DESIGN: A random sample of public dental health care centres was drawn from the registers and the dentists working there were asked to record information for each restoration they placed during a three-day period. The survey data comprised a total of 2186 restorations in patients younger than 17 years. RESULTS: Of the children in need of restorative treatment, only a few had previous amalgam restorations. Primary caries was the main reason for restorative treatment in both primary and permanent dentitions (80% and 83%, respectively). In primary teeth, the most common restorative material was resin-modified glass ionomer cement (57.4%), whereas in permanent teeth, composite resin dominated (58.7%). Amalgam was not used at all in the primary dentition and in only 0.6% of permanent teeth. Eighteen per cent of treatments in primary and 12% in permanent teeth were replacements of previous fillings. The mean age of failed glass ionomer restorations was 2.8 years (n = 101) in the primary dentition, and 3.5 years (n = 54) in the permanent dentition. CONCLUSIONS: Until better restorative materials are developed, more attention should be paid to the prevention of dental caries as well as to the proper handling of alternative materials.

Adolescent↗
PubMed2003

Occlusion and tooth/arch dimensions in the primary dentition of preschool Jordanian children.

OBJECTIVES: To assess tooth and arch dimensions, occlusal relationships and the presence of spacing or crowding in primary dentition of Jordanian children. STUDY DESIGN: A list of 10 kindergartens was randomly selected in the governate of Irbid, Jordan. A total of 1048 children (2.5-6 years old) with complete primary dentitions were examined for occlusal relationships in three planes, and the presence of spacing or crowding. Of those, study casts were taken for 87 randomly selected 4-5-year-old children (39 girls, 48 boys). Measurements of tooth and arch dimensions were made using electronic digital sliding callipers. RESULTS: In general, males had larger mesiodistal tooth width and larger arch dimensions. Bilateral mesial step molar relationship was found in 47.7% of children followed by bilateral flush terminal molar relationship in 37% and bilateral distal step in 3.7%. Asymmetric right/left molar relationship was found in 11.6% of children examined. Class I canine relationship was found in 57% of children, followed by Class II canines in 29% and Class III canines in 3.7%. Fifty per cent of children examined had Class I incisors, 24.7% had Class II Division 1, 13.5% had Class II Division 2 and 11.8% showed reversed overjet. Ideal overbite was seen in 44.3% of children, reduced overbite in 21.8%, increased overbite in 28.2% and 5.7% had anterior openbite. Buccal crossbite was seen in 7% of the sample. Generalized spacing was found in 61.8% and 61.1% of children in the upper and lower arches, respectively. Anthropoid spaces were found in 70% of the upper arches and in 51% of the lower arches. CONCLUSIONS: Males had larger tooth/arch dimension than that of females in the primary dentition stage. Mesial step molar relationship was found in 47.7% of the subjects followed by flush terminal molar relationship in 37%. The majority of children examined had spaced primary dentition.

Cephalometry↗
PubMed2004

Three-dimensional finite element analysis in distal en masse movement of the maxillary dentition with the multiloop edgewise archwire.

The purpose of this study was to compare the effects of a multiloop edgewise archwire (MEAW) on distal en masse movement with a continuous plain ideal archwire (IA). Three-dimensional finite element models (FEM) of the maxillary dentition in which the second permanent molars had been extracted were constructed to include the periodontal membrane, alveolar bone, standard edgewise bracket (0.018 x 0.025 inch), stainless steel IA (0.016 x 0.022 inch), and MEAW (0.016 x 0.022 inch). The stress distribution and displacement of the maxillary dentition were analysed when Class II intermaxillary elastics (300 g/side) and 5 degree tip-back bends were applied to the IA and MEAW for distal en masse movement of the maxillary dentition. Compared with the IA, the MEAW showed that the discrepancy in the amount of tooth displacement was lower and individual tooth movement was more uniform and balanced. There was minimal vertical displacement or rotation of the teeth using the MEAW when compared with the IA. The MEAW seems to have advantages for distal en masse movement of the maxillary dentition.

Alveolar Process↗
PubMed1985

Periodontal ligament areas and occlusal forces in dentitions restored with cross-arch bilateral end abutment bridges.

The aim of the present investigation was to find out to what extent the magnitudes of chewing and biting forces in dentitions restored with cross-arch bilateral end abutment bridges are correlated to the areas of the periodontal ligament supporting the abutment teeth. 12 subjects whose dentitions had been periodontally treated and prosthetically restored participated in the study. The chewing and biting forces were measured in various parts of as well as over the entire dentition simultaneously using 4 strain gauge transducers bilaterally placed in pontics of the posterior (first molar/second premolar) and anterior regions. Based on calculations of the periodontal ligament areas, a new periodontal support index, PSIL, is introduced. This index expresses the relation between the total remaining periodontal ligament area supporting the bridge abutments and total maximal periodontal ligament area if all teeth were preserved as abutments. It is compared with the index of Ante, PSIA, which expresses the relation between the total remaining periodontal ligament area of all abutments and the total maximal periodontal ligament area of all replaced teeth. Within the present group of subjects, PSIL varied from 10 to 44% and PSIA from 17 to 118%. Based on the results of the correlation analyses, it is suggested that in dentitions restored with cross-arch bilateral end abutment bridges, the magnitude of the chewing forces is positively correlated to the areas of the periodontal ligament supporting the bridge abutments, whereas the periodontal ligament areas have no influence on the comparatively larger biting forces. The relevance of the 2 periodontal support indices and the clinical implications of the results of the study are discussed.

Adult↗
PubMed1989

A retrospective radiographic study of alveolar bone loss in the primary dentition in patients with localized juvenile periodontitis.

Lately, it has been questioned whether localized juvenile periodontitis (LJP) is restricted to the permanent dentition, or if it sometimes might have a prepubertal onset, involving the primary dentition. To clarify this question, 17 patients with LJP, together with 17 non-LJP matched controls, were retrospectively examined for radiographic signs of alveolar bone destruction in their primary dentitions. All LJP subjects but one showed localized marginal bone loss, whereas no bone loss was observed among the controls. The results suggest that at least some cases of LJP start in the primary dentition prior to the involvement of the permanent teeth.

Adolescent↗
PubMed1998

Composition of pellicles formed in vivo on tooth surfaces in different parts of the dentition, and in vitro on hydroxyapatite.

Saliva from the major salivary glands dominates different areas of the mouth. The parotid (PS) and submandibular/sublingual (SMS) saliva differ in their protein composition, and thus, the composition of pellicles formed in various parts of the dentition might vary. In this study, proteins incorporated in 60-min pellicles from the premolar and front regions of the mouths of 4 subjects were examined using sodium dodecyl sulphate-polyacrylamide gel electrophoresis and immunoblotting using antibodies to amylase, albumin, IgA, parotid saliva agglutinin, low molecular weight SMS mucin (MG2) and proline-rich proteins. Pellicles formed in vitro on hydroxyapatite using PS, SMS and whole saliva from the subjects were examined in a similar manner. The pellicles formed in vitro and in vivo showed a major difference in the appearance of albumin. Bands of albumin were clearly stained in the samples of in vivo pellicles but were not observed or hardly visible in Western blots from the experimental, in vitro pellicles. The sites in the dentition from which a specific protein was recovered could differ between the 4 individuals. The overall protein pattern of the pellicles showed, however, characteristics typical of the saliva which may prevail in the part of the mouth where the pellicles were formed. Thus, parotid saliva agglutinin, a receptor for Streptococcus mutans, was primarily found in the premolar part of the dentition. The mucin MG2, which may mediate the adherence of Streptococcus sanguis and Streptococcus oralis, was in no case clearly seen in pellicles from the premolar region of the upper jaw. The observed variations might be important to the establishment of microflora and tooth-related disease patterns in various parts of the dentition.

Agglutinins↗
PubMed1996

Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-1991.

The Third National Health and Nutrition Examination Survey-Phase 1, conducted from 1988 to 1991 in the United States, included an assessment of dental caries in US children and adolescents and provided the opportunity for differences in dental caries status to be viewed by a ge, sex, race, and race-ethnicity. The measurement of dental caries in children and adolescents from 2-17 years of age included the number of decayed, missing, and filled permanent tooth surfaces and teeth, and the number of decayed, and filled primary tooth surfaces and teeth. Additionally, a brief visual inspection for the presence or absence of early childhood caries in the maxillary incisors was conducted for children 12-23 months of age. The survey yielded weighted estimates for 1988-1991 for over 58 million US children and adolescents 1 to 17 years of age. For infants aged 12-23 months, 0.8% were scored positive for early childhood caries. Over 60% (62.1%) of the children aged 2-9 years were caries-free in their primary dentition. Over half (54.7%) of the children 5-17 years were caries-free in their permanent dentition. The occurrence of caries in the permanent dentition is clustered: A quarter of the children and adolescents ages 5 to 17 with at least one permanent tooth accounted for about 80% of the caries experienced in permanent teeth. Differences in caries experience were found among race and race-ethnicity subpopulations, and caries patterns for the primary and permanent dentition were dissimilar. Further analyses are needed to explore other potential determinants of caries in children.

Adolescent↗