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Dentigerous cysts in primary dentition: report of 2 cases.

Dentigerous cysts are benign odontogenic cysts associated with the crowns of permanent teeth. They are usually single in occurrence and located in the mandible. The purpose of this case report was to describe the management of 2 dentigerous cysts in children. The treatments instituted were the extraction of the deciduous tooth involved followed by marsupialization in the first case and enucleation in the second one. Both treatments allowed rapid healing of the lesion and eruption of the permanent teeth without the need for orthodontic treatment.

Child↗

Changes in amino acid composition and protein distribution during development of human deciduous enamel.

The present study is concerned with the detailed changes in protein composition and protein distribution occurring during enamel development in the human deciduous tooth from early formation till maturation. It demonstrates that enamel development in the human tooth occurs in at least three distinct stages, forming, maturing and mature, which are generally similar to those previously identified and characterized in animal teeth. The changes in amino-acid composition and protein distribution reflect the existence of two classes of proteins, termed amelogenins and enamelins. The results show that the proportions of these two classes of enamel proteins and their constituents vary with the maturity of enamel.

Aging↗

Dentigerous cyst with inflammatory etiology from a deciduous predecessor--report of a case.

Dentigerous cysts arising from overlying infected predecessor teeth are very rare. This report describes one such case where extraction of the infected deciduous tooth with marsupialization led to the eruption of the premolar. Periodic radiographic evaluation is required to note and prevent recurrence and other serious complications arising from these cysts.

Bicuspid↗

Evolution of dentition in prehistoric Ohio Valley Native Americans III. Metrics of deciduous dentition.

Deciduous tooth size in Native Americans of the Ohio Valley area is fairly stable from the terminal Late Archaic (3200 BP) through the Late Prehistoric (350 BP) periods. Some fluctuation in average size did occur during this time. These fluctuations most likely reflect random changes due to gene drift. However, no difference in the pattern of interactions among the sizes of teeth (covariance structures) can be demonstrated during this period. Principal components analysis of the buccolingual and mesiodistal dimensions in the total sample indicate that the major axis of deciduous tooth size in the Ohio Valley population shows an allometric relationship, with the dimensions of the anterior teeth increasing (or decreasing) as the 1.33 power of the dimension of m1(1) and as the 2.0 power of the dimension of m2(2). Comparison of the Ohio Valley samples with other samples from the Eastern Woodlands suggests that geography may have played a minor role in structuring deciduous tooth size variation. For the most part, however, widely separated Eastern Woodlands populations appear to have been evolving independently with respect to deciduous tooth size.

Anthropology, Physical↗

[Contribution to the treatment of children in the first aid medical service of the stomatological department].

At the first aid medical service of the stomatological department of a type II hospital with policlinic in the course of the calendar year a total of 1,761 children from 2-15 years were treated. During this period the staff treater 1,718 teeth and 43 times they treater soft tissues of the oral cavity. Most frequently periodontitis of the decidual teeth was treated, resorption of the root of a decidual tooth, pulpitis and caries. As to therapy, extractions were most frequent, followed by trepanation of the pulp cavity and treatment of the tooth by a provisional filling. The author draws attention to unsuitable therapeutic procedures such as trepanation of the pulp cavity in case of periodonititis of a decidual tooth and application of cobalt in pulpitis of a decidual tooth after the age of seven years. She emphasizes also the necessity to use local anaesthesia in extraction of decidual teeth.

Adolescent↗

Mucogingival interceptive surgery of buccally-erupted premolars in patients scheduled for orthodontic treatment. I. A 7-year longitudinal study.

BACKGROUND: Mucogingival interceptive therapy in patients with buccally erupting teeth is performed to prevent the ectopic permanent tooth from developing periodontal lesions. The keratinized tissue entrapped between the erupting tooth and the deciduous tooth is retained to maintain a satisfactory width of the gingiva for the permanent tooth. The aim of the present study on buccally-erupted premolars scheduled for orthodontics was to evaluate the keratinized tissue width 3 months, 2 years, and 7 years subsequent to mucogingival interceptive therapy and orthodontic treatment. METHODS: Twenty-nine patients participated. Three different surgical techniques were used according to specific indications. Eight patients were treated with double pedicle flaps (DPF), 10 patients with apically positioned flaps (APF), and 11 with free gingival grafts (FGG). RESULTS: The amount of keratinized tissue on the treated (test) sites was not significantly less than on the control (untreated) sites showing normally erupting premolars at all observation periods. All 3 surgical procedures appeared to be effective in saving the keratinized tissue for the permanent tooth. Preoperative periodontal parameters such as gingival width, probing depth, and bleeding on probing significantly influenced the outcome 3 months after surgery (P <0.01). CONCLUSIONS: Mucogingival interceptive surgery is an effective approach to conserve the keratinized buccal gingiva of ectopically erupting premolars.

Adolescent↗

[The method of esthetic crown restoration with composite resin jacket crown in primary molars].

The term "esthetics" has recently been also used in the dental field, and a field called esthetic dentistry is increasingly being noted. The number of not only adult but also pediatric patients who visit for treatment aiming at esthetic recovery is being increased. Inpedodontics, composite resin of the coronal color is generally used in the restoration of deciduous incisors. However, the method using metal crowns for the deciduous teeth is used for the deciduous molars at present. We applied a composite resin jacket crown to the deciduous molar in a way similar to that of esthetic crown restoration for the anterior teeth. The surgical procedure before crown preparation varied slightly according to the presence or absence of pulpal treatment of vital teeth and with non-vital teeth, but the application was performed as follows: 1) Desensitization of pulp, pulpal treatment and core construction. 2) Preparation of crown. 3) Selection, trial set and occlusal equilibration of a metal crown for the deciduous tooth. 4) Precision impression with a silicone impression material. 5) Removal of the metal crown for the deciduous tooth from the impression material. 6) Making of an under-cut to the abutment tooth on the buccal lingual side. 7) Filling of the impression with chemical polymerization resin. 8) Application of pressure in the oral cavity. 9) Adjustment of edge and crown forms. Thus, the preparation method for the composite resin jacket crown was relatively simple. Since this surgery, the patient has been followed up for 1 year and 6 months, and no specifically troublesome points have been observed clinically. The patient and her parents are satisfied with the results.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗

Effect of extraction in the late mixed dentition on the eruption of the first premolar in Macaca nemestrina.

The effect of deciduous tooth extraction in the late mixed dentition on the eruption of succedaneous teeth was studied in ten Macaca nemestrina. Nineteen deciduous teeth were extracted: nine maxillary and ten mandibular left deciduous first molars. Regardless of sex, arch, chronologic or dental age, all first premolars on the experimental side erupted before those on the control side and this pattern was statistically significant. Extraction of deciduous molars in the late mixed dentition is seen to accelerate eruption of first premolars in Macaca nemestrina. This could be the result of eliminating the need for deciduous tooth root resorption during the normal process of eruption.

Age Factors↗

Differential rate of dentin formation on human deciduous anterior tooth surfaces deduced from tetracycline labeling.

Distances between the intersecting points of two fluorescent lines with the outer dentin surface were measured on enlarged microphotographs of ground sections of human deciduous anterior teeth. The results suggested that: extension of odontoblast differentiation is greater on the lingual than on the labial side during the 8 months following birth in incisors, and during the first year in canines; it is greater on the distal than on the mesial side during the 3 months following birth in incisors, and during the first year in canines; in the incisors, dentin formation of newly differentiated odontoblasts is more active on the distal than on the mesial side during the 8 months following birth.

Dentin↗

Development and physiological degradation of tooth buds and development of rudiment of baleen plate in southern minke whale, Balaenoptera acutorostrata.

The development and degradation of temporary tooth buds and the development of rudiment of baleen plate were observed by gross-anatomical and histological examinations in twenty-four fetuses of the southern minke whale, Balaenoptera acutorostrata. The primary patterns of development of tooth buds were similar to those of deciduous tooth buds in the terrestrial species. Degradation of tooth buds was observed in the fetuses more than 615 mm body length (BL) and might proceed throughout the dental surface of the tooth buds. That degradation pattern was a little different from that of deciduous tooth buds in terrestrial species, which has a limited degradation area at the root of the tooth buds. In the fetuses with 135 and 153 mm BL, the upper jaw had a larger number of tooth buds than the lower jaw, although the number of buds varied in different individuals. Formation of rudiment of baleen plate was observed with degraded tooth buds in the fetus of 903 mm BL and it may be induced by the degradation of tooth buds.

Animals↗

The sensitivity of the developing tooth germ to systemic disturbances.

Deciduous tooth germs were removed from 76 babies who were either stillborn or had died in infancy. Lines in enamel or dentine were identified histologically. A chronological association was found between these lines and systemic illness in the child or pregnant mother in half the cases studied. Enamel was more sensitive to environmental factors than dentine, but causes of disturbance appeared to be non-specific. Teeth are a sensitive but non-specific index of environmental disturbance.

Dental Enamel↗

Oral findings in DiGeorge syndrome: clinical features and histologic study of primary teeth.

OBJECTIVE: For the purpose of supplementing the shortage of dental information about DiGeorge syndrome, we report two cases of the syndrome seen in Japanese boys. STUDY DESIGN: Two cases were compared with respect to orofacial and dental findings; one was a case of complete DiGeorge syndrome and the other a case of partial DiGeorge syndrome. Extracted deciduous teeth from the two boys underwent histologic study. RESULTS: Each patient showed systemic developmental delay, hypocalcemia, and slight mental retardation. In the orofacial area, hypertelorism, a short philtrum, thick and reflected lips, and hypoplasia of the nasopharynx were also observed. A dental examination showed delayed formation and eruption of permanent teeth, aplasia of the nasopharynx, and enamel hypoplasia along with enamel hypocalcification. Structural streaks with increased calcification were histologically detected in the deciduous tooth from the patient with complete DiGeorge syndrome. CONCLUSIONS: Common characteristic orofacial and dental findings were noted in the two DiGeorge syndrome cases. Furthermore, histologic study of the deciduous tooth from the boy with complete DiGeorge syndrome suggests that there was some relationship between transient relative hypercalcemia and dentinal hypermineralized streaking of the tooth.

Adolescent↗

[Dental caries in 5-year-old children in Yunnan in 1995].

OBJECTIVE: To investigate the deciduous tooth caries experience of 5-year-old children in Yunnan province. METHODS: Random samples of 5 year-old children from three cities and three counties of Yunnan were surveyed. RESULTS: The caries incidence of 5-year-old children in Yunnan is 75.75%. The mean dmft is 4.44. The filling rate is only 6.57%. CONCLUSION: The deciduous tooth caries incidence of 5-year-old children is high in Yunnan. There are two factors to be considered: 1. The dental health care education to the parents and teachers should be enforced. 2. In order to get the earlier diagnosis and treatment, regular examination and prevention method should be conducted.

Child, Preschool↗

Tooth wear patterns in the deciduous dentition.

Tooth wear is common in the deciduous dentition. A recent study suggests that tooth wear in the deciduous dentition is related to subsequent tooth wear in adults, so that early identification of factors related to tooth wear could be of long-term benefit. The purposes of this study were to describe patterns of tooth wear in the deciduous dentition and to relate tooth wear to occlusal characteristics and longitudinal dietary patterns. Data were collected as part of a longitudinal study of a cohort of children recruited at birth from Iowa hospitals. Stone casts were obtained in the deciduous dentition stage, and 355 children, 4 to 5 years old, met the selection criteria. Tooth wear was categorized for each tooth as none, mild, moderate, or severe, and related to occlusal characteristics and longitudinal data on fruit juice and soft drink consumption. All children exhibited some tooth wear on at least 1 tooth, and nearly 16% of them had at least 1 tooth with severe wear. Tooth wear was generally more severe in the maxillary arch and the anterior teeth. Severe tooth wear on the molars was significantly related to posterior crossbites, but severe tooth wear on the incisors was related to Class III canine relationships. There were no statistically significant relationships between tooth wear and soft drink or fruit juice consumption. Based on our results, we concluded that mild tooth wear is universal in the deciduous dentition, but only a few occlusal factors are related to severe tooth wear. Tooth wear was not related to any dietary patterns we investigated.

Analysis of Variance↗

[Effect of heavy metal ions on the cells derived from human periodontal ligament. Effects of Pb and Cd].

It has been thought that the incorporation of Pb and Cd into human body, especially calcified tissues including the tooth, has altered the physiological processes of development. But, the biochemical events that initiate this process remain quite unknown. The present study attempt to explore the effect of Pb and Cd on human periodontal ligament fibroblast-like cells of the permanent tooth (HPLF) and the deciduous tooth (HPLF-Y) with respect to the cell growth, ALPase activity and incorporation of 14C-amino acids. HPLF and HPLF-Y migrated from a explant and subcultured according to the previously described method of Saito were inoculated 1.25 x 10(4) cells/cm2 in D-MEM supplemented with 2 mg/ml FCSP, 50 micrograms/ml ascorbic acid and antibiotics. After 24 hrs, HPLF and HPLF-Y were treated every two days for 10 days with 0-200 microM Pb or 0-10 microM Cd. Protein contents, DNA contents and ALPase activity were determined by Bio-Rad protein assay, deaminobenzoic acid assay and p-nitrophenylphosphate (pH 10.15) assay respectively. At 6 days HPLF were incubated with 3H-thymidine (TdR 2.0 microCi/well) and then the incorporation of 3H-TdR into cold TCA precipitates was assayed by a liquid scintillation counter. And also, at 6 days HPLF and HPLF-Y were incubated with 14C-amino acids (2.0 microCi/60 mm dish) for 24 hrs. The cell layers labeled with 14C were extracted with 15 mM Tris-HCl buffer containing 7 M urea (pH 7.4) and applied to the gel permeation chromatography of HPLC system to separate the fractions according to molecular weight. The HPLF and HPLF-Y incubated with Pb and Cd were morphologically identical. Pb stimulated the protein contents of extracellular matrix of HPLF, but not HPLF-Y. Cd inhibited the protein contents of cell layers of HPLF and HPLF-Y. With increasing concentrations of Pb and Cd, the incorporation of 3H-TdR into HPLF was inhibited. On the other hand, Cd stimulated the ALPase activity per DNA content since the ALPase activity of HPLF and HPLF-Y was decreased by the addition of Pb. The distribution of 14C-labeled protein according to molecular weight did not alter the chromatographic pattern of HPLF incubated with Pb and Cd. But, that of HPLF-Y incubated with Pb was relatively shifted to low molecular size. Therefore, these responser concluded that HPLF were not completely identical with HPLF-Y. Pb and Cd not only had a toxic effect on cell growth, but also they may regulate the metabolic alteration.

Alkaline Phosphatase↗

[Abscesses caused by deciduous teeth].

Abscesses in children, caused by deciduous teeth, ar not so frequently as seen in the permanent dentition. In most cases caries or an odontogenic infection of the associated deciduous tooth have already been treated by the dentist or oral surgeon at an earlier stage, i.e. before the infection exacerbates to an abscess. At the department of Oral and Maxillofacial Surgery of the Academic Hospital Nijmegen, between April 1997 and April 1998 20 children have been treated on a total of 1,693 patients with an odontogenic infection. Of this group, nine young children had an abscess caused by a deciduous tooth. In most cases the mandibular deciduous molars were involved. In one case an osteomyelitis of the mandible was diagnosed. All abscesses and infections could be treated adequately. The use of antibiotics is of paramount importance in the treatment of these abscesses in children.

Anti-Bacterial Agents↗