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[The dentition and jaw growth of 60 mono- and dizygotic twins between the ages of 10 and 18].

60 twins were investigated between the age of ten and 18 years to obtain information about inheritance of tooth-crown size and growth of alveolar bone. The results suggest genetically controlled interaction between tooth germs during their formation. The intrapair differences decrease between ten and 18 years for the alveolar bone diameters. This is an advise for stronger genetically influences in higher age and an etiological factor for relapse after orthodontic treatment.

Adolescent↗

Australian aborigines represent the first branch from Eurasian antecedents: odontometric evidence.

Most genetic data suggest that Australian aborigines and Southeast Asians associate, but their relative evolutionary relationship has remained obscure. Historically, the study of tooth crown variables has been important in establishing phylogenetic relationships. Through the quantification of whole tooth structure (GDP), including root, pulp, and enamel, a likely Eurasian phylogeny emerged from a canonical discriminant analysis of the microevolution among the populations. The analysis suggested that in modern human evolutionary history, Australian aborigines are the best representative extant population (first branch) from an unknown antecedent Eurasian founder population. The next branch from the Asian-based antecedent population was Caucasoids. Within the resident antecedent East Asian population, Southeast Asians then evolved, followed by a branch that lead to antecedent east Central Asians. Mongolians and all Native Americans independently evolved from this antecedent east Central Asian population. The relatively short morphogenetic separation between two areas that have been isolated for great periods of time, i.e., Australian aborigines and Native Americans, suggests that their association is not due to gene flow.

Asia↗

Finite element method analysis of the tooth movement induced by orthodontic forces.

The finite element method is a useful technique for measuring structural stress and for movement analyses. The objective of this investigation was to get a more accurate estimation of tooth movement depending on application point when a tipping orthodontic force is applied. The three-dimensional model of un upper canine, consisting of 4,000 hexahedron elements with 2,367 nodes was obtained. Horizontal, orally directed 1N tipping orthodontic force was applied to the model on five different levels of the tooth crown. The three-dimensional mathematical finite element model is useful in analyzing the tooth movement in response to orthodontic forces. The tipping tooth movement is greater if the force is applied closer to its neck, or more gingivally.

Cuspid↗

A re-evaluation of localized hypoplasia of the primary canine as a marker of craniofacial osteopenia in European Upper Paleolithic infants.

Localized hypoplasia of the primary canine (LHPC) occurs in prehistoric and contemporary populations with prevalence varying from 0 to 89%. One of the highest prevalences ever reported is Upper Paleolithic infants from Europe where 70% are affected. In that LHPC is found in relatively high proportions of contemporary children with reported or suspected malnutrition, it is important to investigate the etiology of LHPC. Previous research indicates that LHPC occurs in two steps: craniofacial osteopenia results in temporary fenestration of the cortical bone overlying the primary canine crypt; secondly, minor physical trauma to the perioral region impacts on the unprotected forming tooth crown resulting in a small pit visible on the labial surface of the erupted tooth. Investigation of the prenatal diet of mothers whose children are shown later to have LHPC found mothers are significantly low in vitamin A. Hitherto an animal model for this problem has been lacking. Recently Newell and Skinner have recognized that LHPC occurs very commonly in orangutans. Recent study of infant jaws from Pongo pygmaeus (n=75) and Pan paniscus (n=39) shows all stages of fenestration and healing of the labial bone of the primary canine crypt. 85% of orangutan and 62% of bonobos show LHPC. Current research is directed at bioavailability of vitamin A to ape infants. LHPC is a marker of malnutrition; a common factor that could link orangutan and Upper Paleolithic mothers is low dietary fat intake. A minimal level of dietary fat is required for gut absorption of both vitamin A and carotenoids.

Animals↗

A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas.

OBJECTIVE: Odontoma is a comparatively common odontogenic tumor, and it may lead to interference with the eruption of its associated tooth. Odontomas are mostly associated with permanent teeth, and they are rarely associated with deciduous teeth. The purpose of this report is to analyze 107 odontomas and to present a case of complex odontoma associated with a lower deciduous second molar. SUBJECT AND METHODS: The 106 cases were analyzed with regard to the following parameters: age, gender, location, erupted teeth, congenital missing teeth, radiological features, histopathological features and prognosis. RESULTS: Of the 106 cases, 41 were complex odontoma, 62 were compound odontoma, and three were immature odontoma. Compound odontoma had a predilection for the anterior. Complex odontoma occurred more often at the mandible. CONCLUSION: Odontoma located above the tooth crown of lower deciduous molar did not behave clinically different from that associated with permanent tooth. An odontoma could be related with a supernumerary tooth or a missing tooth. If odontomas, which interfered with tooth eruption, were extirpated early, the impacted teeth would probably erupt normally and be normal in shape.

Adolescent↗

Evidence for the role of the enamel knot as a control center in mammalian tooth cusp formation: non-dividing cells express growth stimulating Fgf-4 gene.

The main morphological features of the mammalian tooth crown are cusps, but the developmental mechanisms that cause the formation of cusps are unknown. Tooth cusp formation commences at cap-stage with the appearance of the enamel knot, which is a cluster of non-dividing epithelial cells. In this study, enamel knot was first seen in embryonic mice molar teeth at the onset of cap-stage. Later in tooth development, secondary enamel knot structures were observed at the cusp tips and their appearance corresponded to the formation of individual cusp morphology. Comparisons of the pattern of cell proliferation in embryonic mouse molars and the expression of fibroblast growth factor-4 (Fgf-4) gene revealed that expression of Fgf-4 mRNA is strictly localized to the non-dividing cells of the enamel knot. However, when FGF-4 protein was introduced onto isolated dental tissues in vitro, it stimulated the proliferation of both dental epithelial and mesenchymal cells. Based on these results, we suggest that the enamel knot may control tooth morphogenesis by concurrently stimulating cusp growth (via FGF-4 synthesis) and by directing folding of cusp slopes (by not proliferating itself).

Animals↗

Taxonomic and functional aspects of the patterning of enamel thickness distribution in extant large-bodied hominoids.

One of the few uncontested viewpoints in studies of enamel thickness is that the molars of the African apes, Pan and Gorilla, possess "thin" enamel, while Pongo and modern humans possess varying degrees of "thick" enamel, even when interspecific differences in overall body or tooth size are taken into account. Such studies focus primarily on estimates of the total volume of enamel relative to tooth size (i.e., "relative" enamel thickness), as this is thought to bear directly on questions concerning dietary proclivities and phylogenetic relationships. Only recently have studies shifted focus to examining differences in the distribution of enamel across the tooth crown, i.e., the patterning of enamel thickness, as this may contribute to more refined models of tooth function and dietary adaptations in extant hominoids. Additionally, this feature has been suggested to be a reliable indicator of taxonomic affinity in early hominins, though no study has specifically addressed whether species-specific patterns exist among known phena. The aims of this paper were to test more explicitly whether enamel thickness patterning provides valuable taxonomic, functional, and/or phylogenetic information for maxillary molars of large-bodied extant hominoids. A series of seven linear enamel thickness measurements was recorded in the plane of the mesial cusps in cross sections of a total of 62 maxillary molars of P. troglodytes, G. gorilla, P. pygmaeus, and H. sapiens to estimate the patterning of enamel thickness distribution. Results from a discriminant function analysis reveal that, overall, this trait reclassifies extant hominoid maxillary molars with 90% accuracy: 100% of extant Homo, 75. 0% of Pongo, 83.3% of Pan, and 66.7% of Gorilla are reclassified correctly, indicating that this feature possesses a strong taxonomic signal. Furthermore, differences in the structure of the enamel cap are evident among hominoids: modern humans differ from Pongo in possessing proportionally thicker enamel in areas of the crown associated with shearing activity; Pan molars are better designed than those of Gorilla for generating a greater component of crushing/grinding loads. Thus, African ape molars are structurally dissimilar, even though they are both considered to belong to a morphologically homogeneous "thin-enameled" group. Simple developmental mechanisms can be invoked to explain the sometimes subtle differences in the achievement of adult morphology. For instance, human and orangutan molar cusps possess a similar degree of enamel thickness, but the possibility exists that despite similarities in morphology, each species follows a different sequence of secretory activity of enamel to achieve the final, albeit similar, degree of enamel thickness. Such a finding would suggest that the shared possession of "thick" or "thin" enamel among species may be phylogenetically uninformative, as it would not represent a developmental synapomorphy.

Animals↗

Experiments to determine the material properties of the periodontal ligament.

PHYSIOLOGY OF THE PERIODONTAL LIGAMENT: The periodontal ligament is a soft biological tissue that controls tooth movement under physiological loads by joining tooth and alveolar bone. Its various components differ in their material properties. Their spatial configuration and interaction are responsible for the reaction of the tissue in a loading situation. Due to the combination of fluid and elastic elements the periodontal ligament shows a viscoelastic behavior typical of soft biological tissues. It is characterized by non-linearity and time dependency, and additionally depends on loading history. BEHAVIOR UNDER EXTERNAL LOADS: In orthodontics, external loads are applied to the tooth crowns using orthodontic appliances. Since stresses and strains in the periodontal tissue, caused by the initial tooth movement, stimulate alveolar bone remodeling and thus orthodontic tooth movement, knowledge of the material properties of the periodontal ligament is fundamental to selection of an optimal force system for targeted tooth movement. OWN EXPERIMENTS: For this reason, typical properties of the viscoelastic material behavior of the periodontal ligament were tested experimentally in the present study, using samples from pig mandibles. This enabled the properties of force relaxation and hysteresis of this tissue, both of which depend on loading history, to be verified. CONCLUSION: The experimental results allow characterization of the tissue and thus contribute to an understanding of the biomechanics of tooth displacement under externally applied loads.

Animals↗

Scanning electron microscope observations on the tubule content of freeze-fractured peripheral vervet monkey dentine (Cercopithecus pygerythrus).

Pulp tissue in the incisors was fixed in situ by perfusion. Cervical thirds of the tooth crowns were excised by sectioning the teeth transversely and cryofractured through the long axis of the tooth in a bucco-lingual mid-axial plane to expose the dentine from the pulp to the enamel-dentine junction. Specimens were freeze-dried and the fracture surfaces examined by scanning electron microscopy. Flattened tubular processes were noted protruding from the open ends of transversely fractured dentinal tubules in the outer third of the dentine. These structures were present in fractured tubules to within 20 microns of the enamel-dentine junction. These observations suggest that odontoblast processes traverse the full length of dentinal tubules.

Animals↗

Early tooth movement pattern after application of a controlled continuous orthodontic force. A human experimental model.

This clinical study was designed to investigate early orthodontic movement of human premolars subjected to a controlled, continuous, horizontally directed force. The maxillary right, first or second premolar in 56 children, 18 boys and 38 girls (mean age 13.8 years), was moved buccally with a fixed orthodontic appliance with a frontal bite-block disengaging the occlusion. The contralateral premolar served as control. A weekly controlled and reactivated force of 50 cN (approximately 50 gm) was applied. The force declined on average about 24% per week. The patient material was subgrouped to comprise eight patients in each of seven groups, for which the experimental periods varied from 1 to 7 weeks. Tooth displacement was studied on dental casts, with a coordinate measuring machine (Validator 100, TESA SA, Renens, Switzerland), which made it possible to measure the displacement in three dimensions. The movement pattern of the test teeth was found to be a combination of horizontal and vertical displacements, including tipping. The horizontal movement of the tooth crown was on average 0.8 mm during the first week and 3.7 mm after 7 weeks. The vertical movements were intrusive in 45% and extrusive in 55% of the teeth. In some tipping movements, the crown was "intruded" at the same time as the apex was "extruded." The individual variations in tooth displacements were considerable. The clinical experimental model used permits detailed study of orthodontic tooth movement under controlled force conditions, as well as detailed histologic analysis of related root resorption.

Adolescent↗

Tooth morphology in function of selfprotective mechanism.

The degree of curvature of vestibular and oral tooth surfaces is determined by the shape sequence from the tooth crown to the epithelial attachment and the alveolar bone, and directly influences the health of gingiva and the entire tooth support system. The goal of this research was to determine vestibulo-oral planes of upper and lower permanent premolars and molars and the thickness of the associated alveolar osseous wall, and 2,727 measurings were processed using pertinent statistical procedures. The results have shown the degree of curvature of vestibular and oral tooth surfaces to be higher in upper teeth than in lower ones (p > 0.05); vestibular convexities higher than oral ones and especially noticeable at the junction from the meandle to the lower third of the crown. Higher vestibular curvature also entailed thicker osseous wall. All results were higher than the ones found in literature. We consider our results to be relevant for our population. The research on the relationship of teeth and the alveolar bone should be continued by using even more test points and more sophisticated research procedures.

Adult↗

Characteristics of periodontal mechanoreceptors supplying cat canine teeth which have sustained orthodontic forces.

The characteristics of these mechanoreceptors were investigated after orthodontic forces had been applied for either 3 days or 12 weeks, and also 8 weeks after the tooth had been moved into a new position and the tissues allowed to recover. Electrophysiological recordings were made from single mechanosensitive units dissected from the inferior alveolar nerve and each was characterized by applying forces to the tooth crown. The characteristics were compared with those of receptors innervating normal teeth. Three days after the onset of tooth movement, the periodontal mechanoreceptors had higher thresholds to forces applied at slow rates and lower discharge frequencies. Twelve weeks after the onset of tooth movement, the mechanoreceptors again had higher force thresholds and lower discharge frequencies but also responded to applied forces over a narrower range of directions and adapted more rapidly than the controls. After the tooth had been moved into a new position and the tissues allowed to recover, the mechanoreceptor characteristics were nearer to normal but they still had raised thresholds to forces applied at slow rates, lower discharge frequencies, and responded to applied forces over a narrower range of directions. It seems likely that the altered receptor characteristics would have resulted from a combination of disorganization of the collagen matrix and direct injury to the nerve terminals.

Action Potentials↗

Diffusion of monomers from bonding resin-resin composite combinations through dentine in vitro.

OBJECTIVES: Previous work has demonstrated diffusion of the monomer triethylene glycol dimethacrylate (TEGDMA) from resin composite through dentine in vitro. The objective of the present work was to examine monomer diffusion from bonding resins and resin composites used in combination. METHODS: Occlusal cavities were prepared in tooth crowns and restored with bonding resin-resin composite combinations. Aqueous samples from the 'pulpal chamber' of each tooth were removed at timed intervals for analysis by reversed phase-high performance liquid chromatography and mass spectrometry. RESULTS: Bonding resins contributed to monomer diffusion. A TEDGMA-containing bonding resin used in combination with a TEGDMA-containing resin composite hastened and increased TEGDMA diffusion through dentine. A 2-hydroxyethyl methacrylate (HEMA)-containing bonding resin used in combination with a TEGDMA-containing resin composite reduced TEGDMA diffusion only slightly compared with the resin composite alone and added substantial diffusion of HEMA. CONCLUSION: The bonding resins tested contributed to monomer passage to the pulp space and did not prevent movement of monomer from resin composites to the pulp.

Adolescent↗

Talon cusp--clinical significance and management: case reports.

Talon cusp is a rare dental anomaly manifested as an accessory cusplike structure on the tooth crown. This article reports four cases of talon cusp that caused clinical problems related to appearance, occlusal interference, tooth displacement, caries, and tongue irritation. The cases presented were associated with other dental abnormalities, suggesting per se that genetic inheritance may be the causative factor. Clinical and radiographic characteristics of this developmental anomaly and modes of treatment are described.

Adult↗

Acid resistance of enamel exposed to fluoride-containing orthodontic cements.

In a previous study enamel fluoride uptake from fluoride-containing orthodontic cements was evaluated after a 21-day period. The enamel fluoride uptake from a zinc phosphate cement (A), a zinc phosphate cement containing 5 per cent stannous fluoride by weight (B), and a silicophosphate cement (C) was compared. The results indicated that there was a net loss of fluoride from enamel beneath the orthodontic bands cemented with A while the enamel beneath B and C acquired significant amounts of fluoride. The purpose of the present study was to evaluate enamel fluoride uptake after 12 weeks and the effect of the fluoride uptake or loss by the enamel on acid resistance. Five teeth each had bands cemented with cements A, B and C, respectively, and were individually suspended in synthetic saliva for 12 weeks at 37 degrees C. Following this period the bands were removed, the cements were carefully cleaned off the teeth, and the crowns of the teeth were individually suspended in a lactic acid buffer at pH 4 for 4 weeks. Each tooth crown was then sectioned longitudinally and examined microradiographically to study the degree of enamel demineralization. Characteristic subsurface enamel carieslike lesions were noted on all the specimens studied. The carieslike lesions in the enamel exposed to the fluoride-containing cements were considerably reduced. The enamel which had acquired fluoride from the fluoride-containing cements was apparently more resistant to artificial caries attack.

Acids↗

[Successful endodontic treatment of dens in dente].

The dens in dente is a developmental variation which is thought to arise as a result of an invagination in the surface of a tooth crown before calcification has occurred. This report is a case which documents the successful non surgical endodontic treatment permanent tooth with dens in dente by periodical dressing the intracanal space with calcium hydroxide for a year and follow up after permanent filling-for one and a half years. After a sign of repair around the periapical area had occurred, the canal was filled with warm gutta percha technique. The importance of early and corrected diagnosis, the possible significance of even a small and noncarious dens in dente, and the treatment of anomaly were emphasized.

Calcium Hydroxide↗

Dimensions of hard dental tissues and pulp cavity of the crown in first mandibular molar measured with computerized tomography.

In spite of the numerous studies (carried out by different authors and with various methods) to determine the dimensions of teeth, the size of the enamel and the dentin in different topographic regions of the tooth crown have not yet been established. The present study aimed at developing a mathematical model of the first mandibular molar by measuring the thickness of its enamel, dentin and pulp cavity. The study was conducted upon 15 first mandibular molars in 18-year-old high-school students with intact dentition using computerized tomography (SY-3000). The hard dental tissues dimensions in different topographic regions of first mandibular molar were determined by densoprofile measuring of four 1-mm-wide sections oriented in relation to the frontal plane and axis of the tooth. The obtained data are presented in a tabular form. The basic values for the crown height, the mediodistal and vestibulo-oral dimensions do not differ significantly from the values that are currently widely-known in the literature. The thickness of the enamel and dentin in different topographic regions are determined in details, which gives a clear picture of the safety zones location around the pulp cavity. On the basis of the obtained results it is possible to develop a mathematical model of the first mandibular molar.

Adolescent↗

Analysis of the dental morphology of Plio-Pleistocene hominids. II. Mandibular molars--study of cusp areas, fissure pattern and cross sectional shape of the crown.

Accurate measurements of the absolute and relative size of individual cusps, the arrangement of the primary fissure system and the shape of coronal cross sections of the tooth crown have been used to investigate the pattern of variation in Plio-Pleistocene hominid mandibular molar teeth. Teeth were either grouped into one of six taxonomic categories or considered as individual cases. Univariate analysis of relative cusp areas shows that the two taxonomic categories of 'robust' hominids from East and Southern Africa have relatively small mesial cusps, but a relatively large entoconid and hypoconulid and Principal Component plots of the data show that the 'robust' categories can be distinguished on the basis of relative cusp size. Other evidence suggests that these differences are not likely to be the result of allometric phenomena. Fissure pattern was analysed using the X/Y coordinates of defined reference points. Patterns were compared by Procrustes analysis and the relationships between teeth contained in the resulting similarity matrix were portrayed using Principal Coordinates plots and a nearest neighbours table. The positions of the posterior fovea and the mesial longitudinal fissure were important for distinguishing taxonomic categories. The shape of the coronal profiles proved difficult to quantify, but there were consistent and distinct differences between the South African 'robust' sample and teeth included within the East African Homo category. When these results are combined with those of a previous study of overall crown size and the distribution of extra cusps, they allow the affinities of isolated teeth or contentious specimens to be assessed. For example, our results show that KNM-ER 1506 and 1802 are more similar to the East African Homo group than any other category, and they indicate that though SK 1587 and 1588 are small teeth, they nonetheless are closest to the South African 'robust' category in terms of relative cusp size, fissure pattern and crown profile shape. The closest affinities of the Taung First mandibular molars are also with the South African 'robust' sample.

Africa, Eastern↗