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PubMed2001

Correlation between oral parafunction and temporomandibular disorders and emotional status among saudi children.

Studies on association between temporomandibular disorders and oral parafunction in preschool children are few. The aim of the present study is to investigate the relationship between the subjective and objective signs and symptoms of temporomandibular disorders (TMD), oral parafunction and emotional status in preschool children. The study is based on a clinical examination and questionnaire. Five hundred and two Saudi children aged 3 to 7 years were examined for different signs and symptoms of TMD. In addition, the parents of the children were given a questionnaire to investigate the existence of oral parafunction and evaluate the emotional status of children. The results of the study showed significant association between attrition and temporomandibular joint (TMJ) pain, muscle tenderness and restricted opening, (P Values were 0.008, 0.019, 0.037 respectively). Significant association was found between habit of grinding and pain, while eating or opening the mouth (P<0.012). Significant association was found between emotional status and multiple signs and symptoms of TMJ tenderness, TMJ pain and muscle tenderness (P<0.042). Significant association was found between emotional status and pain, while eating or opening of the mouth (P<0.048). Close to positive association was found between oral parafunction and jaw lock. The association between TMD and oral parafunction as well as emotional status should direct the attention of the dentist to the importance of considering the emotional status, oral parafunction and TMD when examining and formulating treatment plan for the child patient.

Bruxism↗
PubMedDate not supplied

Risk factors for high occlusal wear scores in a population-based sample: results of the Study of Health in Pomerania (SHIP).

PURPOSE: Using a population-based sample of the cross-sectional epidemiologic "Study of Health in Pomerania" (SHIP), this study evaluated whether certain occlusal and sociodemographic factors besides age and gender are risk factors for high dental wear. MATERIALS AND METHODS: Medical history and dental and sociodemographic parameters of 2,529 dentate subjects selected representatively and according to age distribution were checked for correlations with the occurrence of high occlusal wear symptoms using a multivariate logistic regression model. Occlusal wear was recorded using the attrition index by Ekfeldt et al and was age adjusted by determining high occlusal wear for every 10-year age group as index values > or = 90th percentile. RESULTS: The following independent variables were found to be correlated with high occlusal wear: male gender, odds ratio 2.2; frequent bruxism, odds ratio 2.5; loss of molar occlusal contact (Eichner classification), odds ratio from 1.5 to 3.1; edge-to-edge relation of incisors, odds ratio 1.7; unilateral buccolingual cusp-to-cusp relation, odds ratio 1.8; and unemployment, odds ratio 1.6. In contrast, anterior cross-bite, unilateral posterior cross-bite, and anterior crowding were protective for high occlusal wear levels, as shown by significantly reduced odds ratios. Gender-separated analysis showed that self-reported bruxism was a risk factor only for men. CONCLUSION: In addition to some occlusal factors, the main factors associated with occlusal wear were bruxism and gender.

Adult↗
PubMed2002

In vitro wear of indirect composite restoratives.

STATEMENT OF PROBLEM: Indirect composite restoratives have been improved in their wear resistance and physical properties. Several new indirect composites claim to be successfully used for full coverage crowns, but there is limited information for wear values of these new indirect composites. PURPOSE: The purpose of this study was to evaluate the wear characteristics of 7 indirect composite restoratives and to compare them with a type III gold alloy by means of an in vitro wear test. MATERIAL AND METHODS: Seven indirect composites (2 photopolymerized and 5 photo/heat-polymerized types) and a type III gold alloy (control) were used. Cylindrical Class I cavities (4-mm diameter and 3-mm depth) were prepared in occlusally flattened extracted human molars. Inlays with respective materials were fabricated on duplicated stone casts according to the manufacturers' instructions. Three types of in vitro wear tests were completed by use of the University of Alabama wear simulator. The wear tests included generalized wear as simulation of the wear during mastication, localized wear as simulation of attrition by occlusal contact, and antagonistic enamel wear, which simulated the wear of enamel created by direct contact with the restorative materials. Seven specimens were tested for each material and wear mode, and the wear depths were measured on profilometric tracings with a 2-dimensional profilometer with 1-microm accuracy. All data were analyzed by 1-way analysis of variance, and multiple comparisons were performed with Fisher's test, for which the significant level was set at.05. RESULTS: The gold alloy control exhibited a very small amount of wear in both generalized wear (0.2 +/- 0.1 microm) and localized wear (13.8 +/- 5.0 microm) as compared with all composite specimens. The antagonistic enamel wear of gold alloy was similar with the value of Sculpture. The material group, which was post polymerized or post heat-treated, included BelleGlass, Sculpture, Estenia, and Cristobal+ and showed small values ranging from 1.6 to 2.2 microm in the generalized wear. For the localized wear, Estenia exhibited the minimum value (12.8 +/- 4.9 microm) that was statistically the same as the value of the gold alloy control. However, Estenia exhibited the greatest antagonistic enamel wear value (66.0 +/- 14.0 microm) of all materials tested in this study. It was statistically significant with other materials (P</=.05). CONCLUSION: Within the limitations of this study, it was concluded that some indirect composite restoratives have similar wear resistance to the type III gold alloy tested. Antagonistic enamel was abraded more by highly filled composite materials.

Analysis of Variance↗
PubMed1996

Evaluating the "dual selection" hypothesis of canine reduction.

A recently proposed model for canine reduction in hominid evolution (the "dual selection" model) suggests that canine reduction occurs as a result of selection for incorporation of the canines into a functional incisal field. Among the evidence used to support this model are patterns of wear and occlusion of the canine teeth, particularly in female anthropoid primates. We examined wear and occlusal patterns of the canine teeth of 311 male and female anthropoid primates. We find no evidence that the canines are typically occluded tip-to-tip, or that they show wear patterns indicating a "gripping and pulling" function during food ingestion and processing. Furthermore, we do not find compelling evidence that the development of the mesial cristid is associated with canine reduction. While we agree that the mechanisms of selective pressures underlying canine reduction need to be investigated, the "dual selection" hypothesis is unsupported by comparative data.

Animals↗
PubMed1998

Canine tip wear in male and female anthropoids.

One component of the "dual selection hypothesis" (Greenfield [1992a] Year. Phys. Anthropol. 35:153-185) is that the tips of female canines are commonly blunted and more frequently so than those of conspecific males. Data derived from two randomly selected age-graded samples of Macaca fascicularis (n = 70) and Colobus badius (n = 59) show that at least 80% of the females exhibit tip blunting on one or both canines and that frequencies of blunting are far greater than those of conspecific males in both jaws. Sexual dimorphism in mandibular canine morphology and wear and other recently critiqued aspects of the "dual selection hypothesis" (Plavcan and Kelley [1996] Am. J. Phys. Anthropol. 99:379-387.) are also discussed.

Aging↗
PubMed1999

Nonocclusal dental microwear analysis of 300,000-year-old Homo heilderbergensis teeth from Sima de los Huesos (Sierra de Atapuerca, Spain).

Casts of nonocclusal enamel surfaces of 190 teeth from the Middle Pleistocene site of Sima de los Huesos have been micrographed by scanning electron microscopy. Microscopic analyses of striation density and length by orientation show distinct patterns of intrapopulation variability. Significant differences in the number and length of the striations by orientation are found between maxillary and mandibular teeth. This probably reflects differences in the mechanical forces involved in the process of chewing food. Significant differences are present between isolated and in situ teeth that could be caused by postdepositional processes differentially affecting the isolated teeth. In addition, a distinct and very unusual striation pattern is observed in a sample of teeth that can be explained only by a strong nondietary, most probably postmortem abrasion of the enamel surfaces. These teeth have a very high density of scratches, shorter in length than those found on other teeth, that are not indicative of dietary habits. No known depositional process may account for the presence of such postmortem wear since heavy transportation of materials within the clayish sediments has been discarded for the site. Despite this, a characteristic dietary striation pattern can be observed in most of the teeth analyzed. Most likely the diet of the Homo heidelbergensis hominids from Sima de los Huesos was highly abrasive, probably with a large dependence on hard, poorly processed plant foods, such as roots, stems, and seeds. A highly significant sex-related difference in the striation pattern can also be observed in the teeth analyzed, suggesting a differential consistency in the foods eaten by females and males.

Age Factors↗
PubMed1999

Incisor microwear, diet, and tooth use in three Amerindian populations.

Incisor microwear patterns have been shown to reflect aspects of diet and ingestive behaviors in a wide range of nonhuman primates. While some studies have suggested that anterior dental microwear might be used to infer unusual front tooth use practices in archaeological populations, quantitative work on modern human incisors has thus far been limited. In this study we examined dental microwear on the maxillary central incisors of three groups of humans: Aleutian Islanders (n = 16), Arikara from the Mobridge Site in South Dakota (n = 15), and a Late Woodland Bluff sample from Jersey County, Illinois (n = 17). High-resolution replicas were prepared and examined by scanning electron microscopy following conventional procedures. Photomicrographs were taken at consistent locations on the labial surface, and microwear was quantified using Microware 3.0 (Ungar, 1997). Statistical test results revealed significant differences among the groups in microwear feature densities, sizes, and shapes. The Aleut, Arikara, and Illinois Bluff samples showed a gradient of increasing microwear density, increasing linearity in feature shape, and decreasing feature size. These differences evidently correspond to amount of meat consumption, and apparently to degree of use of the incisors in heavy loading. No differences were observed between groups in heterogeneity of feature orientations, and no sex-related differences were found. Associations between incisor microwear on the one hand and subsistence practice and anterior tooth use on the other likely have important implications for the study of hominid paleobiology.

Fossils↗
PubMed1999

Changes in the pattern of tooth wear from prehistoric to recent periods in Japan.

Although a number of studies have been performed on interpopulational variation of tooth wear patterns in recent humans, the major interest in the study of tooth wear so far has been in reconstructing the subsistence and behavior of prehistoric populations, and hence research on wear pattern changes in historic times has been superficial. The present study investigated temporal change in the pattern of wear on the permanent dentition of the Japanese through comparison of the following five groups: prehistoric hunter-gatherers, prehistoric agriculturists, medieval, premodern, and recent populations. The pattern of reduction of occlusal wear severity across these chronological groups was not similar between the anterior and posterior portions of the dentition. Occlusal wear on the anterior teeth was noticeably lighter in the prehistoric agriculturists and later populations than in the prehistoric hunter-gatherers, while clear reduction of occlusal wear on the posterior teeth occurred after medieval times. The temporal variations in the degree of mesiodistal crown diameter loss due to wear and its anterior-posterior gradient within the dentition are generally consistent with those observed in the occlusal wear pattern. Possible causative factors of these temporal changes in the wear pattern are discussed.

Adolescent↗
PubMed2004

Dental microwear in anubis and hybrid baboons (Papio hamadryas, sensu lato) living in Awash National Park, Ethiopia.

We describe dental microwear in baboons (Papio hamadryas sensu lato) from the anubis-hamadryas hybrid zone of Awash National Park, Ethiopia, outline its variation with sex and age, and attempt to relate the observed microwear pattern to environment and diet. Casts of the maxillary second molar of 52 adult and subadult individuals of both sexes were examined with a scanning electron microscope at x 500. Digitized micrographs were taken at a consistent location on facet 9, and microwear was recorded with an image analysis software package. Univariate and multivariate statistics were used to investigate the shape, size, and density of microwear features. The overall pattern of microwear exhibits an unusual combination of high feature density, with numerous small pits and relatively wide striations, and a high correlation between width of pits and striations across individuals. We interpret this pattern as predominantly the consequence of abrasion by relatively small-caliber environmental grit when accidentally ingested with tough foods such as dried seeds and fruits, as expected in a terrestrial omnivore living in a dusty habitat. Statistical analysis revealed no significant differences between groups defined by sex, age, or troop membership, a result consistent with qualitative observations of feeding habits in this population, and which lends no support to the hypothesis that the longer jaws of adult males should result in longer striations. A trend towards greater feature density in females, however, might be due to limited sexual dinichism, and merits further investigation.

Analysis of Variance↗
PubMed2004

Dental topography and molar wear in Alouatta palliata from Costa Rica.

Paleoprimatologists depend on relationships between form and function of teeth to reconstruct the diets of fossil species. Most of this work has been limited to studies of unworn teeth. A new approach, dental topographic analysis, allows the characterization and comparison of worn primate teeth. Variably worn museum specimens have been used to construct species-specific wear sequences so that measurements can be compared by wear stage among taxa with known differences in diet. This assumes that individuals in a species tend to wear their molar teeth in similar ways, a supposition that has yet to be tested. Here we evaluate this assumption with a longitudinal study of changes in tooth form over time in primates. Fourteen individual mantled howling monkeys (Alouatta palliata) were captured and then recaptured after 2, 4, and 7 years when possible at Hacienda La Pacifica in Costa Rica between 1989-1999. Dental impressions were taken each time, and molar casts were produced and analyzed using dental topographic analysis. Results showed consistent decreases in crown slope and occlusal relief. In contrast, crown angularity, a measure of surface jaggedness, remained fairly constant except with extreme wear. There were no evident differences between specimens collected in different microhabitats. These results suggest that different individual mantled howling monkeys wear their teeth down in similar ways, evidently following a species-specific wear sequence. Dental topographic analysis may therefore be used to compare morphology among similarly worn individuals from different species.

Alouatta↗
PubMed2006

Dental microwear from Natufian hunter-gatherers and early Neolithic farmers: comparisons within and between samples.

Microwear patterns from Natufian hunter-gatherers (12,500-10,250 bp) and early Neolithic (10,250-7,500 bp) farmers from northern Israel are correlated with location on facet nine and related to an archaeologically suggested change in food preparation. Casts of permanent second mandibular molars are examined with a scanning electron microscope at a magnification of 500x. Digitized micrographs are taken from the upper and lower part of facet nine. Microwear patterns are recorded with an image-analysis computer program and compared within and between samples, using univariate and multivariate analyses. Comparisons within samples reveal a greater frequency of pits on the lower part of the facet among the farmers, compared to the upper part. Microwear does not vary over the facet among the hunter-gatherers. Comparisons between samples reveal larger dental pits (length and width) and wider scratches among the farmers at the bottom of the facet, compared to the hunter-gatherers. Microwear does not vary between samples at the top of the facet. The microwear patterns suggest that the Natufian to early Neolithic development led to a harder diet, and this is related to an archaeologically suggested change in food processing. The harder diet of the early farmers may have required higher bite forces that were exerted at the bottom of facet nine, in the basin of the tooth.

Diet↗
PubMed2006

Do mandibular cross-sectional properties and dental microwear give similar dietary signals?

Previous animal experimental work evaluating the effects of dietary consistency on mastication was generally limited to studies of either mandibular structure or rates and types of tooth wear. Control groups fed hard diets (HD) consistently exhibited increased cortical remodeling and/or bone strength when compared to groups fed soft diets (SD). Results of tooth-wear studies showed faster rates of tooth wear in HD animals. This study evaluates the effects of dietary differences on both mandibular structural morphology and postcanine dental microwear in the same animals. We examined mandibles and dentitions from eight miniature swine, raised from 4 weeks to 9 months of age on HD and SD (n = 4, each group). Mandibular structural properties were calculated from peripheral quantitative computed tomography slices at the dp3-dp4 and dp4-M1 junctions. Dental microwear analysis was performed on mandibular lingual crushing facets of dp4 and M1, using photomicrographs of high-resolution casts taken at 500x magnification in a scanning electron microscope. Our results suggest that between the dp3-dp4 contact, HD animals have mandibles that are stronger and more rigid mediolaterally than SD animals. At the dp4-M1 contact, HD animals have mandibles that are stronger and more rigid mediolaterally, dorsoventrally, and in torsion than SD animals. Dental microwear results indicate that SD pigs have higher incidences of pitting and more overall microwear features on their premolars than do HD pigs, yet there are no significant differences in molar microwear morphology between the dietary groups. Near-significant correlations exist between pit size and dorsoventral bending strength, but only for HD pigs. These results suggest that dietary consistency significantly affects both mandibular structure and dental microwear, yet direct correlations between the two are complicated by a number of factors.

Animals↗
PubMed2006

Variation in occlusal dental wear of two Chalcolithic populations in the southern Levant.

Occlusal wear rate and wear plane in two Chalcolithic ( approximately 6500-5500 BP) samples from the southern Levant were compared, using paired first and second mandibular molars. Though food staples in both societies were derived from agro-pastoralism, they were located in distinct environmental regions: Wadi (W.) Makkukh in the Judean desert, and Peqi'in in the Upper Galilee. Accordingly, it was predicted that variation in wear should occur due to their location in distinct environments. Jaw size and tooth size were measured to estimate the possible impact of these variables on wear scores. Molar occlusal surfaces were divided into four quadrants, and wear scores were recorded for each quadrant. Principal axis analysis was then performed between total wear scores of paired, adjacent first and second molars to assess wear rates. Principal axis analysis was also used to analyze the change in occlusal wear plane in each sample by comparing between-buccal-cusps wear scores of the first molar with lingual wear scores of the second molar. The results indicate that the occlusal wear plane was similar in both samples but that wear tended to be more rapid in W. Makkukh. Since both samples were similar in jaw/tooth size, it is argued that the results reflect less refined food-processing methods as well as the unintentional ingestion of sand by individuals interred in the Judean desert.

Diet↗
PubMed2006

Contributions of biogeochemistry to understanding hominin dietary ecology.

Dietary ecology is one key to understanding the biology, lifeways, and evolutionary pathways of many animals. Determining the diets of long-extinct hominins, however, is a considerable challenge. Although archaeological evidence forms a pillar of our understanding of diet and subsistence in the more recent past, for early hominins, the most direct evidence is to be found in the fossils themselves. Here we review the suite of emerging biochemical paleodietary tools based on stable isotope and trace element archives within fossil calcified tissues. We critically assess their contribution to advancing our understanding of australopith, early Homo, and Neanderthal diets within the broader context of non-biogeochemical techniques for dietary reconstruction, such as morphology and dental microwear analysis. The most significant outcomes to date are the demonstration of high trophic-level diets among Neanderthals and Late Pleistocene modern humans in Glacial Europe, and the persistent inclusion of C(4) grass-related foods in the diets of Plio-Pleistocene hominins in South Africa. Such studies clearly show the promise of biogeochemical techniques for testing hypotheses about the diets of early hominins. Nevertheless, we argue that more contextual data from modern ecosystem and experimental studies are needed if we are to fully realize their potential.

Animals↗
PubMed1999

Dental microwear of Griphopithecus alpani.

The examination of microscopic dental wear allows inferences to be made about diet in extinct species. This study reconstructs the diet of Griphopithecus alpani, a 15 Ma fossil hominoid from the Miocene site of Paşalar in north-western Turkey, using scanning electron microscopy (SEM) to examine the microscopic wear on its molar teeth. The microwear patterns of Griphopithecus are compared with those of three extant hominoid taxa-Gorilla gorilla gorilla, Pan troglodytes verus, and Pongo pygmaeus pygmaeus. The microwear on three occlusal wear surfaces is examined in this study, and sex and age differences are also included. Analysis of variance is performed on the following microwear variables-feature density, pit density, striation density, the ratio of pits relative to striations, pit widths, and striation widths. Griphopithecus has significantly higher microwear feature densities and higher percentages of pits than Gorilla. It also has larger pit frequencies and narrower striations than both Pan and Gorilla. There are no significant differences between the microwear patterns of Griphopithecus and Pongo. This suggests that the diet of Gripho-pithecus was more similar to that of Pongo, which consumes mainly fruit, and occasionally hard and unripe fruits and nuts, than to that of Pan and Gorilla. In addition, the high percentage of pits displayed by Griphopithecus may indicate that it was ingesting harder fruits and/or objects than the extant hominoids, although this is not a significant difference. There also are consistent variations in the microwear present on the three different wear facets examined in the study-Phase II facets display more microwear and pitting than the Phase I surface examined. The results of this study do not indicate variation in dental microwear according to sex or age.

Age Factors↗
PubMed2004

Biomechanics of the dental arch and incisal crowding.

During horizontal contact, the dental arch represents a link chain in which two convex articular surfaces are in contact and are tensioned by the dentogingival and dentoalveolar fibrous tissue. Joints composed of convex-convex surfaces are equivalent to stretched dimeric link chains whose links are in a mechanically unstable position under compression. Experiments on plaster models show that the dimensional stability of an articulated (dental) arch is considerably increased when a concave and a convex articular surface are in contact, as these joints are equivalent to an overlapping dimeric link chain whose links are in a mechanically stable position when under compression. In the abraded denture of Stone Age man, horizontal interdental contacts of transversally concave-convex dental surfaces may be found extending even into the incisal region. Increased stability of the dental arch and reduced problems of incisal crowding are to be expected if an overlapping dimeric chain is produced morphologically in each horizontal contact by means of slight interproximal enamel reduction.

Alveolar Process↗
PubMed1997

Development of a novel system for assessing tooth and restoration wear.

OBJECTIVES: This investigation sought to develop a mapping apparatus for use in the assessment of both tooth and restoration wear. METHODS: A computer controlled mapping device, capable of scanning a suitably prepared electroconductive tooth replica by means of an electrical feedback mechanism, was constructed and its accuracy assessed by measuring the thicknesses of four engineers' slip gauges 12 times each. The reproducibility of three potential methods of rendering a die stone replica electroconductive was also investigated. Finally, tooth replicas were surface profiled and compared empirically with the originals using a commercial surface mapping program. RESULTS: The overall mean accuracy of the mean thicknesses of the slip gauges was 4.4 (2.8) microns. Surface deposition of either nickel spray or gold leaf, upon a ready formed replica, did not give a reproducible thickness. Precoating silicone impressions with nickel spray prior to replica production overcame this problem. On an empirical basis the instrument yielded accurate digital terrain models of tooth replicas. CONCLUSIONS: A surface mapping device has been developed which is both accurate and reproducible. A satisfactory electroconductive surface may be produced upon a tooth replica by precoating a silicone impression with nickel spray before casting the replica. The technique should prove invaluable for monitoring both tooth and restoration wear but further work is necessary to examine how such an approach will perform clinically.

Dental Impression Materials↗