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At least 307 records · Page 17Linked to original sources
PubMed2000

In vitro comparison of master cast accuracy for single-tooth implant replacement.

STATEMENT OF PROBLEM: The inaccuracy in transferring the position of the hexagonal head of a single implant to the working cast can result in a final single tooth crown, which clinically may present occlusal and/or interproximal contacts that are different from those contacts on the master cast obtained by the technician. PURPOSE: This in vitro study evaluated the accuracy of the master casts obtained using square pick-up impression copings for single-tooth replacement. Copings used were (1) copings as sold by the manufacturer, and (2) copings modified by sandblasting and coating with impression adhesive their roughened surfaces before final impression procedures. MATERIAL AND METHODS: A polymeric resin model with a standard single implant was used to simulate a clinical situation. A group of 20 impressions were made using nonmodified impression copings; a second group of 20 impressions were fabricated with modified copings. Master casts fabricated for both groups were analyzed to detect rotational position change of the hexagon on the implant replicas in the master casts in reference to the resin model. RESULTS: The rotational position changes of the hexagon on implant replicas were significantly less variable in the master casts obtained with the modified impression copings than in the master casts achieved with the nonprepared copings. CONCLUSION: Improved precision of the impression was achieved when the adhesive-coated copings were used.

Adhesives↗
PubMed1979

The effect of prenatal factors on crown dimensions.

As shown in 870 white participants in the National Collaborative Perinatal Project (NCPP), maternal health status during pregnancy and birth size are systematically related to mesiodistal and buccolingual crown dimensions of I1, I2, dc, dm1, dm2 and M1. Maternal diabetes, maternal hypothyroidism and large size at birth are associated with larger maxillary and mandibular teeth in white children. Conversely, deciduous and permanent crown diameters are diminished in maternal hypertension, and in low birthweight and small birth-length conditions. These findings suggest that maternal and fetal (or gestational) determinants of both deciduous and permanent tooth crown dimensions may account for as much as half of crown-size variability with major implications to population comparisons and historical odontometric differences and trends.

Birth Weight↗
PubMed1986

Tooth discoloration induced by endodontic sealers.

Endodontic therapy often results in discoloration of the tooth crown. The main causes are blood, necrotic pulp tissue, and endodontic materials. The staining potentials of various materials were examined in vitro by means of a visual method for tooth color determination. Extracted premolars were prepared, and the following sealers were introduced into the pulp cavities: Zinc oxide eugenol cement, Grossman's cement, AH26, Diaket, N2, Riebler's paste, Tubliseal, and Endomethasone. Before the sealers were applied, the original tooth colors were assessed on the external buccal tooth surfaces. Further color determinations were carried out at regular intervals up to 6 months after introduction of the sealers. Each material induced measurable tooth discoloration within 3 weeks. Riebler's paste caused the most severe discoloration while Diaket caused a mild stain. The other materials produced intermediate discolorations between those of Riebler and Diaket.

Administration, Topical↗
PubMed2006

Modeling the investment casting of a titanium crown.

OBJECTIVE: The objective of this study was to apply computational modeling tools to assist in the design of titanium dental castings. The tools developed should incorporate state-of-the-art micromodels to predict the depth to which the mechanical properties of the crown are affected by contamination from the mold. The model should also be validated by comparison of macro- and micro-defects found in a typical investment cast titanium tooth crown. METHODS: Crowns were hand-waxed and investment cast in commercial purity grade 1 (CP-1) titanium by a commercial dental laboratory. The castings were analyzed using X-ray microtomography (XMT). Following sectioning, analysis continued with optical and scanning electron microscopy, and microhardness testing. An in-house cellular-automata solidification and finite-difference diffusion program was coupled with a commercial casting program to model the investment casting process. A three-dimensional (3D) digital image generated by X-ray tomography was used to generate an accurate geometric representation of a molar crown casting. Previously reported work was significantly expanded upon by including transport of dissolved oxygen and impurity sources upon the arbitrarily shaped surface of the crown, and improved coupling of micro- and macro-scale simulations. RESULTS: Macroscale modeling was found to be sufficient to accurately predict the location of the large internal porosity. These are shrinkage pores located in the thick sections of the cusp. The model was used to determine the influence of sprue design on the size and location of these pores. Combining microscale with macroscale modeling allowed the microstructure and depth of contamination to be predicted qualitatively. This combined model predicted a surprising result--the dissolution of silicon from the mold into the molten titanium is sufficient to depress the freezing point of the liquid metal such that the crown solidifies the subsurface. Solidification then progresses inwards and back out to the surface through the silicon-enriched near-surface layer. The microstructure and compositional analysis of the near-surface region are consistent with this prediction. SIGNIFICANCE: A multiscale model was developed and validated, which can be used to design CP-Ti dental castings to minimize both macro- and micro-defects, including shrinkage porosity, grain size and the extent of surface contamination due to reaction with the mold material. The model predicted the surprising result that the extent of Si contamination from the mold was sufficient to suppress the liquidus temperature to the extent that the surface (to a depth of approximately 100 microm) of the casting solidifies after the bulk. This significantly increases the oxygen pickup, thereby increasing the depth of formation of alpha casing. The trend towards mold materials with reduced Si in order to produce easier-to-finish titanium castings is a correct approach.

Chemical Phenomena↗
PubMed1992

Biomechanical responses of tooth to orthodontic forces applied at the lingual bracket positions.

The present study was designed to investigate biomechanical responses of tooth to orthodontic forces applied at the lingual bracket positions. A three-dimensional finite element model of the upper central incisor was developed to analyze tooth displacements and stress distributions in the periodontal ligament. Lingual horizontal and apical vertical forces of 100 gf were applied at a point on the labial surface of the crown and at three different points on the lingual surface of the crown. Tooth displacements and stress distributions from the forces applied at the lingual points were compared with those from the labial force loading. The following results were obtained. 1. Lingual horizontal force produced almost similar patterns of tooth displacements and stress distributions, irrespective of labial and lingual application points of the orthodontic forces. 2. Apical vertical force applied at the lingual points produced more uniform tooth displacements and stress distributions than labial application of the force, although the force applied at the lingual point close to the cervix generated different patterns from those with the remaining lingual force loadings. The present results suggest an important role of the positional relation of force application points to the center of resistance. It is shown that lingual force application may produce more optimal tooth movement in terms of more uniform patterns of tooth displacements and subsequent stress distributions in the PDL.

Biomechanical Phenomena↗
PubMed2000

Minimal intervention: a new concept for operative dentistry.

The term minimal intervention is relatively new in dentistry and has been introduced to suggest to the profession that it is time for change in the principles of operative dentistry. The disease should be treated first; the surgical approach should be undertaken only as a last resort and then with the removal of as little natural tooth structure as possible. This article discusses the advances in techniques and materials that have led to change and attempts to put them into perspective. Treatment should begin with identification and elimination of the disease. There will then be a need for limited restoration of actual cavitation arising from demineralization of the tooth crown. Restorations, per se, will not prevent or eliminate disease. Caries is a bacterial infection and, until the microflora is controlled, all restorations are at risk of further demineralization in remaining tooth structure. This leads to the continuum of replacement dentistry that keeps the profession occupied for much of its productive time. If this cycle is to be broken, the profession must first acknowledge the primacy of prevention.

Bacterial Infections↗
PubMed2003

The regulation of bone resorption in tooth formation and eruption processes in mouse alveolar crest devoid of cathepsin k.

Osteoclastic bone resorption has recently been implicated in the tooth formation and eruption in alveolar bone. Cathepsin K (CK) is a cysteine proteinase expressed predominantly in osteoclasts and is believed to play a critical role in degradation of bone matrix proteins. Here we present evidence that the alveolar bone resorption is essential for the tooth formation and that eruption proceeds normally in CK-deficient (CK-/-) mice. Radiographic and histological analyses revealed that the alveolar bone from these animals had no significant abnormalities during the tooth development between 5 and 28 days after birth. The tooth crown was normally erupted through the alveolar bone layer at 28 days after birth. The number of tartrate-resistant acid phosphatase-positive multinuclear cells in the alveolar bone around the tooth germ was apparently increased in 5-day-old CK-/- mice compared with age-matched littermates. More important, however, the immunohistochemical localization of matrix metalloproteinase-9 (MMP-9) was clearly increased in the CK-/- osteoclasts. In contrast, no significant difference in the immunoreactivity for cathepsin D was observed between the CK-/- osteoclasts and the wild-type ones. These results indicate that CK-/- osteoclasts are fully differentiated and are capable of degrading the organic phase of alveolar bone during the tooth formation and eruption, which may result from the compensatory action by MMP-9 increasingly expressed in the osteoclasts.

Alveolar Bone Loss↗
PubMed1980

47,XXY males: sex chromosomes and tooth size.

Permanent tooth crowns of 47,XXY males were found to be generally larger than those of control males and females and their first-degree male and female relatives. These results suggest that tooth-size increase in 47,XXY males is due to a direct genetic effect and support the concept of the presence of a specific growth gene (or genes) in the human X and Y chromosomes. The effect of this gene (or genes) seems to be the promotion of tooth growth, and the Y chromosome is more effective than the X chromosome in this respect.

Adolescent↗
PubMed1991

Calcium and phosphorous in teeth from children with and without cystic fibrosis.

The objective of this study is to analyze the percentage of Ca and P in teeth from children with and without cystic fibrosis with respect to different variables, namely, gender, age, type of teeth, area, fluoridation of water supply, term of pregnancy, and maternal smoking and drinking habits. The method of analysis is proton-induced X-ray emission and proton-induced gamma emission on tooth-crown samples. T-test results show less Ca in the teeth of the population of CF + NT (cystic fibrosis+ nontetracycline antibiotics) than in that of NCF (noncystic fibrosis) for incisors and the total tooth population. It also shows greater Ca for incisors than for nonincisors for NCF. Teeth from urban CF + NT have less Ca than those from urban NCF. This holds for the total area population. Both Ca and P in teeth of NCF population living in fluoridated areas are greater than in those living in nonfluoridated area. Ca is depleted in the teeth of CF + NT children whose mothers smoke and P is depleted in the teeth of NCF children whose mothers drink. High and low Ca and P values for individual teeth are reported.

Calcium↗
PubMed1997

A comparative prospective clinical study of two single-tooth implants: a preliminary report of 102 implants.

STATEMENT OF PROBLEM: Treatment of tooth loss in the anterior maxilla can involve difficult functional, esthetic, and psychologic problems, especially in young patients with otherwise good dentition. PURPOSE: The purpose of this study was to provide a preliminary comparative evaluation of two implants (ITI and Astra) in single-tooth restorations. MATERIAL AND METHODS: This prospective study of 102 single-tooth replacements with 56 ITI and 46 Astra dental implants was performed in 82 patients at the Finnish Student Health Service Foundation. One Astra implant was lost before loading. The overall survival rate of the implants was 97.8% for Astra implants and 100% for the ITI system. After the initial healing period of at least 6 months, the remaining 101 implants (56 ITI, 45 Astra) were free of periimplant infection and revealed no detectable mobility. Radiographs did not reveal signs of periimplant radiolucencies. All 101 implants received single-tooth crowns. RESULTS: Periimplant parameters and acceptable implant function were examined and demonstrated satisfactory results with preestablished clinical parameters and radiographs at 1 year. During the observation time the mean marginal bone loss was 0.13 mm with Astra implants and 0.11 mm with ITI implants. Subjectively all patients were satisfied with their single-tooth restorations supported by either ITI or Astra dental implants. CONCLUSION: The favorable results of this short-term study support the application of the two implant systems for single-tooth restorations, especially in the anterior region of the maxilla.

Adolescent↗
PubMed1988

Cyclic changes in the properties of maturing enamel in the bovine permanent incisor as revealed by glyoxal bis(2-hydroxyanil) staining.

Staining patterns of the surface and interior of maturing enamel of these tooth germs were examined using the glyoxal bis(2-hydroxyanil) (GBHA) solution which chelates with calcium loosely bound to hydroxyapatite to form insoluble red precipitates. An intense red, band-like pattern of GBHA staining, 1-2 mm wide, first appeared on the incisal portion of lingual enamel surface as complete loops, concentrically arranged; these gradually increased in number. Most of the later-formed bands encircled the entire periphery of the maturing enamel surface. GBHA also revealed reactive areas on the labio-lingual, cut and ground surface of maturing enamel, corresponding exactly to the surface GBHA bands. GBHA did not stain EDTA-etched surface enamel, but did reveal regular staining patterns on the ground surface, disclosed after EDTA treatment. These observations suggest an intimate correlation between the properties of interior and surface enamel, at least with regard to the state of local calcium. The maturation of bovine incisor enamel may start at the lingual aspect of the tooth crown.

Aminophenols↗
PubMed1980

Relationship between the eruption of mandibular first permanent molar and growth changes of adjacent structures.

The relationship between the eruption of mandibular first permanent molar and growth changes of the adjacent structures was statistically investigated on 16 children during the active eruption of the tooth. Semiannual records of 45-degree oblique cephoalgrams and dental casts were used as materials. The factor analysis with orthogonal rotation was applied and the pattern of associations was revealed by the following six factors: Factor 1. Proximity factor. With larger mesiodistal tooth diameter, the tooth tends to be more mesially positioned. Factor 2. Eruption factor. The tooth erupts rapidly, nearing the distal surface of mandibular second deciduous molar more quickly and simultaneously widening the space posterior to the dental arch more rapidly. Factor 3. Root development factor. As the root develops faster, the interdental space tends to close more rapidly. Factor 4. Eruption rate factor. As the tooth nears the occlusal plane, the rate of eruptive movement decreases. Factor 5. Tooth uprighting factor. With more amount of space posterior to the dental arch, the subsequent uprighting of the long axis of the tooth can be expected. Factor 6. Tooth inclination factor. Inclination of the long axis of the tooth crown is relatively independent from the variables examined.

Cephalometry↗
PubMed1993

[A FEM study for the biomechanical comparison of labial and palatal force application on the upper incisors. Finite element method].

The present study was designed to compare the biomechanical response of upper incisors to labial and lingual force applications. A three-dimensional finite element model was developed to analyze tooth displacement and stress distribution in the periodontal ligament. Lingually and apically directed forces of 1 N were applied at one point on the labial and at three points on the lingual surface of the crown. Tooth displacement and stress distribution resulting from lingual force applications were compared with those from the labial side. The following results were obtained: 1. Lingual horizontal forces produced similar patterns of tooth displacement and stress distribution, irrespective of the point of application (labial--lingual). 2. Apically directed vertical forces applied at the lingual points produced more uniform tooth displacements and stress distributions, although the force applied on the lingual side close to the CEJ, which happened to be most distant from the tooth's long axis, generated a pattern of movement somewhat different from the remaining two lingual force applications. The present results suggest the crucial role of the positional relation between the long axis of the tooth, respectively the center of resistance, and the point of force application. It can be deduced that lingual force application may produce more optimal tooth movement in terms of intrusion and subsequent stress distributions in the periodontal ligament.

Biomechanical Phenomena↗
PubMed1980

Tooth eruption: evidence for the central role of the dental follicle.

The roles of the gubernaculum dentis, root formation, tooth crown and dental follicle in prefunctional eruption of a mandibular premolar have been studied in nine beagle dogs by radiographic and histologic evaluations of the effects of surgical ablation or removal of these structures on tooth eruption. The dental follicle was the only one of these structures required for the coordinated enlargement of the eruption pathway and formation of bone in the base of the bony crypt, the radiographic and histologic hallmarks of tooth eruption. These data, together with the topographic relationships of the dental follicle to areas of localized bone resorption and formation, are interpreted to mean that the dental follicle may influence, if not coordinate, these processes in tooth eruption.

Alveolar Process↗
PubMed2006

Load-fatigue performance of gold crowns luted with resin cements.

STATEMENT OF PROBLEM: Resin cements have gained popularity over the past few years because of their improved physical properties. There is a need to test these cements under fatigue loading, as there is growing recognition that fatigue testing is more clinically relevant than traditional monotonic static tests. PURPOSE: This study investigated the load-fatigue performance of complete gold crowns cemented with 4 types of resin cement. MATERIAL AND METHODS: Four resin cements (C & B Opaque [CBO], Calibra Esthetic [CE], RelyX Unicem [RU], and Panavia F [PF]) and a control, zinc phosphate cement (HY-Bond [HBZPC]) were tested. Fifty human maxillary premolars were prepared to an occluso-cervical dimension of 4 mm and a convergence angle of 20 degrees. Complete gold crowns were cast (Strator 3) and cemented with 1 of the 5 cements (n=10). A fatigue load of 73.5 N was applied at an angle of 135 degrees to the long axis of each tooth-crown specimen. Preliminary failure was defined as the propagation of a crack in or around the crown luting cement layer. The number of cycles to preliminary failure and the cement failure location were determined. Significant differences in cycles to preliminary failure were assessed by the nonparametric Kruskal-Wallis test, with follow-up Mann-Whitney tests (alpha=.05). RESULTS: Group CE had the highest rank of cycles to preliminary failure, while HBZPC had the lowest cycles to preliminary failure. Group CE had a significantly higher failure cycle count compared to PF (P=.016), RU (P=.001), and HBZPC (P<.001), but was not significantly different from CBO (P=.112). There was no significant difference in the failure cycle count between RU and HBZPC (P=.070). CONCLUSION: Not all tested resin cements had a superior fatigue life when compared with zinc phosphate cement. Of the 4 resin cement groups, Groups CE, CBO, and PF were significantly superior to HBZPC.

Crowns↗
PubMed1989

Amelogenesis in vitro: a model for studies of epithelial postsecretory processing during tissue-specific extracellular matrix biomineralization.

The extracellular matrix (ECM) of developing mammalian enamel comprises a complex of unusual epithelial-derived proteins, which appear to function in concert to initiate and propagate tissue-specific biomineralization. Following enamel protein synthesis by ameloblast cells within the enamel organ, the subsequent steps of posttranslational modification, secretion, postsecretory processing and eventual removal of these proteins from forming enamel are largely unknown. To address this issue we have designed studies to investigate the hypothesis that enamel proteins are removed from enamel and translocated into the vasculature as relatively high-molecular-weight components. We examined enamel proteins recovered from serumless medium during prolonged organ culture of mouse capstage mandibular first molars. By 21 days in vitro the tooth crown formed and dentine and enamel biomineralization were apparent. At 31 days, explants retained metabolic activity and the enamel matrix showed extensive transformation. Immunologically identified enamel proteins of 26-18 k Da were produced by cultured tooth organs, translocated from tooth explants to the culture medium, recovered from the medium and then compared to control enamel protein from in vivo preparations. Comparable postsecretory processing of the 26-k Da amelogenin protein was observed in vitro and in vivo. We speculate that the pathway reported in the present studies is comparable to the processing of the enamel protein polypeptides of the maturing enamel which occurs in vivo. The in vitro organ culture model described in this report provides an approach with which to investigate the molecular events associated with epithelial-derived postsecretory processing of ECM molecules associated with tissue-specific biomineralization.

Ameloblasts↗
PubMed1978

The extent of slits at the interfaces between luting cements and enamel, dentin and alloy.

Four different cements were used to assess the presence of slits at the cement/tooth or the cement/alloy interfaces using a tooth-crown model. The model consisted of ground sections of teeth and plane plates of silver/palladium alloy. The plates were fixed with bolts between two brass plates and with three different dimensions of the cement film between tooth and alloy, i.e. 50 micrometer, 100 micrometer and 200 micrometer. The tooth-alloy specimens were sectioned and the adaption of cements was studied with an indirect technique (replica) in a scanning electron microscope. The extent of slits was expressed as the length of all slits relative to the total length of the interface in each specimen. The results showed that the zinc phosphate cement and polycarboxylate cement exhibited a slight to moderate tendency to formation of slits at the interfaces. The EBA cement had a small extent of slits adjacent to thin cement films, but more slits were observed with increasing film thickness. The composite resin cement had a marked tendency to slit formation independent of the cement film thickness.

Adhesiveness↗
PubMed1992

Brief communication: interproximal tooth wear: a new observation.

Microscopic observations were made of wear on the proximal surfaces of tooth crowns of Australian Aboriginals and whites. Typical wear facets displayed well-defined borders within which vertical or near vertical furrows, ranging from about 0.1 to 0.5 mm in width, were noted. Furrows on the interproximal surface of one tooth seemed to "interdigitate" with those on the proximal surface of the adjacent tooth. These observations are not consistent with the commonly-held view that interproximal tooth wear results from a buccolingual movement of adjacent teeth that maintain contact through mesial migration. Vertical or near vertical movement of teeth, possibly including a tipping action, must be an important factor, although the precise nature of the movement requires further investigation.

Humans↗