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PubMedDate not supplied

A functional aspect of anterior attrition or flaring and mode of treatment.

The phenomenon of occlusal wear has been generally reported, with no distinction being made between wear of the anterior or posterior teeth. This paper describes a group of patients without oral habits and exhibiting anterior tooth attrition or flaring with minimal posterior tooth attrition. The mandibular anterior movement patterns of the patients studied were evaluated using a Sirognathograph. These patterns appear to be the etiology for the anterior attrition or flaring present. A treatment mode allowing coexistence of this phenomenon with an anterior guidance that does not interfere with the mastication pattern is proposed. A hypothesis that might explain the clinical findings and a mode of treatment are described.

Adolescent↗
PubMed1997

Dental disease in the Chinese Yin-Shang period with respect to relationships between citizens and slaves.

Seventy-one skulls from the Yin-Shang period tombs of Anyang, China, were examined for the incidence of observable dental diseases, including dental caries, alveolar bone resorption (an index of periodontal disease), ante-mortem tooth loss and tooth attrition. Because the remains were excavated from tombs with funerary items, the burials are believed to be of Anyang citizens. Our study indicates carious tooth frequency in the Yin-Shang period was rather low (2.9-4.0%). Periodontal disease frequency was 18.3-26.9%, and ante-mortem tooth loss frequency was 2.0-7.5%. To determine the relative prevalence of overall dental health in the Yin-Shang populations, observations from the 42 male crania were compared to those from 183 male crania of slaves from "sacrificial pits" from the Yin-Shang period (Inoue et al. [1992] J. Anthropol. Soc. Nippon 100:1-29). Results from this comparison indicate no apparent difference between social classes in younger age groups. However, in the older ages the rates of the ante-mortem tooth loss, periodontal disease and tooth attrition were significantly higher in the citizen sample. The findings would suggest dietary development in the Yin-Shang period was not dissimilar enough between social classes to induce clear differences in dental diseases at least at younger ages. Conversely, it appears there must have been significant differences between social classes diets in the earlier phase of the Yin-Shang period to produce the differences in dental disease present in the older samples.

Age Factors↗
PubMed1983

Relationships between attrition and lingual tilting in human teeth.

Associations between occlusal dental attrition and the lingual tilting of human teeth were investigated in two aboriginal California populations. A literature survey suggests lingual tilting is related geographically and temporally to the helicoidal occlusal plane in humans; if true, lingual tilting should be expected throughout the Homo osteological record. Buccal alveolar abscesses, exposed pulp chambers, extent of tooth attrition, angle of lingual tilt, and amount of overjet were observed for lingually tilted teeth. These attributes were analyzed statistically, leading to a conclusion that lingual tilting is slight and infrequent unless tooth attrition is pronounced. It is suggested that lingual tilting is due in part to masticatory stress. A feedback model considers lingual tilting as one conspicuous manifestation of a more complex "severe attrition syndrome," the initial stimulus for which may derive from heavy occlusal tooth wear. Untested possibilities should be examined- e.g., age-related changes, the impact of the helicoidal occlusal plane, and the role of masticatory forces.

California↗
PubMed1985

Tooth loss, attrition and temporomandibular joint changes in a Romano-British population.

Mandibular condyles and temporal fossae were studied in a large Romano-British collection of skulls. The size and shape of the condyles differed from those in previous populations studied. Changes in form or shape of the condyles were age-related and could be correlated to the number of teeth lost on the same side and on the contralateral side. No statistically significant correlations were seen between attrition and condylar form and surface change.

Adolescent↗
PubMed1990

Australian aboriginal tooth succession, interproximal attrition, and Begg's theory.

In 1954, P.R. Begg analyzed interproximal attrition as a prehistorically universal mechanism to reduce tooth size. With modern processed diets and the virtual disappearance of constant interproximal attrition, Begg asserted, teeth remain too large for the arches and become crowded. Later investigators have questioned Begg's estimate of attritional tooth-size reduction, as well as aspects of his theory relating the succession sequence of permanent teeth to different malocclusions. The present paper examines the theory using longitudinal casts and records of modern Australian aborigines who are among the first generation lacking notable interproximal attrition thanks to a "modernized" diet. Deciduous and permanent tooth size, arch size, and occlusal relational variables were analyzed with respect to the expected occlusal outcomes in the absence of attritional tooth reduction. Permanent incisor overjet correlated with crowding status, as predicted by Begg. On the other hand, longer teeth did not relate to crowding in general nor to crowding in relevant local areas or during developmental stages. Unfavorable leeway space did not relate clearly to crowding or other malocclusions. Lowered correlations among structures and narrowness of the maxilla related more significantly to malocclusion. These results are in keeping with recent thinking that small jaws rather than large teeth underlie tooth/arch discrepancy.

Australia↗
PubMed2003

Tooth wear and the "design" of the human dentition: a perspective from evolutionary medicine.

Worn, flat occlusal surfaces and anterior edge-to-edge occlusion are ubiquitous among the dentitions of prehistoric humans. The concept of attritional occlusion was proposed in the 1950s as a hypothesis to explain these characteristics. The main aspects of this hypothesis are: 1) the dentitions of ancient populations in heavy-wear environments were continuously and dynamically changing owing to life-long attritional tooth reduction and compensatory tooth migration, 2) all contemporary humans inherit these compensatory mechanisms, and recent reduction in wear severity has resulted in failure to develop attritional occlusion, and 3) this failure leads to an increased frequency of various dental problems in modern societies. Because of the potential significance of this concept, we review and synthesize relevant works and discuss attritional occlusion in the light of current knowledge. Available evidence, on balance, supports the first and second points of the hypothesis. As noted by many workers, the human dentition is basically "designed" on the premise that extensive wear will occur, a conclusion that seems reasonable when one realizes that humans evolved in heavy-wear environments until relatively recently. Some dental problems in contemporary societies appear to reflect the disparity between the original design of our dentition and our present environment, in which extensive wear no longer occurs, but this possibility still needs further investigation.

Adaptation, Physiological↗
PubMed1997

Psychosocial factors and tooth wear with a significant component of attrition.

Pathological tooth wear is often associated with bruxism, which appears in turn to be influenced by psychosocial factors. This study investigated putative relationships between psychosocial factors (total and average perceived stress, state and trait anxiety) and tooth wear, comparing 45 patients exhibiting tooth wear with a significant component of attrition to 45 controls. Groups were matched for gender and age. Subjects completed the Modified and Perceived Stress Scale and the State-Trait Anxiety Inventory. A between-groups multivariate analysis of variance indicated that the two groups did not differ significantly on the combined psychosocial factors, F(4,85) = 1.16, P > 0.05. However, a univariate F-test showed that tooth-wear patients presented significantly more trait anxiety than controls, F(1,88) = 4.15, P < 0.05. Further research is indicated to clarify the importance of trait anxiety and other psychosocial factors in the progression of tooth wear with a significant component of attrition.

Adult↗
PubMed1997

Midface collapse: an overlooked disease.

Midface collapse is a disease caused by occlusal interferences leading to excessive tooth attrition and loss of vertical dimension. Although it can cause premature aging, it can be prevented or treated.

Aged↗
PubMed2006

The coexistence of temporomandibular disorders and styloid process fracture: a clinical report.

This clinical report describes the diagnosis and treatment of a patient with both temporomandibular disorders (TMD) and styloid process fracture. The presence of tender muscles of mastication, facial pain, especially upon awakening, frequent grinding sounds, and tooth attrition indicated a diagnosis of TMD with bruxism as a possible etiological factor. However, the preliminary diagnosis of styloid process fracture based on the patient's sensation of a foreign body in the throat and some discomfort when turning the head was confirmed using radiography. The styloid process fracture was treated using conservative nonsurgical therapy, and an occlusal splint was used to treat the TMD. The patient's symptoms were significantly reduced at the 12-month follow-up visit.

Adult↗
PubMed1975

Relation of the alveolus to the cemento-enamel junction following attritional wear in aboriginal skulls. An enquiry into normality of cementum exposure with aging.

With tooth attrition, the height of the alveolar crest does not increase to keep pace with active tooth eruption and the cemento-enamel junction-alveolar crest distance increases slightly with age in aboriginal skulls. But there is no atrophy of the alveolar bony margin. Some decrease in interalveolar height does occur. This does not necessarily mean that passive eruption with exposure of cementum is normal. Rather it is postulated that the epithelial attachment proliferates onto cementum, inhibiting alveolar crest addition, while the base of the gingival sulcus remains at the cemento-enamel junction. During the course of this investigation, it was found that the distance between the cemento-enamel junction and alveolar crest increased more rapidly with advancing wear in the lower molar region than in the upper. In the lower first molar region, the lingual distance was significantly greater than that between cemento-enamel junction and alveolar crest on the buccal aspect during each stage of wear. The size of the tooth, as reflected in the robustness index, had no influence on the processes or rate of active eruption, bone deposition at the alveolar crest, or measurements taken between cemento-enamel junction and alveolar crest.

Aging↗
PubMed1981

Dental attrition and degenerative arthritis of the temporomandibular joint.

The extent and rate of occlusal attrition in relation to degenerative arthritis of the temporomandibular joint were studied in 101 skulls representing early Aboriginal man in Australia. Joint degenerations affected 40% of the specimens and were associated with both the rate and extent of tooth attrition. Age, unaccompanied by tooth wear, was not significant in the progress of the disease. Degenerations affected the temporal joint surface more frequently than the condyle, particularly in the lateral and central regions of the articular eminence. Patterns of degenerative joint disease in the Aboriginals illustrated a break-down in the physiological adaptability of the masticatory system resulting from increased occlusal stress consequent upon progressive tooth wear. Under these conditions, the teeth and the temporomandibular joints enter a 'wear-out' phase of occlusal function which usually commences in early adult life and becomes more severe as the conditions continue.

Adolescent↗
PubMedDate not supplied

The dental pathology of northern elephant seals (Mirounga angustirostris).

Skulls (n=104) of northern elephant seals from California were examined macroscopically. The animals varied in age but the numbers of each sex were roughly equal. The majority (86%) of teeth were available for examination. The mandibular first premolars were the most common teeth to be congenitally absent, with 2.3% missing. Supernumerary teeth (usually a supplemental mandibular molar) were associated with only 1.4% of normal teeth (or empty alveolar sockets). At least one persistent deciduous tooth was present in 38% of skulls, 70% of which were juvenile skulls. The majority (95.8%) of premolars had the type 2a tooth form, with only 3.8% and 0.5% of type 2b and 2c, respectively. Forty-six skulls, of which 43 were from adults, showed signs of attrition. Tooth fractures were uncommon, affecting only 33 teeth (1.2%). One skull showed an "incremental line" suggestive of enamel hypoplasia. Periodontal hard tissue lesions were seen in 44.3% of all teeth present (46.0% of skulls). Six cases of periapical disease with bone loss were observed.

Animal Diseases↗
PubMed1995

Bone morphology of the temporomandibular joint and its relation to dental occlusion.

The mandibular and temporal osseous components were analyzed in a sample of 30 dry skulls and their morphology was correlated with occlusal characteristics. In skulls with condyles of a more rounded shape, the depth of the fossa was greater. Furthermore, there was a significant correlation between greater depth of the fossa and skulls with normal overbite. However, no correlation was observed between depth of the fossa, tooth attrition and Spee curve.

Analysis of Variance↗
PubMed1992

Organic tooth wear--overlooked in anatomy texts.

Most anatomy texts depict gear-like apposition of adult upper and lower teeth. But this apposition generally does not occur in civilized man. On the contrary the widespread tooth attrition which occurs in primitive man, is well established. This attrition, which is not depicted in anatomy texts or correctly evaluated in medical and dental education, is a natural protective mechanism that functions to preserve, oral, pharyngeal, and respiratory physiology throughout life. As man removed grit, sand and other abrasive food from his diet, he deprived himself of a natural aid, i.e. attritional wear of teeth that protects the physiology of his mouth and the swallowing and respiratory apparatus (4). In contrast to this the unworn teeth, characteristic of present-day man, prevent anatomic and physiologic changes that normalize oral pathways. For these reasons, 'textbook' tooth occlusion should be re-evaluated.

Humans↗
PubMed2001

An unusual case of talon cusp on geminated tooth.

A rare case of talon cusp on geminated permanent central incisor is described. These developmental anomalies cause clinical problems including unsightly dental appearance, occlusal interference, displacement of the affected tooth, attrition, periodontopathy, irritation of the tongue, loss of space and malocclusion. Clinical and radiographic characteristics of these anomalies and modes of treatment are presented. Recognition of this condition and early diagnosis are important to avoid complications.

Child↗
PubMed1997

Interproximal grooving in the Atapuerca-SH hominid dentitions.

The dental sample recovered from the Sima de los Huesos (SH) Middle Pleistocene cave site of the Sierra de Atapuerca (Spain) includes 296 specimens. Interproximal wear grooves have been observed in 20 maxillary and mandibular posterior teeth belonging to at least five of the 32 individuals identified so far in the SH hypodigm. Interproximal grooving affected only the adults, and at an age between 25 and 40 years. The appearance, morphology, and location pattern of the SH wear grooves are similar to those reported in other fossil hominids and in more recent human populations. Two alternative proposals, the toothpicking and the fiber or sinew processing hypotheses, compete for explaining the formation of this anomalous wear. The characteristics observed in the wear grooves of the SH teeth are compatible only with the habitual probing of interdental spaces by means of hard and inflexible objects. Dietary grit may also have contributed to the abrasion of the root walls during the motion of the dental probes.

Adult↗
PubMed2002

Additional human remains from Blombos Cave, South Africa: (1999-2000 excavations).

The uppermost Middle Stone Age (MSA) layers at Blombos Cave contain high densities of Still Bay bifacial points. Information from other regional sites places the Still Bay prior to the Howiesons Poort industry, which has been dated at 65-70 ka. The Blombos Cave MSA strata have yielded nine human teeth or dental fragments. Four that were recovered during the 1997-1998 excavations have been published elsewhere. The remaining five were discovered during the 1999-2000 field seasons; these are described here. Three of the new specimens are deciduous teeth, and two are permanent premolar and molar crown fragments. The entire dental sample probably represents at least five and as many as seven individuals. The deciduous teeth from the upper MSA levels are likely to have been exfoliated in the cave. One deciduous tooth and the permanent tooth fragments from the lower MSA levels probably represent three individuals who died in or near the cave. The Blombos Cave premolars preserve horizontal circum-cervical striae suggestive of palliative tooth pick use. Approximately half of the permanent and deciduous crown diameters exceed those of recent Africans; for the remainder, the fossil values fall among modern African sample means. The Blombos Cave tooth crowns tend to be smaller than the majority of penecontemporaneous Neandertal teeth. The morphology of the Blombos Cave di is comparable to MSA homologues from the nearby, and presumably somewhat younger site of Die Kelders Cave 1.

Adult↗