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PubMed2000

[Comparative research on forms of dental and palatal arches between adults and children after rapid maxillary expansion].

OBJECTIVE: To study changes of dental and palatal arch forms between adults and children after rapid maxillary expansion (RME). METHODS: Trans-arch and trans-palatal widths, and molar and palatal angles on plaster models of 47 children and 47 adults were measured pre- and post-treatment with RME. RESULTS: 1. Trans-arch width: Increases of trans-molar and trans-cuspid widths were significantly greater in the child group than those in the adult group, except first and second premolars. In the child group, there was no significant difference of increased widths between posterior teeth and cuspids. But, in the adult group, increased widths in trans-arch of first molars, first and second premolars were significantly greater than those in cuspids. 2. Transpalatal width: Trans-palatal increases at mid-palates and the apex of palates were significantly greater in the child group than those in the adult group. 3. Molar angle: In the child group, no difference existed in the molar group between pre- and post-treament. But, in the adult group, statistical difference existed between pre- and post-treatment. Prior to RME, the molar angle was the same between the child group and the adult group. The molar angle was significantly greater in the adult than that in the child group after RME. 4. Palatal angle: The changes were not of statistical significance in child palatal angles between pre- and post-RME. Significant differences existed in the adult group between pre- and post-RME. Increases of palatal angles were significantly greater in the adult than those in the child group. CONCLUSION: Significant differences existed between the child and the adult group in forms of dental arches and palatal arches, which focused on the changes of molars and palatal angles after RME.

Adult↗
PubMed1991

[Complete removable dentures and prognathism].

Further to some reminders concerning terminology and resorption, this article presents the full denture prosthetic treatment for two patients with total edentation and a prognathic malocclusion. The first case presents a tridimensional symptomatology, described by: a progeny; a voluminous mandibular terrain; a concave profile; a rather closed mandibular angle; a mandible ridge which circumscribes the upper jaw; The particularities of the prosthetic treatment in this case are: a lowering of the posterior occlusal plane; a mounting of the teeth in a limited external position, that is to say, the maxillary lingual cuspids and the mandibular mesio-distal groove on the inter-crest line; the mandibular incisors and cuspids placed with a lingual inclination to obtain an edge-to-edge occlusal contact. The second case is of vertical symptomatology type, described by: a macrogeny; a moderate concavity of the profile; a very marked increase of the vertical dimension; an open mandibular angle; a short ramus; a long mandibule; a very marked overjet between the anterior crests. The particularities of the prosthetic treatment for this case are: a posterior teeth placement, avoiding cross-bite position, taken into account the strong convergence of the intercrest lines; a strong lingual inclination of the mandibular incisors and cuspids, in order to obtain an edge-to-edge occlusal contact. In the light of these two specific cases, emphasis is placed on the particularities of the treatment and on the teeth placement proposed in order to avoid any cross-bite teeth mounting.

Adult↗
PubMed1989

[Dental caries in the support area and the therapeutic problem of the positioning of the canines and premolars in the dental arches].

The purpose of this study was to analyse the health of teeth in the buccal segments following space loss resulting from approximal caries of deciduous molars. The sum of the mesiodistal diameters of unerupted cuspids and bicuspids was predicated with the help of tables and calculated on the basis of correlation with the total width of the lower incisors. On average boys had 5.1 carious deciduous cuspids and molars as compared with 4.8 for girls. The results concluded that 60 to 70% of the cases of space loss resulting from carious lesions of approximal surfaces of deciduous molars occurred in the maxilla and 46 to 54% in the mandible, when factors including which jaw, side and sex were taken into account.

Bicuspid↗
PubMed1979

A cat model for the evaluation of mechanisms of bone resorption: induction of bone loss by simulated immune complexes and inhibition by indomethacin.

When simulated immune complexes (SIC) (heat-aggregated IgG) possessing many of the properties of true antigen-antibody complexes were injected via the root canal into the periapical tissues of cat maxillary cuspids, radiographically and histologically evident bone resorption occurred at these sites within 7 days. Bone loss was accompanied in all cases by inflammation of the surrounding collagenous connective tissues and was characterized by the presence of osteoclasts. Bone resorption, but not the accumulation of inflammatory cells, was blocked by the systemic administration of indomethacin, an inhibitor of prostaglandin synthetase. The most likely explanation is that SIC-activated mechanisms such as the complement cascade, prostaglandin synthesis, and neutrophil degranulation were responsible for the bone loss. The minor inflammation and bone loss that followed the repeated injections of BSA and of monomeric IgG can best be explained as a response to trauma. The data presented establish that the cat maxillary cuspid is a useful model in which to explore the mechanism underlying pathological bone resorption.

Animals↗
PubMed1996

Tooth size in relatives of individuals with oligodontia.

Mesiodistal dimensions of teeth in 59 relatives of 26 patients with oligodontia were evaluated and compared with the size of teeth of a control group (n = 66). It was found that the teeth of relatives do show reductions in size even in relatives with a full permanent dentition. In male relatives with a full permanent dentition these reductions were significant for the central and lateral incisors, the cuspids, lower second premolar, upper first molar and lower second molar. For female relatives with a full permanent dentition these reductions were significant for central and lateral incisors, cuspids, first premolars and upper first and second molars. Reductions in tooth size are known to be associated with oligodontia. Therefore, in determining the mode of inheritance, measurements of the size of the teeth of both patients and relatives are important.

Adolescent↗
PubMed1993

Bond strengths to superficial, intermediate and deep dentin in vivo with four dentin bonding systems.

The shear bond strength of four dentin bonding systems which remove or modify the smear layer were measured in vivo in dog canine and molar teeth as a function of dentin depth. Dentin bond strengths were higher with cuspid teeth compared to molar teeth. Most bonding systems gave higher bonds to superficial dentin and progressively lower bond strengths deeper dentin. The highest bond strengths were obtained with Clearfil Liner Bond, followed by Superbond C&B, Scotchbond 2 and Tenure. The former two bonding systems achieved shear bond strengths to cuspids that were > 10 MPa regardless of dentin depth while the latter two systems produced bond strengths < 10 MPa. In molars, the same ranking of bonding systems was noted but the value that separated the high from the low bonds was 5 MPa.

Analysis of Variance↗
PubMed1992

Modified endodontics for lengthy canals.

A review of the dental literature concerning lengths of maxillary cuspids and reports of cuspid gigantism are presented. Endodontic therapy in these cases requires variations and modifications in conventional therapy for successful treatment. A case report is presented which illustrates some of these treatment modifications.

Cuspid↗
PubMed1993

An electrochemical study of the sealing ability of different retrofilling materials.

Eighty-eight extracted mandibular and maxillary cuspids were selected for this study. Eighty cuspids were used as experimental groups and eight were used as controls. Anatomical crowns were resected, root canals were prepared, and the apical 2 mm of the roots were removed. The experimental roots received apical cavity preparations and were randomly divided into four equal groups. The apical cavities were retrofilled with amalgam, heat-sealed gutta-percha, zinc polycarboxylate cement, or glass ionomer cement. Leakage was measured using an electrochemical technique. Statistical analysis of the results indicated that glass ionomer sealed significantly better than the other materials, followed by amalgam, heat-sealed gutta-percha, and zinc polycarboxylate cement, respectively.

Analysis of Variance↗
PubMed1990

Inflammatory resorption caused by an adjacent necrotic tooth.

A case history is presented with a large periapical lesion and a perforating resorption defect on a cuspid. Endodontic therapy was performed, presuming that the necrotic cuspid caused the inflammatory response. No radiographic healing was evident 18 months after endodontic therapy. Considerable healing was demonstrated 6 months later, following the extraction of an adjacent tooth with prior root canal therapy. It was concluded that the failing root canal therapy of the extracted tooth was the primary factor leading to the inflammatory lesion, the resorptive perforation of the adjacent tooth, and its pulpal necrosis. It has not been reported prior that inflammatory resorption can result from the pulpal necrosis of an adjacent tooth.

Adult↗
PubMed1977

Cases six years postretention.

1. The cuspid width is most likely to decrease after treatment (9 of 11) although on occasion a slight increase (2 of 11) was maintained. 2. The molar width is apt to decrease from the beginning of treatment through the postretention period. 3. The cephalometric measurements studied in this sample of good stable occlusions coincided with with the norms and ranges as used by R.M. 4. The age changes of the various cephalometric measurements also agreed with the age changes that R.M. utilize. 5. Lower arch crowding may be due to multiple factors of expanded cuspids, protrusive and labially inclined mandibular incisors, and late skeletal growth changes.

Adolescent↗
PubMed2002

The effectiveness of increased apical enlargement in reducing intracanal bacteria.

It has been suggested that the apical portion of a root canal is not adequately disinfected by typical instrumentation regimens. The purpose of this study was to determine whether instrumentation to sizes larger than typically used would more effectively remove culturable bacteria from the canal. Forty patients with clinical and radiographic evidence of apical periodontitis were recruited from the endodontic clinic. Mandibular cuspids (n = 2), bicuspids (n = 11), and molars (mesial roots) (n = 27) were selected for the study. Bacterial sampling was performed upon access and after each of two consecutive instrumentations. The first instrumentation utilized 1% NaOCI and 0.04 taper ProFile rotary files. The cuspid and bicuspid canals were instrumented to a #8 size and the molar canals to a #7 size. The second instrumentation utilized LightSpeed files and 1% NaOCl irrigation for further enlargement of the apical third. Typically, molars were instrumented to size 60 and cuspid/bicuspid canals to size 80. Our findings show that 100% of the cuspid/bicuspid canals and 81.5% of the molar canals were rendered bacteria-free after the first instrumentation sizes. The molar results improved to 89% after the second instrumentation. Of the (59.3%) molar mesial canals without a clinically detectable communication, 93% were rendered bacteria-free with the first instrumentation. Using a Wilcoxon rank sum test, statistically significant differences (p < 0.0001) were found between the initial sample and the samples after the first and second instrumentations. The differences between the samples that followed the two instrumentation regimens were not significant (p = 0.0617). It is concluded that simple root canal systems (without multiple canal communications) may be rendered bacteria-free when preparation of this type is utilized.

Bacteria↗
PubMed1975

Reflex control of the jaw muscles by stimuli from receptors in the periodontal membrane.

In the opinion of a number of investigators, the only function of the mechano-receptors in the periodontal membrane is to inhibit closure of the jaws via a reflex pathway when a predetermined pressure on the teeth has been exceeded. In our opinion, the receptor system in the periodontal membrane may also play a role in a complex regulatory system which controls the movements of the lower jaw during chewing. In order to test this hypothesis a study was made of the changes occurring in the contraction pattern of three masticatory muscles of the cat, when the cuspids in the upper jaw were displaced in various directions. In all the experimental animals used, electromyographic changes in the three muscles investigated, could be recorded as a result of displacement of the cuspids. The results obtained suggest, at least in the case of the temporal and pterygoid muscles, that there are specific reflexogenic zones in the periodontal membrane, These results support the previously suggested hypothesis that a number of the pressure-sensitive receptors in the periodontal membrane play a role in a regulatory system which controls the movements of the lower jaw--as during chewing--by exerting a reflex influence on the degree of contraction of the masticatory muscles. In the discussion this hypothesis is worked out in more detail and the extent to which the results fit the chewing pattern of the cat is examined. In the conclusion, the author asks whether the finding of a regulatory system in the cat may also be applied to man.

Animals↗
PubMed1983

Diagnosis of the aesthetic components of the mandibular anterior prosthesis.

This paper explores seven different factors which should be considered when prescribing the lower anterior prosthesis: alignment as seen from the incisal; height of the incisal edges; degree of irregularity of the teeth; character of the incisal edge; height of the cuspid; mesio-incisal angle of the cuspid; and ridge coverage. The weights and variations of these different factors are discussed and suggestions made for a complete work authorization.

Cuspid↗
PubMed1993

Taurodontism and length of teeth in patients with oligodontia.

Taurodontism and a reduced tooth length are reported to occur in patients with oligondontia. The aim of this study was to evaluate the occurrence of these factors in Dutch patients with oligodontia. Panoramic radiographs of 117 patients with oligodontia and 91 controls were collected. Taurodontism of the mandibular first molars was recorded and the length of cuspids, bicuspids and first molars of the mandible were measured. In patients with oligodontia 28.9% showed taurodontism of one or two mandibular first molars. The prevalence of taurodontism in normal Dutch subjects was 9.9%. No significant differences were found between the two sexes in both groups. Neither was there a significant difference in the unilateral and bilateral occurrence of taurodontism. The present findings supported the hypothesis that taurodontism may be the result of an ectodermal defect and a manifestation of developmental instability in patients with oligodontia. The length of mandibular cuspids and first molars in females were significantly reduced. In males only the lower right first molar was significantly reduced. The reduced length of the teeth may also be the result of a defect in ectodermal cells. Both taurodontism and a reduced length are of importance considering dental therapy.

Adolescent↗
PubMed1988

Dominant inheritance of tooth malpositions and their association to hypodontia.

Four kindreds with family-specific malposition of cuspids were studied. Besides malposition of cuspids, the members also showed varying combinations of other anomalies: malposition, malformation or hypodontia of upper lateral incisors, second bicuspids and lower central incisors. The pedigrees provided convincing evidence for autosomal dominant transmission of the abnormalities studied. Their nature and location allow the assumption that they represent different expressions of one dominant gene causing a primary disturbance in the critical marginal area of the embryonic dental lamina.

Adolescent↗
PubMed2004

Chronology of deciduous teeth eruption in children with cleft lip and palate.

OBJECTIVE: To determine the chronology and sequence of eruption of the deciduous teeth in children with complete unilateral cleft lip and palate. DESIGN: Cross-sectional study. SETTING: Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, Sao Paulo, Brazil. SAMPLE: A total of 435 children aged 0 to 48 months who presented with complete unilateral cleft lip and palate. RESULTS: All teeth on the cleft side in both jaws for both sexes presented a higher mean age of eruption than their homologues at the noncleft side. This difference was statistically significant for the maxillary lateral incisor, maxillary cuspid, and mandibular lateral incisor. There was a statistically significant sex difference regarding the mean age of eruption only for the maxillary second molar for the girls and mandibular cuspid for the boys. The maxillary lateral incisor on the cleft side was the last tooth to erupt, thus modifying the sequence of eruption of the deciduous teeth. CONCLUSIONS: The results suggest the interference of the cleft on the chronology of eruption of the deciduous teeth that are directly related to it.

Age Factors↗
PubMed1993

Dental cast study of adult patients with untreated unilateral cleft lip or cleft lip and palate in indonesia compared with surgically treated patients in The Netherlands.

To determine differences in maxillary and dentoalveolar relationships between untreated and treated patients having unilateral clefts of the lip and alveolus (UCLA) or lip and palate (UCLP), dental cast assessments were done on 70 untreated adult Indonesian patients (UCLA-I, UCLP-I) and 67 Dutch patients, surgically treated in infancy (UCLA-D, UCLP-D). The Indonesian group consisted of 44 UCLA-I and 26 UCLP-I patients, and the Dutch group of 24 UCLA-D and 43 UCLP-D patients. In the UCLA-I patients, deformities occurred in that part of the dentoalveolar complex that surrounds the cleft. Lip repair in the UCLA-D group more frequently caused deformities in the incisor and buccal areas on the cleft side. In the UCLP-I patients, deformities were present in the incisor and cuspid areas on the cleft side. The buccal segments showed collapse both on the cleft and noncleft sides. Lip and palate repair in the UCLP-D group caused significantly more deformities in the incisor, cuspid, and buccal areas up to the level of the first molars, both on the cleft and noncleft sides. Surgical treatment seems to cause maxillary and dentoalveolar deformities up to the first molars more frequently, but these are not as pronounced as one would expect: following the practiced surgical regimen, the deformities were usually mild. Negative effects of surgical intervention seem to be antagonized by the restored integrity of the lip and palate leading to orientation of maxillary parts and correction of tongue position, which in turn has a molding effect on the maxilla and mandible.

Adolescent↗
PubMedDate not supplied

Microcanals of dentin associated with maxillary primary anterior teeth.

PURPOSE: This study was performed to estimate the prevalence of giant dentin tubules or microcanals in primary maxillary anterior teeth. METHODS: One hundred sixty eight extracted or exfoliated primary maxillary anterior teeth were sectioned and examined by optical microscopy and image analysis. Differences in the proportion of teeth with microcanals among tooth types were tested by using the Pearson chi-square test. RESULTS: Microcanals, having the appearance of enlarged dentin tubules, were found in approximately 20% of primary central and lateral incisors, but were significantly less prevalent (3%) in primary cuspids. Microcanals occurred in a mesial distal axial plane and ran between the DEJ and the pulp chamber. When present they numbered between 1 and 43, with mean numbers of 20 and 16 in central and lateral incisors, respectively. The microcanals ranged in size between 5 and 70 microns, compared to normal dentin tubule diameters of approximately 1 micron. CONCLUSIONS: Microcanals are relatively common in primary maxillary incisors, but uncommon in primary cuspids. Additional work is needed to establish their prevalence in various teeth of both primary and permanent dentition.

Chi-Square Distribution↗