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Deciduous tooth size and morphogenetic fields in children from Christ Church, Spitalfields.

Deciduous tooth dimensions of a recent archaeological sample of 37 boys, 18 girls and 88 children of unknown sex from London were measured. Mesiodistal (maximum breadth at the contact point) and buccolingual measurements were recorded. A gradient of size variation was apparent with anterior teeth showing the highest variation and second molars the least. In general, the teeth of the children of Spitalfields were smaller than those of other groups from various archaeological and contemporary populations. Fluctuating asymmetry between left- and right-hand sides was greatest for the lateral incisor. Asymmetry of the mesiodistal dimension of the upper central incisor differed significantly from the buccolingual dimension (p < 0.01). Tooth size in both dimensions was generally larger in boys than in girls. The maxillary lateral incisor displayed significant dimorphism in the mesiodistal dimension (p < 0.05). The second molars (both upper and lower) were less variable and less asymmetrical than the first molars, suggesting that the second molar may be the key tooth of the deciduous molar field.

Child, Preschool↗

Difficulties in estimating age using root dentine translucency in human teeth of varying antiquity.

Estimation of age at death is an essential part of reconstructing information from skeletal material. This becomes more difficult after development has ceased and following taphonomic alteration in archaeological material. Most biological markers of age do not record the chronological age (calendar age), but the biological or physiological age of the individual. Of the age-related changes in the mature dentition of modern samples, the extent of root dentine translucency (RDT) has been shown to correlate closely with chronological age. A protocol for measurement of RDT was established and applied to modern and archaeological teeth of known age (Spitalfields sample). Percentage length of RDT in sectioned teeth was found to correlate well with chronological age in the modern sample but not in the archaeological sample. The majority of the archaeological sample was affected by a morphological change creating a "chalky" appearance to the dentine. Removal of the obviously affected teeth did not improve the correlation coefficients to any useful degree. "Chalky" dentine appeared, under the light microscope, to be composed of large fenestrations, islands of mineralized tissue and masses of filiform structures that appeared to be following the path of the dentinal tubules in their invasion of the peripheral dentine. The filiform structures are consistent in their appearance with a previously reported tunnelling mycelium and impart such an effect on RDT that it cannot readily be used for age estimation in affected teeth.

Adult↗

Crown components of mandibular molar teeth in 45,X females (Turner syndrome).

This study was designed to determine the possible effect of one X-chromosome constitution on components of the human permanent and primary molar teeth. Enamel, dentine, pulp and crown dimensions were measured on radiographs of first and second permanent and second primary mandibular molars of 49 Finnish 45,X females (Turner syndrome), their 46 first-degree male and female relatives and 50 non-related males and females. In permanent first and second molars of the 45,X females, crown width and the dimensions of tooth components were less than those of normal females and males. Reduction in size affected first more than second molars, and in both teeth the enamel was relatively as well as absolutely thinner than in the controls. No differences were found in tooth components between normal relatives and unrelated controls. These data agree with previous studies which have demonstrated that the X chromosome promotes enamel apposition and that both X chromosomes in normal females are active in amelogenesis, while the Y chromosome influences both dentine and enamel growth. The relative reduction in "dentine" or the estimated mesiodistal width of the tooth germ in the 45,X females indicates that their tooth development is affected at an early stage of morphogenesis. Taken together with the results already reported for anterior teeth, the present results suggest that there is an inverse correlation between the duration of crown formation and the severity of size reduction.

Amelogenesis↗

Anatomic crown width/length ratios of unworn and worn maxillary teeth in white subjects.

STATEMENT OF PROBLEM: Dimensions of teeth have been available for a century. Some significant and clinically relevant aspects of dental esthetics, however, such as the crown width/length ratios, have not been presented in tooth morphology sources until recently. PURPOSE: The purpose of this study was to analyze the anatomic crowns of 4 tooth groups (central incisors, lateral incisors, canines, and first premolars) of the maxillary dentition with respect to width, length and width/length ratios and determine how these parameters are influenced by the incisal edge wear. MATERIAL AND METHODS: Standardized digital images of 146 extracted human maxillary anterior teeth from white subjects (44 central incisors, 41 lateral incisors, 38 canines, 23 first premolars) were used to measure the widest mesiodistal portion "W" (in millimeters) and the longest inciso-cervical/occluso-cervical distance "L" (in millimeters). The width/length ratio "R" (%) was calculated for each tooth. A 1-way analysis of variance was used to compare the mean values of W, L, and R for the different groups ("unworn" and "worn" subgroups, except for premolars). Multiple least significant difference range tests (confidence level 95%) were then applied to determine which means differed statistically from others. RESULTS: There was no influence of the incisal wear on the average value of W (width) within the same tooth group. The widest crowns were those of central incisors (9.10 to 9.24 mm) > canines (7.90 to 8.06 mm) > lateral incisors (7.07 to 7.38 mm). Premolars (7.84 mm) had similar width as canines and worn lateral incisors. The L-value was logically influenced by incisal wear (worn teeth were shorter than unworn teeth) except for lateral incisors. The longest crowns were those of unworn central incisors (11.69 mm) > unworn canines (10.83 mm) and worn central incisors (10.67 mm) > worn canines (9.90), worn and unworn lateral incisors (9.34 to 9.55 mm), and premolars (9.33 mm). Width/length ratios also showed significant differences. The highest values were found for worn central incisors (87%) and premolars (84%). The latter were also similar to worn canines (81%), which constituted a homogeneous group with worn lateral incisors (79%) and unworn central incisors (78%). The lowest ratios were found for unworn canines and unworn lateral incisors (both showing 73%). CONCLUSIONS: Along with other specific and objective parameters related to dental esthetics, average values for W (mesiodistal crown dimension), L (inciso-cervical crown dimension), and R (width/length ratio) given in this study for white subjects may serve as guidelines for treatment planning in restorative dentistry and periodontal surgery.

Analysis of Variance↗

A simple method to estimate restoration volume as a possible predictor for tooth fracture.

STATEMENT OF PROBLEM: Many dentists cite the fracture risk posed by a large existing restoration as a primary reason for their decision to place a full-coverage restoration. However, there is poor agreement among dentists as to when restoration placement is necessary because of the inability to make objective measurements of restoration size. PURPOSE: The purpose of this study was to compare a new method to estimate restoration volumes in posterior teeth with analytically determined volumes. MATERIAL AND METHODS: True restoration volume proportion (RVP) was determined for 96 melamine typodont teeth: 24 each of maxillary second premolar, mandibular second premolar, maxillary first molar, and mandibular first molar. Each group of 24 was subdivided into 3 groups to receive an O, MO, or MOD amalgam preparation design. Each preparation design was further subdivided into 4 groups of increasingly larger size. The density of amalgam used was calculated according to ANSI/ADA Specification 1. The teeth were weighed before and after restoration with amalgam. Restoration weight was calculated, and the density of amalgam was used to calculate restoration volume. A liquid pycnometer was used to calculate coronal volume after sectioning the anatomic crown from the root horizontally at the cementoenamel junction. True RVP was calculated by dividing restoration volume by coronal volume. An occlusal photograph and a bitewing radiograph were made of each restored tooth to provide 2 perpendicular views. Each image was digitized, and software was used to measure the percentage of the anatomic crown restored with amalgam. Estimated RVP was calculated by multiplying the percentage of the anatomic crown restored from the 2 views together. Pearson correlation coefficients were used to compare estimated RVP with true RVP. RESULTS: The Pearson correlation coefficient of true RVP with estimated RVP was 0.97 overall (P</=.0001). Coefficients for comparisons stratified by tooth type, restoration type, and restoration size groups were all greater than 0.90 (P</=.0001). CONCLUSION: Within the limitations of this study, the high correlation between estimated RVP and true RVP indicated that estimated RVP was an accurate method to quantify the relative volume of restorative material in coronal tooth structure. The fact that it can be done in a nondestructive manner makes it attractive for clinical situations.

Bicuspid↗

The anatomy of a smile.

The anatomy of the smile is an integral part of dentistry. Its understanding involves close scrutiny of all elements of the oral region. It is not enough to establish the size of teeth based on the high and low lip lines, size of the mouth, and a shade to blend with the age and complexion. To create a harmonious smile the dentist must maintain or create the normal curvature of the lips, proper exposure of the red zone of the lips, an undistorted philtrum, and undisturbed nasolabial grooves. These entities, maintained in harmony with the exposed teeth, constitute the anatomy of a smile. In order that patients may be served properly, the smile must be understood, recorded, and analyzed so that desirable aspects may be preserved and graceless components returned to attractiveness.

Age Factors↗

Assessment of shoulder dimensions and angles of porcelain bonded to metal crown preparations.

The metal ceramic crown is the most popular extracoronal restoration in the United Kingdom. These restorations may fail because of fracture or esthetics. A potential cause of failure is the quality and width of the facial shoulder preparation. In this study 24 extracted human teeth were prepared to receive metal ceramic crowns by one of three dentists. Preparations were replicated and scanned in the midfacial plane by a coordinate measuring machine with a noncontact probe. The x, y, and z surface coordinates were recorded. The results indicated a mean (+/-SD) shoulder width value of 0.752 mm (+/-0.174 mm) and a shoulder angle of 108.54 (+/-15.06) degrees. From these data it would appear that there are deficiencies in shoulder preparations, particularly in width. These inadequacies may have implications for longevity of the restoration and periodontal health in a clinical situation.

Computer Graphics↗

Numerical simulation of the crown of an incisiform tooth by conformal and polynomial regression mapping of a simple model.

We present a simple bowl-shaped model in the complex plane for the enamel and dentin structure of a tooth. Isochronous mode lines, and path lines representing the paths followed by individual ameloblasts and odontoblasts, form a simple regular mesh in the model. After the conformal map W = Z2, the transformed model is remarkably tooth like. To further improve the simulation of the crown of an incisiform tooth in particular, we compare our results to our own data from actual teeth and data from the literature. This leads us (a) to adjust the initial model so that the mesh of mode and path lines intersects the boundary of the tooth in a realistic way, and (b) to refine the mapping using least-squares regression to fit polynomial functions of Z and W to the available data.

Computer Simulation↗

Determination of relative size: the "criterion of subtraction" problem in allometry.

By providing a predicted value against which to judge observed values, allometric equations are often used as a "criterion of subtraction" to calculate measurements corrected for the effects of overall size. The observed and predicted values have been used to calculate several different versions of a size-adjusted measurement; two of the more common being (observed/predicted) and (log observed-log predicted). Using data on brain size, tooth size, metabolic rate, and long bone shape, it is found that the manner in which the relative size value is calculated can alter interpretations and statistical results. Some of the assumptions underlying use of a criterion of subtraction calculated from empirical data are reviewed. It is suggested that predicted values determined from a priori theoretical equations often have several advantages over those from empirical equations.

Anatomy↗

Visceral leishmaniasis in the hoary zorro Dusicyon vetulus: a case of mistaken identity.

The historical identification of the Brazilian 'north-eastern' zorro as Dusicyon vetulus is questioned in relation to its incrimination as a reservoir of Leishmania chagasi, the agent of American visceral leishmaniasis. Comparative cranial and dental morphology showed that specimens of this north-eastern species more closely resemble the crab-eating zorro Cerdocyon thous, conforming with the documented geographical ranges of the respective species. We conclude that the single 'wild' canid host of L. chagasi in the neotropics in C. thous.

Animals↗

New electronic canal measuring device based on the ratio method.

The most striking disadvantage of most apex locators is that if there are electrolytes in the canal the meter shows a reading which is too short or sometimes the measurement itself becomes impossible. To overcome this drawback, a new concept for electrically measuring the root canal length has been developed. The device simultaneously measures two impedances of the canal using current sources with two different frequencies. Then the ratio between the two electric potentials proportional to each impedance is calculated. The quotient is shown on the device's meter and represents the position of a file tip in the canal. The present study found that the quotient was only negligibly influenced by the electrolyte present in the canal and decreased considerably as the file tip approached the apical foramen.

Dental Pulp Cavity↗

Canal configuration in the mesiobuccal root of the maxillary first molar: a clinical study.

Surgical telescopes, headlamps, and a modified access preparation were used clinically to aid in the search for mesiolingual canals in the mesiobuccal roots of 208 maxillary first molars. In 148 (71.2%) of the mesiobuccal roots two canals were located and treated. Of these, 66 (31.7%) had two separate apical foramina (Weine Type III) and 82 (39.4%) had two canals that joined (Weine Type II). In 60 (28.9%) cases only one canal was located.

Adult↗

Interpretation of endodontic file lengths using RadioVisiography.

The purpose of this investigation was to compare RadioVisioGraphy (RVG) imaging with conventional radiography in determining endodontic file length adjustment. Human cadaver sections with first or second molars were used. Files were inserted into canals at randomly selected lengths, from 4 mm short of the radiographic apex to 3 mm beyond. Radiographs and RVG images were evaluated to determine the adjustment needed to place the file 0.5 mm from the radiographic apex. Results showed no significant difference in the ability of endodontists to make accurate file length adjustments using conventional radiography versus RVG. In this study, it was found that: (a) accurate file length adjustments can be made from an image two times larger than the actual tooth; (b) RVG is not significantly better than conventional radiography; and (c) if both methods are available, RVG is preferred because of the significant reduction in radiation dose.

Analysis of Variance↗

An in vivo comparative study of two apex locators.

Two different electronic apex locators were used before extraction to determine working length in 116 root canals belonging to 34 molars. The results were then compared with postextraction working length measurements. The determinations were made before and after eliminating the canal contents and drying the interior. The results showed that 84.8% and 79.3% of the Odometer, and 89.6% and 88.7% of the Endocater readings for dry and nondry canals, respectively, occurred within the two 0.5-mm intervals closest to the apical constriction.

Dental Pulp Cavity↗

In vitro and in vivo measurement of remaining dentin thickness.

Experiments were performed in vitro on extracted human teeth and in vivo on dog teeth to determine the accuracy of a pulse-echo mode with an ultrasonic micrometer in measuring remaining dentin thickness. The accuracy of the ultrasonic micrometer measured remaining dentin thickness was compared with direct caliper measurements in measuring human dentin discs (correlation coefficient, r = 0.99). After modification of the delay line tip (focusing tip), the device was found to be highly accurate on both prepared extracted human teeth (r = 0.87) and in vivo on dog teeth (r = 0.92). The use of ultrasonic technology to measure remaining dentin thickness looks promising. Further research needs to be performed to make the device more clinically useful.

Animals↗