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At least 523 records · Page 29Linked to original sources
PubMed1984

Tooth transplantation with the periodontium intact: a histometric analysis.

A method was devised, from a pilot study, for transplanting a root-treated tooth with an intact periodontium into a newly prepared socket to assess whether the prognosis for transplantation procedures could be improved. Five male vervet monkeys were used for the definitive study. The mandibular central incisors were extracted from each monkey and the sockets were allowed to heal for 5 weeks. Thereafter a window of gingiva overlying each of these healed receptor sites was removed and the sockets were prepared with tapered burs. The distal root of the mandibular second molar was used as the transplant tooth and the distal root of the first molar as the control tooth. The transplant tooth was removed, together with surrounding alveolar bone which was then trimmed to a thickness of approximately 1 mm. The control tooth was extracted with root forceps. After transplantation, the teeth were splinted to the adjacent incisors for 3 weeks. After 8 weeks the healing process was examined histologically, both qualitatively and quantitatively. Replacement resorption (ankylosis) was not observed. Student's t test for paired samples revealed that the incidence of secondary cementum formation was significantly greater on the control teeth. The minimization of trauma may be the reason ankylosis did not occur.

Alveolar Process↗
PubMed1979

Enzyme histochemical characteristics of human and kitten odontoclasts and kitten osteoclasts: a comparative study using whole cells.

Methods for the histochemical demonstration of enzymes in whole cell preparations of odontoclasts and osteoclasts are described. Enzyme histochemical characteristics of human and kitten odontoclasts from resorbing primary teeth and of osteoclasts from kitten femur metaphyses were determined and compared. The enzyme profiles, times for the appearance of detectable reaction product, intensity of the reactions and localization of the reaction products were similar in all three types of giant cell. These findings suggest that odontoclasts have enzyme properties and metabolic functions similar to those of osteoclasts. Species differences appear to be minor, although the NADP-dependent enzymes are less active in human than in kitten odontoclasts. Both odontoclasts and osteoclasts are rich in enzymes concerned with energy production and possess considerable activity of enzymes usually associated with catabolic functions. Metabolic pathways are well developed in respect of the utilization of succinic, malic, glutamic, lactic and isocitric acids, beta-hydroxybutyric acid and glucose-6-phosphate, and they also possess phosphatases, non-specific esterases and leucine naphthylamidase. The distribution of enzyme reaction products for the individual enzymes demonstrated is consistent with the presence in these cells of large numbers of mitochondria and lysosome-like organelles. Considerable phosphatase activity is demonstrable in both odontoclasts and osteoclasts at both neutral and acid pH.

Animals↗
PubMed1980

Identification and localization of a mucopolysaccharidase in human deciduous teeth.

The presence of a mucopolysaccharidase in resorbing deciduous teeth was investigated using histochemical techniques. The loss of toluidine blue metachromasia within glycosaminoglycan film substrates indicated the presence of enzyme activity, and was related to physiologic resorption. Such activity was localized to the periodontal ligament of these teeth.

Adolescent↗
PubMed1978

Pulp condition of successfully formocresol-treated primary molars.

The aim of the study was to assess the state of the pulp of primary teeth successfully treated by formocresol pulpotomy. Nineteen teeth, all of them with clinically and radiographically successful treatments, were extracted 3-24 months after treatment. The pulpal condition had changed in all the teeth. Inflammatory reaction or necrosis was observed in all teeth. Dentinal resorption followed by apposition of hard tissue were common findings. In the teeth with vital tissue only in the apical area, the tissue had minor or no signs of inflammation. Microorganisms could be demonstrated in the necrotic tissue in one tooth. The wide range of pulpal conditions observed indicated that there was no typical tissue reaction to formocresol even though treatment was clinically successful. The present study confirms that the formocresol method should be regarded only as a means to keep primary teeth with pulp exposures functioning for a limited period of time.

Child↗
PubMed1978

Lesions resembling caries in unerupted teeth.

Two cases are presented documenting the recognition and treatment of defects in the coronal portion of unerupted mandibular second permanent molars. The teeth were surgically exposed and the lesions treated as deep pit and fissure caries. Small, vital pulp exposures were encountered in both cases. Calcium hydroxide was placed and restoration with amalgam followed. Normal root formation and eruption occurred for 24 and 6 months, respectively. A firm diagnosis of caries, external resorption, or internal resorption could not be made because of the lack of histologic study.

Child↗
PubMed2001

Radiographic follow-up of impacted third molars from age 20 to 32 years.

Nineteen patients (13 male, six female) with 34 impacted third molars, 21 in the mandible and 13 in the maxilla were radiographically followed from age 20 to 32. All were examined clinically and panoramic radiographs were taken at baseline and at the end of the study. Radiographic analysis included resorption of teeth, enlargement of the follicle, development of the root, change in inclination of the third molar, state of impaction, relative depth of the third molar in bone and relation to the ramus of the mandible and to the second molar tooth. In the mandible, the mean change in inclination was 19 degrees and the percentage of teeth with changed angulation was 76%. In the maxilla, only 23% of the teeth changed their inclination. The state of impaction (soft tissue, partially in bone, completely in bone) had changed for 44% of the teeth. According to the questionnaire, no pain or symptoms in the region of the third molars were reported by 74% of the students during the 12-year period. It is concluded that considerable radiographic changes, without notable symptoms, may occur involving inclination of the tooth and state of impaction in impacted third molars after the usual age of eruption.

Adult↗
PubMed1978

Resorption of the crown in impacted maxillary canine. A clinical, radiographic and histologic study.

Thirty-six maxillary impacted canines which showed coronary resorption were selected out of 252 impacted canines. Clinical, radiographic and histologic observations were performed. In the majority of the cases (31) a local inflammatory factor was present and only in five cases was the resorption idiopathic. The incidence of resorption was highest in the later decades of life. In all cases bone replacement was found.

Adult↗
PubMed1980

Dental root abnormalities and gingival overgrowth in epileptic patients receiving anticonvulsant therapy.

Forty-six mentally retarded epileptic patients being treated with phenytoin and phenobarbital were studied to determine the root/crown length ratios. Forty-five mentally retarded patients not receiving anticonvulsant drugs provided the controls. Further, because serum phenytoin levels have been related to severity of gingival hyperplasia, efforts were made to determine if the hyperplasia was associated with dental root abnormalities and also whether these abnormalities could be related to epilepsy per se. Results showed that in certain teeth there was a smaller root/crown ratio in the patients taking anticonvulsant medication. The male patients were more affected than the female. The unusually short roots were not necessarily related to high serum phenytoin but the severity of gingival overgrowth was. Histologic study of teeth from patients taking anticonvulsants revealed developmental abnormalities and resorption.

Adolescent↗
PubMed1988

Detection of intracoronal resorption in an unerupted developing premolar: report of case.

Identification of a resorptive lesion in an unerupted premolar is detailed in this report of a 10-year-old female. The lesion was discovered during a periodic recall examination. Early detection and treatment of this resorptive process will minimize its potentially destructive capacity. Radiographic inspection of this lesion in the preeruptive dentition should be routinely performed.

Bicuspid↗
PubMed1993

Management of a tooth affected by idiopathic coronal resorption.

This article reports on the restoration of a permanent mandibular canine affected by significant idiopathic coronal resorption. A particular restorative approach and the alternative treatment options are discussed. The need for careful examination of diagnostic radiographs is emphasized.

Adolescent↗