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PubMed2001

A comparison of dental and dentoalveolar changes between rapid palatal expansion and nickel-titanium palatal expansion appliances.

A tandem-loop nickel titanium temperature-activated palatal expansion appliance was developed that produces light, continuous pressure on the midpalatal suture and requires little patient cooperation or laboratory work. The purpose of this study was to compare the effectiveness of the nickel titanium palatal expansion appliance with that of a rapid palatal expansion appliance. The study sample comprised 25 patients who required palatal expansion as part of their orthodontic treatment. The sample was divided into 2 groups, with 13 patients in the nickel titanium group and 12 patients in the rapid palatal expansion group. Study models were taken before treatment and at the end of the retention period after expansion. Intermolar width, palatal width, palatal depth, alveolar tipping, molar tipping, and molar rotation were analyzed. In addition, occlusal radiographs were obtained before and 2 weeks after expansion to evaluate for sutural separation by the appliances. Results showed significant increases in midpalatal sutural separation, tipping of the alveolus, and tipping of the molars after expansion in both groups. However, greater midpalatal sutural separation was found in the rapid palatal expansion group and greater molar rotation was found in the nickel titanium group. Stepwise multiple regression analysis showed that alveolar tipping, palatal width change, and molar tipping are the best predictors of intermolar width change in the rapid palatal expansion group. Radiographic evidence of midpalatal sutural separation was less obvious in the nickel titanium group. These results suggest that both the nickel titanium and the rapid palatal expansion appliances are capable of expanding the maxillary dentition and alveolar process and are equally capable of correcting posterior crossbites. In the current study, the rapid palatal expander widened the palate more reliably, whereas the nickel titanium expander tipped the molars buccally to a greater extent and caused more distal molar rotation. The clinician's choice of expander will depend on his or her initial diagnosis and treatment goals.

Alveolar Process↗
PubMed1980

Long term evaluation of osseous grafts in periodontal therapy.

Osseous grafting therapy has been shown to be clinically successful for time intervals exceeding 20 years when encompassed in a comprehensive care programme based on effective daily plaque control by the patient and a professionally supervised periodontal maintenance programme. Although other treatment modalities have also yielded favourable clinical results over varying time intervals, only osseous grafting therapy has demonstrated histologic regeneration of lost periodontium consisting of new cementum, alveolar process and a functionally orientated periodontal ligament in the human. While the frequency of such regeneration is only speculative at this time, studies to identify factors enhancing favourable reponse will hopefully afford the practitioner a predictable technique for periodontal reconstruction in the future. For the present, biometric and histometric data assure osseous grafting a place in currently accepted therapy for the pocket-osseous defect.

Alveolar Process↗
PubMed2002

Segmental odontomaxillary dysplasia: clinical, radiological and histological aspects of four cases.

Segmental odontomaxillary dysplasia (SOD) is a rare developmental disorder of the maxilla, primarily involving the posterior part of the maxilla. Clinically, the disorder is often diagnosed in early childhood due to a unilateral buccolingual expansion of the posterior alveolar process, gingival enlargement, absence of one or both premolars in the affected region, delayed eruption of the adjacent teeth and malformations of the primary molars. In this report, four patients with SOD are described. The findings were similar to earlier reports, but for the first time an ipsilateral rough erythema on the skin in two of the subjects is reported.

Alveolar Process↗
PubMed1998

Osseous regeneration in the jaws using demineralized allogenic bone implants.

Osseous defects of the jaws following trauma, congenital deformity or pathology may show poor osteogenesis and the affected area may never be completely replaced by bone or will show alveolar height loss. The purpose of the present study was to evaluate the effect of allogenic bone implants (ABI) on the osteogenesis of jaw defects. Fifty-two patients (27 males, 25 females) with cystic lesions of the jaws were randomly divided into two groups: Group A underwent enucleation and packing with adsorbable gelatine sponge. Group B underwent enucleation and grafting with ABI. Both groups were evaluated radiographically. The height of the alveolar process was measured directly on the radiography. The density was measured with a digital densitometer. In Group A, the mandibular height at 6, 12 and 24 months postoperatively was 88%, 80% and 78% of the preoperative heights, respectively. In Group B, the heights were 95%, 93% and 90%, respectively. These differences were significant (P < 0.05-0.01). The density in Group B was significantly greater (P < 0.05-0.01) than in Group A at 6 and 12 months postoperatively. The difference at 24 months was not significant. On the basis of these findings, it can be concluded that ABI grafting of jaw defects enhances osteogenesis and prevents alveolar height loss in the mandible. ABI represent an encouraging alternative to autogenous bone grafting.

Adolescent↗
PubMed2003

Extraction treatment using a palatal implant for anchorage.

AIM: To describe the use of Straumann Orthosystem implants for orthodontic anchorage. METHODS: The Straumann Orthosystem consists of a titanium palatal implant and connected device, which can be used when absolute anchorage is required. In the present study the implant was placed in the midline at the junction of the alveolar process and hard palate. The implant was osseointegrated 13 weeks after placement. A palatal arch attached to the implant and upper first molar bands was used to provide stationary anchorage in a 23 year-old female with protruding upper anterior teeth and moderate crowding of both arches. CONCLUSION: A palatal implant provides stationary anchorage for retraction of anterior maxillary teeth.

Adult↗
PubMed1991

Denta Scan: CT software program used in the anatomic evaluation of the mandible and maxilla in the perspective of endosseous implant surgery.

A radiological technique, using a new CT software program for the evaluation of alveolar process height and width, is presented. Irradiation is kept within acceptable limits when this technique is used. Measurements obtained with this technique were compared with those obtained on panoramic radiographs in 40 "half-jaws" (21 maxillar and 19 mandibular). We found that new indications for implantation emerge in the mandibular region because 'Denta Scan' can sometimes show possibilities to place implants on the buccal side of the canal (2 of 19 mandibular cases) when no possibilities are present above the canal on both the panoramic radiographs and Denta Scan images. In the maxillar region Denta Scan avoids unnecessary interventions by demonstrating the insufficient width of the alveolar ridge, often missed on panoramic radiographs (4 of 21 maxillar cases). Moreover the use of Denta Scan allows the use of implants with optimal length and diameter (23 of the 40 cases), giving better long-term results.

Alveolar Process↗
PubMed1977

Variations in bone mass within the cortices of the mandible.

A study of intermandibular variations in bone mass in cortices between regions of the alveolar process and mandibular body and between buccal and lingual cortices in the same region has been carried out. The material consisted of 24 autopsy specimens of half mandibles from normal subjects. Microradiograms of ground sections from incisor, premolar, and molar regions were used. Quantitation of bone mass in percent within the cortices was done by an electronic point-counting system. The analysis indicates that bone mass may lie on nearly the same level all over in the entire lingual cortex. In buccal cortex, bone mass may vary from region to region, as a fall in bone mass from incisor to premolar to molar region in the buccal alveolar cortex, and a rise in bone mass from premolar to molar region in the mandibular body may occur. Bone mass in buccal incisor cortex of mandibular bodies shows great individual variations. Generally, bone mass may lie on a lower level in the buccal than in the lingual incisor and premolar cortec of the mandibular body while bone mass elsewhere lies on nearly the same level in the same part of the two cortices. Bone biopsies should be taken in either the premolar or the molar region of mandibular bodies.

Adult↗
PubMed1979

[Submicroscopic localization of endogenous peroxidase activity in the oral mucosal epithelium of man (author's transl)].

Using electron microscopy, the authors localized endogenous peroxidase activity in the buccal mucosal and alveolar process epithelium. A positive reaction could be demonstrated in all epithelial layers. The number of positive structures was greatest in the spinous layer. The reaction product is of a granular nature and is localized in the microperoxysomes. The reaction of lipofuscin granules, lysosomes, and telolysosomes in the upper epithelial layers is considered to be of none enzymatic origin. The importance of endogenous peroxidase to tissue is discussed in detail.

Alveolar Process↗
PubMed1978

[Class II--vertical dimension].

The vertical dimension and its implication in the etiology of the class II are described. This dimension is analysed at the level of the cranial base, the maxillary and mandibular bones and alveolar processes. Then, the facial architecture as a whole is considered and particularly the key position of the upper molar. The dorsal and low position of these teeth in the hyperdivergent cases is fundamentally different from the one they occupy in the hypodivergent cases. The therapeutic approach is completely different in both cases and is illustrated by means of three deep overbite and three open bite cases.

Alveolar Process↗
PubMed2003

Orthodontic fine adjustment after vertical callus distraction of an ankylosed incisor using the floating bone concept.

The outcome of vertical callus distraction of a segment of tooth-supporting alveolar process might be functionally and esthetically unsatisfactory because of the unidirectional impact of intraoral distraction devices. In this case report, we describe how, with a shortened consolidation phase and application of the floating bone effect, the tooth-supporting osteotomy segment can be successfully aligned 3 dimensionally. We applied orthodontic force systems that went beyond the unidirectional vector preset by the mechanical properties of the distraction device.

Alveolar Process↗
PubMedDate not supplied

Abnormalities of the maxillary incisors in children with cleft lip and palate.

Dental anomalies of the maxillary anterior teeth were studied in seventy-seven children affected by unilateral and bilateral clefts of the lip and alveolar process, with or without involvement of the palate. As for the permanent lateral incisor in the cleft area, our results show that its congenital absence is the most frequent abnormality followed by anomalies in size and shape and supernumerary teeth. Enamel hypoplasia was found to affect the permanent central incisor on the cleft side more frequently. Early recognition of tooth abnormalities during the primary dentition phase for an interceptive treatment of potentially severe problems was emphasized.

Adolescent↗
PubMed2003

Trabecular alveolar bone in the human mandible: a dual-energy x-ray absorptiometry study.

OBJECTIVE: The purpose of this study was to evaluate the potential use of dual energy x-ray absorptiometry for the assessment of bone mineral content and bone mineral density before implant placement. MATERIALS AND METHODS: The material examined consisted of 63 mandibular bone specimens cut from 21 fresh cadavers (11 men; 10 women). Three specimens were cut per cadaver in the incisal, premolar, and molar regions. Three regions of interest (G, R1, and R2) were delineated. The global bone specimen (G) consisted of the whole specimen (ie, both cortical and trabecular bone). R1 and R2 were delineated in the trabecular bone of the alveolar process. RESULTS: In all subjects, the combined bone mineral content of the whole mandible specimens (global bone mineral content) was significantly correlated with age. The difference between the mean bone mineral densities of the male and female mandibles was found to be significant for G (P = .009). The mean bone mineral densities of dentate and edentulous specimens were also found to be significantly different for G and R1, respectively (P = .001 and P = .02), but not for R2. A positive correlation could be detected among the mean bone mineral density of G and R1, G and R2, and R1 and R2 of (1) male and female specimens, (2) dentate and edentulous specimens, and (3) incisal, premolar, and molar specimens. CONCLUSIONS: The intra-alveolar trabecular bone of these 21 mandibles is affected by the same local and systemic influences as cortical bone, whereas the infra-alveolar trabecular bone is mostly sensitive to dental status. The cortical and trabecular bone of the 10 mandibles from women is more sensitive to systemic influences, whereas that from men is more sensitive to local influences. This is somewhat in agreement with some studies that found an association between osteoporosis and oral bone loss, which is a metric measure.

Absorptiometry, Photon↗
PubMedDate not supplied

[The x-ray changes in the bone tissue of patients with different forms of periodontitis].

Analysis of the time course of x-ray changes in the marginal sections of alveolar processes in patients with various periodontitis forms has shown a wave-like course of bone tissue destruction processes in less than 7 percent of the patients and a stable x-ray picture in 80-32.6 percent of patients, depending on the initial x-ray shifts. The authors present data on the frequency of rapid and slow negative time course of bone changes. The patients were followed up for 4-11 years or longer. The majority of the patients were young and middle-aged.

Adult↗
PubMed2006

Structure of the periodontium in cathepsin C-deficient mice.

Papillon-Lefevre syndrome is characterized by increased susceptibility to early-onset periodontitis and is caused by mutations in the cathepsin C gene. How deficiency of the enzyme relates to an increased periodontal infection risk is still not entirely clear. One possibility is that the deficiency leads to changes in the structure of the periodontal tissues as a result of which its barrier function to pathogens is compromised. We studied the structure of the periodontium in 9-month-old cathepsin C-deficient mice (cathepsin C(-/-)) and compared this with age-matched wild-type mice. Our observations showed that the overall structure of the gingiva, periodontal ligament, alveolar process, and cementum layer are normal in cathepsin C(-/-) mice, with one exception, namely that epithelial rests of Malassez in the periodontal ligament of the cathepsin C(-/-) mice are slightly enlarged. In both experimental and control animals, we noted cyst formation in rests of Malassez. No signs of periodontal infection were observed. It is concluded that cathepsin C deficiency does not lead to major changes in the structure of the periodontium.

Alveolar Process↗
PubMed1982

[Symmetry of the bone lesions of periodontitis in the golden hamster].

In 8 month old hamsters, a spontaneous bone resorption occurs on both lingual and palatal aspects of the alveolar process, whereas, the buccal aspects are much less severely affected. A periodontitis lasting more than 6 months markedly increased this process in animals of the same age. In both maxillae, similar levels of bone resorption occurred on both left and right quadrants. A parallel degree of involvement was noted in the upper and lower jaws. However, the progress of the lesions seemed less rapid in the maxilla compared to the mandible. For experimental periods less than 6 months, less sever periodontitis could be recorded if macroscopical studies were conducted in the maxillae rather than the mandibles.

Alveolar Process↗
PubMed1983

A longitudinal study of delayed periosteoplasty to the cleft alveolus.

The effects of delayed periosteoplasty were studied longitudinally from 5 to 17 years of age in 35 consecutive cases (24 boys and 11 girls) with clefts involving the maxillary alveolar process. The mean age at operation was 6.4 years. In patients younger than 7 years of age at the time of delayed periosteoplasty, good bone formation developed in 80%, compared with 47% after infant periosteoplasty. After delayed periosteoplasty the formation of new bone continued an average of 5 years postoperatively. The frequency of anterior crossbite was lower than that reported for other Scandinavian cleft lip and palate materials of the same age and type of cleft. Cephalometric analysis indicated that growth of the facial skeleton of the patients in the present material was well within the limits reported for the above-mentioned Scandinavian materials subjected neither to periosteoplasty nor to bone-grafting. The results indicate that delayed periosteoplasty might be a superior method in the reconstruction of the alveolar cleft in young individuals.

Adolescent↗
PubMed1999

Ameloblastoma of the maxilla. Case report.

A basal cell maxillary ameloblastoma became obvious as an asymptomatic swelling of the left buccal sulcus and alveolar process, although a large extension into the maxillary sinus up to the nasal conchae and the orbital floor had already occurred. The painless and slow growth of the lesion, the thin bone of the upper jaws, the adjacent cavities and the vital structures are the main factors for delay in recognition and thus the potentially lethal result of a maxillary ameloblastoma. A review of location, age, sex and race predilection, clinical course, radiographic appearance, histological types and treatment methods in made.

Alveolar Process↗
PubMed1983

[Localization of beta-glucuronidase in human mouth mucosal epithelium].

The authors investigated the activity of beta-glucuronidase in the mucous membrane of the alveolar process and in the buccal mucous membrane under light and electron microscopes. Demonstration of the enzyme was performed by means of a modification of the method of Hayashi. Under the light microscope enzymatic activity was demonstrated in both types of epithelium, particularly in the fibroblasts of connective tissue, higher activity being found in vascular walls, inflammatory infiltrates and particularly in macrophages. Findings in the epithelium were positive only in the stratum basale and the lower layers of the stratum spinosum. Submicroscopically activity of the enzyme was apparent in all layers of the epithelium, particularly in primary and secondary lysosomes and in cisternae of the granular endoplasmic reticulum, and only rarely in Golgi complex. There were only a few positive structures in the surface layers of the epithelium. Activity was lower in the buccal mucosa than in the alveolar epithelium. In the mucosa of the oral cavity the enzyme probably has a role in the degradation of proteoglycans.

Adult↗