[RELATIONS OF SYSTEMIC HYPERESTHESIA OF DENTIN AND GENERAL ORGANIC DISEASES].
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The authors compare the effects of natural (porcine) and synthetic (Toinex, USA, and Eschalon, France) bristle and rough toothbrushes on the tooth enamel and dentin in the course of toothbrushing. No abrasive effects were detected when brushing normal teeth in clear water. The rate of enamel and dentin abrasion in tooth powder or tooth paste suspension depended on the shape of bristle cut and particularly on the toothbrush roughness.
A detailed investigation of worn teeth should reveal a record of past activity patterns including information regarding diet, food preparation methods, and craft or occupational activities. Anthropological studies of the extensive dental samples from Neolithic (MR 3) and Chalcolithic (MR 2) levels at Mehrgarh, Baluchistan, and Bronze Age Harappa, Punjab, yielded several interesting examples of unusual dental abrasion. This paper provides macro- and microscopic (scanning electron microscope) descriptions of three types of activity-induced dental abrasion: 1) interproximal tooth grooving and interproximal abrasion patches, 2) facial abrasion of maxillary anterior teeth, and 3) lingual abrasion of maxillary incisors in association with rounded wear of lower incisors. The gross size and shape of abrasion features, the orientation of microscopic wear striae, and ethnographic parallels are employed in inferring causal factors involved in their formation. Behavioral activities and dietary explanations possibly associated with each type of dental wear are considered and their implications for reconstructing prehistoric activity patterns discussed. The need for extensive ethno-anthropology research into variations of tooth use among living people with different diets, subsistence bases, and craft specializations is essential to further progress in this field.
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AIMS: To evaluate patient and operator exposure to respirable particulates following the use of air abrasion in tooth preparation, and to compare the microleakage of pit and fissure sealants after conventional, bur and air abrasion preparation of the pits and fissures. METHODS: To examine air abrasion safety, sampling data were collected using a physical model of the upper torso of a patient. Previously extracted bovine incisors were prepared using an air abrasion instrument. Patient and operator exposure samples were collected. The variables examined included the size of the alumina oxide particles, the speed of particle delivery and the method of dust collection. To assess the efficacy of air abrasion, 36 extracted human molars were divided into three groups. The groups were prepared by conventional acid etching, opening the pits and fissures with a round bur, or by air abrasion. To simulate oral conditions, sealed teeth were immersed in artificial saliva and thermocycled. Teeth were immersed in a 1% solution of methylene blue and sectioned to assess the microleakage associated with each sealant. CONCLUSIONS: (1) Dust from the KCP 1000 is insufficient to be a health hazard to patients or operators, (2) chair-side suction can be used as an alternative to the KCP 1000 suction, (3) superior sealants were obtained when tooth surfaces were prepared by a bur, compared to air abrasion and conventionally prepared surfaces, and (4) air abrasion tooth surfaces demonstrated less microleakage than conventionally prepared tooth surfaces.
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The palatal aspect of upper anterior teeth appears to be one site of predilection for erosion. This raises the question of whether abrasion of softened enamel and dentine by the tongue has a role in this process. The aim of this study in vitro was to determine whether enamel and dentine specimens licked by the tongue after exposure to acid lost more tissue than when exposed to acid alone. Flat enamel and dentine specimens were prepared from human third molars and taped to expose a window of tissue. Three groups of specimens were exposed to citric acid for 10 min followed by 60 s tongue licking, ultrasonication or immersion in water. Two further groups of enamel specimens were placed in a low erosive drink for 10 min with or without licking. At the end of 5, 10 and 15 treatment cycles tissue loss was measured by profilometry. Enamel loss was significantly greater with licking and ultrasonication compared to water immersion. Dentine loss was greater with licking and ultrasonication compared to water immersion, but differences only reached significance for ultrasonication. The low erosive drink produced one third of the citric acid erosion and licking had no effect. The results suggest that the tongue could exert an abrasive effect on dental tissues softened by erosion, thereby increasing the overall loss of tooth substance.
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