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PubMed1986

Dental caries prevalence in early Polynesians from the Hawaiian Islands.

We examined the skeletal remains of 1338 early Hawaiians (preserved in the Bishop Museum, Honolulu) to determine total caries and root surface caries prevalence. Specimens from seven islands were represented in the collection. Estimation of age at death was made by a combination of dental developmental staging for younger individuals and occlusal attrition and/or alveolar bone loss in adults. Museum records were also consulted for age estimation of adults which was primarily based on osteological criteria. The material was divided into six age groups. Predentate infants and edentulous adults were not included. A total of 19,425 teeth was examined. Caries lesions were observed in 462 individuals (34.5%) and 1895 teeth (9.8%). Coronal caries lesions in children and adolescents tended to be small and not particularly destructive of tooth structure. Root surface lesions in young adults were also small but increased progressively in size in the older groups, resulting in pulp exposure and coronal amputation. Although coronal caries was apparently not a significant dental health problem in children and young adults (compared with contemporary Hawaiians), root surface caries was an increasingly important source of tooth morbidity and tooth mortality in the older population groups. This age-related caries pattern was similar for all of the islands.

Adolescent↗
PubMed1994

Phylogenetic, paleodemographic, and taphonomic implications of Victoriapithecus deciduous teeth from Maboko, Kenya.

More than 240 milk teeth of Victoriapithecus macinnesi, representing all elements of the deciduous dentition, are described. Their morphology is intermediate between that of hominoids and cercopithecids. Unlike colobine and cercopithecine milk teeth, Victoriapithecus dp3s, dp4s, and at least 7 (14%) dp4s lack transverse distal loph(id)s and are not bilophodont. Victoriapithecus also differs from cercopithecids in having less elongated deciduous premolars, a dp3 metacone set mesial to a very small hypocone, a dp4 crista obliqua, and a dp4 hypoconulid. The deciduous canines and incisors of Victoriapithecus are like those of other cercopithecids in having an uneven distribution of enamel around a compressed (rather than cylindrical) root, but differ from cercopithecids and resemble hominoids in being more elongated. Since Colobinae and Cercopithecinae share features of the deciduous dentition that are derived relative to Victoriapithecus and hominoids, extant Old World monkeys are interpreted as representing the sister-taxon of the middle Miocene cercopithecoids. Due to a dramatic increase in the number of deciduous teeth found at Maboko Island, juvenile individuals represent a much larger proportion of recently excavated Victoriapithecus collections than is true of pre-1987 assemblages which mainly derive from sediment first excavated during the 1930s and 1940s. Age distribution differences between pre- and post-1987 samples indicate that paleontological collection procedures were more important than taphonomic biases in determining the paleodemographic profile of the Maboko fossils. Since the Victoriapithecus assemblage from Maboko is strikingly similar to that of fossil Theropithecus oswaldi from Olorgesailie in terms of the large number of specimens and high representation of juvenile and infant individuals, the latter can no longer be viewed as unique among cercopithecoid fossil assemblages. Rather than being related to a specific cause of death, such as selective hunting of T. oswaldi by Homo (Shipman et al. [1981] Curr. Anthropol. 22:257-268), the large number of cercopithecoids at both sites is attributed to the fact that both assemblages represent excavated samples and that the preferred habitats of the extinct monkeys were probably at or near the site of deposition. The greater number of young adult male than female canines in the apparently attritional Maboko Bed 5 assemblage, indicate that the social organization of V. macinnesi may have been similar to that of modern macaques, with males migrating out of their natal group and suffering higher death rates than females at puberty.

Animals↗
PubMed1992

The masticatory pattern as an adjunct for diagnosis and treatment.

The sagitally-viewed masticatory pattern was investigated in 125 dentate patients. In 25 patients, the phenomenon of an incisal guided phase during mastication was observed. Clinical examination of these cases revealed slight to severe incisal attrition or various degrees of flaring. The hypothesis that the incisal guided phase contributes to this phenomenon and should therefore be taken into consideration during treatment is put forward.

Adult↗
PubMed1997

Efficacy of chewing gum in preventing extrinsic tooth staining.

The purpose of this six-week clinical study was to determine the efficacy of sugar-free chewing gum versus no chewing on preventing Peridex (0.12% chlorhexidine)-associated stain. One-hundred and fifty healthy adult subjects, categorized by tea or coffee intake and smoking, were randomly assigned to a chewing or no chewing gum group. All subjects were given Peridex and an ADA-approved toothbrush and fluoride toothpaste to use twice a day. Gum was chewed for 20 minutes five times each day, after toothbrushing and Peridex rinse in the morning and evening, and after each meal. At baseline, all subjects received a professional cleaning to remove all supragingival deposits and extrinsic strain. At three and six weeks, safety and stain intensity and area were monitored on the anterior teeth and posterior Ramfjord teeth using the Lobene stain scoring method. Seventy-two subjects in each group completed the study. Attrition was unrelated to product use. No untoward reactions were reported or observed at any time in the study. At the six-week evaluations, the chewing gum group exhibited significantly lower (p < 0.05-0.001) total stain scores on both anterior and posterior areas evaluated compared to the no chewing group scores. In addition to the stain evaluations, a randomly selected subset of 60 subjects was evaluated for gingivitis at baseline prior to cleaning, and at three and six weeks, on the buccal and lingual surfaces of the Ramfjord teeth. Both the chewing gum and no chewing gum subset subjects had a significant decrease in gingivitis scores from baseline to three weeks (p < 0.001) and from baseline to six weeks (p < 0.05-0.001). There were no significant statistical differences between the two groups at anytime during the study on gingivitis levels. Chewing gum, after product use, did not reduce the efficacy of chlorhexidine on gingivitis scores.

Adolescent↗
PubMed1992

Wear in dentistry--current terminology.

There is some confusion in the dental literature concerning the phenomenon of wear which is usually considered in terms of its clinical manifestations rather than its underlying processes. The parent discipline for the study of these processes is tribology. The terms attrition, abrasion and erosion are common to both dentistry and tribology; however their meanings are different. Even within the various disciplines of dentistry there are differences in the understanding of the same terms. This article relates the dental appreciation of wear to the underlying processes.

Humans↗
PubMed1975

An alternative treatment in cases with advanced localized attrition.

A combined orthodontic/prosthetic treatment of patients with advanced localized attrition has been described. In one patient the effect of the orthodontic treatment upon the morphological face height has been studied using an X-ray cephalographic technique and the results have been discussed.

Adolescent↗
PubMed1993

Biomechanical analysis of masticatory system configuration in Neandertals and Inuits.

Considerable debate has surrounded the adaptive significance of Neandertal craniofacial morphology. Numerous unique morphological features of this form have been interpreted as indicating an adaptation to intense anterior tooth use. Conversely, it has been argued that certain features related to muscle position imply a reduced mechanical advantage for producing bite forces on the incisors and canines. In this study, hypotheses about morphological specializations for anterior tooth use have been derived from a biomechanical model of Greaves (1978). These hypotheses were tested by performing separate pairwise comparisons of Neandertals and early Homo sapiens, and Inuits and Native Americans from Utah. Inuits are known to have produced repeated and high magnitude forces on their anterior dentition and therefore serve as a good model for a hominid adapted to intensive anterior tooth use. Biomechanically relevant dimensions of the masticatory system were measured using a computer-driven video analysis system and compared between the two taxa in each comparison. The results of this study reveal a number of similarities between the morphological specializations exhibited by Neandertals and Inuits that can be related to intensified anterior tooth use. The hypothesis that Neandertals were poorly designed for producing masticatory forces is rejected. Specializations that differ between the two groups are interpreted as being the result of differential functional demands placed on the postcanine dentition in Neandertals and Inuits. It is suggested that many of the unique morphological features of the Neandertal face are a response to intensified use of the anterior dentition and the need to retain a sufficiently large postcanine occlusal area necessary for a relatively high attrition diet.

Adaptation, Physiological↗
PubMed1989

Lack of stability in enamel defects in primary teeth of children with cerebral palsy or mental retardation.

The Developmental Defects of Enamel (DDE) index was used to study the reliability across time of assessment of enamel defects in primary teeth in neurologically handicapped children. Fourteen of the 48 children originally examined were available for re-examination 6 months later. The original findings were confirmed in only 6 of these children (5 with no enamel defects and 1 with an enamel defect). Discrepancies noticed between the 2 examinations in the other 8 children could be explained on the basis of biological processes that occurred during the 6-month interim, namely, attrition, abrasion, crown fracture, caries, and possibly remineralization of a hypomineralized defect. These findings suggest that the optimum time for studying such defects is as soon as possible after the teeth erupt.

Cerebral Palsy↗
PubMed2006

Phenotypes and genotypes in 2 DGI families with different DSPP mutations.

OBJECTIVE: The objective of this study was to characterize dentin ultrastructural features resulting from a nonsense mutation in DSPP gene and to define various phenotypes associated with specific DSPP mutations in families with Dentinogenesis Imperfecta type II (DGI-II). STUDY DESIGN: Two families with DGI-II were investigated for phenotypes and genotypes. Mutation analysis was performed by amplifying DSPP exons and sequencing the products. Dentin ultrastructure associated with the specific mutation was examined with scanning electronic microscopy and transmission electronic microscopy. RESULTS: Teeth discoloration, attrition, and obliterated pulp chambers showed in affected members of 2 families. "Shell" teeth phenotypes were also presented in deciduous teeth of family 1. A nonsense mutation (c.133CT) in family 1 and a missense mutation (c.52GT) in family 2 were identified in DSPP. Irregular dentin tubules, smooth dentinoenamel junction with an obvious gap, abnormal enamel structure, and amounts of fibril bundles around dentin tubules were manifested in the specimen from family 1 with the nonsense mutation in DSPP. CONCLUSIONS: We reported characteristic tooth ultrastructure resulting from a nonsense mutation in DSPP gene and supported that the c.133CT and c.52GT in DSPP could be the 2 mutation hotspots. The same DSPP mutations may be causative for multiple unrelated DGI families with different clinical phenotypes.

Adult↗
PubMed1984

Relationship between occlusal factors and signs and symptoms of mandibular dysfunction. A clinical study of 48 dental students.

Forty-eight young adults answered a questionnaire and were examined clinically for determination of symptoms and signs of mandibular dysfunction in accordance with the Helkimo indices. Occlusal conditions recorded included contacts in centric and excentric mandibular positions in accordance with specified criteria for registration of "ideal occlusion', various occlusal patterns, occlusal interferences, and dental attrition. Relatively frequent but mainly mild signs and symptoms of mandibular dysfunction were found. The occlusal conditions were extremely varied and did not show any significant correlations with signs and symptoms of mandibular dysfunction.

Adult↗
PubMed1991

Dental studies of a Finnish skeletal material: a paleopathologic approach.

This paper reviews a series of paleo-pathologic studies made to investigate associations between dietary factors and development of occlusion, periodontal diseases and caries. The findings indicate that the change from hard to soft food, which has taken place during the last few hundred years, influences occlusion, craniofacial structures and oral health in several ways. Comparative studies show that the frequency of malocclusion has increased substantially. In the same time, a number of alterations have taken place in the morphology of the craniofacial skeleton. The results support the hypothesis that masticatory stress is a regulative factor in craniofacial growth and occlusal development. With soft food and low masticatory activity, jaw growth is not adequate for optimal occlusal development. Approximal wear itself, caused by the attritive diet, seems to be only a minor adjustive factor. Because of the occlusal wear, the crown height decreased with age and the teeth continued to erupt. As a result, root surfaces were exposed. This process has been equated with bone loss but the lack of inflammatory changes on the bone surface indicates that the alveolar bone was not affected by periodontal diseases. This suggests that the alveolar height was maintained at a constant level throughout life and no growth nor resorption took normally place at the crest. Only the exposure of the furcations increased the occurrence of periodontitis. The caries frequency was decreased by mechanical cleaning effect of attritive food but increased by exposure of the root surfaces. Furthermore, the oral microflora may have been modified by factors related to the chemical and physical properties of the diet.

Dental Caries↗
PubMed1990

Relationship of condylar bone profiles and dental factors to articular soft-tissue thickness.

The relationship between articular soft-tissue thickness and condylar bone profiles, compact bone thickness, and deviation in form was studied in central sagittal sections from 53 human temporomandibular joints. Because of the absence of normal standards, several definitions of thickness were used. The angular bone profiles had a higher probability of having thicker soft tissue in the superior sector (59%) than the other profiles. An ANOVA to test for soft-tissue thickness differences between profiles approached significance for the angular profile in the superior sector (P = 0.049). Neither compact bone thickness nor deviation in form had an observable relationship with articular soft-tissue thickness, probably because of the dynamic state of the articular tissues in young adult temporomandibular joints. The distribution of categories of articular soft-tissue thickness was not related to dental attrition; however, there was some skewing toward reduced soft-tissue thickness in the anterior sector in the group with loss of molar support.

Adolescent↗
PubMed1990

Occurrence of malocclusion in attritive environment: a study of a skull sample from southwest Finland.

Occlusal variation and occurrence of malocclusion were examined in a Finnish skull sample derived from the 15th and 16th centuries. The material consisted of 207 adult individuals; 141 maxillas and 159 mandibles, including 93 pairs, were in observable condition. In the skull sample, only dental anomalies were observed; no skeletal malocclusions were found. The frequency of an Angle Class I lateral relationship was 97.7%. The mean values for overjet and overbite were 1.6 and 1.4 mm, respectively. A comparison with present-day Finns revealed that the skull sample showed less variation in all occlusal variables studied. An Angle Class II type occlusion, deep bite, crowding, spacing, and lateral crossbite occurred with significantly lower frequencies in the skull sample than in the present-day Finns. Advanced dental wear in the skull sample shows that a hard and attritive diet was eaten at that time. It is suggested that a dietary transition from hard to soft food is the most probable cause of the increased occlusal variation and high frequency of malocclusion in present-day Finns.

Diet↗
PubMed1994

[Attrition, dentin apposition and protein synthesis in the pulp and desmodont of young and old rats].

Occlusal attrition and responsive adaptations in the pulp-dentinal unit are still problematic. In this study, up to 2 years-old rats were used to measure the amount of occlusal attrition, of dentin apposition and of the incorporation of 3H-proline into the pulpal and periodontal ligament tissues. Two to four SIV-rats each, 45, 365 and 730 days of age, were once injected with 3H-proline 2 hours or 5 days prior to exitus. After cardiac perfusion, the molar blocks of both jaws were decalcified in EDTA and divided into bucco-oral and mesio-distal slices. The latter were embedded in Epon. Semithin sections served to measure the amount of attrition and of tertiary dentin apposition, as well as for autoradiographic labelling and determination of the rate of dentin apposition and proline incorporation in pulpal and periodontal ligament tissues. The results show that (1) the molar cusps lost up to 40% of their initial height during the two years of life, (2) occlusal dentin apposition in the intercuspal region led to an increase in dentinal thickness by 50 to 70%, while in the pulp horn region dentinal apposition occurred early in life and later did not keep phase with attrition, and (3) protein synthesis in pulp and periodontal ligament essentially did not change within the two years of life. These findings are related to that of other authors and discussed in connection with dentinal innervation.

Aging↗
PubMed1998

Prevalence and intraoral distribution of dentin hypersensitivity among students.

The exposed dentin which is the result of the consequence of the enamel loss (by erosion, abrasion, attrition), gingival recession or periodontal therapy, as well as anatomic defects often as its result has dentinal hypersensitivity. The purpose of this work is to examine the frequency of dentinal hypersensitivity in relation to the subjective estimation of the examined persons and objectively, by intraoral examination. Forty persons, students from the School of dentistry of average age of 22.35 years were tested and analysed. Subjective data are achieved by the method of questionnaire while the objective ones by pulling the probe in the area of the tooth neck for the purpose of mechanical testing and by air syringe for the cold stimulus. The results show that the clinical hypersensitivity amounts 52.5% in relation to the subjective data 32.5%. The duration of hypersensitivity amounts in average 18 months and the strongest way of its demonstration is the cold and mechanical stimulus. The half of the examined brush their teeth twice a day out of which 72.5% do that by the half hard nylon brush, and the percentage of teeth with cuneiform defects amounts to 4.45. The often phenomenon of dentin hypersensitivity already among the young underline the need of preventive action and removing the damaging factors which contribute to the start of hypersensitivity of the nude dentin.

Adult↗
PubMed1985

Pathologic attrition and maximal bite force.

The maximal bite force was recorded between antagonizing anterior teeth in a group (n = 10) of patients with pathologic attrition and in a control group. No statistically significant difference between the maximal bite forces was recorded. Also, the effect on the maximal bite force of the continuous wearing of a partial bite raising splint for 4 months was recorded. The great individuality in reaction patterns prohibited simple generalizations. However, in some individuals the maximal bite force was larger when biting on the splint than without, both at base line and after 4 months. Also, the maximal bite force showed a tendency to increase with time. The findings indicate that pathologic attrition is not necessarily associated with a high maximal bite force. Also, the maximal bite force recorded under various conditions is seemingly not an absolute value but rather the result of a number of factors of varying importance for different individuals.

Adult↗
PubMed1977

Pilot study on dental erosion in a Norwegian electrolytic zinc factory.

In 12 workers in a Norwegian factory using electrolytic methods to extract zinc, a relationship was found to exist between degree of erosion, number of teeth affected and the length of service. The prevalence of caries, abrasion and attrition was not higher than in comparable population groups. The correlation between diagnosis of erosion based on clinical examination, and diagnosis based on evaluation of color slides was good.

Adult↗