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PubMedDate not supplied

Effect of mechanical trauma on the tooth germ of rat molar--a scanning electron microscope study.

OBJECTIVE: Clinical and histopathological evaluation of mechanical trauma on the development of maxillary first molar with Scanning Electron Microscope. DESIGN: Experimental study with four newborn Wistar rats. Trauma induced on 1st, 3rd, 7th and 10th postnatal days with dental K file. Right first molar region of the maxilla was the experimental side and the left side as control. Animals were sacrificed on the 42nd Postnatal day when the teeth came into functional occlusion. Teeth were evaluated clinically and SEM study of the crown was performed. RESULTS: Marked disfigurement of cusps, roughened defective, enamel, crown dilacerations and enamel hypoplasia were observed. Damage was less severe to the tooth subjected to trauma on the 10th postnatal day.

Age Factors↗
PubMed2004

[Dental symptomatology associated with connective tissue anomalies].

Subjects affected with inherited disorders, of the connective tissue make up an important population, carrying high risks as to distinct aspects of oral health and dental treatment. These generalized conditions may produce serious clinical symptoms in different orofacial structures, which have to be dealt with, or anticipated, when considering dental treatment. The most prevalent disorders result from deficiency of Type I collagen, an important extracellular matrix protein regulating both the structural and mechanical properties of most of the orofacial tissues. Recurrent jaw fractures, an increased liability for development of temporomandibular disorders, periodontal disease and mucosal fragility, an abnormal tooth color and/or shape, and pulp obliteration may feature as major clinical manifestations of the respective disorders. Deficiency of fibrillin, a protein providing soft tissues with elastic capacities, may produce a long face with a high and narrow palate, an increased liability for the developnet of temporomandibular disorders and periodontal disease, and root dsyplasia. Whenever present, these manifestations/risk factors have to be integrated in dental treatment strategies. In cases with high risk for cardiovascular complications, specific preventive measures, such as cardiac output monitoring and the administration of appropriate local anesthetics, have to be taken before starting any invase dental treatment. The present paper aims to provide the practitioner with an appreciation of the most prevalent inherited disorders of the connective tissue with their respective genetics, molecular aspects of pathology, medical and oral manifestations, and guidelines for dental treatment.

Collagen↗
PubMedDate not supplied

A supernumerary tooth fused to the distal surface of a mandibular third molar.

Fusion is a tooth anomaly considered to be the result of the union between two adjacent tooth buds. The incidence of fusion is less than 1 percent of the population. The following is a case report of a unique form of a supernumerary tooth fused to the distal surface of a mandibular third molar. Radiographic evaluation demonstrates the communication of the pupal tissues. A differential diagnosis of developmental anomalies is discussed.

Adult↗
PubMed2004

[Dental anomalies associated with incontinentia pigmenti or Bloch-Sulzberger syndrome].

We report dental anomalies related to the Bloch- Sulzberger Syndrome better known as Incontinentia Pigmenti (IP). IP is an X related hereditary disease that occurs for about 95% of all patients in females and is lethal for the male foetus. Because of severe skin lesions in the neonatal period the disease is more known by dermatologists than dentists. Beside the skin lesions other associated deficiencies can be present like: ocular injuries, anomalies of hair and nails, defects of the central nervous system, malformations of the extremities and anomalies of the teeth. We report 8 female patients of different ages, out of 5 families. All were diagnosed with IP after DNA examination. Dental manifestations related to IP are: delayed eruption, oligodontia, agenesis, peg-shaped or malformed teeth, supernumerary teeth and supplementary cusps. IP is under diagnosed if the symptoms are limited to agenesis of only a few teeth and inconspicuous skin lesions. Dentists are ideally placed to identify individuals with IP and should refer patients with a presumption of IP to proper medical specialists.

Adolescent↗
PubMedDate not supplied

The oral manifestations of Apert syndrome.

As part of an ongoing study of 119 patients with the Apert syndrome, extensive data were available for the analysis of oral manifestations, including mouth shape, lip posture, palatal morphology, dental anomalies, and malocclusion. Findings included a characteristic trapezoidal-shaped mouth. Cleft soft palate or bifid uvula was found in approximately 75%. A Byzantine-arch shaped palate was recorded in almost all patients. Dental anomalies included severely delayed eruption, ectopic eruption, and shovel-shaped incisors. Malocclusion tended to be severe with mesial molar occlusion, mandibular overjet, anterior and posterior crossbites, and severe crowding of teeth. The oral manifestations of Apert syndrome are compared and contrasted with those of Crouzon syndrome.

Acrocephalosyndactylia↗
PubMed2005

[Evaluation of the clinical effect of the teeth with subgingivally involved defect conserved by crown lengthening surgery].

PURPOSE: To evaluate the clinical effect of the teeth with subgingivally involved defect which were conserved by crown lengthening surgery. METHODS: 62 teeth, with defect subgingivally from 1.5 mm to 4 mm, mobility degree(MD)</= I degree, appropriate proportion between crown and root, underwent crown lengthening surgery by combining flap surgery and osteoectomy, and restored 4 weeks after operation and followed-up for one year. The parameters of MD, sulcus bleeding index (SBI) and maximal defect probing depth (PD) at different times were measured respectively. 46 anterior teeth were divided into two groups based on PD of pre-operation. The groups were as follows: minor defect group (<2.5mm) and major defect group (2.5 to 4mm). The results were evaluated by student's t test. RESULTS: The overall effective rate was 83.9%. PD and SBI demonstrated a significant improvement (P<0.01), but MD showed an increasing trend after operation (P<0.01). No significant difference about MD of anterior teeth in two groups was found before operation (P>0.05), but a significant increase about MD occurred in the major defect group one year after restoration (P<0.01), and there was significant correlation between MD of each stage after operation and PD of pre-operation in anterior teeth (r=0.489, 0.526, 0.531, P<0.01). CONCLUSIONS: According to the biological width principle, crown lengthening surgery may conserve these teeth with subgingivally involved defect, and has a good, long-time clinical effect. But MD showed an increasing trend after operation and significant cor.

Crown Lengthening↗