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PubMedDate not supplied

Rescue surgery (surgical repositioning) of impacted lower second molars.

The impaction of lower second molars, given that its incidence is 0.03 to 0.21%, is a rare complication in tooth eruption. It has been detected more often in unilateral form than bilateral and is more common in the mandible than in the maxillary. It has a slight predilection for males, and mesial inclination is more usual. A wide variety of therapeutic approaches have been published, basically referring to surgical techniques, independent or complemented by means of orthodontic technical aids, with the aim of placing the tooth in the correct position, and which are encompassed under the concept of surgical rescue. In cases resolved with repositioning of an impacted tooth, prophylactic root extraction has been proposed as obligatory. We present a case of a 12 and a half year old patient referred to the University of Seville due to non-eruption of the left lower second molar. The patient was referred by her orthodontist, who detected the impaction before starting orthodontic treatment. The orthodontist requested that, if it was possible, we did not extract the root of the third molar, because its eruption would be feasible in the future (there would be sufficient space in the arch). The spaces available were measured and we decided to attempt the repositioning of the impacted tooth without extracting the root of the wisdom tooth, which was carried out successfully.

Child↗
PubMed1980

Oral manifestations of the congenital insensitivity-to-pain syndrome.

The congenital insensitivity-to-pain syndrome is a sensory syndrome in which pain is impaired. It has been variably classified under a variety of terms, on occasion leading to some confusion. The condition is present at birth. The patient is usually, but not always, normal with respect to intelligence, development, and psychological adjustments. Other sensory perceptions are normal. Traumatic lesions as a result of self-mutilative acts are not uncommon, especially at an early age. The condition may not be apparent clinically until the time of initial tooth eruption. As the primary teeth erupt, the patient acquires the necessary apparatus for self-infliction of wounds to oral structures, skin, and fingernails. A case of congenital indifference to pain is presented, with clinical documentation of tooth-related problems occurring over a 2-year period and of the steps taken to correct or minimize the traumatic effects of chewing.

Humans↗
PubMed1975

Relation of the alveolus to the cemento-enamel junction following attritional wear in aboriginal skulls. An enquiry into normality of cementum exposure with aging.

With tooth attrition, the height of the alveolar crest does not increase to keep pace with active tooth eruption and the cemento-enamel junction-alveolar crest distance increases slightly with age in aboriginal skulls. But there is no atrophy of the alveolar bony margin. Some decrease in interalveolar height does occur. This does not necessarily mean that passive eruption with exposure of cementum is normal. Rather it is postulated that the epithelial attachment proliferates onto cementum, inhibiting alveolar crest addition, while the base of the gingival sulcus remains at the cemento-enamel junction. During the course of this investigation, it was found that the distance between the cemento-enamel junction and alveolar crest increased more rapidly with advancing wear in the lower molar region than in the upper. In the lower first molar region, the lingual distance was significantly greater than that between cemento-enamel junction and alveolar crest on the buccal aspect during each stage of wear. The size of the tooth, as reflected in the robustness index, had no influence on the processes or rate of active eruption, bone deposition at the alveolar crest, or measurements taken between cemento-enamel junction and alveolar crest.

Aging↗
PubMed2005

A Bayesian analysis of amalgam restorations in the Royal Air Force using the counting process approach with nested frailty effects.

Survival analysis methods are increasingly used in dental research to measure risk of tooth eruption and caries as well as life spans of amalgam restorations. Analyses have been extended to account for lack of independence in the data, which arises from the clustering of observations within units such as tooth-surfaces, teeth and subjects. There are various analytical strategies and modelling approaches now available to us in dealing with clustered dental data. In this article, the modelling strategy of Cox's proportional hazards regression is formulated using the counting process approach, which can easily be extended to include time-variant covariates as well as nested random frailty effects. A semi-parametric Bayesian method is presented for the analysis of the proposed model. The methodology is applied to an analysis of nested clustered data on life-span of amalgam restorations in the UK Royal Air Force. These data have previously been analysed using a non-Bayesian approach. The Gibbs sampler, a Markov chain Monte Carlo method, is used to generate samples from the marginal posterior distribution of the parameters of this Bayesian model.

Bayes Theorem↗
PubMed1978

[Appearance and diagnosis of odontomas].

Odontomata are relatively seldom encountered. The diagnosis is made accidentally or from abnormal findings such as persistance of a milk tooth, disturbances in tooth eruption, diastema and others. Localisation is established by X-ray.

Humans↗
PubMed1997

Guidelines on the use of space maintainers following premature loss of primary teeth.

OBJECTIVE: To formulate evidence-based guidelines on the appropriate use of space maintaining appliances to prevent or reduce the severity of malocclusion in the permanent dentition following the premature loss of primary teeth. OPTIONS: Placement of lingual arch, palatal arch, band-loop, crown-loop, and intra-alveolar space maintainers. OUTCOMES: Reduced prevalence or severity of space loss in the primary or mixed dentition, reduced prevalence or severity of malocclusion in the permanent dentition measured as significant changes in: crowding, ectopic eruption, impacted teeth, Angle's class II or III occlusion, crossbite, deep overbite, deep overjet, or midline shift. EVIDENCE: Articles published from 1966 to 1996, located though Medline searches. Only clinical trials, cohort studies, case-control studies, or large case series were considered. VALUES: Relevant clinical findings were evaluated and categorized using evidence-based methods and values established by the Canadian Task Force on the Periodic Health Examination. A recommendation was developed for the use of space maintainers. BENEFITS, HARMS AND COSTS: The potential benefits of using space maintaining appliances include reduced prevalence or severity of: crowding, ectopic eruption, tooth impaction, crossbite, excessive overbite and overjet, and poor molar relationship. Other advantages include the potential for considerable cost savings by reducing the need for future orthodontic treatment. The potential disadvantages of using space maintaining appliances include soft tissue impingement, interference with eruption of adjacent teeth, pain, plaque accumulation, caries, and broken, dislodged or lost appliances. RECOMMENDATIONS: There is poor evidence to recommend for or against the use of space maintainers to prevent or reduce the severity of malocclusion in the permanent dentition (see Table 1, Recommendation C) Decisions regarding the use of space maintainers must therefore be guided by factors other than scientific evidence.

Humans↗
PubMed1997

Complication from an extraction of a primary tooth.

A complication that occurred during the extraction of mandibular right second primary molar is presented. The clinical and radiographic examinations were done; however, the germ of the second premolar came out with the primary tooth. In the same session, replantation was done and monitored very often for two years. The tooth erupted normally into occlusion without any abnormality in dental arch.

Bicuspid↗
PubMed2003

Maxillary canine displacement; further twists in the tale.

This report describes two cases seen over a 5-year period, each with a labially impacted maxillary canine found in close proximity to the adjacent first permanent premolar, which had a deviated palatal root. The issue as to whether the premolar root deviation either produced the canine impaction or vice versa is discussed, both with reference to the processes considered to be involved in normal tooth eruption, and to three previously published similar cases.

Adolescent↗
PubMed2003

[Frequency of transposition and its treatment at the Department of Pedodontics and Orthodontics of Semmelweis University in the last five years].

Tooth transposition is a rare but severe disturbance of tooth eruption. The maxillary canine and the premolar are the most commonly transposed teeth. The occurrence of transposition in the mandible is very rare. The transposition may occur in combination with other anomalies, like aplasia (40%), peg-shaped lateral incisor (25%), deciduous tooth retention (50%). The adjacent teeth exchange positions in the dental arch for genetic or traumatic reasons. In the last five years orthopantomograms of 2736 patients were analysed at the Department of Pedodontics and Orthodontics of Semmelweis University. Twelve transposition cases (0.43%) were found: 10 in the upper and 2 in the lower dental arch. Only one case was bilateral transposition. Nine patients were treated with fixed appliance. In one of these cases the transposed tooth was extracted and two patients are being observed. The methods of treatment are in accordance with the international guide-lines.

Adolescent↗
PubMed1999

Secondary alveolar bone grafting using milled cranial bone graft: a retrospective study of a consecutive series of 100 patients.

OBJECTIVE: The purpose of this study was to evaluate the outcome of secondary bone grafting of alveolar clefts using milled cranial bone graft. PATIENTS: The study included a consecutive series of 100 patients who were operated on between 1986 and 1995 by a single senior surgeon. MEASUREMENTS: The patients were divided into four groups; (1) unilateral alveolar cleft or (2) bilateral alveolar cleft, (3) before eruption of the canine teeth or (4) after eruption. Follow-up ranged from a minimum of 12 months to 10 years, and evaluation included a physical examination, medical photography, orthodontic reports, and a panorex X-ray and/or a three-dimensional computed tomography scan of the maxilla produced using Denta-scan software. Patient outcomes were judged to be good, acceptable, or poor. Patients who developed any fistula or required regrafting were defined as poor outcomes. RESULTS: The combined good and acceptable outcomes represented 83% of the entire consecutive series. These two groups were defined as successful outcomes. In patients with unilateral and bilateral clefts who were under 12 years old, the success rate was 90% and 88%, respectively. In patients grafted following full canine eruption (>12 years old), success rate decreased to 83% in patients with unilateral and 66% in bilateral clefts, respectively. CONCLUSIONS: Our results support the use of milled cranial bone graft, which produces a stable closure of the alveolar cleft with good contour and support for adjacent tooth eruption. Our data further support the conclusion by others that outcomes of early secondary grafting are superior to delayed grafting. The experience presented here, including the success rate, ease of harvesting, and minimal morbidity, makes the cranium our preferred donor site for alveolar cleft grafting.

Adolescent↗
PubMed1999

Dental anomalies associated with amelogenesis imperfecta: a radiographic assessment.

Amelogenesis imperfecta, a group of hereditary conditions primarily affecting the enamel, has been associated with dental anomalies, including taurodontism, congenitally missing teeth, delayed eruption, crown resorption, and abnormal enamel density. The purpose of this study was to assess the prevalence of these anomalies in an amelogenesis imperfecta population. The study group consisted of members of 9 unrelated families--22 family members with amelogenesis imperfecta and 13 unaffected family members. Panoramic radiographs were evaluated for taurodontism, congenitally missing teeth, delayed tooth eruption, pathologic dental resorption, pulp calcification, and radiographic enamel density. The prevalence of taurodontism was similar in people with amelogenesis imperfecta and normal people; all of the remaining parameters were more commonly observed in people with amelogenesis imperfecta. The radiographic enamel density was quantitatively reduced in teeth affected by amelogenesis imperfecta in comparison with teeth with normal enamel. These findings suggest that some of the features associated with amelogenesis imperfecta result from abnormal enamel formation (eg, decreased enamel density, crown resorption) whereas others may occur as a result of expression of the genetic mutation in cells other than ameloblasts (eg, abnormal eruption, pulp calcification).

Adolescent↗
PubMed1986

Cementum annulation and age determination in Homo sapiens. II. Estimates and accuracy.

The cementum annulation aging technique was evaluated in a sample of 80 clinically extracted premolars (age range 11-70 years). Demineralized thin sections (7 micron) stained with hematoxylin were used. The correlation (r) between age and adjusted count (number of annulations added to age of tooth eruption) was 0.78 for the entire sample (N = 73) and 0.86 for a subsample in which teeth with periodontal disease were excluded (N = 55). Standard error of the estimates ranged from 4.7 to 9.7 years depending on sex and health status of the tooth. The technique provided significantly better estimates for females than for males. The overall inaccuracy (mean absolute error) of the technique was 6.0 years, with a bias (mean error) of 0.26 years. Reduced major axis regression of adjusted count on age produced a slope of 0.797 for the entire sample and 0.889 for the nonperiodontal disease subsample. These slopes are consistent with a hypothesis of annual deposition of cementum rings given a decrease in cementogenesis with increasing age.

Adult↗
PubMed2003

The Kabuki syndrome: four patients with oral abnormalities.

The aim of this paper is to report the oral signs and symptoms of four patients with Kabuki syndrome. All had oral abnormalities affecting the palate, teeth, and/or lips, including wide spacing between the teeth, screwdriver-shaped upper incisors, hypodontia, delayed tooth eruption, narrow spacing in the upper canine area, large pulp chambers of the upper incisors and permanent molars, external root resorption of the upper central incisors and permanent molars, a division of the lower third of the root canal in normally one-rooted teeth, tooth retention, retrognathia of the upper jaw, a high palate or cleft lip/palate, and microforms of lower lip fistula.

Adolescent↗
PubMed1980

Oral conditions in Australian children of Aboriginal and Caucasian descent.

Oral health parameters were examined for 211 schoolchildren (128 Aborigines and 83 Caucasians) representative of the 6--8 and 10--11 year age groups in the Brewarrina and Walgett areas of western New South Wales (fluoride in water less than or equal to 0.02-0.26 parts/10(6)). Despite similar dietary carbohydrate challenge and tooth eruption patterns, Aboriginal children, most of whom were members of a transitional community within a low socioeconomic stratum, had higher prevalence of caries (DIMFT) and severity rating of carious lesions (SR), poorer oral hygiene (OHI) and more gingivitis (PI) than Caucasian children, in both age groups. Tooth defects were more frequent (2.5 times) and severe in Aborigines than in Caucasians. Outstanding treatment needs were very high in both ethnic groups, but more so in Aborigines.

Australia↗
PubMedDate not supplied

A long-term followup on the retention rate of zinc oxide eugenol filler after primary tooth pulpectomy.

A retrospective study of all the patients' records (> 6000) in a pediatric dental practice was done to assess ZOE retention after a pulpectomized primary tooth was lost and the succedaneous tooth erupted. There were 65 children with 81 ZOE pulpectomies done in 30 incisors and 51 molars. Pulpectomies were done at a mean chronologic age of 52.2 months and followed for a mean time of 90.8 months from time of placement. The initial radiograph after the pulpectomized tooth was lost, showed retained ZOE filler particles in 49.4% of the cases while 27.3% had retained ZOE a mean time of 40.2 months after pulpectomy tooth loss. Short-filled pulpectomies retained significantly less ZOE than long fills (P = 0.04). With time, retained ZOE particles either resorbed completely or showed reduction of filler size in 80% of the cases. No pathology was associated with the retained ZOE particles. Retention of ZOE was not related to pulpectomy success (P = 0.11), preoperative root resorption (P = 0.76), age of the patient (P = 0.24 incisors; P = 0.87 molars), extraction/exfoliation of the pulpectomy (P = 0.75), or timing of the pulpectomy's loss (P = 0.72).

Age Factors↗
PubMedDate not supplied

Prevalence of hidden caries.

Clinical evaluations of the first and second permanent molars were compared with radiographic evaluations of the same teeth, for 359 patients (between six and eighteen years old) of the pediatric department of the Academic Centre for Dentistry Amsterdam (ACTA). The teeth were professionally cleaned and dried before the clinical evaluation. Despite the thorough examination, taking into account the fact that all discolorations and/or decalcifications were noted, 15 percent of the teeth that did not show signs of enamel caries clinically, showed a dentine lesion on the bitewing radiograph. These 15 percent of teeth with hidden caries were found in 7.5 percent of the population studied. The absence of clinical signs of occlusal enamel caries or dentine caries does not guarantee a sound dentition. Sealant treatment of teeth that are sound (both clinically and radiographically) is justified, therefore, soon after tooth eruption.

Adolescent↗
PubMed1987

Failure of root development of human permanent teeth following irradiation.

Complete absence of root formation of the upper incisors, canine and first premolar was reported in a 27-year-old female who had received radiation therapy for a retinal glioma of the right eye at age of 3 years 1 month. Ground and decalcified sections showed no remarkable changes in enamel and dentin of the crowns, but the pulp floor was closed by irregular dentin deposit despite the absence of root formation. The outer surface of the irregular dentin was covered by acellular cementum, and the periodontal membrane was undeveloped. A slight degree of fibrosis was seen in the pulp, but the coronal part of the dentin was lined by odontoblasts. The theory that tooth eruption is caused by the growth of the root is not substantiated by the observation in this case.

Abnormalities, Radiation-Induced↗
PubMed1992

Odontomas--report of 3 cases.

Three clinical cases of odontoma were detected in 2 children and 1 adolescent. The tumors were surgically removed. Clinical suspicion was based on facial deformity in one of the cases and on the absence of permanent tooth eruption in the other two. Radiographic evidence of odontoma was confirmed through histological study.

Adolescent↗