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[Experimental model of tooth mobility in the human "in vivo"].

The aim of the present study was to investigate experimentally the mechanical properties of tooth deflection under external loading. These properties have a significant impact on tooth movement during orthodontic treatment. The stresses and strains caused by tooth movement influence bone remodelling, which is the basis of orthodontic treatment. The movement of a tooth as a direct reaction to the forces acting on it is termed "initial" movement. It is nonlinear and has a clearly time-dependent component. While the initial tooth movement represents the totality of the reaction mechanisms of all the tissues of the tooth unit, it is determined primarily by the mechanical properties of the periodontal ligament (PDL). The PDL is the softest tissue of the tooth unit and is therefore subject to the largest deformations when forces act on the crown of the tooth. The objective of orthodontic treatment is to achieve as precise and rapid tooth movement as possible, without provoking such undesired effects as bone and root resorption. To enable the implementation of an optimal orthodontic force system that meets these requirements, a thorough knowledge of the biomechanics of tooth movement is a must.

Biomechanical Phenomena↗

Etiology and indications for the management of impacted teeth.

Impacted teeth are a medical deformity brought about by the dietary changes of modern civilization. Ample studies exist to show that the lack of a coarse, abrasive diet--an attritive diet--is the major cause of this problem in modern civilization. Our recent ancestors did not experience this problem or the problem of the underdeveloped lower jaw and resulting Class II malocclusion to the extent present in modern society. Medical and dental scientists, practitioners, and surgeons are aware of the devastation that impacted teeth can cause to the jaws and overall health of an individual and have issued numerous warnings to the profession and to the public regarding the several clear indications for the removal of impacted teeth. The issue has been clouded by the competing economic incentives present in our society, in which fee-for-service practitioners have been and are being replaced by practitioners with a disincentive to recommend surgical care for all but acutely infected or seriously symptomatic patients presenting with impacted teeth. Oral and maxillofacial surgeons practicing in the United States at this time are aware of the many clear indications for removal of impacted teeth and make every effort to communicate this information to their patients and other dental and medical practitioners. They are also aware of the contraindications to the removal of impacted teeth and advised patients appropriately when it is safe to retain and periodically observe by radiograph certain impacted teeth.

Humans↗