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The effects of adriamycin on dental proteins formation and mineralization in vitro.

Second maxillary molars of 4-5 days old golden hamsters were exposed for 2 h in vitro to 1 mg/L adriamycin, rinsed and subsequently cultured up to 7 days without the drug. At days 3, 5 or 7 of culture the synthesis of extracellular tooth matrices and their mineralization were examined by measuring the incorporation of 3H-proline and the uptake of 45Ca and 32PO4 by the explants during a 24 h pulse labeling. Compared with unexposed control explants, exposure to adriamycin for the first 2 h of culture had no effect on total biosynthesis of proline-containing matrix proteins. However, at days 3 and 5 of culture it increased the quantity of water-soluble enamel matrix proteins (amelogenins). Adriamycin also strongly reduced the amount of organically-bound 32P-activity in a fraction extractable with guanidine-HC1-EDTA only, allegedly containing a mixture of mineral-associated proteins from both enamel and dentin. Since this decrease of 32P-activity coincided with the formation of osteodentin in the pulp as shown previously in histological and electron microscopical studies, it was speculated that osteodentin matrix may not contain the highly phosphorylated, dentin-specific phosphoproteins (DPP). Adriamycin also affected the uptake of 45Ca and 32PO4. At day 3 these values were slightly higher than control values but lower at days 5 and 7. It therefore appears that a 2 h exposure to adriamycin in concentrations as low as 1 mg/L causes an acceleration of secretory amelogenesis by tooth germs in vitro. It also induces pulp cells to form osteodentin.

Animals↗

Fusion of permanent mandibular molars associated with periodontitis: a case report.

Dental twinning derives from abnormal events during the embryological development of tooth germs. The majority of fused teeth are found in the deciduous dentition, particularly in the anterior region of dental arches. Fusion of posterior teeth is considered a rare event. We report here a true case of posterior fusion between a second and third mandibular molar occurring in a black African woman. The morphology and the position of this abnormal tooth were responsible for a related periodontal problem.

Adult↗

A case of dental mutilation.

A case of ritual mutilation in a fourteen-year-old Ethiopian girl is described. When the girl was three years old she had frequent stomach problems. According to tribal tradition her illness was thought to arise from her mandibular primary canines and these teeth were removed by a medicine man. The extraction damaged the tooth germs of the succedaneous teeth and resulted in deformed permanent canines. This is the first report of a case of dental mutilation from Ethiopia.

Adolescent↗

Expression patterns of Raf-1 suggest multiple roles in tooth development.

Raf-1, the product of proto-oncogene c-raf-1, has key roles in the signal transduction pathways within the cell. The molecular mechanisms of tooth development in the mouse embryo are not known in detail. We examined the expression of Raf-1 during subsequent tooth development by immunohistochemical analysis. In mouse embryos at days 12.5 post-coitum (p.c.), Raf-1 was expressed in the dental invaginating epithelium. At p.c. 13.5 (bud stage), Raf-1 was also expressed in the epithelial cells of the enamel organ, but not in the mesenchyme of the dental papilla. We added anti-proliferating cell nuclear antigen (PCNA) antibody as a marker for proliferating cells at early stages of tooth development. At p.c. 12.5 and p.c. 13.5, the staining patterns were very similar to that for Raf-1. At p.c. 15.5 (cap stage), Raf-1 could not be detected. At p.c. 17.5 (bell stage), Raf-1 was expressed in both the odontoblastic and subodontoblastic cells of the dental papilla. However, Raf-1 was not found in the epithelial cells of the enamel organ. We also added anti-type I collagen antibody as a marker for odontoblasts differentiation. The staining pattern for type I collagen antibody as a marker for odontoblasts differentiation. The staining pattern for type I collagen in odontoblasts was almost the same as for Raf-1. The results suggest that Raf-1 may play some roles in both cell proliferation and differentiation at different stages of tooth germ development.

Animals↗

Temperospatial expression of matrix metalloproteinases 1, 2, 3, and 9 during early tooth development.

Odontogenesis involves a complex series of processes including epithelial-mesenchymal interactions, morphogenesis, differentiation, fibrillogenesis, and mineralization. Extracellular (ECM) remodeling plays a critical role in the rapid morphological changes that accompany these events. It is proposed that matrix metalloproteinases (MMPs) participate in the remodeling of tooth-specific matrices that accompanies the developmental events. MMPs are zinc-requiring endopeptidases that are centrally involved in the controlled turnover of ECM components and are key to a varied range of developmental processes. Thus, the aim of this study was to examine the expression of MMPs 1, 2, 3, and 9 within the developing tooth germ of Wistar rats, using immunohistochemical localisation. During the bud stage, MMPs 1, 2, 3, and 9 were expressed within both epithelial and mesenchymal cells. Later on, during the cap stage, differential expression was observed; of note was the expression of MMP 3 within the enamel knot. This study reports the temperospatial expression of MMPs 1, 2, 3, and 9 during early tooth development, and points to them having a key role during this important developmental period.

Animals↗

Radiation-induced hypoplasia of the teeth and mandible. A case report.

Hypoplasia of the mandible and teeth is reported in a 4-year-old boy who had cystic hygroma. At age 7 months he had been treated with 60Co-gamma-radiation (24 Gy to the head and neck, 45 Gy to the mediastinum) followed by surgery. Panoramic and periapical radiographs showed hypoplasia of the roots of the primary canines, molars, and permanent teeth and no evidence of tooth germs. The patient was followed up to age 13 years.

Bone Development↗

Tooth morphology in Down's syndrome: evidence for retardation in growth.

Two dental morphological features, lower incisor shape and Carabelli trait on upper molars, were studied in Down's syndrome (DS) individuals and control groups. Lower incisors were smaller in DS in absolute terms, but showed a relatively greater mesiodistal crown dimension than labiolingual, the opposite relationship to normal. Although the Carabelli trait was present in a high percentage of DS subjects, few showed the cuspal form. These findings are consistent with the concept of a reduction of cellular activity of tooth germs reflecting a general retardation in growth in DS. The altered shape of the lower incisors may influence the pattern of periodontal disease observed in DS subjects.

Down Syndrome↗

Molecular changes during determination and differentiation of the dental mesenchymal cell lineage.

The lineage of dental mesenchymal cells originates in the cranial neural crest, and after sequential determination and differentiation, gives rise to all structures of the tooth and its supporting tissues, except the enamel. Reciprocal interactions between the epithelial and mesenchymal tissues are conceivably the most important regulators of dental mesenchymal cell differentiation. The molecular mechanisms of this epigenetic regulation are not known at present. In order to examine the mechanisms of regulation of gene expression in the lineage of dental mesenchymal cells, information is needed on the molecular changes that accompany advancing differentiation. By using the molar tooth germ of mouse embryos as a model system, the changes in the expression of some molecules have been analysed by immunohistological localization and in situ hybridization, and the roles of tissue interactions in this process examined. This has shown that syndecan, a recently characterized cell surface proteoglycan, and tenascin, a matrix glycoprotein, appear in the condensing dental mesenchyme during the bud stage of tooth development. During the cap stage, dental mesenchyme is characterized by continued intense expression of syndecan, but this is lost during terminal differentiation of odontoblasts. Tenascin and syndecan may mediate cell-matrix interactions during condensation of dental mesenchymal cells. Expression of the Int-2 proto-oncogene, coding for a fibroblast growth factor-related molecule, can be detected by in situ hybridization in dental mesenchyme at the cap stage. This expression persists in cuspal mesenchyme at the bell stage but is lost from odontoblasts and from pulpal mesenchyme at progressive stages of tooth development. The advancement of tooth morphogenesis from cap to bell stage is accompanied by expression of alkaline phosphatase in the cuspal mesenchyme. Also tenascin, which is only weakly expressed during the cap stage, appears in the cuspal areas and shows codistribution with alkaline phosphatase. These observations indicate that the sequential determination and differentiation of the dental mesenchymal cells are characterized by a cascade of specific molecular changes. The cell surface proteoglycan syndecan and the Int-2 proto-oncogene are specific and transient markers of early dental mesenchymal cell differentiation. This information allows studies on the mechanisms of developmental regulation. These experimental tissue recombination studies indicate that the expression of syndecan and tenascin in the early dental mesenchyme is induced by the presumptive dental epithelium.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Development of the vestigial tooth primordia as part of mouse odontogenesis.

The mouse functional dentition comprises one incisor separated from three molars by a toothless diastema in each dental quadrant. Between the incisor and molars, the embryonic tooth pattern also includes vestigial dental primordia, which undergo regression involving apoptosis in their epithelium. Apoptosis appears to play an important role in achieving the specific tooth pattern in the mouse. We documented similarities in the folding mechanism allowing the formation of the dental lamina in mice as well as in reptiles. While further budding on this dental lamina gives rise to many individual simple tooth primordia in crocodiles and lizards, budding morphogenesis of several simple tooth primordia appears to be integrated in the mouse, giving rise to enamel organs of a complex nature. The differentiation of a mammalian tooth germ during both ontogeny and phylogeny might thus include the concrescence (connation) of more primordia, putatively corresponding to simple teeth in mammalian ancestors.

Animals↗

Orthodontic treatment of an impacted dilacerated maxillary incisor: a case report.

Dilaceration is one of the causes of permanent maxillary incisor eruption failure. It is a developmental distortion of the form of a tooth that commonly occurs in permanent incisors as result of trauma to the primary predecessors whose apices lie close to the permanent tooth germ. We present a case of post-traumatic impaction of a dilacerated central maxillary left incisor in a young patient with a class II malocclusion.

Cephalometry↗

Two cases with supernumerary teeth in lower incisor region.

Abnormalities in number of teeth are occasionally noted in clinical cases. Many theories have been proposed as regards the causes of the occurrence of supernumerary teeth, including atavism theory, mechanical tooth germ separation theory, tissue induction theory, and dental laminar morphological disturbance theory. However, none of these theories alone offers a sufficient explanation for this phenomenon. The incidence of supernumerary permanent teeth is approximately 1-3%. These are the maxillary anterior teeth, the maxillary molars, and the maxillo-mandibular premolars in terms of descending order of site of occurrence. On the other hand, incidence in the mandibular anterior tooth area, of which there have been few detailed reports, is about 0.01%, a markedly low value. In this paper, we report two rare cases of supernumerary teeth in the mandibular incisor area. We discuss their etiology and orthodontic treatment, and detail a differential diagnosis between the normal and supernumerary teeth. We found that it was difficult to establish a clear etiology and differentiation between the normal and supernumerary teeth.

Adolescent↗

The treatment of mandibular fractures in children.

92 children with mandibular fracture were treated at our hospital between 1980 and 1989. Distribution and treatment of the fractures focus on a new classification based upon the stage of the dentition, site of the fracture and displacement of the tooth-bearing part of the mandible. The treatment rationale includes intermaxillary fixation by specially designed mini-arch bars with acrylic resin stiffening in cases with undisplaced fractures in the early stages of the dentition. With the help of this technique, invasive procedures for fracture immobilization become less common. The indication for miniplate osteosynthesis is limited to displaced or multiple fractures of the tooth-bearing part of the mandible. The combination of miniplates and monomaxillary splinting with mini-arch bars allows a shorter duration of intermaxillary fixation and hence early functional treatment of additional condylar fractures. Correctly applied miniplates neither injure the tooth germs nor lead to growth disturbances of the mandible. The classification and treatment of mandibular fractures in children are discussed.

Bone Plates↗

Evaluation of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth.

The one-session technique presented in this clinical evaluation is supported in part by the high clinical and radiographic success rate obtained. The principal advantages of the Vitapex paste are that it resorbs from the apical tissues in one week to two months, is apparently harmless to permanent tooth germs, is radiopaque, does not set to a hard mass, and is easily inserted and removed.

Calcium Hydroxide↗

Etiologic aspects and orthodontic treatment of unilateral localized arrested tooth-development combined with hearing loss.

In this study a case has been presented involving localized, arrested maxillary tooth development, asymmetric maxillary development, and unilateral loss of hearing. No similar case seems to have been described before. The orthodontic treatment comprised extraction of four permanent tooth germs in the maxilla and autotransplantation of mandibular teeth, followed by the use of fixed orthodontic appliances and a one-unit bridge restoration. Etiologic aspects are discussed. It is suggested that a severe attack of mumps that involved massive swelling of the parotid glands immediately after chicken pox and measles at the age of 4 to 5 years, may have resulted in a neurologic reduction of hearing and arrested tooth development. The teeth in which root development in relation to mumps does not appear to have been reported previously, whereas hearing loss after mumps has been reported. In the search for verification of this possible connection, children with arrested tooth development should be examined for reduction of hearing, and children with hearing loss after mumps ought to have their dental development checked.

Bicuspid↗

Apparent hypodontia: a case of misdiagnosis.

The case of a 12-year-old girl is reported, whose pretreatment radiograph demonstrated agenesis of two premolars and a canine and slow development of the contralateral premolars. A follow-up radiograph taken 1 year later showed initial mineralization of a tooth germ in the site of one of the apparently missing premolars. The cause, diagnosis, and treatment planning implications of delayed mineralization and slow development of second premolars are discussed with reference to the literature.

Anodontia↗

The pattern of histogenesis and growth of tooth plates in larval stages of extant lungfish.

Comparison of new data obtained in this study on Protopterus aethiopicus with that published on Protopterus aethiopicus and Neoceratodus forsteri has confirmed the suggestion that the pattern of histogenesis of tooth plates in the early larval stages is very similar in the two genera. These similarities are more apparent both when a common terminology is adopted, based on a topogenic classification, and when the fundamental assumption is made that a single morphogenetic system operates for all odontodes. The model to explain the structure of all vertebrate dentitions with separate teeth in single or multiple tooth rows has been found to apply to dipnoan dentitions with fused teeth in a composite tooth plate. In this model, the epithelial invagination surrounding the margins of the tooth plate represents the dental lamina and, where this is in contact with mesenchymal cells, cell clusters (protogerms) arise. From these protogerms new odontodes (teeth) may develop if factors to inhibit differentiation are not present. Sites for initiation of odontodes become restricted to the labial margins of existing ridges on the tooth plate. Experimental studies on mammalian tooth germs are discussed and a model proposed for control of odontogenesis and histogenesis in dipnoan dentitions. Patterns of growth of hypermineralised petrodentine have been analysed and shown to depend initially on the arrangement of odontodes, and subsequently upon the ability of special cells in the pulp to generate new and wider layers of petrodentine. The initial pattern of petrodentine depends upon the position of odontodes in the forming ridges of the tooth plate. Subsequent patterns of petrodentine depend upon the extent of replacement growth beneath the tritural surface. Specialised cells, petroblasts, secrete the petrodentine within a shell of dentine. These cells differentiate from cells of the dental papilla after odontoblasts have begun to form dentine. They are regarded as a unique type of cell for dipnoans.

Animals↗

[Clinical-radiological studies on 3 siblings with double-formations of their milk front teeth].

Double anomalies of the lower lateral anterior deciduous teeth of three siblings were studied clinically and radiographically. In one case, the double anomalies were demonstrable in the permanent tooth germs. Various differentiation stages of schizodontia were observed. Apparently, the anomalies were genetically determined in the three cases. Effects on the change of teeth as well as anomalies in the shape and number of the permanent teeth were reported.

Child↗

Dental development and life history in Anapithecus hernyaki.

The sample of Anapithecus from Rudabánya, Hungary, is remarkable in preserving a large number of immature individuals. We used perikymata counts, measurements of root length and cuspal enamel thickness, and observations of the sequence of tooth germs that cross match specific developmental stages in Anapithecus to construct the first composite picture and time scale for dental development in a pliopithecoid (Catarrhini, Primates). We conclude that the age of eruption of M1 in Anapithecus was similar to various macaque species (approximately 1.45 months), but that M2 and M3 emergence were close to 2.2 and 3.2 years, respectively (both earlier than expected for similarly sized cercopithecoids). There may have been little difference in individual tooth formation times between cercopithecoids and Anapithecus, but the degree of molar overlap during M1, M2, and M3 crown development, which is extreme in Anapithecus, is fundamentally different. Overall dental development in Anapithecus was very rapid. Old World monkeys appear derived in lacking significant molar overlap, and hominoids may be derived in having longer tooth formation times, both resulting in longer overall dental development times. This is consistent with the general conclusion that the Pliopithecoidea is an outgroup to the Cercopithecoidea and the Hominoidea. On the other hand, rapid dental formation in Anapithecus may be an apomorphy indicative of an unusually rapid life history or unique pressures related to diet and maturation. Folivory and/or predation pressure may be responsible for generating selection to more rapidly erupt permanent teeth and possibly attain adult body masses in Anapithecus. Whatever the case, Anapithecus, with an M3 emergence of approximately 3.2 years, is dramatically faster than any extant catarrhine of similar body mass. This represents yet another unusual attribute of this poorly known fossil catarrhine.

Adaptation, Physiological↗