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Tooth root resorption associated with a familial bone dysplasia affecting mother and daughter.

The dental findings are presented of a mother and daughter who suffer from an as yet unclassified bone dysplasia that shows features of both hereditary hyperphosphatasia and familial expansile osteolysis. Both patients have experienced progressive root resorption of permanent teeth, deafness, and high alkaline phosphatase levels. The mother has a more advanced bone dysplasia which has led to progressive skeletal deformity and bone pain. The kindred is consistent with an autosomal dominant pattern, and the mutation(s) is thought to be in chromosome 18q21-22 region. Conventional treatment strategies of root resorption offer only a poor prognosis for the dentition. Therapy using alendronate, a bisphosphonate compound and a potent inhibitor of osteoclastic activity, has reduced alkaline phosphatase levels, bone pain, and may offer an effective strategy to prevent tooth root resorption in this group of diseases.

Adult↗

Porous titanium tooth roots: clinical evaluation.

1. An inert porous vehicle can be successfully used to attach endosseous dental implants to surrounding alveolar bone. 2. Implant size and the width of keratinized gingiva surrounding the implant are critical to the success of the implant. 3. Radiography and pocket depth are useful indicators of the status of porous endosseous roots, while mobility is not.

Alveolar Process↗

Histology of alveolar bone and primary tooth roots in a case of cleidocranial dysplasia.

Cleidocranial dysplasia is commonly reported as an autosomal dominant inherited condition with defective formation of clavicles, malformation of the craniofacial bones, very slow exfoliation of the primary teeth and failure of the eruption of the permanent dentition. Lack of clinical resorption of the roots of the deciduous teeth and/or surrounding bone, lead to eruption failure of permanent teeth. Histopathological study (light and scanning electron microscopy), in a case of cleidocranial dysplasia, gives prominence to the hypothesis of abnormal remodelling of bone and cementum.

Alveolar Process↗

Preservation of the alveolar ridge with hydroxylapatite tooth root substitutes.

A total of 49 patients, who were followed for 3 to 31 months, have had 92 hydroxylapatite root implants placed in fresh extraction sockets without soft tissue closure. Hydroxylapatite root implants maintain approximately twice as much alveolar bone as the contralateral control sites without implants. It is believed that this method is a more effective and efficient procedure to preserve alveolar bone for retention of dentures than previously described procedures.

Alveolar Process↗

Systemic lead absorption in human tooth roots.

One-hundred and five impacted and erupted sound teeth were analysed for lead content by graphite furnace atomic absorption spectrophotometry. The results showed that lead accumulated before eruption, presumably soon after the onset of dentine formation. The accumulation in dentine was systemic, without any contribution from the oral environment. The amount of lead in dentine may denote the amount of absorption into the body and serve as a precise index to body burden as no absorption from the mouth can take place. In adults, impacted and erupted teeth can be used together in any research and the donor's age can be considered as the period of lead accumulation.

Absorption↗

Stress analysis of human tooth root using various root canal instruments.

This study compared external root stresses from instrumentation by several motor-driven nickel-titanium instruments to stresses developed by hand files. Twelve curved first molar mesial roots were invested in PLM-9 photoelastic material to disclose net stress transmitted from the canal through the dentin. Minimal fringe patterns were observed during instrumentation with all techniques. Light-speed yielded the least change. In no case was a complete 60 psi fringe change noted.

Birefringence↗

Effects of combining Ledermix and calcium hydroxide pastes on the diffusion of corticosteroid and tetracycline through human tooth roots in vitro.

A 50:50 mixture of a corticosteroid/antibiotic paste and calcium hydroxide has been used clinically as a root canal dressing agent. This study investigated the effect on the release and diffusion of the corticosteroid and antibiotic components of Ledermix paste when it was mixed with a calcium hydroxide-methyl cellulose paste. The release rates of the trace molecules were lower when the mixture was used compared with release from Ledermix alone. The results indicated that this combination of materials, when used a long-term intracanal dressing, was likely to be more effective than Ledermix alone.

Calcium Hydroxide↗

Effects of CO2 laser irradiation on tooth-root cementum.

With the aging of the American population and the endemic problem of gingival recession, patients will inevitably suffer from greater exposure of root surfaces and therefore will be more likely to develop root caries. The treatment of root caries is often frustrating. Traditional biomaterials used for the restoration of enamel caries have been less than satisfactory when margins of a cavity are adjacent to cementum. Although topical fluoride gels, toothpastes, and rinses have been used to prevent or to inhibit the development of root caries, there is a problem of access to the proximal surfaces. Consequently, the development of better methods to facilitate the prevention of root caries has become an important issue in dentistry.

Dental Cementum↗