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[Changes of vibration frequency due to root resorption of deciduous tooth].

The purpose of this study was to investigate the changes of vibration frequency of a deciduous tooth due to physiological root resorption. The author developed an analysis system for tooth vibration by applying an impact-hammer to the tooth. Peak frequency (Hz) of the tooth stimulated by the impact-hammer was observed by the analysis system. The following results were obtained: 1) Peak frequency of the tooth vibration shifted to a lower range according to the root resorption both in vitro (simulation model) and in vivo (15 children) and a high positive correlation was found between the peak frequency and the crown-root length ratio (r = 0.840). 2) A cause of the frequency shift to the lower range was not related to the tooth weight but to the change of tooth gravity due to the root resorption. 3) It was considered that the vibration analysis system could be useful on measuring tooth mobility in vivo and in clinic as well.

Child↗

Autotransplantation of maxillary canine teeth. A follow-up of 35 cases up to 4 years.

35 cases of autotransplantation of nonendodontically treated maxillary canines were followed for up to 4 years and were assessed according to loss of the transplanted tooth, onset of sensibility, mobility, intact lamina dura and presence of tooth resorption. The results of this study compare favourably with other studies and favour the hypothesis that little is to be gained by not endodontically treating autotransplanted teeth immediately after splint removal. It is also suggested that immobilization by means of a rigid splint, removing the tooth from occlusal forces, may account for the relatively low incidence of resorption in this series.

Adolescent↗

Histogenesis and disappearance of the teeth of the Mekong giant catfish, Pangasianodon gigas (Teleostei).

Juveniles of the Mekong giant catfish, Pangasianodon gigas (Teleostei), have 3 sorts of tooth-upper and lower jaw teeth, palatal teeth, and pharyngeal teeth--but adults are toothless. To investigate the histogenesis and disappearance of the teeth, we made serial sections of the mouth and teeth of juvenile fish at 10 developmental stages (from ca. 8.5 to ca. 30 cm in total length) and examined them under scanning electron microscope and light microscope. Observations of teeth and surrounding tissues in the serial sections revealed the process of tooth resorption by active odontoclast-like cells. Numbers of jaw and palatal teeth decreased with age. When the fish reached ca. 14 cm in total length, the numbers of functional upper jaw teeth and successional tooth germs decreased rapidly, and the developmental rate of successional tooth germs slowed. When the fish reached ca. 24 cm, no teeth existed in the upper jaw. It is clear that tooth disappearance results from the shedding of functional teeth and the lack of replacement tooth germs.

Animals↗

Periodontal and pulpal condition of the central incisors after midline osteotomy of the maxilla.

PURPOSE: The purpose of this study was to evaluate the periodontal and pulpal condition of the central incisors after Le Fort I and midline osteotomies for transverse expansion of the maxilla. PATIENTS AND METHODS: The series included 12 women and eight men, with an average age at operation of 28.4 years (range, 17 to 48 years). Each patient, examined retrospectively, underwent transverse expansion of the maxilla by combined Le Fort I and midline osteotomies. The minimum follow-up was 12 months (range, 12 to 85 months, with an average of 38 months). The central incisors were tested for percussion sound, mobility, and pulpal response to electric stimulation, and then compared with the lateral incisors. The pocket depths and the height of the alveolar bone were measured, and the root surface was evaluated for resorption on radiographs. RESULTS: Percussion and mobility tests indicated normal values for all teeth. Four (11%) of the central incisors did not respond to electrical stimulation. There was no difference in pocket depth between the mesial and distal sulci of the central incisors. In one tooth, resorption was detectable on the medial surface of the root. Minor root surface injury was seen in two roots, although these injuries were not progressive. The alveolar bone level of the central incisors was located slightly more superiorly on the mesial than on the distal side. CONCLUSIONS: Although there may be some minor complications to the periodontal and pulpal tissues after combined Le Fort I and midline osteotomies, the harmful effects seem to be of negligible clinical significance.

Adolescent↗

Microscopic and histochemical study of odontoclasts in physiologic resorption of teeth of the polyphyodont lizard, Liolaemus gravenhorsti.

Using tartrate-resistant acid phosphatase (TRAP), we examined the cytodifferentiation of odontoclast cells in resorbing areas of dental tissues during the replacement of teeth in a polyphyodont lizard, Liolaemus gravenhorsti. We also report, by means of Lectin-HRP histochemistry, the distribution pattern of some specific sugar residues of TRAPase-positive cells. For detection of TRAPase activity, the azo dye-coupling technique was used. Lectin binding sites were demonstrated by means of specific HRP-lectins. The process of tooth resorption was divided into four stages: 1) preresorption-the wall of the dental pulp is covered with an odontoblast layer, and no TRAP-positive cells are in the dental pulp; 2) early resorption-TRAP-positive multinucleate odontoclasts are present on the dental wall, but the rest of the pulp surface is still covered with an odontoblast layer; 3) later resorption-the entire surface of the pulp chamber is lined with multinucleate odontoclasts; and 4) final resorption-the tooth has been totally resorbed. Odontoclasts are usually detached from the resorbed surface, and show signs of degeneration. Of the six lectins used, PNA, ECA, and UEA-1 bind to multinucleated but not mononuclear cells. All the remaining lectins, BS-1, RCA(120), and LTA showed no binding to any cells of the teeth. The significance of saccharidic moieties such as acetyl-galactosamine, acetyl-glucosamine, and fucose sugar residues is difficult to ascertain. Perhaps these oligosaccharides might be borne on molecules associated with odontoclastic resorption or associated with multinucleation of odontoclasts after attachment to the dentine surface.

Acetylgalactosamine↗

Studies of a family manifesting premature exfoliation of deciduous teeth.

We report observations made on a family in which the children manifested premature exfoliation of the deciduous incisors and canines beginning as early as 1.5 years of age. We observed gingival recession, alveolar bone resorption, tooth loosening and exfoliation without apical root resorption in the absence of clinical signs of inflammation. The children's mother, age 26, had a normal periodontium, but the father, age 30, had periodontitis of moderate severity. Exfoliated deciduous teeth from one of the children were examined histologically and features characteristic for hypophosphatasia were seen. However, localized prepubertal periodontitis could not be ruled out from these data alone. The differential diagnoses for this type of condition are discussed.

Adult↗

Class II MHC antigen-expressing cells in the pulp tissue of human deciduous teeth prior to shedding.

The distribution and ultrastructure of the class II major histocompatibility complex (MHC) antigen-expressing cells in the pulp tissue of human deciduous teeth during the process of physiological root resorption was surveyed by histochemical and immunocytochemical methods using an anti-human leukocyte antigen (HLA)-DR-monoclonal antibody. Dental pulp was found to contain numerous HLA-DR-positive cells of various shapes; those showing a dendritic appearance were located mainly in the periphery of the pulp tissue, associated closely with the odontoblasts. The immunopositive cells sometimes extended their cytoplasmic processes into the dentinal tubules and increased in number in the areas affected by dental caries, attrition or restorative procedures, implicating their role in immunosurveillance. The immunopositive cells were located consistently at the pulp-dentin border during the stage of active resorption, adjacent to the preodontoclasts or odontoclasts, and covered the exposed dentin surface after the detachment of the odontoclasts until the onset of cementum formation. These data suggest that the HLA-DR-immunopositive cells in the coronal pulp of human deciduous teeth play an inductive role in the differentiation, migration and/or activation of the odontoclasts and cementoblast-like cells during the stages of tooth resorption.

Dental Pulp↗

External resorption associated with tooth eruption.

A case is presented with severe resorption on the mesial root of the mandibular first permanent molar in a patient with Juvenile Periodontitis. The follicle of the bicuspid is seen in contact with mesial root of the molar.

Aggressive Periodontitis↗

Hard-tissue resorption and deposition after endodontic instrumentation.

Hard-tissue resorption and deposition following endodontic instrumentation were studied histologically in forty-one monkey teeth after 2, 7, and 42 days. No medicaments and no root canal filling materials were used. The number and length of lacunae and areas of resorption of the root canal wall, the root surface, and the lamina dura were counted and measured. Resorption, stimulated by instrumentation, was observed after 7 days at all sites. Resorption was slight at the root canal wall and at the root surface and was significantly more severe than normal osteoclastic replacement in the adjacent lamina dura. After 42 days the reaction had subsided at the three sites, but none of the tissue had returned to normal. Inflammatory reaction due to infection of the root canal appeared to enhance resorption after 42 days at the root canal wall and the lamina dura, but this was not observed at the root surface.

Alveolar Process↗

Crown and root resorption of a maxillary permanent first molar by an impacted second premolar: a case report.

A case is described of resorption of the mesial aspect of a maxillary permanent first molar in a 13-year-old boy whose maxillary second premolar was impacted. The premolar was partially erupted in the line of the arch and radiography revealed a radiolucent area involving enamel, dentine and cementum on the mesial aspect of the first molar. The first molar was extracted and the premolar erupted normally. The case emphasizes the importance of early diagnosis of developmental abnormalities.

Bicuspid↗