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The distance measured from a constant reference to the subgingival cemento-enamel junction by four observers with two different probes in 11 patients was compared to independent precision measurements of the same distance performed during periodontal surgery. The findings question the validity of probe measurements with relation to the cemento-enamel junction.
Analysis of dental microwear on chimpanzee molars reveals much variation that reflects jaw mechanics and occlusal function rather than diet. Observed microwear pattern differences relate to variations in molar position, facet type, and overall age of the tooth. Gradients in the amounts of shear and compression generated at different points in the molar series relative to the condyle probably account for pattern variations associated with molar position, while differences in facet inclination may affect the vectors of compression and shear, resulting in facet differences. Age-related pattern differences may be a result of surface and subsurface variations in enamel hardness. These results demonstrate that intraspecific and intra-individual differences in microwear may be extreme, and care must be taken to distinguish normal variation due to occlusal mechanics from variations due to dietary difference. The finding that microwear variations are reflective of subtle changes in occlusal forces and vectors along the tooth row might in itself be a clinically useful phenomenon.
The occlusal surfaces of the first upper molars of a Dutch population were measured three-dimensionally by moiré contourography. Cusps and ridges were higher than those of a Japanese population, but distances between cuspal tips were smaller. Differences in occlusal form may influence jaw movements in the two populations.
This study deals with correlations of tooth size in human primary teeth. Traditionally, mesiodistal or buccolingual measurements have been used to express crown size. However, in this study, crown area was used as a reference parameter. Graphic reconstructions of 38 histologically prepared human fetuses with Crown-Rump Length (CRL) between 54 and 280 mm were used to obtain linear and area measurements. Based on clinical records and physical examinations, these fetuses were considered typical-for-age, or "normal". Correlation matrices indicated high levels of concordance among all developing deciduous tooth crowns and arch measurements. It was concluded that crown area is a statistically better trait to use in comparison of teeth rather than the traditional mesiodistal measurement.
Intercuspal distances and mesiodistal and buccolingual crown diameters of maxillary pre-molars were recorded from dental casts of 262 Australian Aboriginals. Although mesiodistal and buccolingual dimensions showed sexual dimorphism, no significant differences were noted between the sexes for intercuspal distances. Intercuspal dimensions showed greater variability and fluctuating asymmetry than did either of the traditional measures. No significant differences in heritability were noted among the three dimensions. Correlations between mesiodistal and buccolingual dimensions were higher than those between buccolingual and intercuspal measures. It appears that the sex differences, which are observed in overall crown dimensions, are established after the cusp tips are localized. Intercuspal distances appear to have a strong genetic component of variability, although they show high phenotypic variability and fluctuating asymmetry. Total tooth size may be subject to more intense selective pressures than the sites of initial calcification.
Genetic variance analysis of 56 tooth size traits was based on a sample of 58 pairs of twins (23 MZ and 35 DZ) from Chandigarh, India. Results of a t-test for equality of means showed no association of zygosity with any of the traits. Heterogeneity of total variance was found in 18 traits, which invalidates conventional genetic variance estimates and reveals considerable hidden environmental determinance. In contrast to other studies, Indian MZ twins had higher variance than did DZ twins, in most instances. There was also evidence of stronger environmental covariance for MZ and DZ twins. The study revealed substantial, complex environmental determination for some dental dimensions, especially of incisors and second molars.
A first comparison of an image analysis method with classical hand measurement was made using the mesio-distal diameter data derived by the simplest image analysis method, the jawview mode. Fifty casts of male Hong Kong Chinese dental students, mean age 20.4 years, were examined by both methods. The two techniques gave comparable overall results, the correlation coefficients generally being greater than 0.9. A combination of the buccal and occlusal image analysis views gave the best correlation with hand measurement with a comparable variability for different tooth types. For certain teeth, particularly posteriors, reproducibility was better using hand measurement. Optimal weighting of the data from these two different image analysis views can give an "estimated hand measurement" value. Further development of the method to deal with differing orientations of teeth is possible.
Compensatory tooth size interactions between early and later developing teeth within the same tooth class were empirically evaluated in a sample of 125 study casts of Caucasoid children. Mean buccolingual and mesiodistal diameters for first and second molars, pre-molars, and incisors were calculated, and those first developing teeth that were either larger of smaller than the mean were identified. Pearsonian correlation coefficients and chi-square tests revealed highly significant positive correlations between smaller of larger early developing teeth and their later developing neighbors. This total lack of compensatory tooth size interaction was also confirmed when outsized teeth (larger of smaller than one standard deviation from the mean) were used. Similar results were obtained when tooth size was corrected for arcade length, hence allowing for the rejection of Sofaer's model of compensatory tooth size interaction.
The magnitude of fluctuating odontometric asymmetry is reported for a group of 106 urban South African Blacks by use of re-scaled asymmetry values and Euclidean map analyses. When these results were contrasted with those reported for South African Caucasoids and Paraguayan Lengua Indians, Blacks were found to be significantly more asymmetric. It is suggested that the disproportionately high levels of dental asymmetry may be ascribed to the high disease and malnutrition burden of South African Blacks and to decreased individual buffering ability. The present study failed to support Garn's model of x-chromosomal odontogenetic buffering in females, and also failed to confirm significant arcadal differences in the magnitude of fluctuating odontometric asymmetry.
Relationships of cusp height between the upper and lower first molars and between the deciduous second molars in Japanese subjects were analyzed with the aid of moiré contourography. In permanent molars, the height of the hypoconid had a mean value similar to that of the upper trigonal cusps, indicating that upper and lower functional cusps of the same height occlude with each other. In deciduous second molars, however, hypoconid heights were significantly smaller than trigonal cusp heights. Such differences in cusp height between permanent and deciduous dentition may be related to the function and phylogeny of tooth or jaw movements.
We examined the effect of function on tooth and periodontal ligament (PDL) morphology in 40 lower incisors of adult female rats. Ten teeth were exposed to occlusal hyperfunction for three months, ten to hypofunction for three weeks, ten to hypofunction for three months, while ten teeth in normal occlusion served as control. Transverse ground sections were cut at various levels perpendicular to the tooth long axis, and their distances from the apex were calculated. The outlines of the tissues were traced and fed into a computer. We plotted the measurements according to their location and fitted them by second-order polynomials. We calculated tissue volume for the proximal 18 mm of bone-embedded tooth. Hyperfunction affected tooth shape, in that it became more rounded. The volumes of the dental tissues remained unchanged, while width and volume of the cementum-bordering PDL increased. Hypofunction did not alter tooth shape, but influenced its size: After three weeks, tooth circumference decreased, and after three months, it expanded. Dentin width was reduced, with concomitant increase of pulp size. The amount of enamel diminished initially, but after three months returned to normal values. The PDL bordering enamel expanded proportionally to the duration of hypofunction. The changes in socket size reflected the total dimensional variations in the tooth and its PDL. The results demonstrate that the shape and size of growing teeth and their periodontium are influenced by functional occlusal forces.
Dental caries and the chronic type of periodontal disease are classic examples of common familial diseases that are complex and multifactorial in etiology. Due to previous methodological limitations, there is no information at present on the genetic and shared environmental risks within families that account for familial aggregation of these diseases. Such information, however, is needed in the long run to help specify modifiable family environments that affect the frequency and/or severity of the disease, and thereby to aid in the planning of prevention strategies to be targeted at the family level. Recently, an innovative genetic model has been described to test the genetic and environmental basis of chronic familial diseases in identical (monozygotic) twins, their spouses, and their offspring, who are genetically half-sibs. In this paper, the method is detailed and shown to be appropriate not only for partitioning shared genetic and environmental risks within families, but also for delineating maternal effects and assortative mating as two non-genetic mechanisms that may ultimately be found to affect the incidence of disease.
The effect of width of the restoration, tooth position, and amalgam type on the fracture of the margins of 13- to 14-year-old, high-copper, amalgam restorations was evaluated. The evaluation assessed 193 photographs of restorations by use of ridit analysis and a rank-ordering test. The results indicated that the width of the restoration was the predominant factor and that tooth position and the different high-copper alloys were less significant. Interactions between tooth position and width indicated that lower premolars with conservative restorations exhibited the least fracture at the margins, and upper premolars with a wide preparation exhibited the most. It is postulated that tooth deflection under mastication may play a role in long-term fracture at the margins of amalgams.
Enamel and dentin thicknesses were measured in permanent tooth crowns of 47,XXY (Klinefelter syndrome) males. In 47,XXY males, enamel thickness in maxillary central incisors was significantly greater than that in control males or females, and dentin thickness in incisors and canines was significantly greater than that in control females, but smaller than that in normal males. These findings confirm the concept that human dental growth is affected by sex chromosomes. Amelogenesis is promoted by both X and Y chromosome genes, and sexual dimorphism in average tooth size is evidently determined by a promoting effect of the Y chromosome on dentin growth, probably through cell proliferation. This effect can also explain sex predilection for males in the numbers of supernumerary and ordinary teeth.
The purpose of this study was to estimate the genetic variance for alveolar bone height by means of the classic twin method and the study of monozygous twins reared apart. Panoramic radiographs were obtained from 120 pairs of adult twins (mean age = 40.4 years, S.D. = 10.4 years), for comparison of 62 pairs of monozygous twins reared together (MZT), 25 pairs of like-sexed dizygous twins reared together (DZT), and 33 pairs of monozygous twins reared apart (MZA). Mesial and distal bone heights were determined as a proportion of tooth length. A full-mouth bone score was computed for each twin by averaging these proportions from all measurable teeth. Between-pair (B) and within-pair (W) variances were computed for each twin group. The population variances (B + W) of the MZT and DZT twin groups were similar, which validated a basic assumption of the twin model. Intraclass correlations and heritability estimates were also computed for the reared-together and reared-apart twin groups. Boot-strap sampling was used to provide estimates and confidence limits for these values. The intraclass correlations for the twin groups were: MZT = 0.70, DZT = 0.52, and MZA = 0.55. The results of this study suggest that there is significant genetic variance in the population for proportional alveolar bone height.
The periodontal ligament is richly innervated with mechanosensitive afferent nerve fibers, and the location of the mechanoreceptive terminals within the ligament is of functional significance. In this study, we have obtained quantitative information on mechanoreceptor distribution in the lower canine teeth of the cat. Using light microscopy, we quantified the number of myelinated axons in the periodontal ligament at 1 mm, 3 mm, and 5 mm from the tooth root apex. Grouped axons and axons which were isolated in the cemental half of the ligament (and therefore putative mechanoreceptors) were identified. The mean total number of axons was 1290 (n = 20) at 1 mm from the apex, 1290 at 3 mm, and 814 at 5 mm. The distribution of axons around the tooth root circumference was found to be non-uniform. Near the root apex, the highest numbers of grouped axons were located distally and mesially, and in the middle region of the root, the highest numbers were found mesially. The highest numbers of isolated axons at the apical levels were located distally, and in the mid-root region, mesially. At all levels, the lingual region was the most sparsely innervated by both groups. There was a positive correlation between the number of grouped axons and the width of the ligament in the same region, but this correlation was much weaker for isolated axons, suggesting that their distribution does not result only from the volume of tissue. Variations in the number of axons and, to a lesser extent, the dimensions of the periodontal ligament were considerable.(ABSTRACT TRUNCATED AT 250 WORDS)
Hemifacial microsomia (HFM), a developmental abnormality involving the first and second branchial arches, is one of the most common craniofacial abnormalities. Although the general presentations of hemifacial microsomia--such as unilateral microtia, macrostomia, and hypoplasia of the mandibular ramus and condyle--are wellknown, the effects on the teeth are not well-documented. This study examined the primary and permanent tooth dimensions of dental casts of 50 hemifacial microsomia patients compared with those of 50 normal control patients matched for sex and dental status. The results showed that the mesiodistal dimensions of the mandibular second primary molar and the mandibular permanent first molar teeth on the affected side in hemifacial microsomia were significantly smaller compared with those of control teeth (p < 0.001). Furthermore, in the maxillary and mandibular first permanent molars and the maxillary and mandibular first and second primary molars, the teeth in the apparently "normal" side of hemifacial microsomia were also significantly reduced in the mesiodistal dimensions. Comparison of overall dimensions revealed that all primary and permanent molars in hemifacial microsomia were significantly smaller in the mesiodistal dimensions compared with control teeth. A general gradient effect was observed, with the most posterior tooth in each arch being the most severely affected and no effect being seen in the canines and the incisors. These findings suggest that the dental lamina in hemifacial microsomia is affected, and support the hypothesis that its pathogenesis involves an abnormality of the neural crest. Furthermore, these results also support the concept that hemifacial microsomia is a bilateral rather than a unilateral condition.
The distortion of morphologic object elements, for distortion, at the exposure of a panoramic image has been determined mathematically and experimentally. As models the square, the circle, the rhomb, and the equilateral triangle were used. The general characteristics of the form distortion in narrow beam rotation radiography are analysed and described.