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At least 1,189 records · Page 66Linked to original sources
PubMed1978

Dental health in a group of Swedish 8-year-olds followed since the age of 3.

A study was made of the dental health of a group of 8-year-old children studied earlier as 3-, 4- and 5-year-olds, including examination of caries, gingivitis and occlusion, as well as certain data on oral habits and fluoride prophylaxis. Caries was found in 92% of the children. The mean DMFS-value was 3.1 and the mean defs-value 8.8. A statistically significant correlation was demonstrated between caries indices at 3 and 8 years of age in the group as a whole. Children with a defs-value higher than the mean defs-value at the age of 3, had a higher mean DMFS-value at the age of 8 than the rest of the group. Sagittal relationships remained largely unchanged between 3 and 8 years of age, while the number of children with an anterior open bite decreased from 51% to 4% during the same time, probably due to a decrease in sucking habits.

Child↗
PubMed1981

Dental health and parental attitudes in Finnish immigrant preschoolchildren in the north of Sweden.

The aim of the present study was to investigate the dental health of 100 Finnish 4-6-year-old children in Luleå, in the north of Sweden, and to compare data with those from a matched control group of Swedish children of the same age, sex and social background. The study also included attitudes to dental health among the parents. The clinical examination included registration of decayed, extracted and filled teeth and surfaces (deft and defs), gingival bleeding points (GBI) and presence of open bite or crossbite. Posterior bitewings were taken. Data concerning among other things oral habits, dietary habits and fluoride prophylaxis were taken. A questionnaire about the parents' attitudes to their own and their children's dental health as well as their opinion about the dental care received by their children was filled in. The results showed that the average defs in the Finnish group was 12.2 compared to 6.4 in the Swedish group. The percentage of children with a defs greater than 12 was 43% in the Finnish group and 19% in the Swedish. The mean GBI% was 11.2% in the Finnish and 8.2% in the Swedish group. The results showed a statistically significant difference in tooth brushing frequencies between the groups, and a tendency to better dietary habits in the Swedish group. There were no differences in the use of fluoride tablets or fluoridated toothpaste. Forty-seven percent of the Finnish parents were denture wearers compared to 10% of the Swedish. The attitudes to dental health among the Finnish parents differed from those in the Swedish group. This difference in attitudes together with language problems were the factors found that could explain the difference in dental health between the immigrant group and the Swedish group.

Attitude to Health↗
PubMed1985

Analysis of a kindred with amelogenesis imperfecta.

Amelogenesis imperfecta (AI) is a group of hereditary disorders whose manifestations are generally considered as being confined to the teeth. Pedigree analysis of a kindred revealed 2 siblings affected with AI which was consistent with an autosomal recessive mode of inheritance. Cephalometric evaluation showed both children to have an obtuse gonial angle and steep mandibular plane. These skeletal changes were manifested as a severe anterior open bite. Histological evaluation of the teeth demonstrated numerous enamel changes including altered prism morphology, prism coalescence and disruption, globular inclusions, and irregular crystallite orientation. The clinical and histological data are consistent with autosomal recessive pigmented hypomaturation amelogenesis imperfecta. The enamel defects appear to be caused by the combination of decreased mineral deposition with abnormal crystallite and prism formation. Some areas of enamel hypoplasia seem to exist as well.

Adolescent↗
PubMed1976

Sucking habits and occlusion in 3-year-old children.

The material for the present study comprises plaster models of 310 Copenhagen children, impressions for which were taken during the month each child attained the age of 3 years. The occlusion was related to information concerning the child's sucking habits up to the time of the study. The effect of sucking habits of sagittal occlusion was observed in the canine region and the molar region. A higher proportion of distal canine relationships was recorded in children who continued to suck dummies at the age of 3 years than among finger-suckers of children who have never sucked. In primary second molar region no significant difference was recorded between the various sucking groups. The open bite is clearly dominant among children who persist with a sucking habit.

Child, Preschool↗
PubMed2004

The association between incisor trauma and occlusal characteristics in individuals 8-50 years of age.

To explore the association between incisal trauma and occlusal characteristics using oral examination and health interview data from the Third National Health and Nutrition Examination Survey 1988-1994 (NHANES III). Incisal trauma examinations were performed on 15 364 individuals 6-50 years of age using an ordinal scale developed by the National Institute of Dental and Craniofacial Research. Occlusal examinations were performed on 13 057 individuals 8-50 years of age. We fitted separate multivariate logistic regression models for maxillary and mandibular incisor trauma adjusting for socio-demographic variables (age, gender, race-ethnicity) and occlusal characteristics (overbite, overjet, open bite). 23.45% of all individuals evidenced trauma on at least one incisor, with trauma more than four times more prevalent on maxillary (22.59%) than on mandibular incisors (4.78%). Males (OR = 1.67) had greater odds of trauma than females; Whites (OR = 1.37) and non-Hispanic Blacks (OR = 1.37) had greater odds of trauma than Mexican-Americans. The odds of trauma increased with age, peaked from age 21 to 30 (OR = 2.92), and declined. As overjet increased, so did the odds of trauma. Compared to individuals with < or =0-mm overjet, odds of trauma increased from 1-3 mm (OR = 1.42) to 4-6 mm (OR = 2.42) to 7-8 mm (OR = 3.24) to >8 mm (OR = 12.47). Trauma to incisors is prevalent but mostly limited to enamel. Trauma to maxillary incisors is associated with overjet, gender, race-ethnicity, and age, while trauma to mandibular incisors is associated with gender, age, and overbite.

Adolescent↗
PubMed1998

Etched-porcelain resin-bonded onlay technique for posterior teeth.

Remarkable advances in adhesive dentistry have made it possible to strongly bond porcelain to enamel and dentin. This evolution has dramatically changed restorative dentistry and has produced a new, highly esthetic, and strong restoration--etched-porcelain resin-bonded restorations. These restorations can be placed with confidence on posterior teeth. They are virtually indistinguishable from natural tooth structure and, thus, provide additional treatment alternatives for patients who desire natural-appearing posterior teeth. Etched-porcelain resin-bonded onlays on posterior teeth not only are an excellent restorative modality for moderately broken-down teeth but also may be used to bring caries-free teeth into occlusion. The latter can be an option for stabilizing occlusion for some patients with posterior open bite due to various causes. This article presents clinical and laboratory techniques for etched-porcelain resin-bonded onlays on posterior teeth.

Bicuspid↗
PubMedDate not supplied

Analysis of orthodontic anomalies in mentally retarded developmentally disabled (MRDD) persons.

For this epidemiologic study, 458 individuals with mental retardation and developmental disability (MRDD), from 6 to 87 years old, from the Lower Hudson Valley region of New York, were evaluated for the occurrence of orthodontic anomalies. High occurrence of both anomalies of intermaxillary relation, as determined by Angle's classification, and the anomalies of occlusion were found in these individuals when compared with the general population. An increased incidence of both acquired (i.e., open bite) as well as hereditary (i.e., prognathia) orthodontic anomalies correlated with the severity of mental retardation. In addition, an increased incidence of Angle class II malocclusion was found in persons with cerebral palsy and autism, and an increase of Angle class III malocclusion in persons with autism and Down syndrome. Moreover, it was found that 74% of MRDD persons had definitive malocclusion, while only 37% of the US general population of comparable age has definitive malocclusion. High incidence of malocclusion in this population remained present into old age, mainly due to a lack of treatment and the need to employ non-conventional orthodontic treatment in this population.

Adolescent↗
PubMed1988

Maintenance of intraoral pressure during speech after maxillary resection.

Although structural defects such as cleft palate and severe anterior open bite alter vocal tract resistance, compensatory responses usually result in maintaining consonant pressures at an adequate level. The purpose of the present study was to determine if individuals with an acquired palatal defect spontaneously develop similar compensatory behaviors. The pressure-flow technique was used to measure aerodynamic variables associated with consonant production after surgery and obturation. Although intraoral pressures decreased considerably immediately after surgery, pressures were maintained at a mean level of 3.5-cm H2O. Respiratory volumes increased as much as fourfold without obturation and were normal with obturation. Voice-voiceless differences in air volumes among consonants were maintained even in the presence of the defect. These findings suggest that compensatory responses are directed toward maintaining an appropriate level of intraoral pressure for consonant production.

Adult↗
PubMed1977

Uncommon sphenoidal fractures and their sequelae.

Eight cases with fractures of the sphenoid bone are discussed. In four the sella turcica was involved. One showed bilateral fractures of the medial pterygoid plates resulting in an open-bite deformity. Another patient exhibited bilateral carotid-cavernous fistulae. This brings the total of documented, angiographically demonstrated, post-traumatic, bilateral, carotid-cavernous fistulae to seven. Fractures of the planum sphenoidale, the floor of the sphenoid sinus, and bilateral fractures of the lesser wings are also shown. The anatomy of the sphenoid bone and clinical sequelae are briefly discussed.

Adolescent↗
PubMed2005

[Prevalence of oral habits and teeth alterations in schoolchildren from Valencia (Spain)].

INTRODUCTION: Oral habits are acquired through the repetition of actions that serve to calm an emotional need of the child. All these oral habits can change the position of the teeth and arches. Pediatricians should identify these habits to instigate successful treatment. OBJECTIVE: The aim of the present study was to determine the prevalence of oral habits in 1,100 Valencian schoolchildren and identify the dental alterations associated with these habits. MATERIAL AND METHODS: Between January and June 2003, 1,100 children aged between 4 and 11 years old were examined by two observers, a dentist and a pediatrician, who were specially trained to detect anomalous habits. RESULTS: The prevalence of each of the distinct habits studied varied. CONCLUSIONS: The conclusions of our study were: a) the prevalence of oral habits was 53 %; b) no differences in oral habits were found between boys and girls, and c) open bite, maxillary cross-bite and overjet can be related to oral habits, although this association was not statistically significant.

Child↗
PubMed2002

The role of prevention and simple interceptive measures in reducing the need for orthodontic treatment.

The purpose of the interceptive orthodontic treatment is to eliminate or reduce the need for treatment in the permanent dentition. The major advantage of such a treatment may also be that it is technically simple and relatively cheap, compared to comprehensive treatment with full fixed appliances. The need for interceptive measures to avoid adverse occlusal and dental consequences, which are effects of the early loss of primary molars and nonnutritive sucking habits, is discussed. The need for prevention and early intervention in patients with anterior open bites, posterior functional crossbites and signs of ectopic erupting canines is also discussed.

Humans↗
PubMed1984

Tongue movements--brainstem mechanisms and clinical postulates.

Specific excitatory and inhibitory influences on protrusive (P) and retrusive motoneurons in the hypoglossal nucleus of cat have been documented. Stimuli delivered to peripheral branches of the auriculotemporal nerve which innervate the temporomandibular joint activate both genioglossus (GG) single units and synaptically-evoked responses in P motoneurons. Similarly, stimuli delivered to the glossopharyngeal (IX) and superior laryngeal nerves activate P motoneurons. Any one of these three stimuli may contribute to the various responses in which the GG muscle is known to participate. In contrast, stimuli applied to the tongue itself (lingual and IX nerves) result in a retrusive tongue movement. These brainstem mechanisms suggest specific therapy regimens for the treatment of skeletal open-bite malocclusions where resting tongue posture appears to be a primary etiological factor.

Afferent Pathways↗
PubMed1986

Comparison of the reproducibility of EMG signals recorded from human masseter and lateral pterygoid muscles.

EMG recordings of the left and right masseter and lateral pterygoid muscles were repeated three times in 15 young adults to test the reproducibility of the signals. Two tests were made on the same day (morning and afternoon) and one test three days later (morning). Needle and hook electrodes were used for the masseter muscle and needle electrodes for the lateral pterygoid muscle. The superficial areas of recording were tattooed on the skin. An intra-oral approach was selected for the lateral pterygoid muscle. The subjects were asked to perform three definite tasks for the masseter muscle (intercuspid occlusion, maximum protrusion, and centric relation with a bite opening of 3mm) and two for the pterygoid muscle (maximum opening and maximum protrusion). The EMG signals were directly integrated, and root mean squares of the AC components were computed. The selection of the signals to discard possible artefacts was performed by displaying EMG and RMS outputs on a six-channel UV oscillograph. The selected RMS values were submitted to different analyses of variance to define additive and non-additive models of effects. The results may be summarized as follows: The between-day sessions showed more variation than the within-day sessions. The variations related to the method accounted for a very high percentage of the total variance (48.9%). The recordings with needle electrodes displayed a large percentage of the individual variation (masseter, 31.2%; lateral pterygoid muscle, 65.9%) and significantly lower values for the variations related to the session or the side of recording. The one-side recordings were more suitable for distinguishing the biological variations than were the bilateral ones.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1991

Upper airway obstruction and craniofacial morphology.

Otolaryngologists are being asked with increasing frequency to assess adequacy of the upper airway and to treat upper airway obstructive problems in orthodontic patients. The incentive has been provided by recent studies that purport to relate upper airway obstruction to dental and craniomorphologic changes. It is hypothesized that prolonged oral respiration during critical growth periods in children initiates a sequence of events that commonly results in dental and skeletal changes. In the chronic mouth-breather excessive molar tooth eruption is almost a constant feature, causing a clockwise rotation of the growing mandible, with a disproportional increase in anterior lower vertical face height. Such increases in anterior lower vertical face height are often associated with retrognathia and open bites. Low tongue posture seen with oral respiration impedes the lateral expansion and anterior development of the maxilla. Otolaryngologists have the ability to objectively and accurately assess upper airway patency. Rhinometric assessment before and after application of topical nasal decongestant, in conjunction with clinical examination, provides valuable information regarding upper airway patency and the cause of any existing obstructive pathologic condition. Studies should be designed carefully to control the numerous variables that have an impact on the growing face of a young child so that meaningful data can be obtained in our own field regarding this challenging topic.

Child, Preschool↗
PubMed2006

Osteochondroma in the mandibular condyle that caused facial asymmetry: a case report.

Osteochondroma is the most common benign tumor of the axial skeleton, though it is rarely found in the oral and maxillofacial regions. Reported is a case of osteochondroma affecting the mandibular condyle of a 22-year-old Japanese woman. The patient visited the hospital with the chief complaint of facial asymmetry. She had pain with clicking on her right temporomandibular joint (TMJ), resulting in trismus and facial asymmetry with a chin deviation to the left side. Her maximum jaw opening was 34 mm, with moderate left TMJ tenderness. There was Class I occlusion without open bite. Panoramic radiography and computed tomography (CT) revealed an enlarged right mandibular condylar head. Magnetic resonance imaging (MRI) also showed an enlarged condyle with hyperintense bone marrow on a T2-weighted image. Condylectomy and condyloplasty were performed. Surgical specimen of the lesion revealed osteochondroma of the mandibular condyle head. Two months after the initial surgery, facial asymmetry was surgically corrected by Le Fort I osteotomy and chin reduction. The patient was discharged from the hospital with no subjective complaints. At the time of this report, the patient had been followed up for seven months, and there had been no evidence of recurrence.

Adult↗
PubMed1991

Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: a comparative study of reconstructed and nonreconstructed patients.

Over the past decade, the use of free flap transfers in head and neck surgery has led to remarkable advances in the reliability and the ultimate results of oromandibular reconstruction. Stable and retentive dental restorations have been achieved using enosseous implants placed directly into the vascularized bone flaps. However, the functional assessment of patients who underwent primary mandibular reconstruction with these techniques has not been previously reported. A group of 10 reconstructed and 10 nonreconstructed segmental hemimandibulectomy patients were compared using a battery of tests to assess their overall well-being, cosmesis, deglutition, oral competence, speech, length of hospitalization, and dental rehabilitation. In addition, objective measures of the masticatory apparatus (interincisal opening, bite force, chewing performance, and chewing stroke) were used to compare these two groups as well as normal healthy subjects and edentulous patients restored with conventional and implant-borne dentures. The results show a clear advantage for the reconstructed patients in almost all categories. Persistent problems and future directions in oromandibular reconstruction are discussed.

Adult↗
PubMed1975

Dental relationships in tongue-thrusting children as affected by circumoral myofunctional exercise.

Thirty-two children with tongue-thrusting habits and nine nonthrusters participated in this study. Twenty of the tongue-thrusting children exercised their lips twice daily by pulling on a button placed in the labial bestibule. Spring scales recorded the displacing tension on the lips; exercise continued from three to six months. Pre- and postexercise headplate tracings and dental study casts were used for measurement of alterations in tooth position. The tongue-thrusting children exhibited weaker lips initially than did the non-tongue-thrusters. The lip muaculature was strengthened by daily exercise and the improvement remained for 18 months after cessation of the exercies. No signigicant change in incisor protrusion or the open bite was observed throughout the two-year study period. We conclude that increasing the lip muscle strength in tongue-thrusters may have little effect on the dentition of children exhibiting tongue-thrusting.

Adolescent↗
PubMed1986

Total temporomandibular joint replacement in a patient with rheumatoid arthritis: report of case.

This case is an example of a patient with apparent successful total TMJ replacement. With reconstruction of the joints with artificial implants, the loss of posterior ramus height because of complete erosion of the joints, mandibular retrognathia, and severe open bite were corrected. The improved masticatory function, absence of choking, and disappearance of sleep apnea symptoms allowed the patient to resume a more normal life. The patient will continue to be examined periodically, but the current prognosis is favorable.

Arthritis, Rheumatoid↗