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PubMed1991

Is snuff a potential risk factor in occlusal wear?

Oral snuff contains fairly high percentages of inorganic, potentially abrasive elements and the use of snuff has been identified as one factor that contributes to occlusal wear. In the first part of the present study, the snuff habits of 100 users were investigated. 41 per cent reported that they sometimes got snuff between their teeth and another 14 per cent said that this happened often. Thirteen and six per cent, respectively, admitted that they sometimes of often used snuff as chewing tobacco. In the second part, an experimental model, using a so-called Bruxcore, was set up to estimate the degree of occlusal wear when chewing snuff compared to when chewing with nothing in the mouth. After 3000 chewing strokes on each plate, the wear of the plate used while chewing snuff was significantly less compared to the plate used while chewing with nothing in the mouth. The most likely explanation for this finding is that the salivary flow was more than twice as high when chewing snuff compared to chewing with nothing in the mouth, and that the saliva serves as a lubricant that protects the surface from wear. It is concluded that the use of oral snuff is not an important risk factor in occlusal wear.

Adult↗
PubMed2005

A new analyzing method for quantification of abrasion on the Bruxcore device for sleep bruxism diagnosis.

AIMS: To evaluate a newly developed semi-automatic computer-based method to analyze the objectivity of the Bruxcore Bruxism-Monitoring Device (BBMD) by assessing the interrater reliability. The capability of the BBMD to differentiate between sleep bruxers (SB) and healthy controls was also verified by estimating the sensitivity, specificity, and predictive values. METHODS: Forty-eight SB and 21 controls took part in this investigation. After a detailed clinical dental examination, each participant received a BBMD to be worn for 5 consecutive nights. The BBMDs were then scanned and rated by 2 independent examiners using the new method, which counted the abraded area in pixels. Interrater reliability was assessed by intraclass correlation coefficient (ICC) analyses. RESULTS: The analyses showed a very high interrater reliability of ICC = 0.99, and comparison of the mean pixel scores revealed values that were approximately 8 times higher for the SB than for the controls. With a selected pixel score cutoff point of 2900, a sensitivity of 79.2% and a specificity of 95.2% were found. The clinical diagnosis was correctly predicted in 97.4% of the SB and 66.7% of the controls. CONCLUSION: The results support the assumption that the newly developed analyzing method for the assessment of the BBMD is a clinically suitable, objective, and applicable method that seems to be able to differentiate between SB and a healthy control sample. These data, however, need to be confirmed in further investigations using polysomnographic recordings.

Adult↗
PubMed1996

Variability in the quantification of abrasion on the Bruxcore device.

The rate of abrasion of dental surfaces during short periods of time is difficult to measure clinically, but one quantifiable method is the use of the Bruxcore bruxism monitoring device. The aim of this study was to estimate the interobserver and intraobserver variation in the Bruxcore system using different reading methods. Fifteen volunteers used individually fabricated Bruxcore devices during 4 consecutive nights, and this procedure was repeated after 6 weeks. The abraded areas of the 30 Bruxcore devices were measured by two observers on two occasions and with three methods: microscope without a reference scale; microscope with a reference scale; and a computer-aided system. Intraobserver variation was small (5%), but interobserver variation was statistically significant for all three methods. The computer-aided system was superior to the other two methods. The interaction between Bruxcore values and observers was statistically significant for the microscope methods but not for the computer method. This was a desired property, indicating stability of the computer-aided method over the range of Bruxcore values observed. Small measurement errors, independent of the size of the measurements, can be expected using a trained observer and a computer-aided method for reading the Bruxcore bruxism monitoring device.

Adult↗
PubMedDate not supplied

Error rates in buccal-dental microwear quantification using scanning electron microscopy.

Dental microwear, usually analyzed using scanning electron microscopy (SEM) techniques, is a good indicator of the abrasive potential of past human population diets. Scanning electron microscopy secondary electrons provide excellent images of dental enamel relief for characterizing striation density, average length, and orientation. However, methodological standardization is required for interobserver comparisons since semiautomatic counting procedures are still used for micrograph characterization. The analysis of normally distributed variables allows the characterization of small interpopulation differences. However, the interobserver error rates associated with SEM experience and the degree of expertise in measuring striations are critical to population dietary interpretation. The interobserver comparisons made here clearly indicate that the precision of SEM buccal microwear measurements depends heavily on variable definition and the researcher's expertise. Moreover, error rates are not the only concern for dental microwear research. Low error rates do not guarantee that all researchers are measuring the same magnitudes of the variables considered. The results obtained show that researchers tend to maintain high intrapopulation homogeneity and low measurement error rates, whereas significant interobserver differences appear. Such differences are due to a differential interpretation of SEM microwear features and variable definitions that require detailed and precise agreement among researchers. The substitution of semiautomatic with fully automated procedures will completely avoid interobserver error rate differences.

Animals↗
PubMed1997

In vivo changes in roughness of resin-modified glass ionomer materials.

OBJECTIVES: The clinical changes in roughness of resin-modified glass ionomer materials is relatively unknown. This study examined the in vivo wear of these materials using surface roughness as an indicator of wear patterns. METHODS: Ten patients with four cervical abrasion lesions each were selected. The four cavities in each patient were restored with Fuji II LC (GC Corp., Japan), Vitremer (3M Dental, USA), Photac-Fil (ESPE, Germany) and Fuji Cap II (GC Corp., Japan). After light-curing, the restorations were polished and left uncoated. Silicone impressions were made of the surface of each restoration after polishing, and then at 3 monthly intervals up to 24 mon after restoration placement. Gold-coated resin replicas were made from the impressions for surface wear evaluation. Quantitative assessment of wear was performed by measuring surface roughness with a confocal microscope for topographical reconstruction of the specimen surface. The effect of material at each time period was analyzed using the Kruskal-Wallis test with exact non-parametric inference. Rugosity, as determined by the center line average, was determined by image analysis. SEM images of the same surfaces provided the qualitative analysis. RESULTS: All restorations showed a cyclic distribution of rugosity with time as demonstrated by lowess plots. There were significant differences between materials at 6, 9 and 18 mon. The rugosity curves appeared to converge at 24 mon. SIGNIFICANCE: It was concluded that the in vivo surface changes in roughness of resin-modified glass ionomer materials is cyclic in nature over the first 2 y.

Adult↗
PubMed2004

The measurement of enamel wear of two toothpastes.

PURPOSE: The aim of this study was to compare the enamel abrasivity of a whitening toothpaste with a standard silica toothpaste. MATERIALS AND METHODS: Polished human enamel blocks (4 x 4 mm) were indented with a Knoop diamond. The enamel blocks were attached to the posterior buccal surfaces of full dentures and worn by adult volunteers for 24 hours per day. The blocks were brushed ex vivo for 30 seconds, twice per day with the randomly assigned toothpaste (n = 10 per treatment). The products used were either a whitening toothpaste containing Perlite or a standard silica toothpaste. After four, eight and twelve weeks, one block per subject was removed and the geometry of each Knoop indent was re-measured. From the baseline and post-treatment values of indent length, the amount of enamel wear was calculated from the change in the indent depth. RESULTS: The mean enamel wear (sd) for the whitening toothpaste and the standard silica toothpaste after four weeks was 0.20 (0.11) and 0.14 (0.10); after 8 weeks was 0.44 (0.33) and 0.18 (0.17), and after 12 weeks was 0.60 (0.72) and 0.67 (0.77) microns respectively. After four, eight and twelve weeks, the difference in enamel wear between the two toothpastes was not of statistical significance (p > 0.05, 2 sample t-test) at any time point. CONCLUSIONS: The whitening toothpaste did not give a statistically significantly greater level of enamel wear as compared to a standard silica toothpaste over a 4-, 8- and 12-weeks period.

Adult↗
PubMed2006

Wear evaluation of porcelain opposing gold, composite resin, and enamel.

STATEMENT OF PROBLEM: When porcelain surfaces oppose gold and composite resin restorations as well as enamel, wear resistance and abrasiveness of the porcelain are clinical concerns to maintain the occlusal relationship. However, there is limited information on comparison of mutual wear rates when these materials oppose in 2-body and 3-body conditions. PURPOSE: The purpose of this study was to evaluate mutual wear rates of dental porcelain and opposing materials, including a gold alloy, a composite resin, and human enamel, using an in vitro wear test. MATERIAL AND METHODS: Mutual wear between high-fusing dental porcelain (Ceramco II) disks (9 x 5-mm thick) with a rough or smooth surface and opposing styli made of gold alloy, composite resin, or human enamel was evaluated in 2-body and 3-body conditions using a wear simulator (n=8). Wear depths (microm) of porcelain disks were determined using a profilometer. Wear depths (microm) of the opposing materials were obtained by converting the worn surface areas into wear depths using image-analysis software. All data were statistically analyzed by 3-way analysis of variance and Bonferroni-Dunn test (alpha=.05). The worn surfaces were observed by scanning electron microscope (SEM). RESULTS: The wear values for porcelain opposing composite resin or enamel in the 2-body condition were significantly greater than those in the 3-body condition, regardless of the surface condition of the porcelain (P<.001). For stylus specimens, all values in the 2-body condition were significantly greater than those in the 3-body condition, regardless of the surface condition of the opposing porcelain (P<.001). These results are supported by SEM observations of worn surfaces. CONCLUSION: The results of this study suggest that mutual wear rates, when porcelain opposes gold, composite resin, and enamel, are influenced by 2-body and 3-body wear conditions.

Analysis of Variance↗
PubMed1996

Preliminary examination of non-occlusal dental microwear in anthropoids: implications for the study of fossil primates.

Most studies of microscopic wear on non-human primate teeth have focused on the occlusal surfaces of molars. Recent analyses of the buccal surfaces of human cheek teeth have demonstrated an association between diet and dental microwear on the these surfaces as well. In the current study, we examine microwear on both the buccal and lingual surfaces of non-human primate molars to assess the potential of these surfaces to reveal information concerning anthropoid feeding behaviors. We compare frequency of microwear occurrence in 12 extant and 11 fossil anthropoid species. Among the living primates, the occurrence of microwear on nonocclusal surfaces appears to relate to both diet and degree of terrestriality. The implications of this research for the inference of feeding behaviors and substrate use in fossil cercopithecoids are discussed.

Analysis of Variance↗
PubMed1996

Dental microwear and microstructure in early oligocene primates from the Fayum, Egypt: implications for diet.

Textbook descriptions usually portray the Fayum anthropoideans as frugivores, with Parapithecus grangeri including a folivorous component in its diet and Apidium a component of hard-object feeding. Recent work with modern mammals has shown that analyses of both dental microwear and dental microstructure may yield insights into diet and tooth use. The purpose of this study was to combine these two techniques to gain a better perspective on the paleobiology of the Fayum higher primates. Dental microwear analyses involved the use of high resolution epoxy casts of Aegyptopithecus, Parapithecus, and Apidium housed in the Duke University Primate Center. Scanning electron micrographs were taken at x500, and all microwear features in each micrograph were digitized. For microstructure analyses, molar teeth were sectioned in a variety of planes, lightly etched, and photographed in the SEM. Results of the dental microwear analyses indicate that the three Fayum anthropoideans all clustered with modern primate frugivores but that there were also significant differences between Aegyptopithecus and the other two Fayum genera. By contrast, dental microstructure analyses showed important differences between Apidium and the other two genera. The reason for these differences probably lies in a combination of body size and dietary differences, with Aegyptopithecus occasionally feeding on hard objects and Apidium maximizing wear resistance through a unique emphasis of radial (rather than decussating) enamel.

Animals↗
PubMed1997

A new, three-dimensional method for determining tooth wear.

A new technique combining moiré contourography and digital image analysis allows the three-dimensional description of molar wear. It is possible to describe the amount of tooth material lost in a given time, e.g. mm3/year, and the differing amounts of wear on individual cusps. The moiré technique can be used in conjunction with more conventional quantitative techniques or by itself to assist in age determination in a population. It can be used to describe small amounts of wear that hitherto were difficult to quantify. It is not recommended where the wear includes the greatest convexity of the crown (height of contour) or affects the central fossa.

Age Determination by Teeth↗
PubMed2000

Craniometric variation in a population of mantled howler monkeys (Alouatta palliata): evidence of size selection in females and growth in dentally mature males.

A large body of work on monkey cranial metrics (involving conclusions about interspecific variation, sexual dimorphism, and ontogeny) depends on the assumptions that growth effectively ceases with dental maturity and that intraspecific variation is negligible. We test these assumptions by examining variation in 39 measurements of 166 dentally mature Alouatta palliata skulls from animals found dead on Barro Colorado Island (BCI), Panama. We also investigate whether this population is under size-based selection, since our found-dead sample reflects the natural mortality in this population. The sample was divided into three age stages by occlusal wear (A-C, least to most wear). Female stage A means are significantly smaller than female stage B means for three cranial measures. Female stage B means are significantly smaller than female stage C means for five cranial measures. Male stage A means are significantly smaller than male stage B means for 21 cranial measures. Multivariate analyses confirm this trend of expansion between adult age stages. The dental metric and suture closure data suggest that the cranial expansion in females is due to size-based selection, while the cranial expansion in males is due to significant growth after dental maturity. Sexual dimorphism ratios are highly variable across different samples of A. palliata, indicating that dimorphism varies between populations of this species. These results provide insight into the selective forces operating on the BCI howlers and challenge the validity of the many studies which pool subspecies and assume growth ceases with maturity.

Aging↗
PubMed2001

Simulation of dental microwear: Characteristic traces by opal phytoliths give clues to ancient human dietary behavior.

In order to further evaluate the process of microwear formation on human dental enamel, microwear was experimentally produced by a chewing simulation with an Academic Center for Dentistry Amsterdam (ACTA) device. For this simulation, several cereal species were processed according to historical milling techniques, the experimental results of which were compared with those obtained from cereals processed after modern techniques, and also with natural microwear on early medieval human molars. Comparison of simulated microwear pits with natural microwear pits showed that the simulation led to traces which matched those found on the historical teeth in terms of both size and shape. Experimentally produced microwear pits were especially characteristic for the cereal species used in the simulations, and both pit morphology and enamel loss were a function of cereal phytolith content. Despite the high variability of phytolith size and shape, certain types are characteristic for certain cereals, which in turn are capable of producing cereal-specific microwear. This experimental approach is likely to further define ancient human dietary behavior, including food processing.

Anthropology, Physical↗
PubMedDate not supplied

Oral findings in fragile X syndrome.

This study compares the oral findings in fragile X syndrome individuals to those of normal age-matched patients. Sixteen fra(X) males (mean age 22 10/12 years) had a low caries rate (decayed, missing and filled surfaces (DMFS) = 12.3) and minimal intraoral hard or soft tissue disease. Rate of malocclusion, as determined by the first permanent molar classification of Angle, was not significantly different from that of matched subjects. Fra(X) subjects had a significantly higher occurrence of malocclusion as compared to matched subjects using crossbite and openbite as criteria. Palatal dimensions of fra(X) subjects did not differ significantly from those of the matched sample. The fra(X) males also demonstrated significantly more severe occlusal wear of their teeth than the matched sample.

Adolescent↗
PubMed2002

Dental and general health in a population of wild ring-tailed lemurs: a life history approach.

Data are presented on dental and general health for seven groups of wild ring-tailed lemurs, Lemur catta, from the Beza Mahafaly Reserve, in southern Madagascar. As part of a study of population demography, adults were captured, collared, and tagged, and biometric measurements, dental casts, and analyses of dental and general health were made. Results indicate that patterns of dental health vary by individual, age, sex, and habitat. Prime adults show more dental attrition than young adults. Prime males living in more marginal habitats show greater mean attrition than those living in richer habitats. Dental damage, specifically to the toothcomb, indicates that mechanical stresses to this region may include the initial harvesting of foods, in addition to grooming. Males exhibit more evidence of past trauma, including scars and chipped teeth. These results indicate that environmental as well as social factors, such as female dominance, may lead to sex differences in health patterns among lemurs.

Age Factors↗
PubMed2004

Enamel hypoplasias and physiological stress in the Sima de los Huesos Middle Pleistocene hominins.

This study presents an analysis of linear enamel hypoplasias (LEH) and plane-form defects (PFD) in the hominine dental sample from the Sima de los Huesos (SH) Middle Pleistocene site in Atapuerca (Spain). The SH sample comprises 475 teeth, 467 permanent and 8 deciduous, belonging to a minimum of 28 individuals. The method for recording PFD and LEH is discussed, as well as the definition of LEH. The prevalence of LEH and PFD in SH permanent dentition (unilateral total count) is 4.6% (13/280). Only one deciduous tooth (lower dc) showed an enamel disruption. Prevalence by individual ranges from 18.7-30%. The most likely explanation for the relatively low LEH and PFD prevalence in the SH sample suggests that the SH population exhibited a low level of developmental stress. The age at occurrence of LEH and PFD was determined by counting the number of perikymata between each lesion and the cervix of the tooth. Assuming a periodicity of nine days for the incremental lines, the majority of LEH in the SH sample occurred during the third year of life and may be related to the metabolic stress associated with weaning.

Aging↗