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At least 127 records · Page 7Linked to original sources

Aspects of masticatory form and function in common tree shrews, Tupaia glis.

Tree shrews have relatively primitive tribosphenic molars that are apparently similar to those of basal eutherians; thus, these animals have been used as a model to describe mastication in early mammals. In this study the gross morphology of the bony skull, joints, dentition, and muscles of mastication are related to potential jaw movements and cuspal relationships. Potential for complex mandibular movements is indicated by a mobile mandibular symphysis, shallow mandibular fossa that is large compared to its resident condyle, and relatively loose temporomandibular joint ligaments. Abrasive tooth wear is noticeable, and is most marked at the first molars and buccal aspects of the upper cheek teeth distal to P2. Muscle morphology is basically similar to that previously described for Tupaia minor and Ptilocercus lowii. However, in T. glis, an intraorbital part of deep temporalis has the potential for inducing lingual translation of its dentary, and the large medial pterygoid has extended its origin anteriorly to the floor of the orbit, which would enhance protrusion. The importance of the tongue and hyoid muscles during mastication is suggested by broadly expanded anterior bellies of digastrics, which may assist mylohyoids in tensing the floor of the mouth during forceful tongue actions, and by preliminary electromyography, which suggests that masticatory muscles alone cannot fully account for jaw movements in this species.

Animals↗

Permanent bruxism as a manifestation of the oculo-facial syndrome related to systemic Whipple's disease.

We report here a new case of oculomasticatory syndrome related to systemic Whipple's disease. The patient presented typical ophthalmoparesis associated with ocular myorhythmia consisting of 1 Hz convergent oscillations of both eyes. The masticatory involvement was remarkable and consisted of a permanent bruxism leading to severe tooth abrasions. Possible pathophysiology of such a disorder is discussed.

Bruxism↗

Tooth surface loss: does recreational drug use contribute?

OBJECTIVE: This pilot study was designed to measure tooth wear in a sample of 13 subjects who regularly use amphetamine-like drugs (Ecstasy, amphetamines) and compare the observed wear with a matched sample of nondrug users. DESIGN: The two groups, both composed of 13 undergraduate students, were matched for age and sex. Other factors influencing tooth wear were controlled by matching the groups on their responses to a questionnaire asking about recognised common causes of tooth wear. The participants teeth were examined and the degree of wear scored according to a tooth wear index. RESULTS: Severity of occlusal tooth wear of the lower first molar teeth was significantly greater in the drug user group than in the control group (P<0.05). No other statistically significant differences between the groups were found. CONCLUSION: Regular use of amphetamine-like drugs could be associated with increased posterior tooth wear.

Adolescent↗

Loss of tooth substance during root planing with various periodontal instruments: an in vitro study.

Ultrasonic and power-driven instrumentation is gaining in significance as an acceptable alternative to manual periodontal root treatment. Some question whether they do not remove too much tooth substance. Various ultrasonic scalers, hand instruments and two power-driven systems were compared by assessing the loss of tooth substance due to root instrumentation. Quantitative analysis of this effect of the instruments used was performed on 20 freshly extracted, non-periodontally involved, large human molars. In the first study, 40 specimens were randomly assigned to four groups of treatment: combined use of ultrasonic scaler and Periopolisher diamond-coated inserts (US-POL), hand instruments (MANUAL), Perioplaner-Periopolisher system (PPL-POL) and Periokit ultrasonic-designed scalers (PERIOKIT). The second study involved two treatment groups, ultrasonic scaler alone and hand instruments, each allocated with 20 teeth (small root fragments). An unpaired two-tailed t test was carried out for both studies to compare the average weight loss of root substance with the modes of instrumentation. The level of significance was set at p<or=0.05. The overall results of the first and second experimental trials did not reveal obvious differences in weight loss between the manual, ultrasonic or power-driven root treatments. Based on the results of these two comparative studies, the power-driven inserts or the various ultrasonic scalers tested did not remove more tooth substance than conventional hand instruments. They may thus be a useful alternative for the debridement of root surfaces.

Dental Scaling↗

Raman spectroscopic study of noncarious cervical lesions.

The surface of noncarious cervical lesions (NCCLs) consists of sclerosed dentin. This type of dentin may affect the ability of adhesive restorative materials to bond well to its surface, but little information exists on the chemical nature of this dentin surface and how it may be affected during acidic treatment. The inorganic part of normal dentin and dentin from NCCLs before and after acid conditioning with phosphoric acid or polyacrylic acid was investigated. Ten premolars with NCCLs and four human third molars (control) were used. Replicas of NCCLs were examined using scanning electron microscopy (SEM). Surfaces and longitudinal sections of four NCCLs and control dentin discs were analyzed using Raman spectroscopy. The discs and NCCLs were sectioned, and treated with 35% phosphoric acid or 20% polyacrylic acid/3% aluminum chloride, and Raman spectra obtained. The area under phosphate nu1 of the dentin spectrum was computed to obtain a ratio with the area under the second-order spectrum of a silicon phonon comparative standard. Mean phosphate nu1 and silicon phonon ratios from normal dentin and NCCLs were compared using a linear model with repeated measurements and Tukey's pairwise tests. Mean ratios from different locations of the NCCLs were compared using one-way analysis of variance (ANOVA) and Tukey's pairwise tests. SEM micrographs of NCCL surfaces showed variation from relatively smooth with no dentinal tubule openings to surfaces with occluded tubules. The mean phosphate nu1 and silicon phonon ratios for NCCLs were higher than those of normal dentin in all treatment groups (P < 0.05). Ratios from the untreated specimens were higher than those of the polyacrylic acid-treated specimens, and those for the phosphoric acid-treated group were the lowest (P < 0.05). The ratios obtained for the surfaces of NCCLs were higher than those halfway towards the pulp, and those adjacent to the pulp were the lowest (P < 0.05).

Acid Etching, Dental↗

Enamel loss due to orthodontic bonding with filled and unfilled resins using various clean-up techniques.

An in vitro study using steel reference markers in the enamel of 100 premolars was carried out in order to determine the enamel loss resulting from each step in the placement and removal of bonded orthodontic attachments. Measurements were made by means of the optical system of a profile projector for orientation and positioning and a micrometer for quantification. Accuracy to within +/- 1 micron was achieved. The 10.7 micron of enamel lost during initial prophylaxis with bristle brush was greater than the 5.0 micron lost when a rubber cup was used, and the difference was statistically significant. A 90-second etch with phosphoric acid resulted in a mean loss of 6.9 micron, with no significant difference between liquid and gel forms. It was possible to clean up the unfilled resin with hand instruments only; this resulted in a mean enamel loss of 7.7 micron. Rotary instruments, however, were required for cleaning up filled resin. Within this group, more enamel was lost when the high-speed 7902 bur (19.2 micron) and green rubber wheel (18.4 micron) were used than when the low-speed 7111 bur (11.3 micron) was used. Total enamel loss ranged from 26.1 to 31.8 micron for unfilled resin and from 29.5 to 41.2 micron for filled resin, depending on the instrument used for prophylaxis and debonding. Twenty-seven of the teeth showed evidence of a perikymata-like structure after as much as 29 micron of enamel had been removed, questioning the reliability of anatomic landmarks as reference points in the study of enamel loss.

Acid Etching, Dental↗

Crystal growth on the outer enamel surface--an alternative to acid etching.

Over the past 2 years an increasing concern has developed about the possible iatrogenic effects of phosphoric acid-etch bonding techniques on the enamel surface. There is an evident need to develop a mechanical or chemical retention system that would not alter (or would minimally alter) the outer enamel surface. An alternative to the conventional phosphoric acid etch technique has been developed. A preliminary clinical trial showed promising performance under normal clinical conditions. These results were achieved with a minimal loss of surface enamel as evidenced by scanning electron microscopy. Debonding and cleanup were greatly facilitated. Creating a micromechanical retentive surface by the formation of a crystalline interface is a potential alternative to phosphoric acid etching.

Acid Etching, Dental↗

Toothbrush resistance and fluoride retention of sound, etched, fluoridated, and remineralized bovine enamel.

The wear resistance of tooth enamel that had undergone eight different treatments regarding the bonding procedure has been investigated. In comparison to sound enamel, the outer 3 microns of the etched-surface enamel show a decreased wear resistance against toothbrushing in vitro. Remineralization, either direct or preceded by acidified phosphated fluoride (APF) application, did not improve the wear resistance. The prophylactic effect of the APF treatment of etched enamel is considerable and is not lost after the soft, outer surface layer has worn off.

Acid Etching, Dental↗

Tooth attrition and continuing eruption in a Romano-British population.

Cement-enamel junction to alveolar crest (CEJ-AC) distances were measured in Romano-British skulls. Measurements were also made of attrition patterns. The patterns of the two measurements were similar in each group, suggesting that teeth continued to erupt and CEJ-AC alone is misleading as a measurement of bone loss and may not relate to the extent of chronic inflammatory periodontal disease. Estimated bone loss was minimal, confirming that measurements of this nature on dried skulls should only be related to periodontal conditions with caution.

Adolescent↗

Continuous eruption of some adult human teeth of ancient populations.

It has been argued that the teeth maintain a potential for eruption throughout life and that eruption takes place whenever an opportunity occurs. Thus continuous, active eruption would be expected when the occlusal surfaces of the teeth have been affected by severe attrition. Radiographs of teeth and jaws of adult skulls with marked attrition from the Romano-British, Anglo-Saxon and Mediaeval periods were measured using the inferior alveolar canal (IAC) as a reference structure. Statistical analysis of the measurements from 164 of the specimens showed that the worn occlusal surfaces (OS) maintained a more or less constant distance from the IAC with age, and the distance from the IAC to the cemento-enamel junction increased continuously. Likewise, the distance from the IAC to the alveolar bone crest (AC) and the distance OS-AC remained almost constant. In most groups there was a slow, continuous deposition of bone at the lower border of the mandible which could account for the increased face height of older individuals. Hence continuous eruption occurs at least up to about 45 years providing that there is inter-occlusal space available into which the teeth may erupt; furthermore, there is potential for eruption whether or not attrition occurs in all human adults at a similar age.

Adolescent↗