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PubMed1981

Dental attrition and degenerative arthritis of the temporomandibular joint.

The extent and rate of occlusal attrition in relation to degenerative arthritis of the temporomandibular joint were studied in 101 skulls representing early Aboriginal man in Australia. Joint degenerations affected 40% of the specimens and were associated with both the rate and extent of tooth attrition. Age, unaccompanied by tooth wear, was not significant in the progress of the disease. Degenerations affected the temporal joint surface more frequently than the condyle, particularly in the lateral and central regions of the articular eminence. Patterns of degenerative joint disease in the Aboriginals illustrated a break-down in the physiological adaptability of the masticatory system resulting from increased occlusal stress consequent upon progressive tooth wear. Under these conditions, the teeth and the temporomandibular joints enter a 'wear-out' phase of occlusal function which usually commences in early adult life and becomes more severe as the conditions continue.

Adolescent↗
PubMed1983

The relationship of occlusal wear to occlusal contact area.

It has been suggested that masticatory efficiency is directly related to the area of the occlusal surfaces that make contact. However, little work has been carried out to determine if occlusal wear increases the area of contact, and controversy exists as to whether this would be an advantage. Using a wax registration method, occlusal contact area was measured in a group of individuals with either local or generalized wear, before and after treatment. The changes in occlusal contact area were statistically significant for the group exhibiting generalized wear but not for the group exhibiting localized war.

Dental Occlusion↗
PubMed1985

Long-term observations of an increased occlusal face height obtained by a combined orthodontic/prosthetic approach.

Twenty individuals received an increased occlusal face height by orthodontic means (a partial bite-raising splint). After splint treatment some of the anterior teeth were capped at the new occlusal face height. The average increase from start of splint treatment till after crown cementation was 1.9 mm. The stability of the vertical relations of the face after this treatment was studied. The average observation time was 67 months, i.e. 5.5 years. The modes of reaction were highly individual. A certain average relapse of the occlusal face height did occur, mostly in the course of the first 6 months after crown cementation. However, in no case did the increased face height revert to basis. In the period from 6 to 67 months after crown cementation twelve out of nineteen patients showed practically completely stable vertical relations.

Adolescent↗
PubMed1985

Mandibular dysfunction in 10-18 year old school children as related to morphological malocclusion.

An association was sought between certain morphologic characteristics of malocclusion--Angle classification, over-bite, over-jet, open-bite, cross-bite and crowding--and the presence or absence of three cardinal symptoms of mandibular dysfunction--joint sounds, joint sensitivity to palpation and muscle sensitivity--in a sample of 369 Israeli school children. In addition, two additional independent variables, 'occlusal wear' and 'previous orthodontic treatment' were introduced into the statistical analysis. Occlusal wear and abnormal overbite were the only factors found to increase significantly the presence of dysfunction symptoms.

Adolescent↗
PubMed1985

Pathologic attrition and maximal bite force.

The maximal bite force was recorded between antagonizing anterior teeth in a group (n = 10) of patients with pathologic attrition and in a control group. No statistically significant difference between the maximal bite forces was recorded. Also, the effect on the maximal bite force of the continuous wearing of a partial bite raising splint for 4 months was recorded. The great individuality in reaction patterns prohibited simple generalizations. However, in some individuals the maximal bite force was larger when biting on the splint than without, both at base line and after 4 months. Also, the maximal bite force showed a tendency to increase with time. The findings indicate that pathologic attrition is not necessarily associated with a high maximal bite force. Also, the maximal bite force recorded under various conditions is seemingly not an absolute value but rather the result of a number of factors of varying importance for different individuals.

Adult↗
PubMed1985

Dental occlusal wear and degenerative disease of the temporomandibular joint: a correlational study utilizing skeletal material from a contemporary population.

Forty crania and mandibles with intact dentition exceeding twenty-six teeth and bilaterally intact condyle-fossa apparatus were evaluated for attrition and degenerative joint disease. The skeletal specimens all represent a twentieth-century contemporary American population from the Atkinson Skull Collection at the University of the Pacific School of Dentistry. While 23.1% of this sample exhibited some degree of erosive osseous degenerative wear involving the condyle or articular fossa and 76.3% exhibited occlusal tooth wear, no significant correlation between the degree of attrition and the severity of degenerative joint disease could be documented.

Adult↗
PubMed1985

Tooth loss, attrition and temporomandibular joint changes in a Romano-British population.

Mandibular condyles and temporal fossae were studied in a large Romano-British collection of skulls. The size and shape of the condyles differed from those in previous populations studied. Changes in form or shape of the condyles were age-related and could be correlated to the number of teeth lost on the same side and on the contralateral side. No statistically significant correlations were seen between attrition and condylar form and surface change.

Adolescent↗
PubMed1985

Methodological aspects in clinical evaluation of cast restorations with colour slides.

In a methodological investigation colour slides were used for the clinical evaluation of crowns. Four criteria, described in a criteria list or recorded by means of reference slides, were used. In assessing the clinical characteristics of crowns to a certain extent colour slides turned out to be a useful instrument. Shortcomings of the method are discussed and improvements are suggested.

Audiovisual Aids↗
PubMed1988

Tooth wear measurements using a reflex microscope.

The resistance to wear of composite resins is an important feature of their suitability for use as posterior restorative materials. The in vivo clinical evaluation of new materials requires an accurate and reliable method of assessing tooth wear. The purpose of this study was too investigate the possibility of using a new stereometric measuring instrument for this purpose. Tooth wear was experimentally produced on a lead cast. The volume and average depth lost was measured using a reflex microscope. A gravimetric method of wear measurement was used as a control. When the results of both methods were compared it was found that the mean difference in depth of wear measured between the two methods was 10 microns. The reflex microscope appears to be ideally suited to making objective comparisons between the wear characteristics of composite resins.

Humans↗
PubMed1990

A preliminary electromyographic study of bite force and jaw-closing muscle fatigue in human subjects with advanced tooth wear.

The maximum bite force was recorded in five experimental volunteers with advanced tooth wear and five control volunteers who showed no abnormal wear. All subjects were then asked to maintain a force of 50% of the maximum for as long as possible while surface electromyograms from the masseter and temporalis muscles were recorded. The bite force and endurance time were found to be slightly increased in the experimental group, but no conclusions could be drawn regarding the state of fatigue. Two significant problems with regard to fatigue studies of the jaw-closing muscles emerged from the study, namely the use of the canine position for recording of the force, and the thickness of the force meter.

Adult↗
PubMed1990

Wear of teeth in a mentally retarded population.

The study includes an evaluation of dental wear in 69 individuals, 44 men and 25 women, of mean age 35 years and range 18-59 years, living in a home for mentally retarded persons. Wear was evaluated with a newly developed index based on Ryges' system, where the need for treatment is the key issue. The index consisted of three categories representing clinical situations from no wear to moderate, age dependent wear without problems for the patient, and two categories in which treatment was found to be necessary either to prevent future problems or to improve the present situation. A relatively large number of teeth showed considerable wear in the 20-29 year age group. Wear was observed predominantly in incisors and canines. Only 1% of cases were considered to require treatment. Wear increased with age, and more than 5% of teeth were diagnosed as needing treatment in the 30-39 year and 40-49 year age groups. Wear in the studied population was found to be more severe than that observed in an urban population from the same area in a parallel study.

Adolescent↗
PubMed1991

Replication of human occlusal tooth attrition surfaces for scanning electron microscopic study.

Silicone negative replicas of dentine islands exposed by occlusal attrition were examined on extracted human teeth using the scanning electron microscope. Because the details of the dentinal tubules were reproducible on the silicone impression, the replication technique was applied in vivo to occlusal attrition to demonstrate patent dentinal tubules in cases with symptomatic exposed dentine islands. using this replication technique, it should be possible to monitor the effect of the therapeutic management of symptomatic tooth attrition on dentinal tubule closure.

Dental Impression Materials↗
PubMed1991

Prevalence of craniomandibular disorders in adults of Ilala District, Dar-es-Salaam, Tanzania.

The prevalence and distribution of signs and symptoms of craniomandibular disorders (CMD) were studied in a random sample of 100 adult Tanzanians. The associations between subjective and objective findings were analysed. Signs and symptoms of CMD were assessed by interview and clinical examination. Twenty-six per cent of subjects reported at least one symptom, and in 40% at least one clinical sign was present. No significant differences were observed between the sexes. Tenderness of the lateral pterygoid area and crepitation of the temporomandibular joint increased significantly with age. Several significant associations between subjective and objective findings were observed. The distribution of the signs and symptoms of CMD in Tanzanians was not dissimilar to that observed in the developed countries. The prevalence was not high by comparison, but sufficient to lend credence to the general view that CMD is a universal problem.

Adult↗
PubMed1991

Five-year longitudinal study of adolescents with intact and restored dentitions: signs and symptoms of temporomandibular dysfunction and functional recordings.

Signs and symptoms of temporomandibular dysfunction (TMD) and functional recordings were re-examined in subjects, 19-21 years of age, 5 years after the first examination. Thirty-seven subjects had restored dentitions at both examinations (group F), 13 subjects with previously intact dentitions had had fillings in their teeth during the follow-up period (group FI), and 14 subjects had intact dentitions at both examinations (group I). In agreement with the first examination, the subjects with restored dentitions had a higher degree and frequency of TMD than the subjects with intact teeth. Most of the symptoms were mild, but more severe symptoms were reported by the subjects in group F, and female subjects in group F had more signs than male subjects. The subjects who had received fillings during the follow-up period (group FI) constituted a group intermediate between group F and group I with regard to signs and symptoms of TMD. Frequent parafunction and more attrition were more common in group F. Together with the finding of increased muscle tenderness, this indicates more functional activity in restored dentitions. Correlation analysis did not reveal any relationship between occlusal factors and TMD. The findings of this study are consistent with those of the earlier investigation. Dental filling therapy appears to be an aetiological factor in TMD worthy of more consideration and more extensive research.

Adolescent↗
PubMed1991

Occlusal abnormalities, pericranial muscle and joint tenderness and tooth wear in a group of migraine patients.

Seventy-two migraine sufferers, whose attacks normally begin during or soon after waking from sleep, were compared with 37 age- and sex-matched controls to establish whether signs of mandibular dysfunction, occlusal discrepancies and known clenching or grinding habits were any more frequent among the former group. Temporomandibular joint tenderness or pain history, masticatory muscle tenderness and known clenching or grinding habits were found to occur at significantly increased levels in the migraine sufferers, with two-thirds of these patients reporting a parafunctional habit. Occlusal abnormalities, including non-working side or protrusive interferences and slides of greater than 1 mm to the intercuspal position, were found to occur at similar frequencies in the two groups. Assessment of wear of the occlusal surfaces also showed no difference, suggesting that any nocturnal habit with a role in migraine is more likely to be clenching in nature. In conclusion, evidence was found to support an aetiological role for nocturnal tooth clenching or grinding in migraine characterized by attacks that start predominantly during sleep or soon after waking, but no evidence of a link with occlusal factors was found in these patients.

Adolescent↗
PubMed1992

In-vitro and in-vivo wear profile of composite resins.

The aim of this study was to evaluate in-vitro wear by two types of slurry of 10 commercial composite resin materials (seven hybrid and three microfilled composites). There was great variation in the in-vitro wear pattern by two types of slurry. The wear rate of microfilled composites was greater than that of hybrid composites, and a negative correlation was observed between wear rate and Knoop hardness values among all materials when hydroxyapatite slurry was used. In contrast, the wear rate of hybrid composites was greater than that of microfilled composites when abraded by green carborundum slurry. These abraded surfaces were compared with SEM micrographs of in-vivo composites surface after 4 years of service. The profile of in-vivo wear surfaces was found to be similar to that of in-vitro wear surfaces abraded with hydroxyapatite slurry.

Composite Resins↗
PubMed1995

Psychological factors related to the prevalence of temporomandibular joint sounds.

This study focuses on the association between psychological factors and TMJ sounds, and the most suitable research design to establish this relation. A traditional research design is simulated to demonstrate how self-report may bias findings. A refined design is presented to obtain unbiased estimates of the role of psychological variables. In the 'naïve' design the importance of psychological variables was overestimated and the role of physiological variables was underestimated. It was concluded that future studies in the aetiology of TMJ clicking should abandon the use of self-report as a proxy for objective findings. With the refined design it was found that psychological factors play only a minor role in the prevalence of TMJ sounds. Findings do not support speculation about mechanisms that relate psychological factors to the presence of TMJ sounds.

Adaptation, Psychological↗
PubMed1995

Occlusal variables, bruxism and temporomandibular disorders: a clinical and kinesiographic assessment.

Seventy-five patients suffering from myofascial pain, headaches and anterior disc displacement were assessed clinically and with a kinesiograph. Twenty-eight asymptomatic dental staff served as a control group. The prevalence of awareness of bruxism was significantly greater in our TMD patients than the controls. Bruxism patients recorded a higher prevalence of incisor dentine wear suggestive of a forward mandible posture. Class II, Division 1 malocclusions formed a significantly higher proportion of the TMD patient group than the controls. Kinesiographic recordings showed that the vertical and lateral components of movement from postural position to intercuspal were significantly greater in the patient group.

Adolescent↗