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Dentifrice detergent: its effect on human enamel.

A scanning and transmission electron microscope study has shown that human enamel specimens treated with a mild detergent solution exhibit etching of the enamel surface. The tooth surfaces subsequently show a greater susceptibility to the acid attack than samples treated with mineral acid alone. The evidence suggests that reevaluation of sodium dodecyl sulfate and similar detergents as components of commercially available dentifrice products may be necessary.

Dental Enamel↗

A preliminary scanning electron microscope examination of wear striation direction on primate teeth.

Wear striations experimentally produced on initially unworn teeth were examined at high magnification using a scanning electron microscope. Certain characteristics of individual wear striations on these teeth indicate the direction of motion that produced them. Other striations on worn teeth of American Indians and the Paleocene primate Phenocolemur show similar characteristics and correspond to mandibular movement during mastication.

Animals↗

The effect of enamel surface reduction in vitro on the bonding of composite resin to permanent human enamel.

The shear bond strength between composite resin and human permanent tooth enamel was measured on unabraded tooth surfaces and after mechanical reduction of 0.1 mm and 0.6 mm of the enamel surface. There was a higher bond strength following the reduction of 0.1 mm of the surface (p less than 0.05) and 0.6 mm of the surface (p less than 0.01). Mechanical surface reduction was associated with increased residual composite at the bond site after debonding.

Acid Etching, Dental↗

A microradiographic and chemical comparison of in vitro systems for the simulation of incipient caries in abraded bovine enamel.

An acetate buffer system, supersaturated with fluorapatite but not with hydroxyapatite, produced lesions in abraded bovine enamel which resembled human enamel caries lesions, both morphologically and in their F distribution. A gelatin-lactate system gave similar results when unpurified gelatin was used. Systems containing deionized gelatin, diphosphonate, or Ca and phosphate but no F, failed to produce caries-like lesions.

Animals↗

Hominoid dental microwear: complications in the use of microwear analysis to detect diet.

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.

Age Factors↗

A new microsample grinding technique for quantitative determination of calcium and phosphorus in dental enamel.

A new microsampling method is described for measuring variations in calcium and phosphorus distribution in dental enamel. Ten successive layers, 10 micron thick, from five human enamel posts with previously abraded flat upper surfaces were ground and analyzed. Mean Ca and P values were, respectively, 1116 +/- 110 and 527 +/- 47 micrograms/mm3, and mean Ca/P w/w and molar ratios, 2.11 +/- 0.10 and 1.63 +/- 0.08, respectively. Despite its limitations, the present method allows for accurate investigation of the mineral content in sound, experimentally-treated enamel.

Calcium↗

Dental attrition and craniofacial morphology in two Australian aboriginal populations.

This study considers the craniofacial morphology of two Australian Aboriginal populations with different patterns of tooth wear. Evidence of regional variation in cranial and facial morphology is provided by significant differences in a number of variables. In addition, the intergroup differences in the correlations between attrition and facial variables provide evidence of different adaptive and compensatory changes occurring in each group in response to the different patterns of tooth wear.

Australia↗

A long-term epidemiologic study of the relationship between occlusal factors and mandibular dysfunction in children and adolescents.

A longitudinal investigation of changes of signs and symptoms of mandibular dysfunction over four to five years was performed, by means of questionnaires and clinical examination, in 240 children, ages 7, 11, and 15 years at the first examination. The objective of this part of the study was to analyze correlations between some occlusal and other factors, and mandibular dysfunction. Signs and symptoms of mandibular dysfunction increased slightly in both frequency and severity but were judged to be mild in most cases. Several types of occlusal interference were frequently recorded at both examinations. Dental wear increased during the follow-up period, while the results of evaluations of motor activity and psychological traits were relatively constant. There were only a few significant correlations, most of which were weak, between the recorded variables and mandibular dysfunction, and those found were not consistent in all age groups. TMJ sounds were positively correlated with lateral deviation of the mandible between retruded contact and intercuspal position in all age groups. An attempt to analyze the longitudinal relationship of occlusal interference with signs and symptoms of mandibular dysfunction did not reveal any strong correlations. The results are interpreted as supporting the heterogeneous and multifactorial nature of functional disturbances of the masticatory system.

Adolescent↗

Temporomandibular joint morphology in two Australian aboriginal populations.

The morphology of the temporomandibular joints in two Australian populations with previously established differences in patterns of tooth wear and craniofacial morphology did not differ significantly from that described in other comparable populations. The relationships between age and linear and angular measures of joint form were generally not significant, but the shape of the mandibular condyle was age-related, with flattening and cavitation of the posterior and medial aspects being more common in older age groups. Comparison of tooth-wear data in groups with different mandibular condylar shapes suggested that rapid anterior tooth wear was associated with flattening or cavitation of the condyle, while relatively rapid posterior tooth wear was more commonly associated with a convex condylar shape.

Adult↗

The prevalence of dental attrition and its association with factors of age, gender, occlusion, and TMJ symptomatology.

Dental attrition severity in 222 young adults was assessed from dental casts as the sum of the most severe facet in each arch segment. The attrition scores were compared by age, gender, bruxism awareness, prior bite adjustment, orthodontic class, maxillomandibular relationship, and temporomandibular dysfunction symptoms. Awareness of bruxism was not associated with the wear scores and should not be used to define bruxist groups. Attrition scores did not differ significantly between age groups, indicating that notable attrition, when present, often occurs early. Men had higher attrition scores than women (p less than 0.01), despite fewer signs and symptoms. Dental attrition was not associated with the presence or absence of TMJ clicking, TMJ tenderness, or masticatory muscle tenderness. Class II division 2 males had laterotrusive attrition scores lower than those of Class III (p less than 0.05). Class III females had lower incisor attrition scores than did other Angle Classes (p less than 0.05). Discernible dental attrition in a non-patient population was not associated with signs and symptoms of temporomandibular disorders, nor with the occlusal factors studied. These results are compatible with the findings in other studies that point to bruxism as a centrally induced phenomenon common to all people and unrelated to local factors.

Adult↗

Degenerative changes in the temporomandibular joint in two Australian aboriginal populations.

The frequency and severity of degenerative changes in the temporomandibular joints in two Australian Aboriginal populations with different patterns of tooth wear, craniofacial morphology, and temporomandibular joint morphology were examined. The incidence of degenerative changes differed between groups and between sexes and increased with age, ranging from zero in the youngest groups to 65% in the oldest, most severely affected group. Degenerative changes of the fossa were more frequent than condylar changes. Significant associations between degenerative changes and both the pattern of tooth wear and aspects of facial morphology were also evident.

Adult↗

Differences in the rate of molar wear between monkeys raised on different diets.

The purpose of this study was to make detailed comparisons of rates and patterns of tooth wear in 15 growing vervet monkeys raised on hard vs. soft diets. Dental impressions were taken every six to eight weeks over a four-year period. Cusp heights and areas of dentin exposure on the buccal cusps of the left mandibular first molar were measured from high-resolution epoxy casts, by use of a Reflex Measuring Microscope. Areas of dentin exposure were regressed against time (by use of least-squares regression) so that the course of tooth wear in animals from both diet groups could be charted. By use of a two-sample t test and the Mann-Whitney test, slopes of the regressions and changes in cusp height were compared between diet groups. In both comparisons, animals raised on the hard diet showed more rapid tooth wear than did animals raised on the soft diet. Analyses of other parameters indicate that this was probably because of differences in dietary consistency between the two groups.

Animals↗

Quantitative in vivo wear of human enamel.

In this study, the attrition wear, also called occlusal-contact-area wear, of human enamel was measured quantitatively with a computerized three-dimensional measuring technique over a period of four years. Tooth replicas from a clinical trial were used. A running-in wear period after restorative treatment, followed by steady-state wear, was suggested. The average steady-wear rate on occlusal contact areas was about 29 microns per year for molars and about 15 microns per year for premolars.

Adolescent↗