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At least 19 recordsLinked to original sources

Comparison of the pattern of agenesis in the primary and permanent dentitions in a population characterized by agenesis in the primary dentition.

The first aim of this study was to collect a large sample of radiographs from children with congenitally missing teeth (CMT) in the primary dentition and to analyse the local relationship between agenesis of a primary tooth and the presence/absence of its permanent successor. The second aim was to compare, in the same sample, the pattern of agenesis in the primary dentition with the developmental pattern seen in the permanent dentition. 124 dentists from 72 municipalities contributed to the investigation of a total of 213 children. The dentists were asked to lend existing radiographic material from patients with agenesis in the primary dentition. The analysis of the local occurrence of agenesis showed that agenesis of a primary incisor was often but not always followed by agenesis of the succedaneous tooth. In the molar region, agenesis of a primary tooth was in all cases but one followed by agenesis of the succedaneous tooth. Comparison of the pattern of CMT in the primary dentition with the pattern of tooth presence/absence in the permanent dentition in a group of 33 patients, for whom complete radiographic material was available showed that agenesis always occurred in the permanent dentition and that the pattern of agenesis in the permanent dentition differed from that in the primary dentition. Incisors were most frequently missing in the primary dentition and premolars in the permanent dentition. The number of congenitally missing teeth was substantially larger in the permanent dentition that in the primary dentition. Also, permanent teeth that are very rarely congenitally missing were missing in this sample, characterized by the occurrence of agenesis in the primary dentition.

Adolescent↗

[Angle class I malocclusion in primary dentition and findings in permanent dentition--a follow-up study].

The aim of the study was to examine stability and changes in Angle Class I malocclusion from deciduous to permanent dentition in 168 subjects. All the subjects had Class I malocclusion in deciduous dentition, and were examined by the same orthodontist on two occasions during deciduous and permanent dentition. None of the subjects had received orthodontic therapy in the meantime. The results showed considerable changes from primary to permanent dentition. Crowding in primary dentition was retained in permanent dentition in 45.2% cases. In 16.2% cases it changed into normocclusion and 38.6% subjects developed other types of malocclusion. Open bite was retained in permanent dentition in 17.8% cases and in 17.8% subjects transformed into normocclusion. 64.4% subjects developed other types of malocclusion. Cross bite was retained in permanent dentition in 21.4% cases and in 28.6% subjects changed to normocclusion. Other types of malocclusion in permanent dentition developed in 50% subjects. In 30.8% of cases finding of premature loss of deciduous teeth was accompanied by extraction of some permanent teeth. Normocclusion was retained in 19.2% cases while 50% of children developed some type of malocclusion. Crowding, which was retained in permanent dentition in 45.2% cases, showed the highest degree of stability. Children with this type of anomaly in primary dentition displayed the highest frequency of total malocclusions (83.3% subjects). Out of all anomalies in primary dentition, cross bite most frequently switched to normal occlusion in permanent dentition (in 28.6% cases).

Adolescent↗

Influence of orthodontic treatment in the primary dentition upon development of the dentition and craniofacial growth.

UNLABELLED: Thirty patients who underwent orthodontic treatment of the primary dentition were examined in this retrospective follow-up study. The mean age at the beginning of treatment was 4.4 (+/= 1.1) years, and at follow-up 15.4 (+/- 1.7) years. Different kinds of malocclusion were present. RESULTS: The early treatment lasted on average 12.3 (+/- 7.2) months. Treatment time of Class III malocclusion and lateral crossbite was significantly shorter than that of Class II, 1 malocclusion, functional Class II, 2 malocclusion or anterior open bite (p < 0.05). A Class I occlusion was achieved in 90% of the patients during treatment of the primary dentition. No patient treated successfully in the primary dentition showed any relapse to initial malocclusion. CONCLUSION: These results suggest that changes in occlusion and mandibular position during treatment in the primary dentition are maintained in the mixed and permanent dentition. It can be concluded that a Class I occlusion following orthodontic treatment in the primary dentition serves as a basis for physiological development of the dentition and craniofacial growth.

Child, Preschool↗

Interrelation between fusions in the primary dentition and agenesis in the succedaneous permanent dentition seen from an embryological point of view.

The purpose of the present study was to elucidate the relationship between fusions in the primary dentition and the occurrence of agenesis in the succedaneous permanent dentition in a Danish child population and to elucidate this relationship from the recently described normal embryological development of the anterior parts of the human maxilla and mandible. The material included radiographs, either as intraoral film or as orthopantomograms from a total of 19 primary dentitions with a total of 21 fusions. Radiographs of the permanent dentition in the fusion regions were available for all 19 dentitions. Of 21 fusions, a total of 20 were in the mandible and one in the maxilla. In 15 cases, the fusions were between primary incisors and in six cases between lateral incisors and canines. Agenesis of a permanent lateral incisor always occurred when there had been fusion of a primary lateral incisor and a canine in the primary dentition. When fusion had been between primary incisors, there was only agenesis of an incisor in the permanent dentition in a few cases. The degree of fusion between the involved teeth was not related to the occurrence of agenesis. It is suggested that the intra-jaw differences are related to the recently reported prenatal developmental patterns of the alveoli of the incisors and canines. Moreover, it is suggested that neural crest developmental field differences between the developing maxilla and mandible may explain the inter-jaw differences in phenotypic abnormalities.

Aging↗

Dental anomalies in the primary dentition: distribution and correlation with the permanent dentition.

The study consisted of analysis of all cases of anomalies in the primary dentition that were seen or treated by the authors in the Department of Children's Dentistry and Orthodontics. A total of 79 occurrences of anomalies was seen in 65 children. The anomalies detected were double teeth, hypodontia and supernumerary teeth. Radiographic examinations of the affected children showed that over 60% of the cases with anomalies in the primary dentition are associated with anomalies of the succadeneous permanent dentition. All subjects with hypodontia of the primary dentition presented with hypodontia of the permanent dentition. However, anomalies of the permanent dentition were seen in 59% of subjects with primary double tooth and 50% of subjects with primary supernumerary tooth.

Anodontia↗

[The development of dysgnathia from the primary dentition to the mixed dentition].

We investigated the fully developed deciduous dentition in 408 children, and re-examined the situation four years later. The nature of the milk teeth (spaced, unspaced, crowded) has a considerable influence on subsequent development. Orthodontic treatment of the mixed dentition is most likely (76,7%) if there has been crowding of the milk teeth. Frontal crowding, distal occlusion, increased overjet, lateral cross-bite and prognathism of the lower jaw are most frequently retained in the mixed dentition. However, individual development follows this trend to a varying degree. On the basis of the situation in the primary dentition it is not possible to make a definitive prediction of the vertical relationships of the upper and lower front teeth in the permanent dentition.

Child↗

The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age - a longitudinal study.

OBJECTIVES: To explore a possible relationship between the caries experience and pattern in the primary dentition at 5 years of age and the permanent dentition at 10 years of age. Further, to examine the possibility of predicting children in a caries-risk group at 5 years verified at 10 years of age. MATERIALS AND METHODS: A sample of 186 children (90 males) were clinically examined as 5-year-olds and re-examined as 10-year-olds by calibrated dentists. A five-graded diagnostic system including enamel caries was used. Bitewing radiographs were taken. A true risk group of children at 10 years were defined as those with at least one dentin or filled lesion on the mesial surface of 6-year molars, and/or on incisors, and/or total DMFS (decayed, missing, and filled surfaces) more than 1 SD above the mean. The prediction was measured in terms of OR (odds ratio), sensitivity/specificity, and receiver operating characteristic curves. RESULTS: Statistically significant correlations (r=0.5) were found between the caries experience in the two dentitions as well as between the primary second molars at baseline and the permanent teeth at 10 years. 'Primary second molars' and 'all primary molars' were the most powerful predictors for allocation into the risk group (24% of the sample). The highest achieved sum of sensitivity and specificity, 148%, was attained at a cut-off point above two carious surfaces in enamel and/or dentin in primary second molars. CONCLUSIONS: Statistically significant relationship in disease between the dentitions was found. More than two surfaces with caries experience in primary second molars are suggested as a clinically useful predictor at 5 years of age for being at high risk at age 10.

Age Factors↗

The effects of variations in the opposing dentition on changes in the partially edentulous mandible. Part III. Tooth mobility and chewing efficiency with various maxillary dentitions.

Tests were conducted using a mobilometer to determine the effects of the opposing dentition on mobility of selected teeth in the partially edentulous mandible. In addition, the effect of the opposing dentition and the presence or absence of a lower removable partial denture on chewing efficiency was evaluated. Results indicated an increase in mobility of abutment teeth following placement of removable partial dentures. The mobility decreased as the teeth became stabilized by the removable partial dentures. The amount of mucosal and bone-contour change was directly related to the degree of mobility of the abutment teeth. Comparisons in chewing efficiency indicated no particular difference between subjects with unilateral or bilateral distal-extension removable partial dentures or in the type of opposing dentition. However, the use of a lower removable partial denture does increase chewing efficiency to a level of about 50 per cent of that found for subjects with all of their natural teeth.

Alveolar Process↗

Enamel defects in the deciduous dentition as a potential predictor of defects in the permanent dentition of 8- and 9-year-old children in fluoridated Cheshire, England.

It is claimed that dental fluorosis in both deciduous and permanent teeth is increasing in fluoridated and non-fluoridated communities. What is unclear is whether fluoride-induced enamel opacities in the deciduous dentition are associated with the subsequent appearance of enamel defects in the permanent dentition. The aim of this study was to establish whether a relationship existed between the presence of diffuse enamel defects on the deciduous molars and permanent incisors of schoolchildren who were lifetime residents in an optimally fluoridated community in Cheshire, England. The dentitions of eight-and nine-year-old children were examined by two examiners, each unaware of the findings of the other. There was a significant increased risk of diffuse enamel defects in the permanent incisors for those children who presented with diffuse defects on their first deciduous molars (Relative Risk, 1.45; 95% confidence interval, 1.05 to 2.0) or second deciduous molars (Relative Risk, 1.86; 95% confidence interval, 1.36 to 2.54). In light of these findings, it is worth considering the potential of the presence of enamel defects in deciduous molars in children aged 1 to 3 years as a predictor of the future appearance of similar lesions in their permanent incisors.

Case-Control Studies↗

Localization of first permanent molars in lateral cephalometric and panoramic radiographs from early mixed dentition to early permanent dentition.

Changes in position and mesiodistal angulations of maxillary and mandibular first permanent molars from early mixed dentition to early permanent dentition were measured on panoramic radiographs and compared with the values measured on lateral cephalometric radiographs. It was found that the maxillary and mandibular first permanent molars were uprighted gradually, drifted mesially and vertically, and that the changes in mesiodistal angulations were clearly on the panoramic radiographs in comparison with the cephalometric radiographs.

Analysis of Variance↗

Caries experience in the deciduous dentition as predictor for caries in the permanent dentition.

The present study aims at determining a reliable screening test for the prediction of caries. In order to identify children at risk of caries, individual classifications were recorded for 268 children at the age of 7 years, according to different screening criteria of the caries experience in the deciduous dentition and according to caries increment as validation criterion. In order to determine the best screening criterion, ratios of sensitivity, specificity and false-positive and false-negative ratios were computed and plotted in receiver operating characteristic curves. The best screening criterion at less than or equal to 4 dmft resulted in a sensitivity ratio of 0.69, specificity of 0.72 and diagnostic power of 0.78 for caries increment in the permanent dentition at the age of 7-11 years. The potential of the screening is elucidated with an example, showing that 48% of the expenses needed for a preventive treatment for all children could be saved by selecting children at risk with the aid of a screening test. The disadvantage of this decision making is that 19% of the children who develop caries would not benefit from the preventive treatment.

Child↗

Deciduous dentition-anchored rapid maxillary expansion in crossbite and non-crossbite mixed dentition patients: reaction of the permanent first molar.

This preliminary report describes our evaluation of the behavior of permanent maxillary first molars subsequent to rapid maxillary expansion (RME) in the mixed dentition in crossbite and non-crossbite cases; maxillary deciduous canines and second molars were used as anchorage. The RME appliance was cemented on the maxillary deciduous second molars and canines in 19 (13 females, six males) patients with unilateral or bilateral permanent molar crossbites (Group A) and in 13 (10 females, three males) patients who had no crossbites (Group B). After a mean appliance activation period of 15 days for 4-8 mm expansion, the appliance was stabilized and kept in place as retention for 5-10 months. Neither active nor passive retention was applied on first permanent molars. Impressions of dental arches were made before insertion of the appliance (T1), at stabilization (T2), and at debanding (T3). Dental measurements were registered at T1, T2, and T3. In Group A, the mean maxillary permanent intermolar width was 40.6 mm at T1, 46.0 mm at T2, and 46.3 mm at T3. In Group B, 42.4 mm at T1, 46.3 mm at T2, and 45.4 mm at T3. In all subjects, the intermolar width increased during the active phase, and in Group A the crossbite was corrected and the correction was spontaneously stable. In these patients, deciduous teeth could support the heavy forces produced by the RME appliance. The maxillary intermolar distance was spontaneously increased and then maintained with no retention in Group A. The mean spontaneous expansion of permanent maxillary molars was approximately half of the mean expansion of the screw and the anchor deciduous teeth.

Child↗

Panoramic radiographic findings of the mandibular growth from deciduous dentition to early permanent dentition.

The outlines of mandibular rami, condyles, coronoid process, and corpus in panoramic radiographs of normal children from deciduous to early permanent dentition were traced and digitized. Nine linear and four angular measurements were measured. During the observation period, the lengths for all the linear measurements increased, however, the angles for all the angular measurements decreased. The shape of condyle and gonion significantly correlated with the growth of ramus and corpus.

Analysis of Variance↗