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17 recordsLinked to original sources
PubMed1978

A contribution to the histological study of hypercementosis using metal staining.

After studying hypercementosis, in detail using metallic staining procedures, the authors reached the following conclusions: (1) The histology of hypercementosis, observed by metallic staining reveals remarkable and characteristic microscopical alterations. (2) The Rio Hortega12 procedures, the mitochondria technique of Polak,10 and the method of Achucarro-Hortega13 are of great value for the study of the morphology of cementum. (3) Among the technical procedures used, we consider the 1916 method of Achucarro-Hortega as affording the best view of cementocytes. (4) The Sharpey fibers, revealing great irregularity in course, shape and size, and frequent interruptions could be clearly observed; heavily stained lacunae were frequently observed along the cementum-dentin border; a direct deposit of cellular cementum on the dentin in the middle third of the root was frequently observed. Curiously, an acellular cementum deposit next to a cellular cementum layer could be observed; we also noted numerous cementocytes of different shapes and sizes, at times exhibiting alterations of a degenerative type, particularly fragmentation of protoplasmic prolongations. (5) The techniques used also showed the frequency of blood vessels in the texture of hyperplastic cementum and the presence of capillaries near cementum-dentin junction.

Collagen↗
PubMed1992

Rough hypoplastic amelogenesis imperfecta with follicular hyperplasia.

This report documents a unique case of rough hypoplastic amelogenesis imperfecta with apparent anterior oligodontia and multiple anomalies of the associated mesenchymally derived tissues. Multiple unerupted teeth showed hypercementosis, distorted roots with aberrant dentin formation, and marked follicular hyperplasia. The hyperplastic follicles had a complex histopathologic appearance that recapitulated some features of the WHO-type odontogenic fibroma. The features of these teeth, the nature of the associated follicular lesions, and their relationship to the unerupted teeth are discussed.

Adult↗
PubMed1991

Oculodentodigital syndrome: report of a case.

The clinical and radiographic changes in a case of oculodentodigital syndrome are presented. The characteristic features of this rare developmental disorder, microphthalmus with microcornea and iris anomalies, hypertelorism, thin nose with hypoplastic alae and anteverted nostrils, syndactyly with camptodactyly and clinodactyly of the fourth and fifth fingers associated with bony anomalies of the middle phalanges of the fifth fingers and toes, were all present. In addition, histological examination of a lateral incisor showed the enamel dysplasia to be due to enamel hypoplasia; the dentine also showed marked hypocalcification. There were widespread pulp denticles and hypercementosis throughout the dentition. Both the patient and his mother had coronoid hypoplasia.

Adult↗
PubMedDate not supplied

[Evaluation of the periapical tissue lesions by roentgenogram].

Most of the periapical tissue lesions appear as radiolucent areas in a reontgenogram. However, several lesions of pulpal and periodontal origin as well as lesions caused by benign or malignant tumors appear in the roentgenogram as radiopaque areas. This article deals in detail with the classification, differential diagnosis and treatment of oral diseases which appear radiopaque in an X-ray film. Special attention is given to apical condensing osteitis, hypercementosis, chronic osteomyelitis and odontogenic tumors. These lesions are fairly common and the general practitioner should be familiar with their diagnosis and treatment.

Diagnosis, Differential↗
PubMed1992

Dental paleopathology and agricultural intensification in south Asia: new evidence from Bronze Age Harappa.

Patterns of dental disease among Bronze Age people of the Indus Valley Civilization are currently based on early and incomplete reports by non-specialists. This deficiency precludes accurate diachronic analysis of dental disease and its relationship with increasing agriculturalism in the Indian subcontinent. The objective of this paper is to document prevalence of dental disease at Harappa (2500-2000 B.C.), Punjab Province, Pakistan, comparatively evaluate the Harappan dental pathology profile, and use these data to assess theories regarding the dental health consequences of increasingly intensive agricultural dependence. Pathological conditions of the dentition included in the study are abscesses, ante-mortem tooth loss (AMTL), calculus, caries, hypoplasia, hypercementosis, pulp chamber exposure, and alveolar resorption. The Harappan dentition exhibits a dental pathology profile typical of a population whose subsistence base is agriculture. Dental caries at Harappa are present in 6.8% (n = 751) of the teeth and 43.6% (n = 39) of the more completely preserved dental specimens. The use of a caries correction factor is recommended to permit an estimate of caries induced AMTL in calculating the caries prevalence. All dental lesions are present at higher rates in this Harappan study sample than were reported in previous investigations, and important differences in prevalence of dental disease occur between the genders. Prevalence of dental disease increases in the greater Indus Valley as subsistence becomes more intensive and as food preparation and storage technology becomes more efficient.

Dental Caries↗
PubMed1992

Simple bone cyst. A clinical and histopathologic study of fifteen cases.

Nineteen simple bone cysts found in 15 patients were studied by classifying them into younger and older age groups. The clinical, radiographic, and histopathologic features of 11 cysts in the younger group of 10 patients were consistent with those of previous reports. Among patients in the older age group, female predominance (80% vs 30%), involvement of the maxilla (25% vs 0%), multiple occurrence (60% vs 10%), simultaneous presence of radiopaque fibro-osseous lesions or hypercementosis (63% vs 0%), and loss of lamina dura of related teeth (83% vs 14%) resulting in exposure of their roots on surgical intervention were the characteristic features.

Adolescent↗
PubMedDate not supplied

Dental radiology and oral pathology.

This article represents an overview of normal and pathological findings of the oral structures for the practicing radiologist. Some of the disease processes discussed are of dental etiology, whereas others are manifestations of systemic diseases. Normal tooth development is described followed by an overview of radiolucent, radiopaque, and mixed lucent-opaque lesions. In the radiolucent category, normal anatomical landmarks of the jaws include the mental foramen, manidbular canal, incisive canal and maxillary sinuses. Other lucencies that represent normal structures or variations include developing tooth buds and root apices, healing dental extraction sites, prominent submandibular fossae and nutrient canals. In the radiopaque category, normal anatomical landmarks of the jaws include the genial tubercle, mental ridge, external oblique ridge, walls of the submandibular canal, walls of the maxillary sinus, nasal septum, stylohyoid ligament, and zygomatic process. Other opacities that represent normal structures or variations include dental restoration material, dental endodontic material, retained roots, sialoliths, salivary duct calculi, calcified lymph nodes, recent extraction sites, hypercementosis, and foreign bodies. Pathological entities which present radiographically as lucencies, opacities, and mixed lucent-opaque areas include inflammatory lesions, cysts, fibro-osseous disease, benign neoplasms, malignant neoplasms, and lesions secondary to metabolic disorders.

Humans↗
PubMed1992

Odontogenic cysts of the anterior mandible of sheep.

Cysts of this site are quite common in mature ewes in New Zealand and the British Isles, although their true prevalence is not yet known. In most examples, an unerupted incisor is embedded in their wall but some do not contain a tooth. The cysts are lined by parakeratinized stratified squamous epithelium and generally exhibit a flat interface between the epithelium and the connective tissue. They may become secondarily infected, in which case they exhibit chronic inflammation. In some cases, foci of cementum are attached to the epithelial lining. When a tooth is involved, the cysts arise from various locations along its crown, which in sheep is normally covered by a thin layer of cementum. Some of these unerupted teeth exhibit irregular hypercementosis and/or external resorption which is repaired by cementum. In some examples there is a fistula between the cyst and the oral cavity, either through a deep periodontal pocket or from the incisal edge of the unerupted tooth piercing the overlying mucosa.

Animals↗
PubMedDate not supplied

[Tooth transplantation].

In the light of the thesis of J. Thibault, the authors suggest, in association with transplantation of wisdom tooth buds into the alveolus of the first molar, a technique consisting of placing the graft in its pre-eruptive position, removing in a block the bud, the gubernaculum and the sub-jacent gingival mucosa. Under these conditions, eruption occurs at the same time as development of the roots, which represents the most physiological solution. At the same time as formation of the root, the authors noted a paradoxal rhizalysis, hypercementosis resulting in ankylosis and conservation of vitality. In addition, almost all the teeth transplanted proved to be highly vulnerable to caries.

Female↗
PubMed1992

Secondary retention of permanent molars: an assessment of ankylosis by scanning electron and light microscopy.

Secondary retention refers to the cessation of eruption of a tooth after emergence. This may be the result of pathological changes in the periodontal ligament. The aim of this study was to describe the morphological and histological aspects of the radicular surface of secondarily retained permanent molars. The roots of 12 secondarily retained molars and two control molars, were examined by means of scanning electron microscopy (SEM) and light microscopy (LM) in order to analyse the occurrence and localisation of ankylosis. With SEM it was observed that the root surface of retained molars showed local areas covered with bonelike tissue. LM of these areas showed that this tissue was bone in direct contact with the root surface (ankylosis). In 11 cases, the areas of ankylosis were observed in the bifurcation area and at the interradicular root surface. In the remaining case, ankylosis was located at the outer root surface. The results of this study endorse the assumption that focal ankylosis is an important factor in secondary retention. Treatment recommendations must be based on this fundamental principle, because orthodontic movement of ankylotic molars is not possible.

Adolescent↗
PubMed1991

Clinical, radiographic and histological characteristics of secondary retention of permanent molars.

Secondary retention refers to the cessation of eruption of a tooth after emergence neither due to a physical barrier in the path of eruption nor as a result of an abnormal position. In this study, the clinical and radiographic features of 81 secondary retained permanent molars in a group of 53 patients were evaluated. Retained molars removed for therapeutic reasons (n = 38) were examined histologically to detect any areas of ankylosis. The first molars in the mandible and maxilla were most frequently affected. The mean infraocclusion at the patients' first visit was 4.3 +/- 1.9 mm. After 6 months, infraocclusion increased in adolescents but was stable in adults. Tilting of the adjacent teeth was observed in 39 cases. A sharp, solid percussion sound and a partial absence of the periodontal ligament space on radiographs were noted in less than one-fifth of the affected molars, while histological evaluation revealed that local areas of ankylosis were present in all cases. From the data relating to the 38 molars removed for therapeutic reasons, the sensitivity of the percussion test and radiographic evaluation was found to be 29 and 21 per cent respectively. During a period of 4 years, six new cases of secondary retention were observed in the same population. From this study it is concluded that secondary retention of permanent molars seems to be associated with focal ankylosis and that percussion tests and radiographs are not sufficiently reliable to exclude the presence of ankylotic areas. The presence of ankylotic areas and tendency of infraocclusion to increase in adolescents but to be stable in adults have major implications for therapy.

Adolescent↗
PubMed1990

Alveolar bone loss of senescence-accelerated mouse (SAM).

SAM-R/1/Iw (senescence-accelerated mouse, resistant) and P/2/Iw (senescence-accelerated mouse, prone) under a conventional environment and eating standard pellets were examined for alveolar bone loss and the presence of periodontitis around maxillary and mandibular molars as a function of age. Neither SAM strain manifested a chronic periodontitis similar to that in humans, and no obvious plaque and calculus were observed. However, in both strains, 15% of M3 was lost after 13 months of age, and alveolar bone loss gradually increased with advancing age. Though there was no significant difference in the incidence of M3 loss between the two strains, P/2/Iw showed a higher alveolar bone loss around all molars than did R/1/Iw after one month of age throughout their life span. For M1, the difference in alveolar bone loss between P/2/Iw and R/1/Iw was significant, and it was probably caused by the difference in degree of molar eruption. Other factors, such as occlusal trauma and gingivitis, may play some role in alveolar bone loss.

Aging↗
PubMed1978

[Osteitis deformans].

Osteitis deformans is a bone disease of still unknown aetiology which shows characteristic symptoms in the maxillofacial region. An increase in size of the entire calvarium and also of single bones of the facial skeleton belongs to these symptoms. A triad may be seen in the jawbone: osteoporosis, foci of densification and cementum hyperplasia. No possibility of treatment was known in the past. Nowadays, the use of cytostatics, calcitonin and diphosphonates seems to be promising.

Alkaline Phosphatase↗