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At least 19 recordsLinked to original sources

Tooth ankylosis in deciduous teeth of children with cleft lip and/or palate.

The present study aimed at evaluating the prevalence of tooth ankylosis in deciduous molars of Caucasian children with cleft lip and/or palate aged 5 to 12 years, of both genders. A total of 330 patients seen at the Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo for routine treatment were clinically evaluated. The prevalence of ankylosis was analyzed in relation to gender, age range (5-7, 8-10, 11-12 years), type of cleft, affected tooth and arch. The total group showed a prevalence of 18%, with no statistical difference between genders and among types of cleft; ankylosis was more often in the mandibular arch, lower first molars and among children in the age ranges 8-10 and 11-12 years. The results agreed with those observed in the related literature for patients without clefts, pointing out the absence of influence of the cleft on the prevalence of ankylosis. This reinforces the importance of early diagnosis of this anomaly and of the treatment of choice, which are similar in patients with or without clefts.

Age Factors↗

Tooth ankylosis. Clinical, radiographic and histological assessments.

Ankylosis is a serious condition for the affected teeth as such teeth form part of the remodelling process of the alveolar bone and are therefore progressively resorbed. There are, however, very few clinical studies on tooth ankylosis and the reason for this may be due to the difficulties that are encountered in the diagnosis of minor areas of ankylosis. In the present study, the radiographs, percussion sound and mobility of experimentally extracted and replanted monkey incisors were compared with a morphometric histological study of ankylosis. Ankylotic areas were evident radiographically when the ankylosis was located on the proximal surfaces of the root, but were not evident when the ankylosis occurred on the lingual and labial surfaces. The percussion sound was dull and the mobility normal in all non-ankylotic teeth as well as in those teeth which histologically demonstrated ankylosis on less than 10% of the root surface. When the ankylosis affected 10-20% of the root surface, 2 out of 4 teeth changed their percussion sound from dull to high and these teeth no longer possessed normal mobility. When more than 20% of the root surface was affected with ankylosis, the percussion sound was characteristically high in all teeth and no mobility was present.

Animals↗

Primary tooth ankylosis: report of case with histological analysis.

Two primary molars in infraclusion showing clinical and radiographic signs of ankylosis, were subject to histological examination by bright field and polarization microscopy. The roots revealed signs of ongoing resorptive and reparative processes and in some areas dentin with signs of resorption-or repair cementum-were fused with simple lamellar or osteonic bone. These results suggest that ankylosis of primary molars can result from a disturbance of root resorption, with repair processes prevailing over resorptive ones and leading to excessive deposition of bone besides cementum-as a consequence of bone-inductive properties of dentin.

Alveolar Process↗

Experimental tooth ankylosis in the monkey.

In this small study, radiographs and study casts were made of three Cynamoglus monkeys with deciduous dentitions. Roots were traumatized with a chrome-steel crown in hyperocclusion, and by exposing root surfaces surgically and traumatizing with a rotating bur or chemical irritants. Histologic studies revealed scalloping resorption of cementum but no evidence of ankylosis. However, when a maxillary deciduous incisor was luxated by forceps, block sections taken four weeks after the injury revealed areas of bone in close apposition to cementum. This last type of injury would seem to be one mechanism for producing dental ankylosis in the monkey.

Alveolar Process↗

Bone dynamics of osseointegration, ankylosis, and tooth movement.

Masticatory function challenges the strength and adaptive capability of supporting bone. When osseous tissue is loaded, it accumulates fatigue damage which must be repaired by bone modeling and remodeling. The three principal masticatory abutments (normal teeth, ankylosed teeth and osseointegrated implants) are a dynamic physiologic continuum relative to bone biomechanics. Implants are rigidly integrated units that can only be moved by fracturing the interface. Normal teeth and some ankylosed teeth can be moved using implants for orthodontic and orthopedic anchorage. Because orthodontic translation generates new bone and attached gingiva, it is a form of tissue engineering. Modern interdisciplinary practice requires a thorough knowledge of the principles of bone physiology and biomechanics.

Adaptation, Physiological↗

[Dento-alveolar injuries].

Most dento-alveolar traumas can be managed by the dentist-general practitioner. Still, there are some specific injuries which should be treated by dental specialists. Some specific guidelines are given for the combined surgical-orthodontic treatment of fracture of the coronal part of the root, intrusive luxation, abnormal position of the permanent tooth due to traumatic displacement of the deciduous tooth, ankylosis and tooth loss.

Child↗

Orthodontic treatment of a traumatically intruded tooth with ankylosis by traction after surgical luxation.

This report presents the treatment of a patient with anterior crossbite and displacement of ankylosed maxillary and mandibular right lateral incisors. The maxillary lateral incisor, which was traumatically intruded, was successfully treated with 2 surgical luxations followed by orthodontic traction. The mandibular lateral incisor, which was avulsed and replanted, experienced replacement root resorption during orthodontic treatment and was ultimately extracted. Two years after active orthodontic treatment, the occlusal results were considered satisfactory.

Cephalometry↗

Severe infraclusion ankylosis: report of three cases.

Tooth ankylosis may occur at any time during eruption and may show varying degrees of infraclusion. Cases of fully erupted teeth subsequently becoming totally embedded in bone are rare. The three reports described here show cases of severe infraclusion ankylosis; the etiology and related problems are discussed. Associated periodontal, prosthetic and orthodontic problems can be avoided with early diagnosis and treatment.

Adult↗

[Etiopathogenic hypotheses on dental ankylosis].

The authors review the literature about the different etiopathogenetic hypotheses of tooth ankylosis. They classified the ankylosis in three big groups: traumatic ankylosis due to direct and indirect injuries to the tooth, iatrogenic ankylosis due to unadvised maneuvers made by the dentist, and atraumatic ankylosis. The last is the most important group caused by metabolic problems and with family characteristics. Furthermore they underline the important role played by GAG and corresponding lytic enzymes in the development of atraumatic ankylosis. They described, the therapeutical procedures to be used in the different cases. The clinical cases presented are representative of the different therapeutical approaches.

Ankylosis↗

Abnormal pulp calcification in primary molars after fluoride supplementation.

Forty-five caries-free primary molars from children with continuous fluoride supplementation (n = 28) after birth and from children without fluoride prophylaxis (n = 17) were investigated by light microscopy. The following results were obtained: The prophylaxis group evidenced a special form of calcification consisting of fibrodentin-like hard tissue developing intramurally in the dentin wall especially at the pulp floor and spreading irregularily into the pulp cavity by displacing the degenerating pulp tissue (n = 24). These teeth were ankylosed in the bi- and trifurcation area as well as inside the roots. This kind of hard tissue was not observed in the teeth from untreated children. Only 5 children had greater calcifications attached at the pulp wall. Nevertheless, this difference was statistically significant (p = 0.001) and indicates a relationship between fluoride prophylaxis, the special form of pulp calcification and tooth ankylosis.

Adolescent↗

Clinical evaluation of orthodontic treatment after surgical repositioning or transplantation of teeth.

Fourteen impacted teeth in thirteen patients aged 9 to 17 years were either repositioned or transplanted, followed by postoperative orthodontic treatment. Successful results were achieved in twelve of the teeth. In one tooth, ankylosis of the root prevented a successful outcome, and deficient bone healing of the alveolar process led to an unsuccessful result in a second tooth.

Adolescent↗

The role of epithelial remodelling in tooth eruption in larval zebrafish.

Based on light and transmission electron-microscopic observations on erupting first-generation teeth in the zebrafish, Danio rerio, we propose a biphasic mechanism for tooth eruption: (1). formation of an epithelial crypt prior to eruption of the tooth, possibly as a result of constraints in the epithelium resulting from the growth of adjacent tooth germs, and (2). detachment of cellular interdigitations both within the pharyngeal epithelium, at the pharyngeal epithelium/enamel organ boundary, and between the outer and inner dental epithelium, resulting in the exposure of the tooth tip in the crypt, immediately after tooth ankylosis. Later, further detachment of interdigitations between the inner and the outer enamel epithelium unfolds the epithelium even more and leads to a more pronounced exposure of the tooth tip. The presence of small patches of non-collagenous matrix on the outer surface of the tooth close to where it merges with the attachment bone is interpreted as a device to prevent complete detachment of the enamel organ. The biphasic nature of the mechanism for tooth eruption is supported by observations on in vitro cultured heads. First-generation teeth develop normally and crypts are formed, as under in vivo conditions, but the teeth fail to erupt. Taken together, our observations suggest that epithelial remodelling plays a crucial role in eruption of the teeth in this model organism.

Animals↗