Mesiodistal Diameters Of Teeth Research Articles

Comparative Evaluation of Dental Enamel Microhardness Following Various Methods of Interproximal Reduction: A Vickers Hardness Tester Investigation.

Interproximal enamel reduction, also known as stripping, is a common orthodontic procedure that reduces the mesiodistal diameter of teeth, allowing for a balance of available space in dental arches. The aim of this study was to assess the enamel surface microhardness resulting from the application of currently available methods for interproximal reduction. Forty-two extracted human permanent teeth were divided into six different groups, each subjected to a therapeutic stripping procedure using various methods (i.e., diamond burs, abrasive strips of 90 μm, 60 μm, 40 μm, and 15 μm, and abrasive discs). Stripping was performed by a single individual in accordance with the manufacturers' recommendations for the various systems used. One of the proximal faces of the tooth underwent IPR, while the other side remained untreated for control. The hardness of the enamel surface was measured using a Vickers hardness tester. The control group achieved the hardest enamel surface (354.4 ± 41.02 HV1), while the lowest was observed for enamel surfaces treated with 90 µm abrasive strips (213.7 ± 118.6). The only statistically significant difference was identified in comparisons between the values measured for the control group and those obtained after stripping with diamond burs (p = 0.0159). Enamel microhardness varied depending on the stripping instrument used, but no statistically significant differences were found (p > 0.05). Optimal microhardness values, close to those of healthy enamel, were achieved after mechanical treatment with 15 µm abrasive strips and abrasive discs. Dental stripping is a safe therapeutic procedure that has a relatively minor influence on the microhardness of surface enamel.

Enamel interproximal reduction and periodontal health

Enamel interproximal reduction (IPR), also known as stripping, is an orthodontic procedure used by many clinicians, especially in non-extraction cases. It aims to reduce the mesiodistal diameter of teeth by removing interproximal enamel. This therapeutic option allows to obtain space in the dental arch to achieve tooth alignment, in case of mild or moderate crowding, and to preserve the papilla avoiding the onset of black triangles. IPR is an irreversible procedure, and it requires an accurate case examination to avoid damage, such as demineralization of the enamel or periodontal complications, that can compromise both aesthetics and oral health. When performing IPR, orthodontists can change the contact point between the teeth and move it closer to the alveolar crest, thus improving esthetics by reducing the black triangles. However, there is also a risk for worsening periodontal health due to root proximity although, according to the literature, periodontal indices, such as clinical attachment loss (CAL) and bleeding on probing (BOP), seem to be not significantly affected by IPR.

Accuracy comparison of tooth volume and mesiodistal diameter measurements for sex dimorphism based on cone-beam computed tomography: a study for the northern Chinese population.

Sex estimation based on teeth could help to narrow the scope for individual identification. According to the different teeth morphology among both genders, we plan to establish a sex estimation method for the northern Chinese population through mesiodistal diameter and teeth volume measurements and compare the accuracy of the two methods. In this study, measurements were taken from cone-beam computed tomography images collected from 142 males and 140 females aged 21-59years. The mesiodistal diameter and volume of the left canines and the first molars in both upper and lower jaws were measured and analyzed for suitable coefficients. We selected 80% samples as the training set to set up the logistic regression formulas and 20% as the test set to obtain accuracy. The accuracy of sex estimation by mesiodistal diameter can reach 87.50%, and the volume is up to 78.57%. The measurement of mesiodistal diameter is less time-consuming. This work established and tested a method to estimate sex for the northern Chinese population. Results showed that sex estimation based on the mesiodistal diameter of teeth has higher accuracy than the method based on teeth volume.

The role of environmental versus genetic factors on tooth and dental arch dimensions in a twin sample

Background: Genetic variability and heritability were estimated for mesiodistal tooth diameters and dental arch dimensions to evaluate the relative influence of genetics and environment on them and to determine if monozygotic and dizygotic twin can be differentiated on the basis of comparison between these parameters. Materials and methods: A sample of 32 pairs of monozygotic twin (13 males and 19 females) and 30 pairs of dizygotic twin (12 males and 18 females), both groups age range was 13-23, were selected. Both mesiodistal crown dimension and dental arch parameter were identified and the data was analyzed through two main quantitative genetic approaches, simple variance analysis (f ratio) and classical correlation analysis (falconer's formula). Results: the maxillary left central incisors was the common tooth which has high genetic variability and strong heritability estimate in total twin sample and in male and female twin pairs, A potential source of common environment contribution to tooth size was found in male twin pairs while females were appeared to have an impact on dental arch dimension. Conclusions: the maxillary left central incisors may be useful as an additional tool for zygosity determination along with other trait, while dental arch dimensions are not recommended for zygosity diagnosis. Common environment revealed an effect on teeth in males and on dental arch dimension in females

Sex determination by tooth size in a sample of Greek population

Sex assessment from tooth measurements can be of major importance for forensic and bioarchaeological investigations, especially when only teeth or jaws are available. The purpose of this study is to assess the reliability and applicability of establishing sex identity in a sample of Greek population using the discriminant function proposed by Rösing et al. (1995).The study comprised of 172 dental casts derived from two private orthodontic clinics in Athens. The individuals were randomly selected and all had clear medical history. The mesiodistal crown diameters of all the teeth were measured apart from those of the 3rd molars. The values quoted for the sample to which the discriminant function was first applied were similar to those obtained for the Greek sample. The results of the preliminary statistical analysis did not support the use of the specific discriminant function for a reliable determination of sex by means of the mesiodistal diameter of the teeth. However, there was considerable variation between different populations and this might explain the reason for lack of discriminating power of the specific function in the Greek population. In order to investigate whether a better discriminant function could be obtained using the Greek data, separate discriminant function analysis was performed on the same teeth and a different equation emerged without, however, any real improvement in the classification process, with an overall correct classification of 72%. The results showed that there were a considerably higher percentage of females correctly classified than males.The results lead to the conclusion that the use of the mesiodistal diameter of teeth is not as a reliable method as one would have expected for determining sex of human remains from a forensic context. Therefore, this method could be used only in combination with other identification approaches.

Tooth Size and Arch Dimension in Uncrowded Versus Crowded Class I Malocclusions

The purpose of this investigation was to examine the extent to which arch dimension or tooth size contributes to dental crowding. Two groups of dental casts were selected. Each group consisted of 30 pairs of dental casts including equal male and female samples. The first group had Class I malocclusions without crowding or spacing. The second group exhibited Class I malocclusions with severe dental crowding (> a 5 mm space deficiency). The following parameters were measured and used to compare the two groups: individual and collective mesiodistal tooth diameters, dental arch length, as well as buccal and lingual dental arch widths in the canine and molar regions. To compare the two groups the Student's t-test with 95% confidence interval was used. Statistically significant differences in both tooth diameters and transverse arch dimensions were found between the two groups. The crowded group was found to have a significantly smaller maxillary arch width and larger tooth size when compared with the uncrowded group. The results of this study suggest under equal conditions (a Class I skeletal relationship) tooth size has a greater role in developing dental crowding.

A comparison of growth impairment and orthodontic results in adult patients with clefts of palate and unilateral clefts of lip, palate and alveolus

Objective: To evaluate and compare the long-term aesthetic and functional results of surgical and orthodontic treatment in patients with cleft palate and unilateral cleft lip, palate, and alveolus.Design: 30 patients with unilateral cleft lip, palate, and alveolus and 30 patients with isolated cleft palate, mean age of 18.9 years, were evaluated by cephalometric and model analysis a mean of 1.5 years after orthodontic treatment. In each group the surgical treatment has been similar.Results: Model analysis: The sum of every mesiodistal tooth diameter in the maxilla and in the mandible was recorded according to the Bolton analysis. Twenty patients with unilateral cleft lip, palate and alveolus had relatively large upper dental arches and nine had relatively large lower dental arches. Twenty-two patients with cleft palates had large upper dental arches and seven had large mandibular arches. Eleven patients with unilateral cleft lip, palate, and alveolus and 18 patients with cleft palate had a negative space supply (the sum of the mesiodistal tooth diameters compared with the sagittal length of the alveolar ridge) in the region of the lateral teeth. All patients had persistent transverse space deficits that were increased on the side of the cleft in patients with cleft lip, palate, and alveolus. These unilateral transversal space deficits were recorded in 22 patients with unilateral cleft lip, palate, and alveolus and in 8 patients with isolated cleft palate. Sagittal measurements were reduced in 26 patients with unilateral cleft lip, palate, and alveolus and in 23 patients with cleft palate alone. The alveolar midline of the maxilla and the mandible were displaced in 25 patients with unilateral cleft lip, palate, and alveolus and in 19 patients with isolated cleft palate. Lateral cephalometric analysis: The lateral cephalograms taken at the same time as the models showed a mean SNA of 76.8° and a NL-NSL angle of 8.7°, indications of a tendency towards maxillary retrognathia in patients with unilateral cleft lip, palate, and alveolus. Patients with cleft palate had a mean SNA of 79.6° and NL-NSL angle of 8.1°. The anterior facial vertical index was within normal limits in patients with cleft lip, palate, and alveolus (44% vs 56%). An anterior facial height index of 42% compared with 58% in patients with isolated cleft palate indicated a slight reduction in midface height with an increase in the lower face as a consequence.Conclusion: Orthodontic and surgical treatment can result in satisfactory results on model analysis. However, there is specific growth impairment of the maxilla 1.5 years after termination of orthodontic treatment and this influences the final cephalometric analysis, particularly in patients with cleft lip, palate, and alveolus.

Class II Division 2 malocclusion: a heritable pattern of small teeth in well-developed jaws.

Angle's designation of the Class II Division 2 (II/2) malocclusion recognizes a unique combination of overbite, incisor retroclination, and sagittal discrepancy. A very severe II/2 phenotype, characterized by concealment of the mandibular incisors in occlusion, has been called Deckbiss in German, or cover-bite. In this report, the cover-bite malocclusion is studied to identify morphological factors associated with Angle's II/2 occlusal discrepancy. Selected X-ray cephalometric and odontometric measurements were recorded for 23 subjects (M14; F9) with II/2 cover-bite malocclusion. Data were compared with those from a control-reference sample of 537 individuals. Cephalometrically, the II/2 cover-bite sample showed a pattern of strong vertical posterior development of the mandible with forward-rotation and skeletofacial hypodivergence (p < 0.0001). Anteroposteriorly, the maxillomandibular dentoalveolar relationship was relatively normal, and the basal bone region of the mandibular corpus appeared significantly well developed anteriorly, accounting for excessive bony chin projection (p < 0.0001). Dentally, mesiodistal tooth diameters for the maxillary and mandibular incisors of the II/2 cover-bite sample were significantly smaller than those of the reference sample (p < 0.002), pointing to systematically reduced tooth-size as a trait associated with II/2 malocclusion. These findings of a characteristic pattern of heritable skeletal and tooth-size features in II/2 cover-bite malocclusion indicate the presence of strong genetic influences in the formation of Angle's II/2 deep-bite discrepancy.

Major medicare changes for home health industry

Sex assessment from tooth measurements can be of major importance for forensic and bioarchaeological investigations, especially when only teeth or jaws are available. The purpose of this study is to assess the reliability and applicability of establishing sex identity in a sample of Greek population using the discriminant function proposed by Rösing et al. (1995).The study comprised of 172 dental casts derived from two private orthodontic clinics in Athens. The individuals were randomly selected and all had clear medical history. The mesiodistal crown diameters of all the teeth were measured apart from those of the 3rd molars. The values quoted for the sample to which the discriminant function was first applied were similar to those obtained for the Greek sample. The results of the preliminary statistical analysis did not support the use of the specific discriminant function for a reliable determination of sex by means of the mesiodistal diameter of the teeth. However, there was considerable variation between different populations and this might explain the reason for lack of discriminating power of the specific function in the Greek population. In order to investigate whether a better discriminant function could be obtained using the Greek data, separate discriminant function analysis was performed on the same teeth and a different equation emerged without, however, any real improvement in the classification process, with an overall correct classification of 72%. The results showed that there were a considerably higher percentage of females correctly classified than males.The results lead to the conclusion that the use of the mesiodistal diameter of teeth is not as a reliable method as one would have expected for determining sex of human remains from a forensic context. Therefore, this method could be used only in combination with other identification approaches.

Tooth diameters and arch perimeters in a black and a white population

This study was undertaken to test the hypothesis that a sample of black patients will have larger mesiodistal tooth diameters and larger dental arch perimeters than a corresponding sample of white patients. In this study, the black sample's mean canine, first and second premolar, and first molar mesiodistal diameters were significantly larger than those of the white sample. The dental arches of the black patients were significantly wider and deeper but did not show significantly more crowding. Gender and race differences did exist, but gender differences were controlled by sampling procedures. The black sample also had a larger mean MP-SN angle but this was not accompanied by the increased crowding and the narrower dental arches that had been reported associated with high-angle white samples. (A M J O RTHOD D ENTOFAC O RTHOP 1991;100:53-8.)

Tooth size, spacing, and crowding in relation to eruption or impaction of third molars

A study was conducted for the purpose of comparing mesiodistal tooth diameters, sum of tooth widths, and the degree of spacing or crowding in the dentitions of two groups of young adults. The subjects in the first group had complete dentitions including third molars (M3s). In the second group, all M3s had been extracted for failure to erupt. Tooth size and consequently the sum of mesiodistal tooth widths were found to be greater in the extraction group than in the group with complete dentitions. The relationship between tooth size and M3 impaction was most pronounced in female subjects. The sum of mesiodistal tooth widths is apparently one factor of importance in the cause of M3 impaction in women. The results suggest that tooth size in girls could be used at preadolescent age as one predictive variable for third molar eruption. The sexual dimorphism demonstrated regarding the relationship between tooth size and M3 impaction implies that studies in the field of M3 development and eruption should be performed on male and female subjects separately. The dental arches in the extraction group tended to be more crowded than in the group with complete dentitions. However, the differences were small and significant only as they related to the upper arches in males.

An examination of dental crowding and its relationship to tooth size and arch dimension

This investigation was undertaken to examine the extent to which tooth size and jaw size each contribute to dental crowding. Two groups of dental casts were selected on the basis of dental crowding. One group, consisting of 50 pairs of dental casts (18 males and 32 females), exhibited gross dental crowding. A second group, consisting of 54 pairs of dental casts (24 males and 30 females), exhibited little or no crowding. Means and standard deviations of the following parameters were used to compare the two groups: individual and collective mesiodistal tooth diameters, dental arch perimeters, and buccal and lingual dental arch widths. Statistically, the crowded and noncrowded groups could not be distinguished from each other on the basis of mesiodistal tooth diameters. However, significant differences were observed between the dental arch dimensions of the two groups. The crowded group was found to have smaller dental arch dimensions than the noncrowded group. The results of this study suggest that consideration be given to those treatment techniques which increase dental arch length rather than reduce tooth mass.

Relationship between buccolingual and mesiodistal tooth diameters.

Relationship between buccolingual and mesiodistal tooth diameters.