Normal Dentition Research Articles

A Rare Case of Low Flow Vascular Malformation of Head and Neck Region Presenting with Multiple Phleboliths.

A Rare Case of Low Flow Vascular Malformation of Head and Neck Region Presenting with Multiple Phleboliths.

Mesio-distal crown dimension of permanent dentition in normal, crowding, and spacing of young adult sample aged 18-25 years

This study aimed to assess the effect of tooth width in malocclusion in relation to normal, crowding, and spacing dentition. Materials and methods: The sample included dental casts of some dental students and orthodontic patients; their age was (18-25) years and having three groups normal, crowding, and spacing dentition groups. The sample was equally divided to three groups normal, crowding, and spacing dentition groups, each group contained 50 maxillary and 50 mandibular casts that were further subdivided by gender; all the stone casts were measured by highly sensitive digital vernier. Results and Conclusions: Non-significant side difference was found in both dental arches in the three studied groups. Males had higher mesiodistal crown dimension than females in all three groups, with significant gender difference in crowding and normal dentition groups. The mesiodistal distance of the segment measurements (Total Anterior material; Total Posterior material and Total teeth material) were larger in crowded dentition then followed by normal and spaced dentition groups respectively in both gender. Total Anterior material in both arches had direct significant correlation with crowding malocclusion, while maxillary Total Anterior material had indirect significant correlation with spacing malocclusion.

Micro- and nanoscale structures of mesiodens dentin: Combined study of FTIR and SAXS/WAXS techniques.

A mesiodens is the most common type of supernumerary tooth present in conjunction to normal dentition. A mesiodens may commonly occur in the central region of the upper or lower jaw. A mesiodens is different from normal teeth in terms of structure and shape. The aim of this study is to evaluate the micro- and nanoscale structural properties of mesiodens dentin by combined small- and wide-angle X-ray scattering (SAXS/WAXS) and Fourier transform infrared (FTIR) spectroscopy. Five freshly extracted, noncarious mesiodens and five normal dentin disks prepared from human incisor teeth were compared. Using FTIR, the phosphate-to-amide I, carbonate-to-phosphate, and carbonate-to-amide I band area ratios and the crystallinity index were quantified. SAXS/WAXS were used to study the nanostructure of mesiodens. An increase in the mineral content in the mesiodens dentin with respect to the normal group was found. Crystallinity was also significantly increased and the protein content decreased in the mesiodens dentin compared with that of normal dentin. SAXS/WAXS results revealed that mesiodens dentin has a more calcified tissue. Further, SAXS analysis revealed a nonuniform distribution of dentin fibrils in mesiodens.

Comparative cross-sectional study of masticatory performance and mastication predominance for patients with missing posterior teeth

PurposeMissing posterior teeth can decrease masticatory function and cause horizontal mastication deviation, i.e., mastication predominance. Mastication predominance may lead to abnormal tooth attrition and temporomandibular disorders. This study evaluated masticatory performance and mastication predominance in patients with missing posterior teeth to investigate effects of missing posterior teeth on masticatory performance and mastication predominance. MethodsThirty volunteers with normal dentition (control group), 30 patients with unilateral missing posterior teeth (unilateral group), and 23 patients with bilateral missing posterior teeth (bilateral group) participated. Gummy jellies were used to evaluate participants’ masticatory performance, and electromyography was used to assess the degree of mastication predominance. Chewing gums, gummy jellies, and peanuts were used as foods of various hardnesses for evaluating mastication predominance. ResultsCompared with the control group, masticatory performance did not differ in the unilateral group but was significantly decreased in the bilateral group. With chewing gum and gummy jellies, the degree of mastication predominance was significantly increased in both unilateral and bilateral groups than the control group. With peanuts, the degree of mastication predominance was significantly increased in the unilateral group than the control group. ConclusionsAlthough masticatory performance was not decreased in the unilateral group, the degree of mastication predominance was increased. Decreased masticatory performance was observed in the bilateral group, and for foods with normal hardness and soft foods, the degree of mastication predominance was increased. These results suggested that mastication predominance should be considered in the recovery of masticatory performance in patients with missing posterior teeth.

Assessment of various deleterious oral habits and its effects on primary dentition among 3-5 years old children in Davangere city

Childhood is the mirror which reflects the propensities of adulthood. The objective of this cross-sectional study was to determine the prevalence of malocclusion, deleterious oral habits and relationship of deleterious oral habits and malocclusions in 3-5 years old children. A cross-sectional study was conducted among 800 school children aged ranges between 3 and 5 years who were randomly selected from 10 different public schools in Davangere city, India. Occlusal assessments and clinical examination for assessing the oral habits was carried out. After obtaining the data, Chi-square test and Z-test were used to analyze the data. The results showed the prevalence of malocclusion was 8.9% and of various deleterious oral habits was 47.2%. Tongue thrusting (29.5%) was most commonly observed habit followed by mouth-breathing (26.5%). In the presence of deleterious, oral habits 13% of children were observed with the malocclusions. The prevalence of normal deciduous dentition was observed in 87% of children even in the presence of habits. Prevalence of oral habits observed was highly significant constituting 47.2% and the correlation between prevalence of oral habits and malocclusions in deciduous dentition does not seem to be strong, but we found tongue thrusting and mouth-breathing habit more in this age group constituting 29.5% and 26.2%, respectively, contributing to the malocclusion.

HIPERDONTIA: RELATO DE CASO COM 10 ELEMENTOS SUPRANUMERÁRIOS

Hyperdontia consists on the presence of excessive number of teeth, considering the normal human dentition. These excessive teeth are called supernumeraries and this phenomenon’s etiologies are the genetics, the environment and mainly some syndromes. Because of this, it is considered rare at non-syndromic patients. Earlier diagnosis and correct treatment prevent complications like dental resorption, malocclusion, position and eruption teeth’s disorders, cysts and/or tumors. The aims of this article are report a rare case of ten supernumerary teeth and discuss its best treatment.

AB0254 Gastrointestinal health of ra patients - from top to tail

BackgroundGastrointestinal problems are common but not well studied in RA patients. Symptoms may affect patient health, quality of life and concordance with medication.ObjectivesTo assess the prevalence, severity and nature of...

PAX9 polymorphism and susceptibility to sporadic non-syndromic severe anodontia: a case-control study in southwest China

Our research aimed to look into the clinical traits and genetic mutations in sporadic non-syndromic anodontia and to gain insight into the role of mutations of PAX9, MSX1, AXIN2 and EDA in anodontia phenotypes, especially for the PAX9.Material and Methods:The female proband and her family members from the ethnic Han families underwent complete oral examinations and received a retrospective review. Venous blood samples were obtained to screen variants in the PAX9, MSX1, AXIN2, and EDA genes. A case-control study was performed on 50 subjects with sporadic tooth agenesis (cases) and 100 healthy controls, which genotyped a PAX9 gene polymorphism (rs4904210). Results:Intra-oral and panoramic radiographs revealed that the female proband had anodontia denoted by the complete absence of teeth in both the primary and secondary dentitions, while all her family members maintained normal dentitions. Detected in the female proband were variants of the PAX9 and AXIN2 including A240P (rs4904210) of the PAX9, c.148C>T (rs2240308), c.1365A>G (rs9915936) and c.1386C>T (rs1133683) of the AXIN2. The same variants were present in her unaffected younger brother. The PAX9 variations were in a different state in her parents. Mutations in the MSX1 and EDA genes were not identified. No significant diferences were found in the allele and genotype frequencies of the PAX9 polymorphism between the controls and the subjects with sporadic tooth agenesis. Conclusions:These results suggest that the association of A240P with sporadic tooth agenesis still remains obscure, especially for different populations. The genotype/phenotype correlation in congenital anodontia should be verified.

Add-picture 방법을 이용한 교합접촉점 분석

교합접촉 분석에 이용되는 T-Scan <TEX>$III^{(R)}$</TEX> (Tekscan, South Boston, MA, USA)의 정확도 및 신뢰도를 Add picture 방법을 통해 평가하였다. 두 방법에서 공통적인 교합접촉점의 분포 및 교합접촉면적을 비교하여 교합진단 및 조정 술식에서 T-Scan 방법의 적용 시 고려점을 밝히고자 하였다. Angle I급 교합관계, 정상치열자 한 사람의 구강을 대상으로 부가중합형 실리콘인상재를 이용하여 상하악치열궁을 10회 인상채득하였으며, 10쌍의 초경석고 모형을 제작하였다. 자체제작한 하중장치에 모형을 자석과 경석고를 이용하여 부착한 후 최대감합위와 최대교합력을 재현하기 위해 78.9kg의 하중을 가하였다. T-Scan 측정 시에는 상하악 모형과 T-Scan 센서의 위치가 변하지 않는 상태에서 2번 반복 측정하였다. Add Picture의 경우 상하악모형을 동일한 하중을 가하여 최대감합위에서 폴리이써 교합인기재를 이용하여 교합을 인기하였다. 교합접촉 양상은 접촉점 수와 총 교합면적에 대한 접촉면적 백분율을 측정하여 비교하였다. T-Scan 방법은 포토샵 프로그램 상에서 픽셀수를 계산하여 색상에 따른 면적을, Add picture 방법은 빛 투과 정도에 따라 인상재 두께를 <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{\mu}m$</TEX>, <TEX>$0{\sim}60{\mu}m$</TEX>의 3가지로 나누고, 이에 따른 면적을 실측하여 계산하였다. 총 교합면면적은 접촉면을 표시한 모형의 촬영상에서 픽셀수를 계산하여 함께 촬영된 격자를 기준으로 제곱미터값으로 변환하였다. 대응표본 t-검정을 이용하여 통계분석하였다. T-Scan 방법에서 분홍색상 및 붉은 색상으로 표시된 면적의 일부가 Add picture 방법에서 <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{\mu}m$</TEX>, <TEX>$0{\sim}60{\mu}m$</TEX>의 상하악 치아 간 거리에 해당하는 면적에 상응하였다. 교합접촉점 분포 비교 시 T-Scan 방법과 Add picture 방법은 유사하였다. 교합접촉면적 비교 시 T-Scan 방법에서 확대된 결과가 관찰되었으며, 전체교합면적에 대한 접촉면적 백분율 비교에서도 T-Scan 방법과 Add picture 방법의 백분율값은 유의한 차이를 보였다(P<.05). T-Scan에서 분홍색상 및 붉은 색상으로 표시된 부위의 면적값은 Add picture의 <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{\mu}m$</TEX> 부위의 면적값보다 크고(P<.05), <TEX>$0{\sim}60{\mu}m$</TEX> 부위와는 유사한 값을 보였다(P>.05). T-Scan에서의 교합접촉상은 실제보다 확대되어 나타났으며, 따라서 교합접촉에 대한 진단 및 조정 술식에서 보조적인 수단으로 활용하는 것이 추천된다. The purpose of this study was to analyze the area of occlusal contact points using visual method. One subject was selected who had Angle Class I, normal dentition, without dental caries, periodontal disease and temporomandibular disorders. Forty times PVS impressions were taken and 10 pairs casts were fabricated using dental super hard stone. After mounting the casts with customized loading apparatus, 78.9kg/f force was loaded as a maximum biting force. In T-Scan method, occlusal contact points measurement was repeated twice. Then, using Photoshop program (Adobe photoshop CS3, Adobe. San Jose, USA), the pixels which indicated occlusal contact points by color was recognized, and the distribution of recognized pixels were calculated to area. In Add picture method, polyether bite material applied to the occlusal surface of the casts. Then, the image of the translucent areas was recorded and classified <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{</TEX><TEX>\mu}m$</TEX>, <TEX>$0{\sim}60{\mu}m$</TEX> area by the amount of transmitted light. To acquire occlusal surface, the numbers of pixels from the photograph of the contact area indicated cast converted to <TEX>$mm^2$</TEX>. The mean occlusal contact area by two methods was statistically analyzed (paired t-test). Part of the red and pink area in T-Scan image were almost equivalent to the <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{\mu}m$</TEX>, <TEX>$0{\sim}60{\mu}m$</TEX> area in Add picture image. The distribution of occlusal contact points were similar, but the average area of occlusal contact points was wider in T-scan image (P<.05). Pink and red area in T-scan image was wider than <TEX>$0{\sim}10{\mu}m$</TEX>, <TEX>$0{\sim}30{\mu}m$</TEX> area in Add picture image (P<.05), but similar to <TEX>$0{\sim}60{\mu}m$</TEX>area in Add picture image (P>.05). Occlusal contact points in T-scan image did not indicate real occlusal contact points. Occlusal contact areas in T-scan method were enlarged results comparing with those in Add picture method.

Natal Teeth: A Report of Three Cases

ABSTRACTCases of infants born with a tooth or teeth or have teeth that erupted within the first month of their birth are rare in occurrence. Teeth present in the oral cavity at birth are termed natal teeth, while those which erupt during the first 30 days of life are called neonatal teeth. Natal and neonatal teeth usually represent units of normal primary dentition, and only 1 to 10% are supernumerary, therefore dentists advise they be left in the mouth to avoid future space management issues. In this case report we represent three cases with two each natal teeth and their long term follow-ups.

An odontometric study of tooth size in normal, crowded and spaced dentitions.

Objective:To assess the mesio-distal tooth width in normal, crowded, or spaced dentitions.Materials and Methods:A sample of 192 maxillary and mandibular dental casts of Libyan subjects was selected from a larger cohort. These subjects did not present with craniofacial anomaly, hypodontia, significant attrition, caries, restorations, or history of permanent tooth extraction or orthodontic treatment. The sample was divided into normal, crowded, and spaced groups according to tooth size/arch length discrepancy. Each group included 32 upper and lower dental casts with equal numbers of males (mean (SD) age = 14.7 (1.9) years) and females (mean (SD) age = 15.7 (2.5) years). The mesiodistal (MD) tooth width, sum of the MD tooth widths mesial to the first molars (TTM), sum of the MD width of the four incisors (I), and the sum of the MD width of canine and first and second premolars (CPP) were calculated for each group. The independent Student t-test was applied sequentially to detect significant differences between paired groups. The ANOVA test was undertaken to explore significant differences between the three groups. Pearson coefficient of correlation was used to evaluate the correlation between I and the corresponding CPP in maxillary and mandibular arches.Results:MD tooth width, TTM, I, and CPP were significantly wider in the crowded compared to normal and spaced dentitions (P<0.001), except for the width of the upper left lateral incisors in both normal and crowded groups. Although there was a trend for smaller tooth widths in spaced dentitions compared to normal ones, this was only significant in the maxillary left central incisor, maxillary right and left lateral incisors, maxillary right first premolar, mandibular right lateral incisor, and mandibular right canine (P<0.05). However, the maxillary TTM, I, and CPP in the normal group were significantly greater than in the spaced group (P<0.05). Significant positive correlations existed between the mean values of I and CPP in both the maxillary and mandibular dentitions of all groups (P<0.01).Conclusions:It appears that in the studied Libyan population, the MD tooth width is a significant component of crowding/spacing.

Non–Syndromic Bilateral Supplemental Maxillary Lateral Incisors: A Rare Case

Supernumerary teeth or hyperdontia are defined as the teeth that exceeds the normal dental formula, regardless of their location and morphology. A supernumerary tooth is a developmental anomaly and it has been argued to arise from multiple aetiologies. Supernumerary teeth with orthodox shapes and sizes, that resemble the normal dentition are called 'supplemental teeth'. The supplemental teeth are often overlooked because of their normal shapes and sizes. Supplemental lateral incisors are rare and bilateral cases are even rarer, with only two cases being reported in the literature till date. Therefore, we are describing a rare case of non-syndromic, bilateral, supplemental, maxillary, lateral incisors and we have discussed the management of supernumerary teeth.

Bilaterally impacted mandibular supernumerary premolars associated with unusual clinical complications

Supernumerary teeth are extra teeth in comparison to the normal dentition. Their prevalence varies between 0.1% and 3.8%. Supernumeraries are more common in permanent dentition and its incidence is higher in maxillary incisor region, followed by maxillary third molar and mandibular molar, premolar, canine, and lateral incisor. The prevalence of supernumerary premolars is between 0.075-0.26%, and they may occur in single or multiple numbers Bilateral occurrence is uncommon and large percentage of supernumerary premolars remains impacted, unerupted, and usually asymptomatic; radiograph plays an important role in diagnosis of these. The present paper reports a case of bilaterally impacted completely developed supernumerary premolars associated with common clinical complication in unusual manner along with taurodontism of the upper and lower molars.

Femoral Fracture as a Rare Presentation of Prepubertal Graves Disease

A 3-year-old boy was admitted for a right oblique femur fracture after a fall from a bed (Figure 1). Non-accidental trauma was ruled out. On exam, his height was at the 90th percentile, weight at the 50th percentile, and body mass index at the 24th percentile for age and sex. He had normal sclerae and dentition. He had significant proptosis, a goiter measuring 3 times normal size and rubbery in texture, tongue fasciculations, and hand tremors (Figures 2 and 3). Laboratory values were consistent with hyperthyroidism: T3 816 ng/mL, Free T4 9 ng/dL, and thyroid stimulating hormone <0.03 IU/mL.

Increased heterogeneity of bone matrix mineralization in a patient with familial hypercalcaemic hypocalciuria due to the loss of function of the calcium sensing receptor

Increased heterogeneity of bone matrix mineralization in a patient with familial hypercalcaemic hypocalciuria due to the loss of function of the calcium sensing receptor

Lower bone matrix mineralization in cases of sclerostin deficiency

Lower bone matrix mineralization in cases of sclerostin deficiency

A novel dual material mouthguard for patients with dental implants

Dental implant-supported reconstructions demonstrate significantly less physiological flexibility for loading and traumatic forces compared with a normal dentition because of their rigid integration with the adjacent bone. Ethylene vinyl acetate (EVA) material has become widely accepted as a mouthguard material; however, many studies indicate the necessity of improving the impact absorption ability by considering the design and developing new materials. The aim of this study was to compare the shock-absorbing ability of a novel dual component material comprising EVA and porous rubber with that of EVA alone. Three groups of samples were tested: Group 1 = EVA (thickness, 4 mm), Group 2 = type 1 material (2-mm thick porous rubber sheet sandwiched between two sheets of 1-mm thick EVA sheets), and Group 3 = type 2 material (1-mm thick porous rubber sheet sandwiched between EVA sheets with 1 and 2-mm thickness, respectively). Shock absorption was determined by means of a hammer impact testing device equipped with strain gauge, accelerator, and load cell. The value of shock-absorbing ability of group 2 (40.6 ± 12.5%) was significantly higher than those of group 1 (15.6 ± 2.1%) and group 3 (21.2 ± 9.2%). The material with thicker rubber sheet showed significantly higher shock-absorbing ability compared with that of the material with thinner rubber sheet. The novel dual material was superior to conventional EVA material in shock-absorbing ability depending on the thickness of porous rubber, and it may be potentially effective as mouthguard material, in particular, for patients wearing implant-supported constructions.

Effect of transient occlusal loading on the threshold of tooth tactile sensation perception for tapping like the impulsive stimulation

The objectives of this study were (1) to establish a reliable method for detecting the force threshold of the tooth tactile sensation while avoiding experimenter bias and (2) to examine the effect of occlusal force loading on the threshold for impulsive force stimulation in subjects with normal dentition. Twenty volunteers participated in this study (10 males and 10 females; mean age, 26.6±2.9years). To simulate the bite force during occlusal tapping, a force-loading device was designed to exert impulsive force to the occlusal surface in the direction parallel to the tooth axis. The impulsive force detection threshold of the periodontal sensation was measured before and after loading 98N of occlusal force on the left upper first molar for 1min. Transient mechanical loading of the upper first molar caused an increase in the absolute threshold for impulsive force. This increase did not vanish immediately, and the increment of the threshold was maintained during the remainder of the experiment. A computer-controlled method for the evaluation of tooth tactile sensation using impulsive stimulation was established. Transient occlusal force loading parallel to the tooth axis increases the threshold of periodontal sensation for mechanical impulsive stimulation.

Main occluding area in partially edentulous patients: changes before and after implant treatment

The 'main occluding area', the location where food crushing occurs during the first stroke of mastication, is reported to be an important concept; however, it is currently limited to findings in individuals with normal dentition. The purpose of this study was to assess the changes in the location, area and bite force of the main occluding area before and after implant treatments. We enrolled 50 partially edentulous and 22 normally dentate subjects. To identify the location of the main occluding area, each subject was instructed to freely bite once on a dental stopping using the partially edentulous side or the normally dentate area. The location, occluding contact area and bite force of the main occluding area before and after the implant treatments were analysed. The main occluding area was located at a reproducible location in the partially edentulous and normally dentate subjects. This location was principally the first molar region, and for the partially edentulous patients with missing teeth in the molar regions, it moved from the premolar region to the first molar region after treatment. The occluding contact area and bite force for the main occluding area increased (P < 0·05) after the implant treatment in the partially edentulous patients with missing teeth in the molar regions. These results suggest that the main occluding area can be restored to the first molar region after implant treatment and may be an important factor in the assessment of prosthodontic treatment.

A STABLE ARTIFICIAL TEST FOOD SUITABLE FOR LABELING TO QUANTIFY SELECTION AND BREAKAGE IN SUBJECTS WITH IMPAIRED CHEWING ABILITY

Color- and form-labeled particles of Optosil (version 1980, a silicone rubber, Bayer, Leverkusen, Germany) have been used previously to quantify the underlying processes of food comminution, i.e., selection and breakage, in subjects with normal dentitions. The aim of this present study was to develop a weakened Optosil that is suitable for the study of selection and breakage in subjects with impaired chewing ability. Half cubes (4.8 × 9.6 × 9.6 mm) were subjected to load tests to determine the force, deformation and work at particle fracture for periods of up to 6 months. Methods of modifying Optosil were (1) heat-treating the base material to produce “Optosoft”; (2) mixing the base of Optosil or Optosoft with a nonprescribed catalyst (Verone, Davis Schott Lander & Davis Ltd, Herts, England) to produce “Optoweak” or “Optosoft-weak” and (3) heating half cubes that were preweakened. A weakened and stable test food that is suitable for labeling and reuse has been obtained by color-dyeing the Optosoft base and using Verone (“dyed-Optosoft-weak”). PRACTICAL APPLICATIONS Every chewing cycle begins with selection, in which food particles have a chance to be placed between the teeth in such a way that they are at least damaged, if not broken, by the subsequent breakage process. Bite force is reduced in certain patients, e.g., patients with neuromuscular diseases, following orthognathic surgery and in full denture wearers, and the action of the tongue and cheeks differs when compared with healthy individuals. Both factors are important in selection and breakage. The artificial test food Optosil has a large fracture force so that it is difficult to chew for subjects with an impaired chewing ability. This problem has been solved by developing a weaker test food, i.e., “dyed-Optosoft-weak.” This test food allows the study of selection and breakage in general with color- and form-labeled particles and to determine the effect of medication, orthognathic surgery or oral implants on these processes.