Total Tooth Research Articles

A new record of the rare Bigeye Sand Tiger shark Odontaspis noronhai Maul, 1955 (Lamniformes: Odontaspididae) from the northwestern Pacific, with notes on dentition.

In the Pacific Ocean, the rare Bigeye Sand Tiger shark Odontaspis noronhai has only been recorded twice, once from its central and once from its eastern part. Here we report the first record of this species from the northwestern Pacific. This specimen measuring 312 cm total length (TL) was captured off northeastern Taiwan (2525N, 12410E) from a depth of 100 m (in waters over 2100 m deep) in mid-December 2019, and was retrieved on 27 December 2019 when landed in port. Photo of the fresh specimen along with morphometric and meristic data and DNA information are provided herein. Dentition of the specimen is different from all other specimens by having two cusplets on at least one side of cusps on most of the teeth (vs. only one cusplet per side), and lower total tooth count (29/29 vs. 3438/3746). This record documents an extended distribution (about 7864 km westward from the central Pacific Ocean), and provides strong evidence for the wide distribution and mesopelagic characteristic of this poorly known species.

The Impact of Masticatory Function on Cognitive Impairment in Older Patients: A Population-Based Matched Case-Control Study.

PurposeThe aim of this study was to investigate the association between the changes in masticatory function and cognitive impairment by analyzing longitudinal data of older Korean patients.Materials and MethodsPatients aged over 60 years with dental records between 2005 to 2010 (baseline; T1) and 2014 to 2020 (follow-up; T2) were selected in a single medical center. Based on the dementia diagnosis after T2, the cohort was classified into two groups, the dementia group (n=122) and the control group (n=366). Changes in masticatory function were calculated using the total functional tooth unit (T-FTU) in both groups. The incidence of tooth extraction (%) and the subsequent rehabilitation during the observation period were also evaluated.ResultsIn the dementia group, T-FTU significantly decreased from T1 to T2 (9.81±2.78 to 9.11±3.16, respectively, p=0.008), while no significant change was observed in the control group. During the mean observation period of 9 years, significantly more teeth were extracted and neglected to be prosthetically restored in the dementia group than in the control group. Regression analysis revealed that the number of missing teeth neglected [odds ratio (OR)=1.195, 95% confidence interval (CI)=1.025–1.393, p=0.023] and previous alcohol consumption (OR=4.445, 95% CI=1.831–1.795, p=0.001) were the most significant risk factors of dementia.ConclusionThere might be a causative relationship between the neglected missing dentition and the onset of dementia.

Relationship between Estimated Total Tooth Loss and Chronic Obstructive Pulmonary Disease (COPD)

Relationship between Estimated Total Tooth Loss and Chronic Obstructive Pulmonary Disease (COPD)

Selfie Dental Plaque Index: A New Tool for Dental Plaque Assessment.

Plaque quantification indices are frequently used to evaluate personal oral hygiene. Education in self-care and self-diagnosis is effective in prevention and control of both dental and periodontal disease. Mobile technology has become a ubiquitous technology and can be particularly useful in the self-monitoring of health promotion. To evaluate the selfie dental plaque index compared with O´Leary index (DPI) and visible plaque index (VPI). The secondary outcome was to compare full-mouth and anterior teeth plaque index analysis. A sample of 47 adults were evaluated using a four-stage protocol. All teeth (except third molars) were analyzed for VPI and DPI. A selfie Digital Camera captured the image of the patient's smile (without and with disclosing solution), which was analyzed using Image J software (ImageJ 1.52a, National Institutes of Health). Adobe Photoshop software (Copyright © 2020 Adobe) was used for individual segmentation. The calculation of the selfie index of visible plaque (SVPI) and disclosed (SDPI) was done through the area with plaque of each image in relation to the total teeth area. Spearman's correlation test showed a moderate correlation between VPI and SVPI (rho = 0.6, p<0.001), whereas between DPI and SDPI the correlation was weak (rho = 0.2, p = 0.13). The correlation between the plaque index using all the teeth present, showed a strong correlation with the analysis only of the anterior teeth (rho = 0.8, p<0.001). Our results showed the potential of smiling images as a new tool for quantitative measurements and showed moderate correlation when compared with the visible plaque index. Anterior teeth provided reliable plaque indexes when compared with full mouth analysis. Key words:Dental Plaque Index, dental hygiene, mHealth, health Promotion, oral Health.

Protocol for Establishing the Norms of Total Tooth Material for Central Indian Population

Background: Appealing profile is dependent on constructive interrelation of craniofacial structure so as to establish systemic equilibrium . An esthetic profile may also be associated with single tooth or inter-arch malocclusion. To correct these malocclusions, the corresponding link of tooth material of upper and lower arch is the prerequisite to achieve functional stability of occlusion, structural balance and esthetic harmony.&#x0D; Objectives: To determine tooth size ratios for maxillary and mandibular dentition in Central Indian population.&#x0D; Methodology: The study sample comprised of 500 subjects (250 males and 250 females) aged between 12-20 years with all permanent first molar erupted will be obtained from the department. The mesio–distal width of all teeth anterior to first molar of maxillary and mandibular teeth from right to left side will be calculated&#x0D; Expected Results: Proof of sexual dimorphism was seen among Indian male subjects have greater mean values as compared to females. Statistically considerable differences were establish between Indian samples and Bolton Caucasian standards.&#x0D; Conclusion: The research presents, evidence that size of teeth are population specific. Mean values specific to peculiar population samples should be obtained in order to make treatment regime more precise as well as predictable.

Virtual dental teaching and its effect on test success - A cross-over study.

The aim of this cross-over investigation was to analyze the effect of virtual teaching using virtual reality (VR) within a dental learning environment by preclinical students with or without dental professional experience on test performance. Preclinical students (N=82) were randomly divided into two groups for cross-over testing of tooth morphology knowledge: (a) anterior VR-group (group 1) using the VR-glasses as an additional learning tool for the anterior tooth morphologies and (b) posterior VR-group (group 2) using it for the posterior tooth morphologies also in addition to conventional learning. All students used the VR-glasses for 1 week independent of time and location depending on group. The students had to recognize teeth (anterior or posterior within two separate tests after three [anterior test] and 6 weeks [posterior test] of practical course) and note the tooth number and characteristics in written form. Former dental experience (dental technician/assistance) was noted. Test results were analyzed to quantify the effect of virtual teaching on test scores. Data were analyzed with the Kolmogorov-Smirnov and Mann-Whitney U test (p=0.05). By differentiating the two student groups (use of VR glasses for anterior/posterior teeth) within the dental experience group, significantly better test results (p=0.040) were shown for group 1 in the total posterior teeth test score. Furthermore, no other significant differences, but a possible tendency, in the test results and thus no effect of the use of the VR glasses on both VR groups could be analyzed (p ≥ 0.051). Using the VR tooth learning environment predominantly did not lead to a significant improvement of test results. Anterior teeth test scores predominantly showed significantly better results than posterior teeth test scores.

Evaluation of therapeutic effect and health economics of general anesthesia and routine outpatient dental treatment in children with severe early child caries.

To evaluate the efficacy and health economics of the comprehensive therapy for the children with severe early child caries (S-ECC) under dental general anesthesia (DGA) and conventional outpatient treatment to provide references for dentists and parents in the choice of clinical treatment. A retrospective cohort study was conducted on S-ECC children aged 36-71 months and who received dental treatment under general anesthesia or routine outpatient situation. The filled tooth survival rate, treatment cost, and cost-filled tooth survival time of the two groups were compared, and the curative effect and health economics was evaluated. The filled tooth survival rate of the DGA group was higher than that of the routine outpatient group (P<0.05). The average direct medical cost per filled tooth was significantly higher in the DGA group than in the routine outpatient group (P<0.05). The direct medical cost-filled tooth survival time ratio in the DGA group was higher than that in the routine outpatient group (P<0.05), but no significant difference was observed in the total medical cost-filled tooth survival time ratio (P>0.05). Compared with the conventional outpatient treatment group, the treatment outcomes of S-ECC under general anesthesia were better, and the costs were higher. However, no significant difference was observed in the total medical cost-filled tooth survival time between these two groups, and the conventional outpatient treatment did not have evident economic advantages.

Evaluation of the Relationship Between Periapical Lesions and Tobacco Use by Panoramic Radiography in Bandar Abbas City in 1399

Background and Aim: The research results show tobacco use increases cardiovascular and lung disorders or the probability of periodontitis in humans, while no definitive relations were yet confirmed. This study evaluates the relationship between periodontitis and tobacco use by panoramic radiography in Bandar Abbas City. Methods &amp; Materials: A total of 198 panoramic radiographs were classified into periapical healthy (n=99) and patient (n=99) groups. Radiologists assessed radiographs for periodontitis via Total Teeth Numbers (TTN), the quality and length of Root Filling Treatment (RFT), the number (NoRFT), and inadequate root filling treatment (RFTin), age, gender, the cigarette and hookah use, and dental debris. Data were analyzed by Chi-Square, t-test, and logistic regression. Ethical Considerations: Due to the lack of therapeutic intervention and the preservation of patients’ characteristics, ethical considerations are not included in this study (Code: IR.HUMS.REC.1399.384) Results: Tobacco, hookah use, TTN, and RFTin were different (P&lt;0.01) in groups, but cigarette smoking, debris, RFT, NoRFT, and age were not. Women in the periodontitis group showed high (P&lt;0.01) in tobacco, hookah use, and RFTin, while no gender differences were observed in other parameters. The logistic regression results showed that based on the Odd Ratio NoRFT (39.7), RFTin (36.8), `hookah (8.1), tobacco (6.57), debris (3.62), smoking (3.59), RFT (1.4) and TTN (0.89) were the highest (P&lt;0.01). At the same time, age and gender did not affect periapical tissues. Conclusion: Hokka, tobacco, and cigarette use negatively affected the periapical tissues, respectively. The decrease in TTN and increase in debris and RFT were probably the effects of tobacco smoking on the periapical tissues. Age and gender were not related to the periapical lesions.

Learning an Optimal Operational Strategy for Service Life Extension of Gear Wheels with Double Deep Q Networks

One failure mechanism of gear wheels is pitting. If the gear wheel is case hardened, pitting degradation dominates normally at one tooth only. All the other teeth are still intact at the standardized end of life criterion of 4 % pitting area based on the total tooth area.&#x0D; Using an operational strategy that was developed at the Institute of Machine Components, the service life of gear wheels can be extended by a local stress reduction at the weakest tooth. This is accomplished by applying an adapted torque at the transmission input that shifts a minimum torque in the area of the pre-damaged, and thus, weakest tooth. Consequently, all remaining teeth with higher load bearing capacity are subjected to higher torque. Prerequisite for the described theoretical operational strategy is knowledge on pitting-size and -position. The detection of these properties in operation is not state of the art yet.&#x0D; In this work, only the gearbox vibration signal is known without explicit knowledge about the inside pitting. So the challenge is to determine the health for each individual tooth and to choose an optimal adapted torque based on this. This is especially difficult due to differing growth rates of pittings on one individual gear wheel. Hence, different pittings dominate over the service life, which results in the need of a continuous optimization of the torque control.&#x0D; Algorithms of Reinforcement Learning (RL) are particularly suitable for this challenge. In this branch of Machine Learning (ML), an agent interacts inside an environment and learns by getting rewards for taking actions at given states. In this study, the environment is a gearbox-simulation-model, the state is the current vibration signal, and the action is the chosen adapted torque. Thus, it is possible to let the algorithm learn the whole operational strategy, from online failure detection to an adapted torque at the transmission input.&#x0D; The results of this study show the theoretical feasibility of the operational strategy using Double Deep Q Networks as the RL Algorithm. The algorithm is able to learn a suitable reaction to pittings that increase linearly or progressively at an early stage and therefore delays their growth within the defined limits. Thus, the lifetime of the gearbox is extended while maintaining the same total power of the gearbox. As an outlook, the results will be examined for their sensitivity on several influencing factors in a further study. The wider view is to use this simulation on a test rig and validate the results.

Simultaneous geometric and thermal error control of gear profile grinder based on analytical correlation between tooth surface error and position error of grinding wheel/workpiece

The gear profile grinder is important to ensure the geometric accuracy of tooth surfaces. However, its machining accuracy is significantly reduced by the geometric and thermal errors. So the geometric and thermal errors should be controlled simultaneously. The geometric error modeling and decoupling of the gear profile grinder are studied, and the mapping relationship between the geometric accuracy of tooth surfaces and machine errors is constructed. To establish a robust thermal error model, a physically-based model is established to prove the feasibility of using the bidirectional long short term memory network (Bi-LSTMN) to establish a self-learning error model. The high-frequency noises are filtered and singular values are reduced by the Savitzky–Golay (SG) filtering algorithm. An attention-gate-based Bi-LSTMN (AGBi-LSTMN) is proposed to reduce the time complexity. Then the mixed-variants whale optimization algorithm (MVWOA) is proposed to optimize the hyper-parameters, and SG-MVWOA-AGBi-LSTMN is proposed for the thermal error prediction. Finally, the simultaneous geometric and thermal error control is implemented. The results show that the total tooth profile precision is increased by ISO level 3, and the tooth profile tilt precision is increased by ISO level 5 with the simultaneous geometric and thermal error control.

Altered Prevalence of Pulp Diagnoses in Diabetes Mellitus Patients: A Retrospective Study

IntroductionDiabetes mellitus (DM) is a complex multisystemic disorder that affects an estimated 21 million Americans. No studies have evaluated the association of DM with the prevalence of each pulpal diagnosis. The objective of this study was to compare the prevalence of each pulp diagnosis including symptomatic irreversible pulpitis (SIP), asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and pulp necrosis (PN) in DM patients against a nondiabetic control group. MethodsA retrospective chart review was approved by Rutgers University Institutional Review Board. The prevalence of the diagnoses SIP, asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and PN was calculated from AxiUm (Exan software, Las Vegas, NV) electronic health records at Rutgers School of Dental Medicine. The chi-square test was used to see the relationship between the 2 categoric variables. Second, binary logistic regression analyses were performed for each group. ResultsA total of 2979 teeth were diagnosed with a pulp condition between April 2013 and November 2018. The total tooth number of DM patients was 682, whereas the tooth number of nondiabetic patients was 2297. In the subgroup of patients younger than 40 years old, SIP was notably more prevalent in DM patients. In addition, the prevalence of PN in elderly DM patients (60–69 years old) was significantly higher than in the control group. ConclusionsThe prevalence of SIP in DM patients was significantly higher compared with the control group (<40 years old), suggesting the possibility that DM could hypersensitize the subgroup of patients younger than 40 years old to pulpitis pain.

Prevalence of three-rooted primary mandibular first and second molars: clinical and radiographic findings in a Mexican population.

The aim of this study was to determine prevalence and describe the clinical and radiographic findings of three-rooted primary mandibular first and second molars in a Mexican population. Intraoral periapical radiograph, orthopantomogram or cone beam computed tomography (CBCT) were obtained. A total 2284 children from the state of Puebla, Mexico were examined, of whom 20 presented an anatomic variant in tooth crown shape. Of the total teeth with crown alterations, 10 first and 5 second primary mandibular molars were found to have supernumerary roots. In one case, it was possible to obtain micro-CT images. The study recorded prevalence, unilateral or bilateral occurrence, and ratio between sexes. Data were analyzed using descriptive statistics. Clinical findings were presence of an anatomical variation (tuberculum paramolare / right and/or left cervical convexity) in primary mandibular first molars. Second molars presented conventional crown morphology. Prevalence of three-rooted primary mandibular first and second molars was 0.44% and 0.22%, respectively. Male: female ratio for presence of threerooted primary mandibular first molars was 4:1, showing genetic predisposition in males, and for second molars it was 1.5:1, with no predisposition according to sex. The clinical and radiographic anatomical variants in primary molars should be considered by pediatric dentists during routine care because they may cause difficulties in restorations.

Prevalence of dental disorders among people with mental illness: An umbrella review.

Psychiatric patients have increased rates of comorbid physical illness. There are less data on dental disease, especially decay, despite risk factors including lifestyle and psychotropic side effects such as xerostomia. We therefore undertook an umbrella review of all meta-analyses on the association between mental illness and oral health. We searched PubMed, MEDLINE, PsycINFO, the Cochrane Central Register of Controlled Trials, Embase and CINAHL. Articles were independently assessed. Outcomes were caries, periodontal disease, erosion, and partial or total tooth loss (edentulism), measured where possible with standardised measures such as the mean number of decayed, missing and filled teeth or surfaces. Quality was assessed in line with National Institutes of Health guidelines. We identified 11 meta-analyses. The most information and strongest association was between dental decay and severe mental illness or substance use, as well as erosion and eating disorders. Depressive, anxiety and eating disorders were also associated with caries, but the datasets were small. People with severe mental illness had nearly three times the odds of having lost all their teeth than the general community (odds ratio = 2.81, 95% confidence interval = [1.73, 4.57]) and those with depression between 1.17 and 1.32. Findings for periodontal disease were more equivocal, possibly because of study heterogeneity. Mental health clinicians should screen for oral diseases when treating those with mental illness and facilitate referral to affordable dental clinics when indicated. Prevention should be a priority, including the promotion of dental care, as well as the management of xerostomia when psychopharmacologic agents are prescribed.

Trends In The Development Of The Techologies For Fabrication Of Complete Dentures For Patients With Total Tooth Loss

Total tooth loss leads to significant changes in the maxillofacial region, which affects the masticatory function, speech, esthetic outlook, reflexes and the human psyche. The facial frame obtains the so-called “ageing look”. The extraoral changes, especially after a quick complete tooth loss, are shocking both for the patients and for those around them. The treatment plan for these patients requires the fabrication of complete dentures. The technologies for the production of this type of construction have undergone their own evolution. From the classic cuvette technique with acrylic plastic to the digital fabrication with the help of CAD-CAM milling and 3D printing. The aim of the current article is to trace the development of the technologies for fabrication of complete dentures in patients after total tooth loss highlighting the main trends. Today, 50 million dentures are produced globally every year, but only 1% are fabricated with the help of digital instruments. The traditional denture fabrication is a time- and labor-consuming process. The production process for the construction of a digital denture is different from the traditional one. The digital denture production is the future of dental technology. It has the potential to provide a lower price and higher quality care for the patients. Digital technologies do not deprive complete dentures of the possibility of customization. Digital denture designs can be used multiple times but, when needed, can be altered. The endurance and mechanical properties and bio-compatibility of the constructions are much better compared to those fabricated using conventional technologies. Digitization and 3D printing are a means to a reliable, predictable and highly esthetic treatment.

Adequacy of the frequency and types of meals consumed by community-dwelling elderly folk in the south of Brazil

The scope of this study was to describe the frequency and types of meals consumed by the elderly in Pelotas (Brazil) and factors associated with the adequacy of meal frequency. A cross-sectional study was carried out with ≥60 years of age individuals. They were asked about daily meals during the week prior to the interview. The adequacy of meals was defined as recommended by the Ministry of Health (at least three main meals and two small snacks per day). The independent variables were sociodemographic, health and food routine characteristics. Prevalence ratios and 95% confidence intervals were calculated using Poisson regression. Of the 1,438 elderly individuals interviewed, about 40% reported consuming four meals a day. Lunch was the most reported meal, followed by breakfast. A total of 30.6% of men and 38.6% of women had adequate frequency of meals (p=0.002). Men with edentulism (total tooth loss) were 35% more likely to eat adequately, while this probability was about 30% lower among non-white women, those without schooling and those who reported a lack of money to buy food. One in each three elderly people met the recommendation of adequate frequency of meals and some sociodemographic characteristics were negatively associated with this habit.

Differences in Oral Health Status in Elite Athletes According to Sport Modalities

Oral health status may affect physical and sports performance. The purpose of this study was to assess the oral health status and oral health habits of elite athletes according to the performed sports type. A sample of 186 elite athletes divided into individual sports (n = 74; 53 men and 21 women; 24.9 ± 9.3 years) and team sports (n = 112; 97 men and 15 women; 24.5 ± 4.8 years) participated in the study. The decayed, missing, and filled teeth index (DMFT), the oral health impact profile (OHIP), and the diet assessment of caries risk (DACR) were evaluated to assess their oral health status. Athletes in individual modalities had a lower number in total teeth, healthy teeth, and restoration index (p &lt; 0.05). Furthermore, this group showed a greater number of missing (p &lt; 0.001) and decayed teeth (p &lt; 0.05) and a greater DMFT index (p &lt; 0.001). A relationship between sports modality and prevalence of malocclusions (p &lt; 0.01), periodontal plaque (p &lt; 0.05), and the habit of consuming energy drinks (p &lt; 0.05) was also highlighted. Elite athletes who compete in individual sports presented a worse oral situation.

The Prevalence and Pattern of Early Childhood Caries In Bareilly, Uttar Pradesh- An Observational Study

Background: Dental caries is a disease of teeth that results due to demineralization and destruction of organic and inorganic components of oral cavity. Early childhood caries (ECC) is a serious dental problem that affects infants and toddlers.&#x0D; &#x0D; Aim: To evaluate the incidence of early childhood caries in children between 3-6 years in Bareilly city.&#x0D; &#x0D; Materials &amp; Method: This cross sectional study was conducted among 1000 preschool children, 536 male and 464 females between the age of 3-6 years in Bareilly city. They were examined for dmft and dmfs.&#x0D; &#x0D; Results: Prevalence of ECC was 56.6% (566/1000). 57.1% males (n=306) were affected from ECC while 260 female subjects (56.0%) were found to be having ECC. Out of the total teeth evaluated, 2170 (94.84%) were decayed, 96 (4.19%) were missing and only 22 (1.0%) were filled. Mandibular posterior region was the most commonly affected teeth.&#x0D; &#x0D; Conclusion: The prevalence of ECC in children aged 3-6 in Bareilly district is approximately 57% which is independent of the sex. The occlusal surface of the posterior teeth is the most common site for ECC. Dietary habits of the child, oral hygiene methods employed by the children and educational status of the mother play an important role in the incidence of ECC.&#x0D;

Relationship between periodontitis and glomerular filtration rate in non-diabetic Chinese elderly patients in Beijing community

Objective: To investigate the correlation between clinical periodontal indexes of periodontitis and glomerular filtration rate (GFR) in a non-diabetic elderly population in four communities of Shijingshan, Beijing. Methods: This was a cross-sectional study. Questionnaires, blood biochemical examinations, and periodontal indexes were conducted in elderly people (35 to 84 years old) in four communities of Shijingshan, Beijing between May and July 2005. Non-diabetic patients with fasting blood glucose<6.1 mmol/L, postprandial blood glucose<7.8 mmol/L, and ≥ 10 remaining teeth were included. Patients with diabetes, fasting blood glucose ≥6.1 mmol/L or postprandial blood glucose ≥7.8 mmol/L, and total residual teeth less than 10 were excluded. A total of 362 study subjects met the inclusion criteria. The survey subjects were selected by convenient sampling method. The mean full-mouth probing depth (PD), bleeding index (BI), attachment loss (AL), and plaque index (PLI), as well as PD≥4 mm% (the number of sites with PD≥4 mm as a percentage of the total number of sites in full mouth), PD≥5 mm%, PD≥6 mm%, AL≥3 mm%, AL≥4 mm%, AL≥5 mm% and AL≥6 mm% were used for the analysis. Serum creatinine values was used to calculate GFR. GFR≥90 ml/(min·1.73 m2) was defined as normal group and GFR<90 ml/(min·1.73 m2) was defined as reduced group. Univariate analysis was conducted between two groups. Multivariate regression analysis was performed with GFR as dependent variable and adjusted for risk factors such as age, sex, smoking, waist-hip ratio and physical activity. Results: There were 164 subjects in the normal GFR group (45.3%) and 198 in the reduced GFR group (54.7%). Percentage of males in the reduced GFR group, 118 in total, accounting for 59.6%, were significantly higher than in the normal GFR group (73, 44.5%)(P=0.004). The median of age, uric acid, triglyceride, and waist-to-hip ratio (65 years, 323 mmol/L, 1.73 mmol/L, 0.90) were significantly higher in the reduced GFR group than in the normal GFR group (54 years, 277 mmol/L, 1.45 mmol/L, 0.88) (P<0.05). The median of PD mean, AL mean, BI mean, PD≥4 mm%, AL≥3 mm%, and AL≥4 mm% in the reduced GFR group were 2.80 mm, 2.52 mm, 2.06, 20.4%, 46.5%, and 30.4%, respectively, which were significantly higher than those in the GFR normal group (2.60 mm, 2.37 mm, 1.93, 16.6%, 42.9%, 28.9%) (P<0.05). After adjusting for confounding factors such as age, gender, smoking, waist-to-hip ratio and physical activity, the results of logistic regression analysis showed that PD mean, AL mean, PD≥4 mm%, PD≥5 mm%, PD≥6 mm%, AL≥3 mm% and AL≥4 mm% of clinical periodontal indexes were significantly correlated with reduced GFR in this population (OR values were 1.765, 1.879, 1.430, 1.713, 1.771, 1.428, 1.445, respectively, P<0.05). Conclusions: In the non-diabetic elderly population in communities of Shijingshan, Beijing, clinical periodontal indexes reflecting the degree of periodontal tissue destruction were associated with a decreased level of GFR.

Three-Dimensional Volumetric/ Linear Analysis and Axial Classification of Root Resorptions Using Cone Beam Computed Tomography: A Retrospective Study

Objectives: The purpose of this study was to investigate the volumetric-linear analysis and to present a new axial classification of root resorptions using cone-beam computed tomography (CBCT). &#x0D; Materials and Methods: A total of 43 teeth with root resorption (external cervical resorption (ECR) (n=27), external replacement resorption (ERR) (n=4) and internal root resorption (IRR) (n=12)) from 34 patients were included in this study. On CBCT images of teeth, the volume of total tooth and resorption for the volumetric analysis, the widest lengths of resorptions and the amount of thinnest dentin thickness around them for the linear analysis were measured, and volumetric/linear measurements were compared according to age and gender. In addition, the eight regional axial classification was performed, and these regions were compared. Data were evaluated using Shapiro-Wilk, Pearson’s r., Kruskal-Wallis and Dwass-Steel-Critchlow-Fligner post-hoc tests. Significance was set at p=0.05 for statistical analysis.&#x0D; Results: No significant difference was found between the volumetric and linear measurements of ECRs, ERRs, and IRRs. No difference between genders in volumetric and linear measurements of ECRs and IRRs, except total tooth volume, was higher in males than in females in ECRs (p

Is it possible to filter third molar cases with panoramic radiography in which roots surround the inferior alveolar canal? A comparison using cone-beam computed tomography

Inferior alveolar nerve (IAN) entrapment in third molar (M3) roots bears a significant risk for nerve injury. The aim of this study was to identify specific panoramic radiographic (PR) signs that can reliably identify IAN entrapment (IANE) root conformations. In a retrospective case-control study, 10 IANE and 218 non-IANE third molar risk cases were examined by PR and CBCT. The collected data included “classic” specific high-risk panoramic signs, number of M3 roots, extent of inferior alveolar canal (IAC)−root tip overlap, rotated position of M3 and impaction pattern. After bivariate analysis, sensitivity, specificity, positive and negative predictive values, positive likelihood ratios (LR+) and accuracy (AC) were calculated for the most significant predictive variables. Interruption of both cortical lines (LR+: 43.6; AC: 96.0%) and upward diversion of the IAC (LR+: 36.3; AC: 96.5%) were the most accurate single signs indicating IANE. Upward diversion combined with root darkening and interruption of the IAC (AC: 97.4%) and the combination of darkening with interruption and with a rotated M3 (LR+:130.8; AC: 97.8%) were the most accurate combinations predicting IANE. IANE may be correctly filtered with PR when focusing on the signs of upward diversion, darkening, interruption and rotated M3 position, especially in cases involving their multiple (≥3) presence. CBCT evaluation is highly recommended in these cases before partial and total tooth removals.