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Journal of Oral Biosciences Sep 2022Tooth identification is important not only for anatomists and anthropologists but also for dental practitioners and dental students studying dental anatomy courses. This... (Review)
Review
BACKGROUND
Tooth identification is important not only for anatomists and anthropologists but also for dental practitioners and dental students studying dental anatomy courses. This review paper provides an overview of the significance of tooth identification focusing on the morphological and developmental background.
HIGHLIGHT
The process of tooth identification comprises five steps of distinction: (1) between deciduous and permanent teeth; (2) between tooth classes; (3) between maxillary and mandibular teeth; (4) within the same tooth class; and (5) between the left and right sides of a tooth. According to Mühlreiter's features, the mesial half is more developed than the distal half, and the curvature feature is associated with the configuration of the dental arch. Each step of tooth identification refers to effective traits and characteristics. The possibility that systemic conditions affect dental morphology should be considered. Tooth identification is occasionally difficult owing to individual variations (size and shape, supernumerary tubercles, root fusion) and sex-based differences. A tooth type error within the same class is the most frequent error in tooth identification, followed by a left or right side error.
CONCLUSION
To understand tooth identification, it is necessary to have comprehensive knowledge of dental morphology. A broad education with regard to tooth evolution and comparative odontology, as well as a thorough understanding of the morphology and function of teeth, which play a crucial role in sustaining life as organs of mastication, is essential.
Topics: Dentition; Humans; Odontogenesis; Tooth
PubMed: 35598838
DOI: 10.1016/j.job.2022.05.004 -
Brazilian Oral Research 2016The aim of the present study was to search for scientific evidence concerning the association between breastfeeding and bottle feeding and risk of malocclusion in mixed... (Review)
Review
The aim of the present study was to search for scientific evidence concerning the association between breastfeeding and bottle feeding and risk of malocclusion in mixed and permanent dentitions. An electronic search was performed in eight databases up to February 2015. Additionally, a gray literature search and hand searches of the reference lists of the selected studies were also carried out. There were no restrictions on language or on year of publication. The methodology of the included articles was evaluated using the Newcastle Ottawa scale. Out of the 817 identified citations, six studies fulfilled the eligibility criteria and were included in the systematic review. One study showed that children with mixed and permanent dentitions breastfed for more than 6 months presented greater mean protrusion of mandibular incisors and inclination of maxillary incisors compared with those breastfed for less than 6 months or those who were bottle-fed (p < 0.05). One study revealed that breastfeeding and bruxism were associated with Class II [OR = 3.14 (1.28 - 7.66)] and Class III [OR = 2.78 (1.21 - 6.36)] malocclusion in children with permanent dentition, while another study showed that an increase in breastfeeding duration was associated with a lower risk of malocclusion in children with both mixed and permanent dentitions (p < 0.001). Three studies did not report any significant association. Risk of bias was high in most selected articles. These findings do not support an association between breastfeeding and bottle feeding and the occurrence of malocclusion in mixed and permanent dentitions.
Topics: Adolescent; Bottle Feeding; Breast Feeding; Child; Child, Preschool; Dentition, Mixed; Dentition, Permanent; Female; Humans; Male; Malocclusion; Risk Assessment; Risk Factors
PubMed: 27050935
DOI: 10.1590/1807-3107BOR-2016.vol30.0022 -
Australian Dental Journal Jun 2019Dental caries is one of the most common chronic diseases affecting individuals of all ages. Caries in the primary dentition is one of the main risk factors for caries in... (Review)
Review
Dental caries is one of the most common chronic diseases affecting individuals of all ages. Caries in the primary dentition is one of the main risk factors for caries in the permanent dentition. Preventing the development of the first carious lesion is fundamental not only to long term health and wellbeing but to reducing the burden of this disease on individuals, families and the community. Described as the developmental origins of health and disease, events from the prenatal period are increasingly recognised as having a significant impact on later health outcomes. While social and behavioural factors from this period have long been linked with oral health, emerging evidence of the influence of epigenetics and early life programming of microbiome and host response suggests that the prenatal period provides a timely opportunity for preventive interventions. Pregnancy is an ideal time to focus on health promoting activities as most women have regular interaction with health care professionals who can target risk factors before the onset of disease. This paper summarizes contemporary understanding of the role of pre- and perinatal factors on child oral health and describes how this evidence might be used by all health professionals to ensure infants start life ahead in the oral health game.
Topics: Child; Dental Caries; Dentition, Permanent; Female; Humans; Infant; Oral Health; Perinatal Care; Pregnancy; Prenatal Care; Risk Factors; Tooth, Deciduous
PubMed: 31144325
DOI: 10.1111/adj.12672 -
BioEssays : News and Reviews in... Dec 2018Efforts from diverse disciplines, including evolutionary studies and biomechanical experiments, have yielded new insights into the genetic, signaling, and mechanical... (Review)
Review
Efforts from diverse disciplines, including evolutionary studies and biomechanical experiments, have yielded new insights into the genetic, signaling, and mechanical control of tooth formation and functions. Evidence from fossils and non-model organisms has revealed that a common set of genes underlie tooth-forming potential of epithelia, and changes in signaling environments subsequently result in specialized dentitions, maintenance of dental stem cells, and other phenotypic adaptations. In addition to chemical signaling, tissue forces generated through epithelial contraction, differential growth, and skeletal constraints act in parallel to shape the tooth throughout development. Here recent advances in understanding dental development from these studies are reviewed and important gaps that can be filled through continued application of evolutionary and biomechanical approaches are discussed.
Topics: Animals; Biological Evolution; Biomechanical Phenomena; Cell Differentiation; Cell Proliferation; Dentition; Fishes; Fossils; Gene Expression Regulation, Developmental; Stem Cells; Tooth
PubMed: 30387177
DOI: 10.1002/bies.201800140 -
International Journal of Paediatric... Sep 2020Primary and permanent teeth composition may influence dissolution and degradation rates.
BACKGROUND
Primary and permanent teeth composition may influence dissolution and degradation rates.
AIM
To compare the dissolution and degradation of primary and permanent teeth.
DESIGN
Enamel and dentin powders were obtained from primary molars and premolars and incubated within different pH buffers. Calcium and inorganic phosphate release was quantified in the buffers by atomic absorption and light spectrophotometry. A colorimetric assay was used to assess the MMP activity of primary dentin (PrD) and permanent dentin (PeD). Collagen degradation was assessed by dry mass loss, change in elastic modulus (E), and ICTP and CTX release. Data were submitted to ANOVA and Tukey's tests (α = 0.05).
RESULTS
Similar dissolution was found between PrD and PeD after 256 hours. At pH 4.5, enamel released more minerals than dentin whereas at pH 5.5 the inverse result was observed. MMP activity was similar for both substrates. PrD showed higher dry mass loss after 1 week. In general, greater reduction in E was recorded for PrD. Higher quantities of ICTP and CTX were released from PrD after 1 week.
CONCLUSIONS
Primary and permanent teeth presented similar demineralization rates. Collagen degradation, however, was faster and more substantial for PrD.
Topics: Dentin; Dentition, Permanent; Matrix Metalloproteinases; Molar; Solubility
PubMed: 32077547
DOI: 10.1111/ipd.12632 -
International Dental Journal Aug 2022Treatment with glucocorticoids in children with nephrotic syndrome can be the cause of developmental disorders of the masticatory organ and bone or teeth abnormalities....
INTRODUCTION
Treatment with glucocorticoids in children with nephrotic syndrome can be the cause of developmental disorders of the masticatory organ and bone or teeth abnormalities. The aim was to assess the frequency and type of dental abnormalities and the correlation of their occurrence with a dosage of glucocorticoids and treatment time in children with idiopathic nephrotic syndrome.
METHODS
The study group consisted of 31 patients aged 5 to 17 diagnosed with idiopathic steroid-sensitive nephrotic syndrome and 33 overall healthy children. The studies included clinical evaluation of dentition, radiologic diagnostics, and statistical analysis.
RESULTS
In the study group, 77.4% of patients were diagnosed with abnormalities in dental development. Tooth number disorders, presence of persistent deciduous teeth and impacted teeth, abnormal crown or root shape, developmental defects of enamel, pulp stones, and bone structure disorders were identified. Statistical analysis showed significant differences in the average treatment time of glucocorticoids in patients without and with tooth developmental abnormalities.
CONCLUSIONS
Long-term use of glucocorticoids in children with nephrotic syndrome promotes the occurrence of developmental abnormalities of the teeth, calcification of the pulp, and disorders of bone tissue metabolism. For this reason, patients with steroid-sensitive nephrotic syndrome should be under the constant care of a dentist.
Topics: Child; Dental Enamel; Glucocorticoids; Humans; Nephrotic Syndrome; Steroids; Tooth; Tooth Abnormalities; Tooth Diseases; Tooth, Deciduous
PubMed: 35277264
DOI: 10.1016/j.identj.2021.11.014 -
BMC Oral Health Jan 2021Infiltration and sealing are micro-invasive treatments for arresting proximal non-cavitated caries lesions; however, their efficacies under different conditions remain... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Infiltration and sealing are micro-invasive treatments for arresting proximal non-cavitated caries lesions; however, their efficacies under different conditions remain unknown. This systematic review and meta-analysis aimed to evaluate the caries-arresting effectiveness of infiltration and sealing and to further analyse their efficacies across different dentition types and caries risk levels.
METHODS
Six electronic databases were searched for published literature, and references were manually searched. Split-mouth randomised controlled trials (RCTs) to compare the effectiveness between infiltration/sealing and non-invasive treatments in proximal lesions were included. The primary outcome was obtained from radiographical readings.
RESULTS
In total, 1033 citations were identified, and 17 RCTs (22 articles) were included. Infiltration and sealing reduced the odds of lesion progression (infiltration vs. non-invasive: OR = 0.21, 95% CI 0.15-0.30; sealing vs. placebo: OR = 0.27, 95% CI 0.18-0.42). For both the primary and permanent dentitions, infiltration and sealing were more effective than non-invasive treatments (primary dentition: OR = 0.30, 95% CI 0.20-0.45; permanent dentition: OR = 0.20, 95% CI 0.14-0.28). The overall effects of infiltration and sealing were significantly different from the control effects based on different caries risk levels (OR = 0.20, 95% CI 0.14-0.28). Except for caries risk at moderate levels (moderate risk: OR = 0.32, 95% CI 0.01-8.27), there were significant differences between micro-invasive and non-invasive treatments (low risk: OR = 0.24, 95% CI 0.08-0.72; low to moderate risk: OR = 0.38, 95% CI 0.18-0.81; moderate to high risk: OR = 0.17, 95% CI 0.10-0.29; and high risk: OR = 0.14, 95% CI 0.07-0.28). Except for caries risk at moderate levels (moderate risk: OR = 0.32, 95% CI 0.01-8.27), infiltration was superior (low risk: OR = 0.24, 95% CI 0.08-0.72; low to moderate risk: OR = 0.38, 95% CI 0.18-0.81; moderate to high risk: OR = 0.20, 95% CI 0.10-0.39; and high risk: OR = 0.14, 95% CI 0.05-0.37).
CONCLUSION
Infiltration and sealing were more efficacious than non-invasive treatments for halting non-cavitated proximal lesions.
Topics: Databases, Factual; Dental Caries; Dentition, Permanent; Humans; Pit and Fissure Sealants; Tooth, Deciduous
PubMed: 33413327
DOI: 10.1186/s12903-020-01364-4 -
The Journal of Clinical Pediatric... Jan 2021This study examines how accurate pediatric dentists are at estimating dental arch lengths by comparing their model estimations (guesstimating the arch length without...
OBJECTIVES
This study examines how accurate pediatric dentists are at estimating dental arch lengths by comparing their model estimations (guesstimating the arch length without measuring) to the Tanaka and Johnston mixed dentition arch length analysis.
STUDY DESIGN
This study consisted of two parts, a survey of practitioners and a model estimating and measuring component. The survey was designed and given to 44 pediatric dentists to determine how many were practicing orthodontics and using arch length analyses routinely. Then 18 pediatric dentists and 13 pediatric dental residents examined 20 sets of mixed dentition models and estimated how much space was available. These estimations were compared to the calculated gold standard, the Tanaka and Johnston arch length analysis of the same models.
RESULTS AND CONCLUSIONS
More than half of the dentists surveyed that practice comprehensive orthodontics use arch length estimates. Pediatric dentists and pediatric dental residents are just as good as each other at estimating arch length. Pediatric dentists and pediatric dental residents underestimated arch length by -3.6 and -3.1 mm, respectively. More research needs to be done to determine if model estimation is a clinically acceptable way to judge arch length.
Topics: Bicuspid; Child; Dental Arch; Dentition, Mixed; Humans; Odontometry; Orthodontics
PubMed: 33690829
DOI: 10.17796/1053-4625-45.1.10 -
Scientific Reports Mar 2019Morphological integration and modularity are important for understanding phenotypic evolution because they constrain variation subjected to selection and enable...
Morphological integration and modularity are important for understanding phenotypic evolution because they constrain variation subjected to selection and enable independent evolution of functional and developmental units. We report dental integration and modularity in representative otariid (Eumetopias jubatus, Callorhinus ursinus) and phocid (Phoca largha, Histriophoca fasciata) species of Pinnipedia. This is the first study of integration and modularity in a secondarily simplified dentition with simple occlusion. Integration was stronger in both otariid species than in either phocid species and related positively to dental occlusion and negatively to both modularity and tooth-size variability across all the species. The canines and third upper incisor were most strongly integrated, comprising a module that likely serves as occlusal guides for the postcanines. There was no or weak modularity among tooth classes. The reported integration is stronger than or similar to that in mammals with complex dentition and refined occlusion. We hypothesise that this strong integration is driven by dental occlusion, and that it is enabled by reduction of modularity that constrains overall integration in complex dentitions. We propose that modularity was reduced in pinnipeds during the transition to aquatic life in association with the origin of pierce-feeding and loss of mastication caused by underwater feeding.
Topics: Animals; Caniformia; Dental Occlusion; Dentition; Female; Male; Phylogeny; Tooth
PubMed: 30862801
DOI: 10.1038/s41598-019-40956-1 -
Proceedings of the National Academy of... Oct 2020Teeth have been studied for decades and continue to reveal information relevant to human evolution. Studies have shown that many traits of the outer enamel surface...
Teeth have been studied for decades and continue to reveal information relevant to human evolution. Studies have shown that many traits of the outer enamel surface evolve neutrally and can be used to infer human population structure. However, many of these traits are unavailable in archaeological and fossil individuals due to processes of wear and taphonomy. Enamel-dentine junction (EDJ) morphology, the shape of the junction between the enamel and the dentine within a tooth, captures important information about tooth development and vertebrate evolution and is informative because it is subject to less wear and thus preserves more anatomy in worn or damaged specimens, particularly in mammals with relatively thick enamel like hominids. This study looks at the molar EDJ across a large sample of human populations. We assessed EDJ morphological variation in a sample of late Holocene modern humans ( = 161) from archaeological populations using μ-CT biomedical imaging and geometric morphometric analyses. Global variation in human EDJ morphology was compared to the statistical expectations of neutral evolution and "Out of Africa" dispersal modeling of trait evolution. Significant correlations between phenetic variation and neutral genetic variation indicate that EDJ morphology has evolved neutrally in humans. While EDJ morphology reflects population history, its global distribution does not follow expectations of the Out of Africa dispersal model. This study increases our knowledge of human dental variation and contributes to our understanding of dental development more broadly, with important applications to the investigation of population history and human genetic structure.
Topics: Africa; Americas; Asia; Australia; Biological Evolution; Dental Enamel; Dentin; Europe; Fossils; Humans; Paleodontology
PubMed: 33020281
DOI: 10.1073/pnas.2008037117