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BMC Oral Health Jan 2024This study mapped definitions of shortened dental configurations and health outcomes employed in association studies. A scoping review was conducted using the... (Review)
Review
This study mapped definitions of shortened dental configurations and health outcomes employed in association studies. A scoping review was conducted using the PubMed/Medline, Scopus, Web of Science, SciELO and Cochrane databases. Two trained researchers selected studies and extracted data. Studies that investigated the association between shortened dental configurations (exposure) and person-centered outcomes (general and oral health) related to health behavior (dietary patterns). Clinical outcomes were classified according to the International Classification of Functioning, Disability and Health and the International Classification of Diseases of the World Health Organization (WHO). Shortened dental configurations were defined as at least 20/21 teeth or the position of the teeth, including esthetics, dental occlusion and periodontal status (Eichner Index, Shortened Dental Arches, Functional Dentition Classification System, Posterior Occluding Pairs, Functional Tooth Units). The initial search resulted in 12,525 records in English, Portuguese and Spanish, 432 of which addressed the association of interest. General health (n = 203) and oral health (n = 201) were addressed in a similar number of studies. Most outcomes were related to general health (n = 184), the most frequent of which were endocrine, nutritional or metabolic diseases (n = 57) and mental functions (n = 26). Person-centered measures were addressed in 153 studies, most of which were about oral health and oral health-related quality of life (n = 62). Oral health outcomes were predominantly related to intake functions (n = 44) and diseases or disorders of the orofacial complex (n = 24). Dietary patterns (n = 43) and mortality (n = 38) were also studied. The cross-sectional design (n = 257) and non-probabilistic sampling (n = 218) were more frequent. The shortened dental configurations defined by the WHO were the most frequent in the studies (n = 206). The effects of shortened dental configurations have been investigated mainly in relation to endocrine, nutritional or metabolic diseases and measures of oral health-related quality of life. The findings point to a diversity of health outcomes assessed and substantial methodological variability.
Topics: Humans; Quality of Life; Cross-Sectional Studies; Oral Health; Metabolic Diseases
PubMed: 38243284
DOI: 10.1186/s12903-023-03714-4 -
Head & Neck Jun 2024We sought to review our institution's experience with dental implant placement in free flap jaw reconstruction to determine factors impacting restoration of dental...
BACKGROUND
We sought to review our institution's experience with dental implant placement in free flap jaw reconstruction to determine factors impacting restoration of dental occlusion.
METHODS
Exactly 48 patients underwent free flap jaw reconstruction with or without dental restoration from 2017 to 2022. Primary outcome was achievement of restored dental occlusion after jaw free flap reconstruction.
RESULTS
A total of 48 patients with a mean age of 59.8 ± 16.4 years underwent jaw reconstruction from 2017 to 2022. Ten patients (20.8%) received osteointegrated dental implants. Two patients received a temporary dental prosthesis, 12 ± 4 months after initial reconstruction. Three patients received a final prosthesis, with a mean time to final prosthesis of 17.7 ± 12.4 months. Five patients did not receive any prosthesis despite placement of implants.
CONCLUSION
A minority of patients received dental implant placement with free flap jaw reconstruction and only a small subset of these received a definitive dental prosthesis.
Topics: Humans; Middle Aged; Free Tissue Flaps; Female; Male; Aged; Retrospective Studies; Adult; Dental Implantation, Endosseous; Plastic Surgery Procedures; Treatment Outcome; Dental Implants; Dental Implantation; Mandibular Reconstruction
PubMed: 38420709
DOI: 10.1002/hed.27683 -
Journal of Anatomy Feb 2022European and American minks (Mustela lutreola and Neovison vison, respectively) are very similar in their ecology, behavior, and morphology. However, the American mink...
European and American minks (Mustela lutreola and Neovison vison, respectively) are very similar in their ecology, behavior, and morphology. However, the American mink is a generalist predator and seems to adapt better to anthropized environments, allowing it to outcompete the European mink in areas where it has been introduced, threatening the survival of the native species. To assess whether morphological differences may be contributing to the success of the American mink relative to the European mink, we analyzed shape variation in the cranium of both species using 3D geometric morphometrics. A set of 38 landmarks and 107 semilandmarks was used to study shape variation between and within species, and to assess how differences in size factored into that variation. Sexual dimorphism in both size and shape was also studied. Significant differences between species were found in cranial shape, but not in size. Relative to American mink, European mink have a shorter facial region with a rounder forehead and wider orbits, a longer neurocranium with less developed crests and processes, and an antero-medially placed tympanic bullae with an anteriorly expanded cranial border. Within species, size-related sexual dimorphism is highly significant, but sexual dimorphism in shape is only significant in American mink, not in European mink. Additionally, two trends common to both species were discovered, one related to allometric changes and another to sexual size dimorphism. Shape changes related to increasing size can be subdivided into two, probably related, groups: increased muscle force and growth. The first group somewhat parallels the differences between both mink species, while the second group of traits includes an anterodorsal expansion of the face, and the neurocranium shifting from a globous shape in small individuals to a dorsoventrally flattened ellipse in the largest ones. Finally, the sexual dimorphism trend, while also accounting for differences in muscle force, seems to be related to the observed dietary differences between males and females. Overall, differences between species and sexes, and shape changes with increasing size, seem to mainly relate to differences in masticatory-muscle volume and therefore muscle force and bite force, which, in turn, relate to a wider range of potential prey (bigger prey, tougher shells). Thus, muscle force (and dietary range) would be larger in American mink than in European mink, in males than in females, and in larger individuals than in smaller ones.
Topics: Animals; Bite Force; Female; Head; Humans; Male; Mink; Sex Characteristics; Skull
PubMed: 34569054
DOI: 10.1111/joa.13554 -
Cureus Apr 2022Edentulism is a debilitating and irreversible condition. It is often accompanied by compromises in the surrounding joint's range of motion and changes in the posture of...
BACKGROUND
Edentulism is a debilitating and irreversible condition. It is often accompanied by compromises in the surrounding joint's range of motion and changes in the posture of the head. The natural head position is maintained by a balanced tension between cranio-cervical bones, myofacial structures and the dental occlusion. Loss of teeth may cause changes in the head posture that may disturb the patency of the spinal cord and lead to the loss of postural balance. Therefore, this study aimed at evaluating the head posture in the edentulous subjects before and after prosthetic rehabilitation.
METHODS
A total of 16 completely edentulous subjects were selected for the study. Removable complete denture prosthesis was fabricated for all the subjects. Lateral photographs were taken at different time intervals i.e., pre-rehabilitation, 30 minutes, 2 days and 30 days post-rehabilitation. The cranio-vertical angle obtained was digitally calculated using Kinovea software and the results obtained were statistically analysed.
RESULTS
The paired-sample t-test and repeated measures analysis of variance showed an increase in the cranio-vertical angulation of edentulous subjects after rehabilitation, indicating a mild extension of the head.
CONCLUSION
The insertion of prosthesis leads to a mild extension of the head. Hence, rehabilitation with a removable prosthesis has a positive effect on the head posture and could therefore aid in maintaining a stable head posture.
PubMed: 35664382
DOI: 10.7759/cureus.24630 -
TheScientificWorldJournal 2021This study aimed at finding out whether anterior teeth angulation and inclination have a relationship with the maxillary teeth and dental arch dimensions.
OBJECTIVES
This study aimed at finding out whether anterior teeth angulation and inclination have a relationship with the maxillary teeth and dental arch dimensions.
METHODS
Fifty study models with normal occlusion were selected from the archive of the Department of Orthodontics at Baghdad Dental Faculty. Maxillary dental arch width and length at different points were determined in addition to measuring anterior teeth angulation, inclination, crown thickness, overjet, overbite, and Bolton's ratios. The unpaired -test and Pearson's correlation coefficient test were used for data analysis.
RESULTS
No statistical gender differences were reported in all measurements except the dental arch widths and length where males had significantly higher mean values. Only the maxillary incisor's inclination showed a direct weak significant correlation with the total arch length.
CONCLUSIONS
The inclination of upper incisors had a minimal effect on increasing dental arch length.
Topics: Adult; Dental Arch; Dental Occlusion; Female; Humans; Male; Maxilla; Tooth; Young Adult
PubMed: 34650346
DOI: 10.1155/2021/8993734 -
Morphometric analysis of Bonwill's triangle and its dental applications in dry human mandible bones.Journal of Advanced Pharmaceutical... Nov 2022Bonwill's triangle is an imaginary equilateral triangle formed when the centers of two condyles and each condyle with the medial mandibular incisal midpoint are joined....
Bonwill's triangle is an imaginary equilateral triangle formed when the centers of two condyles and each condyle with the medial mandibular incisal midpoint are joined. The dimensions of the tooth, with other bones of cranium, and the entire anatomical structure of body are in persistent association with the distance of the borders of the triangle. It can be used to study articulation of the mandible, complete dentures, and dental occlusion and can be related when treating mandibular fractures. The aim is to analyze the variations in the length of Bonwill's triangle in dry human mandibles and its dental implications. Forty dry human mandibles were taken to carry out this study. Distances between the center of the right condylar process to the inner medial mandibular incisal midpoint (A), the distance between the center of the left condylar process to the inner medial mandibular incisal midpoint (B), and the distance between the centers of right and left condylar process of mandible (C) were measured with the aid of digital vernier caliper. The statistics was evaluated and observed using the statistical analysis software SPSS (Version 20.0) and the mean and standard deviation was calculated. The mean length between right condyle center and medial mandibular incisal midpoint is 97.76 mm, between left condyle center and medial mandibular incisal midpoint is 98.55 mm, and between the right and left condyle centers is 97.39 mm. The values are almost equal to 4 inches. The mandibular measurements serve as an important factor for many clinical conditions especially related to dentistry. The results of this study can be of great significance when treating mandibular fractures and defects.
PubMed: 36643100
DOI: 10.4103/japtr.japtr_151_22 -
Indian Journal of Dental Research :... 2021To propose a new technique, based on cephalometrics for determining the vertical dimension of occlusion (VDO).
AIM
To propose a new technique, based on cephalometrics for determining the vertical dimension of occlusion (VDO).
METHODS AND MATERIAL
Thirty-five participants in the age range of 20.
–
22 years who met the inclusion criteria were recruited. Lateral cephalograms were obtained and tracing done. Five reference landmarks, Nasion (N), Anterior Nasal Spine (ANS), Porion (P), Gonion (G) and Gnathion (Gn) were marked and joined to form four angles, N-ANS-Gn, N-ANS-G, P-G-Gn and P-G-ANS; distance between ANS and Gn was considered as VDO in cephalogram (VDO-Ceph). The angles N-ANS-Gn and N-ANS-G; P-G-Gn, and P-G-ANS were correlated; two simple linear regression models were developed to predict N-ANS-Gn and P-G-Gn, using N-ANS-G and P-G-ANS, as independent variables. Using the formulae, the predicted angles, N-ANS-Gn and P-G-Gn were drawn and intersection marked as 'reconstructed point Gn'. The predicted VDO-Ceph values (distance between ANS and reconstructed Gn) were measured and correlated with actual values.
RESULTS
The angles N-ANS-Gn and P-G-Gn had a statistically significant positive correlation with N-ANS-G (r = 0.77, P < 0.001) and P-G-ANS (r = 0.83, P < 0.001), respectively. Using simple linear regression analysis, the following formulae were obtained: N-ANS-Gn (in degrees) = 1.271 N-ANS-G (in degrees) + 24.83 and P-G-Gn (in degrees) = 0.987 P-G-ANS (in degrees) + 35.93. The predicted and actual VDO-Ceph values showed no statistical significance difference (P = 0.92).
CONCLUSION
By tracing four cephalometric landmarks, N, ANS, P, G; and using the angular reconstruction, it is possible to predict the location of Gn. Hence, during prosthetic replacement of lost teeth, this can be employed for the estimation of lost dimensions.
Topics: Cephalometry; Head; Humans; Tooth Loss; Vertical Dimension
PubMed: 34269233
DOI: 10.4103/ijdr.IJDR_783_18 -
BMC Oral Health Jun 2022Precise orthognathic surgical splints are important in surgical-orthodontic treatment. This study aimed to propose a standardized protocol for three-dimensional...
BACKGROUND
Precise orthognathic surgical splints are important in surgical-orthodontic treatment. This study aimed to propose a standardized protocol for three-dimensional (3D)-printed splints and assess the precision of splints with different occlusal coverage on the dentition (occlusal coverage depth, OCD), thus optimizing the design of 3D-printed splints to minimize the seemingly unavoidable systematic errors.
METHODS
Resin models in optimal occlusion from 19 patients were selected and scanned. Intermediate splints (ISs) and final splints (FSs) with 2-mm, 3-mm, 4-mm, and 5-mm OCDs were fabricated and grouped as IS-2, IS-3, IS-4, IS-5, FS-2, FS-3, FS-4, and FS-5, respectively. The dentitions were occluded with each splint and scanned as a whole to compare with the original occlusion. Translational and rotational deviations of the lower dentition and translational deviations of the landmarks were measured.
RESULTS
For vertical translation, the lower dentitions translated inferiorly to the upper dentition in most of the splints, and the translation increased as OCD got larger. Vertical translations of the dentitions in 89.47% of IS-2, 68.42% of IS-3, 42.11% of IS-4, 10.53% of IS-5, 94.74% of FS-2, 63.16% of FS-3, 26.32% of FS-4, and 21.05% of FS-5 splints were below 1 mm, respectively. For pitch rotation, the lower dentitions rotated inferiorly and posteriorly in most groups, and the rotation increased as OCD got larger. Pitch rotations of the dentitions in 100% of IS-2, 89.47% of IS-3, 57.89% of IS-4, 52.63% of IS-5, 100.00% of FS-2, 78.95% of FS-3, 52.63% of FS-4, and 47.37% of FS-5 splints were below 2°, respectively. On the other hand, the transversal and sagittal translations, roll and yaw rotations of most groups were clinically acceptable (translation < 1 mm and rotation < 2°). The deviations of ISs and FSs showed no statistical significance at all levels of coverage (P > 0.05).
CONCLUSIONS
A protocol was proposed to generate 3D-printed ISs and FSs with normalized basal planes and standardized OCDs. Deviations of the ISs and FSs were more evident in the vertical dimension and pitch rotation and had a tendency to increase as the OCD got larger. ISs and FSs with both 2-mm and 3-mm OCD are recommendable regarding the precision relative to clinical acceptability. However, considering the fabrication, structural stability, and clinical application, ISs and FSs with 3-mm OCD are recommended for accurate fitting.
Topics: Humans; Occlusal Splints; Orthognathic Surgical Procedures; Printing, Three-Dimensional; Splints; Vertical Dimension
PubMed: 35655203
DOI: 10.1186/s12903-022-02247-6 -
Journal of Occupational Medicine and... Feb 2021Symmetrical dental occlusion blocking is used in dentistry as a quick diagnostic tool to test for potential influences of the craniomandibular system on body sway and...
OBJECTIVES
Symmetrical dental occlusion blocking is used in dentistry as a quick diagnostic tool to test for potential influences of the craniomandibular system on body sway and weight distribution. This study presents the changes of body sway and pressure distribution in healthy subjects, free of a temporomandibular dysfunction (TMD). Immediate effects between occlusal blocking and rest position on body sway and body weight distribution in general, as well as for both genders and for four age decades will be evaluated.
MATERIALS AND METHODS
725 (396f/329 m) subjects (neither subjective signs of TMD nor acute/chronic complaints in the musculoskeletal system) volunteered (21 to 60 years) while both genders were divided into four age groups according to decades. A pressure measuring platform was used. Body sway and weight distribution were recorded in two dental occlusion conditions (a) in rest position and (b) symmetrical blocking (bicuspid region) by cotton rolls.
RESULTS
Both, the frontal sway and the sagittal sway reduced by 0.67 mm (t(724) = - 3.9 (p < 0.001)) and by 0.33 mm (t(724) = - 3.4 (p < 0.001)). The relative pressure under the left forefoot increased by 0.33% (t(724) = 2.88 (p < 0.001)) and the relative pressure overall under the forefoot increased by 0.67% (t(724) = - 3.4 (p < 0.001)). Gender-specific, age-specific and BMI-specific reactions could not be identified.
CONCLUSIONS
Subjects, free of any TMD and with no complaints of the musculoskeletal system, show small changes of the body sway and weight distribution when biting symmetrically on a cotton roll. These changes are independent of age, gender or body mass index (BMI). Due to the relative large sample size, the presented results can also be seen as norm values when body sway is used as an additional assessment of a TMD.
PubMed: 33639978
DOI: 10.1186/s12995-021-00296-1 -
Dental Press Journal of Orthodontics 2022To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with...
OBJECTIVE
To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa.
METHODS
The sample consisted of sixty women who attended a specialized mental health clinic of a Brazilian medical school. Participants were distributed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). The dental occlusion was evaluated by the Dental Aesthetic Index; the OHRQoL was assessed using the OHIP-14 questionnaire; and the self-reported satisfaction with the appearance of teeth, speech ability and chewing was obtained by interviews.
RESULTS
Severe and very severe malocclusion were observed in 26.67% and 46.67% of patients in the ABN group, respectively, while the CN group showed 80.00% of patients without abnormality/mild malocclusion. ABN group showed a higher proportion of patients (p < 0.05) with tooth loss, spacing in the region of incisors, maxillary misalignment, and mandibular misalignment in relation to CN group. ABN group presented lower (p< 0.05) OHRQoL and self-reported satisfaction with the appearance of teeth, speech ability and chewing, compared to the CN group. There was a significant positive correlation (p< 0.05) between the Dental Aesthetic Index and OHIP-14 scores in the ABN group.
CONCLUSIONS
The prevalence of severe malocclusion in ABN group was high, with a negative impact on OHRQoL and self-reported satisfaction with the chewing ability, speech ability and appearance of teeth.
Topics: Anorexia; Feeding and Eating Disorders; Female; Humans; Malocclusion; Oral Health; Quality of Life; Surveys and Questionnaires
PubMed: 35703616
DOI: 10.1590/2177-6709.27.2.e2220305.oar