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Tooth Position (tooth + position)
Selected AbstractsLimitations of previously published systematic reviews evaluating the outcome of endodontic treatmentINTERNATIONAL ENDODONTIC JOURNAL, Issue 8 2009M-K. Wu Abstract The aim of this work was to identify the limitations of previously published systematic reviews evaluating the outcome of root canal treatment. Traditionally, periapical radiography has been used to assess the outcome of root canal treatment with the absence of a periapical radiolucency being considered a confirmation of a healthy periapex. However, a high percentage of cases confirmed as healthy by radiographs revealed apical periodontitis on cone beam computed tomography (CBCT) and by histology. In teeth, where reduced size of the existing radiolucency was diagnosed by radiographs and considered to represent periapical healing, enlargement of the lesion was frequently confirmed by CBCT. In clinical studies, two additional factors may have further contributed to the overestimation of successful outcomes after root canal treatment: (i) extractions and re-treatments were rarely recorded as failures; and (ii) the recall rate was often lower than 50%. The periapical index (PAI), frequently used for determination of success, was based on radiographic and histological findings in the periapical region of maxillary incisors. The validity of using PAI for all tooth positions might be questionable, as the thickness of the cortical bone and the position of the root tip in relation with the cortex vary with tooth position. In conclusion, the serious limitations of longitudinal clinical studies restrict the correct interpretation of root canal treatment outcomes. Systematic reviews reporting the success rates of root canal treatment without referring to these limitations may mislead readers. The outcomes of root canal treatment should be re-evaluated in long-term longitudinal studies using CBCT and stricter evaluation criteria. [source] Numerical simulation of canine bodily movementINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING, Issue 2 2010Yingli Qian Abstract The aim of this study was to develop finite element (FE) models to simulate bodily movement of an orthodontic treatment of mandibular canine with decayed loads during a therapy period (4 weeks). The normal strain of periodontal ligament was assumed as the key mechanical stimulus for the surface bone remodeling. During the simulation processes, changes in tooth position and in the geometry of the tooth supporting structures and the decayed loads were taken into account. In this numerical simulation, the tooth movement displacements were 1.00,mm in the end of the therapy. The results of the simulation were similar to the observed in clinical studies. It was acceptable to simulate clinical tooth movements by FE method based on these mechanical assumptions. Such a numerical simulation would allow the understanding of tooth movements and help in better planning of individual strategies. Copyright © 2008 John Wiley & Sons, Ltd. [source] An investigation of overeruption of posterior teeth with partial occlusal contactJOURNAL OF ORAL REHABILITATION, Issue 4 2007H. L. CRADDOCK Summary, The need and demand for replacement of missing posterior teeth may increase as the UK population is predicted to be at least partially dentate for life. Replacement with either fixed or removable prostheses may be indicated, and the tooth positional changes of adjacent or opposing teeth may require consideration. The objectives of this study are to: (1) Investigate the extent of overeruption associated with partially opposed posterior teeth; (2) Determine if overeruption is associated with tipping of the partially opposed tooth and examine the extent of tip. Ninety-one patients with either partially or completely unopposed posterior teeth were included in the study. For each group the extent of overeruption of the tooth was measured. Differences in the extent of overeruption and tipping were analysed. Correlations between the presence of partial tooth contact and the extent of overeruption and degree of tipping of the unopposed tooth were analysed. There was no significant difference in the extent of overeruption between the unopposed and partially opposed groups. The partially opposed teeth displayed a greater degree of tipping than the unopposed group. There was no significant correlation between the extent of overeruption and the degree of tipping, nor between the extent of overeruption and the presence of partial tooth contact. There was, a significant correlation between the degree of tooth tip and the presence of partial tooth contact. (1) Partial tooth contact does not appear to prevent or reduce overeruption; (2) Partially opposed teeth show an increased degree of tip relative to teeth with complete lack of occlusal contact. The findings suggest that partial tooth contact should not be relied on clinically to maintain vertical tooth position. [source] The effect of three different periodontal pre-treatment procedures on the success of telescopic removable partial denturesJOURNAL OF ORAL REHABILITATION, Issue 4 2003R. Polansky summary, In this prospective study, 120 teeth consisting of maxillary and mandibular canines and premolars were divided into three groups each containing 40 teeth. The teeth were assigned randomly in quadrants to three different periodontal treatment protocols. The first group was treated with professional prophylaxis only. The second group received additional deep scaling. With the third group, additional surgical periodontal flap surgery and scaling was performed. Both papillary bleeding index (PBI) and probing depth (PD) were evaluated before, during and after treatment. During the subsequent prosthetic treatment phase all teeth were then used as telescope abutments supporting a removable prosthesis. The documentation of the attachment level (AL) was then used as a clinical parameter. One year after the incorporation of telescopic removable partial dentures (RPDs), PD, PBI and AL were again evaluated. The resulting periodontal parameters were compared between the different groups using the general linear model (GLM) repeated measures and the Kruskal,Wallis test for non-parametric variables. Differences within the three treatment groups were determined using the t -test, e.g. the Wilcoxon test for dependent variables (P < 0·05). A significant decrease in inflammatory indices (PBI) was found for all types of periodontal treatment (P < 0·03 for all groups). Additionally, the reduction in PD was significant for all of the three groups (P < 0·001 for all groups). The greatest reduction in PD was observed in the group in which a surgical approach was used. Evaluation of the attachment level after the incorporation of the telescopic RPDs showed that tooth position did not influence the periodontal prognosis and that the use of telescopic RPDs exerted no ascertainable negative influence on the periodontium of the abutment teeth. [source] A Restoratively Driven Ridge Categorization, as Determined by Incorporating Ideal Restorative Positions on Radiographic Templates Utilizing Computed Tomography Scan AnalysisCLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH, Issue 4 2009Nicolas Elian DDS ABSTRACT Background: The introduction of implants into the field of dentistry has revolutionized the way we evaluate edentulous ridges. In an attempt to evaluate the deficient edentulous ridge, numerous classification systems have been proposed. Each of these classification systems implements a different approach for evaluating and planning treatment for the ridge deficiency. Purpose: The purpose of the present investigation was to propose a restoratively driven ridge categorization (RDRC) for horizontal ridge deformities based on an ideal implant position as determined through implant simulation, utilizing computed tomography (CT) scan images. Materials and Methods: Radiographic templates were developed to capture the ideal restorative tooth position. Measurements were performed using CT scan software in a cross-sectional view and by virtual placement of a parallel-sided implant with a 3.25-mm diameter. Results: Edentulous ridges were divided into five groupings: Group I, simulated implants with at least 2 mm of facial bone, accounted for 19.4% of ridges; Group II, simulated implant completely surrounded by bone, with less than 2 mm of facial plate thickness, accounted for 10.4% of ridges; Group III, wherein dehiscences are detected but no fenestrations are present, accounted for 33.3% of ridges; Group IV, wherein fenestrations are detected but no dehiscence is present, accounted for 6.3% of ridges; and Group V, wherein both dehiscences and fenestrations are present, accounted for 30.6% of ridges. Conclusion: The use of RDRC indicates that a high number of cases in the maxillary anterior area would require augmentation procedures in order to achieve ideal implant placement and restoration. [source] Limitations of previously published systematic reviews evaluating the outcome of endodontic treatmentINTERNATIONAL ENDODONTIC JOURNAL, Issue 8 2009M-K. Wu Abstract The aim of this work was to identify the limitations of previously published systematic reviews evaluating the outcome of root canal treatment. Traditionally, periapical radiography has been used to assess the outcome of root canal treatment with the absence of a periapical radiolucency being considered a confirmation of a healthy periapex. However, a high percentage of cases confirmed as healthy by radiographs revealed apical periodontitis on cone beam computed tomography (CBCT) and by histology. In teeth, where reduced size of the existing radiolucency was diagnosed by radiographs and considered to represent periapical healing, enlargement of the lesion was frequently confirmed by CBCT. In clinical studies, two additional factors may have further contributed to the overestimation of successful outcomes after root canal treatment: (i) extractions and re-treatments were rarely recorded as failures; and (ii) the recall rate was often lower than 50%. The periapical index (PAI), frequently used for determination of success, was based on radiographic and histological findings in the periapical region of maxillary incisors. The validity of using PAI for all tooth positions might be questionable, as the thickness of the cortical bone and the position of the root tip in relation with the cortex vary with tooth position. In conclusion, the serious limitations of longitudinal clinical studies restrict the correct interpretation of root canal treatment outcomes. Systematic reviews reporting the success rates of root canal treatment without referring to these limitations may mislead readers. The outcomes of root canal treatment should be re-evaluated in long-term longitudinal studies using CBCT and stricter evaluation criteria. [source] Dentition and tooth replacement pattern in Chalcides (Squamata; Scincidae)JOURNAL OF MORPHOLOGY, Issue 2 2003Sidney Delgado Abstract This study was undertaken as a prerequisite to investigations on tooth differentiation in a squamate, the Canarian scincid Chalcides. Our main goal was to determine whether the pattern of tooth replacement, known to be regular in lizards, could be helpful to predict accurately any stage of tooth development. A growth series of 20 laboratory-reared specimens, aged from 0.5 month after birth to about 6 years, was used. The dentition (functional and replacement teeth) was studied from radiographs of jaw quadrants. The number of tooth positions, the tooth number in relation to age and to seasons, and the size of the replacement teeth were recorded. In Chalcides, a single row of pleurodont functional teeth lies at the labial margin of the dentary, premaxillary, and maxillary. Whatever the age of the specimens, 16 tooth positions were recorded, on average, in each quadrant, suggesting that positions are maintained throughout life. Replacement teeth were numerous whatever the age and season, while the number of functional teeth was subject to variation. Symmetry of tooth development was evaluated by comparing teeth two by two from the opposite side in the four jaw quadrants of several specimens. Although the relative size of some replacement teeth fitted perfectly, the symmetry criterion was not reliable to predict the developmental stage of the opposite tooth, whether the pair of teeth compared was left,right or upper,lower. The best fit was found when comparing the size of successive replacement teeth from the front to the back of the jaw. Every replacement tooth that is 40,80% of its definitive size is followed, in the next position on the arcade, by a tooth that is, on average, 20% less developed. Considering teeth in alternate positions (even and odd series), each replacement tooth was a little more developed than the previous, more anterior, one (0.5,20% when the teeth are from 10,40% of their final size). The latter pattern showed that tooth replacement occurred in alternate positions from back to front, forming more or less regular rows (i.e., "Zahnreihen"). In Chalcides, the developmental stage of a replacement tooth in a position p can be accurately predicted provided the developmental stage of the replacement tooth in position p-1 or, to a lesser degree, in position p-2 is known. This finding will be particularly helpful when starting our structural and ultrastructural studies of tooth differentiation in this lizard. J. Morphol. 256:146,159, 2003. © 2003 Wiley-Liss, Inc. [source] Variation in dental wear and tooth loss among known-aged, older ring-tailed lemurs (Lemur catta): a comparison between wild and captive individualsAMERICAN JOURNAL OF PRIMATOLOGY, Issue 11 2010Frank P. Cuozzo Abstract Tooth wear is generally an age-related phenomenon, often assumed to occur at similar rates within populations of primates and other mammals, and has been suggested as a correlate of reduced offspring survival among wild lemurs. Few long-term wild studies have combined detailed study of primate behavior and ecology with dental analyses. Here, we present data on dental wear and tooth loss in older (>10 years old) wild and captive ring-tailed lemurs (Lemur catta). Among older ring-tailed lemurs at the Beza Mahafaly Special Reserve (BMSR), Madagascar (n=6), the percentage of severe dental wear and tooth loss ranges from 6 to 50%. Among these six individuals, the oldest (19 years old) exhibits the second lowest frequency of tooth loss (14%). The majority of captive lemurs at the Indianapolis Zoo (n=7) are older than the oldest BMSR lemur, yet display significantly less overall tooth wear for 19 of 36 tooth positions, with only two individuals exhibiting antemortem tooth loss. Among the captive lemurs, only one lemur (a nearly 29 year old male) has lost more than one tooth. This individual is only missing anterior teeth, in contrast to lemurs at BMSR, where the majority of lost teeth are postcanine teeth associated with processing specific fallback foods. Postcanine teeth also show significantly more overall wear at BMSR than in the captive sample. At BMSR, degree of severe wear and tooth loss varies in same aged, older individuals, likely reflecting differences in microhabitat, and thus the availability and use of different foods. This pattern becomes apparent before "old age," as seen in individuals as young as 7 years. Among the four "older" female lemurs at BMSR, severe wear and/or tooth loss do not predict offspring survival. Am. J. Primatol. 72:1026,1037, 2010. © 2010 Wiley-Liss, Inc. [source] | |||||||||||||