PubMed · 5286753
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I Hennis. 1971. [Histologic studies on supernumerary teeth].. https://pubmed.ncbi.nlm.nih.gov/5286753/
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Concrescence represents an uncommon developmental anomaly in which juxtaposed teeth are united in the cementum but not in the dentin. The incidence of concrescent teeth is reported to be highest in the posterior maxilla. The presence of concrescent teeth may influence surgical procedures as well as periodontal, endodontic and even orthodontic diagnoses and treatment. Therefore, consideration should be given to the possible occurrence, recognition, and implications of this anomaly in diagnosis and treatment planning. The purpose of this article is to report a case of concrescence between an impacted third molar and an erupted second molar that was identified postextraction.
OBJECTIVE: To investigate the effect of removing EDTA-soluble phosphate protein in dentin on the later remineralization for the purpose of better understanding of mechanism of dentin phosphate proteins on dentin mineralization. METHODS: To remove soluble phosphate protein by EDTA dissolution, then the remineralization rate was monitored by a constant composition crystal growth technique. The results were compared with those from the normal dentin and the dentin partially demineralized by acetic acid. RESULTS: Faster remineralization rates were found with dentin demineralized by EDTA (0.5 and 2 h) compared with normal dentin powder, while a slower rate was found with dentin demineralized by acetic acid. The increase of remineralization rate by removing phosphate protein from dentin was 100% more at 200 min after the start of the reaction. CONCLUSION: EDTA-soluble phosphate protein in dentin has a great potential to inhibit remineralization.
BACKGROUND AND OBJECTIVES: To investigate the morphology of cementum and root dentin after Er:YAG laser irradiation with and without water coolant, compared to that after CO(2) laser irradiation and an untreated surface. STUDY DESIGN/MATERIALS AND METHODS: Ten extracted healthy human teeth were used. Er:YAG and CO(2) lasers were applied with energy outputs of 0.4 W, with and without coolant and 0.5 W, without coolant, respectively. Scanning electron microscopy (SEM) analysis was performed at high and ultra-high magnifications. RESULTS: The surface of cementum was micro-irregular with numerous projections while that of dentin appeared scaly after Er:YAG laser irradiation. Unlike after CO(2) laser treatment, no major melting or cracking was observed with Er:YAG laser treatment. The use of water spray produced fine micro-irregularities without attached debris. Ultra-high magnification revealed similar microparticles-composed aspects for both cementum and dentin. However, the more porous structure of the surface was observed after Er:YAG laser irradiation without water spray. CONCLUSIONS: Cementum and root dentin presented distinct micro-roughness after Er:YAG laser irradiation, possibly due to structural differences in the original tissue. However, under ultra-high magnifications, both cementum and dentin presented similar characteristics of the irradiated surface. In addition, the use of water spray during laser irradiation minimized thermal effects and resulted in a cleaner and less porous surface.