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At least 217 records · Page 12Linked to original sources

Occlusal abnormalities, pericranial muscle and joint tenderness and tooth wear in a group of migraine patients.

Seventy-two migraine sufferers, whose attacks normally begin during or soon after waking from sleep, were compared with 37 age- and sex-matched controls to establish whether signs of mandibular dysfunction, occlusal discrepancies and known clenching or grinding habits were any more frequent among the former group. Temporomandibular joint tenderness or pain history, masticatory muscle tenderness and known clenching or grinding habits were found to occur at significantly increased levels in the migraine sufferers, with two-thirds of these patients reporting a parafunctional habit. Occlusal abnormalities, including non-working side or protrusive interferences and slides of greater than 1 mm to the intercuspal position, were found to occur at similar frequencies in the two groups. Assessment of wear of the occlusal surfaces also showed no difference, suggesting that any nocturnal habit with a role in migraine is more likely to be clenching in nature. In conclusion, evidence was found to support an aetiological role for nocturnal tooth clenching or grinding in migraine characterized by attacks that start predominantly during sleep or soon after waking, but no evidence of a link with occlusal factors was found in these patients.

Adolescent↗

Longitudinal relationship between incisal occlusion and incisal tooth wear.

The purpose of the study was to evaluate the longitudinal relationship between incisal wear of central incisors and the size of vertical overbite (OB) and horizontal overjet (OJ). Stone casts of 51 subjects were used for the determinations. Casts were obtained when the subjects were 15 and 27 years old. Statistical analysis was performed with the t test for paired samples, the chi-square test of association. Pearson's product moment correlation coefficient, and Spearman's rank correlation coefficient. Both overbite and overjet diminished after 12 years, and incisal wear increased. It was concluded that increase in age, incisal wear, vertical overbite and incisal occlusion (OB/OJ) are clinical predictors of wear of maxillary and mandibular central incisors in adolescents.

Adolescent↗

Prevention. Part 3: prevention of tooth wear.

Non-carious destruction of teeth has been observed in archaeological material from various parts of the world and clearly pre-dates the first appearance of dental caries. Attrition, abrasion and erosion are also described in the classic text of Pindborg on the pathology of the dental hard tissues. Whilst the dental profession, at least in affluent parts of the world, was engaged in diagnosing, treating and later preventing dental caries these other causes of tooth destruction were largely ignored.

Humans↗

Tooth wear in maxillary anterior teeth from 14 to 23 years of age.

Using a planimetric method, the size of horizontal wear facets on maxillary anterior teeth was studied longitudinally in the permanent dentition of 35 subjects at ages 14, 18, and 23?years. The study subjects had not previously undergone any orthodontic treatment and had Class I occlusion. We studied the association between the amount of wear and reported parafunctions and maximal bite force. Total wear areas in age groups 14, 18, and 23 years were 29.5 mm2 (SD 11.4), 39.1 mm2 (SD 12.7), and 45.0 mm2 (SD 13.0), respectively. The total wear area increased significantly both from 14 to 18 years of age and from 18 to 23 years of age (p <0.0001). Between 18 and 23?years of age, the maxillary canines showed strongest wear, although the central incisors had largest wear facets. It can be concluded that wear of permanent anterior teeth is a continuous phenomenon in adolescence and young adulthood.

Adolescent↗

A 2-year follow-up study of incisal tooth wear in dental students.

This report was derived from cross-sectional and longitudinal analyses of prevalence, pattern, and severity of incisal wear in 64 dental students who had virtually complete dentitions at the first examination and unchanged dentitions at the re-examination. They were first examined in 1991 and re-examined after 24 months in 1993. The average age of the students in 1991 was 23 +/- 1.7 years. Assessment of incisal wear was made on stone casts based on silicone impression material in accordance with the Incisal wear Index (IwI). The results showed that the prevalence of incisal wear had not changed during the observation period. The severity of incisal wear for maxillary and mandibular central and lateral incisors had remained essentially the same, whereas the severity of wear of maxillary and mandibular canines had increased during the observation period. There was no statistically significant relationship between age and IwI. The wear pattern found for anterior teeth is discussed in relation to the cuspid protection and the group function theories of occlusion.

Adult↗

Form and patterning of anterior tooth wear among aboriginal human groups.

Form and severity of dental attrition was assessed in aboriginal human groups including hunter-gatherers (Eskimos, Australians) and those with dependence to a varying degree on food production (Southwest U.S. and Ohio American Indians). Wear on anterior teeth was both relatively and absolutely greater in the hunter-gatherers, as indicated by comparisons of wear on anterior and posterior teeth which come into occlusion at roughly the same time. Distinct differences in form of anterior wear were also apparent: The hunter-gatherers exhibited steadily increasing incidences of labially rounded wear with greater functional age, while the food-producing groups showed little or no rounding but instead high frequencies of heavily cupped wear (especially in those with premature loss of posterior teeth). These differences were attributed to nonmasticatory utilization of the front teeth in hunter-gatherers and to employment of the anterior teeth in masticatory (grinding) activities necessitated by large-scale molar loss in food producers.

Age Factors↗

Differences in interproximal and occlusal tooth wear among prehistoric Tennessee Indians: implications for masticatory function.

Breadth of the interproximal wear facet between lower P2 and M1 and between lower M1 and M2 was measured in human skeletal samples representing the Archaic, Woodland, and Mississippian periods of Tennessee River Valley prehistory, with the aim of assessing relative magnitudes of applied masticatory forces. When stratified by level of occlusal wear, mean interproximal facet breadth was consistently larger in the Archaic sample than in the Mississippi sample, with the Woodland sample intermediate. An analysis of covariance demonstrated that there was significant (p less than or equal to 0.01) differences in facet size among the three groups even when differencs in crown breadth were taken into account. Similar results were obtained in regressions of facet size on chronological age (Archaic larger than Mississippian at P less than or equal to 0.01). Since rate of occlusal wear appears to be somewhat greater in the Archaic sample than in the later samples, the differences in interproximal wear are probably underestimated. It is suggested that the high levels of interproximal wear in the Archaic are indicative of the large occlusal forces and repetitive chewing required to masticate a diet of seeds, wild plant foods, and small animals, for which prior preparation (e.g., grinding, cooking) was minimal or nonexistent (as indicated by paleofecal samples). The lower amounts of interproximal wear observed in the Woodland and Mississippian samples imply considerable reductions in strenous mastication, perhaps due to the widespread adoption during these period of pottery and the earth oven, together with ethnographically-documented techniques of food preparation that transformed most foods to a soft consistency.

Adolescent↗

Craniofacial morphology, occlusal traits, and bite force in persons with advanced occlusal tooth wear.

The aim of this study was to investigate the dentofacial structure, the occlusal traits, and the bite force in subjects with advanced occlusal wear. The material comprised 54 adults, 30 men (mean = 40 years, range 16 to 61) and 24 women (mean = 28 years, range 18 to 47), most of whom had a full or near-full complement of natural teeth, and the presence of occlusal wear. Craniofacial structure was studied on lateral cephalograms. Occlusal traits were examined on study casts, these serving also for an evaluation of occlusal wear to be carried out by using an ordinal scale. Bite forces were recorded at differing force levels (maximum biting, "biting as when chewing" and "light biting") and occlusal positions. Although maximum bite force and endurance time did not differ significantly between men and women, the level of bite force was high compared with other samples. The craniofacial structure of the sample was characterized by a deviation in the vertical direction, a small angle between the mandibular-palatal planes and a small gonial angle, as compared with Swedish adult norms. No significant differences were found in anteroposterior relationships between persons with advanced wear and normal standards. The results support the hypothesis that functional hyperactivity of the masticatory system imposed increased stress on the bony structures of the craniofacial complex with possible influences on its structure.

Adolescent↗