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Cleidocranial dysplasia: a light microscope, electron microscope, and crystallographic study.

An unusual case of cleidocranial dysplasia associated with more than 60 unerupted teeth is presented and examined with light and scanning electron microscopes and crystallographic techniques. The present case revealed pseudoprognathism with facial asymmetry, the right side being larger than the left. The extracted teeth showed enamel hypoplasia in light and scanning electron microscopy, yet the crystalline composition did not differ from that of the normal teeth. The potential causes of lack of eruption and supernumerary tooth formation in cleidocranial dysplasia are discussed.

Adult↗

Inflammatory follicular cyst associated with an endodontically treated primary molar: a case report.

This is a case study of an inflammatory follicular cyst associated with an endodontically treated deciduous molar with radiographic and microscopic diagnosis. This cystic lesion represents a typical follicular cyst that arose in association with periapical inflammation from a non-vital deciduous molar and involved the follicle of the unerupted successor premolar. This paper describes the case and discusses diagnosis, histogenesis, and controversies regarding terminology.

Abscess↗

Preeruptive intracoronal radiolucencies: review and report of case.

Intracoronal radiolucencies in unerupted teeth are an uncommon radiographic finding; but their early detection and classification allow the most appropriate management protocol to be developed. Early separation of lesions into those that are developmental and remain static and those that are reactive and aggressive is necessary for a controlled outcome. The current paper reviews possible formative mechanisms and describes a case of severe intracoronal resorption resulting in loss of the tooth.

Child↗

Experimental fractures of monkey mandibles.

Forty vervet monkey half mandibles, 20 with unerupted third molars and 20 with erupted third molars, were partially embedded in acrylic and loaded in an Instron tensiometer. Mandibles with unerupted third molars fractured at 15.8 +/- 2.5 kg while those having erupted third molars fractured at 26.4 +/- 4.2 kg. Mandibles having unerupted third molars were shown to be significantly weaker than the mandibles with erupted third molar (t = 8.45, P less than 0.001).

Animals↗

Complex odontoma: report of case.

This is a case report of a six-year-old boy with a complex odontoma, associated with an unerupted central incisor with a hypoplastic defect in the enamel and a malocclusion. Expedient removal provided an unobstructed path for the eruption of the central incisor.

Child↗

Abnormal dentition and decrease in body weight in the genetically obese mouse (genotype, ob/ob).

Loss of body weight accompanied by cannibalism occurred in obese mice (genotype, ob/ob) at seven months of age. The onset was sudden. The animals had accompanying abnormalities of their incisor teeth. Some upper incisor teeth had no erupted part. The unerupted part of all the incisor teeth showed ridged thickening. Body weight loss was prevented by grinding the pelleted food to a powder. Possible causes of the teeth abnormalities are discussed.

Animal Feed↗

Impacted mandibular third molars in a hospital.

A 6-month clinical and radiographical survey was done on 210 patients consulting the hospital for management of impacted third molars. A majority (37%) consulted for pain secondary to a carious lesion but waited 1 week (21%) from the onset of symptoms until consultation. Ninety-one percent of third molars were partially erupted, while 9% were unerupted. Two hundred thirty third molars from 166 patients were included in the radiographic survey showing the highest occurrence of the Class 2 position A (49%) and the mesioangular orientation (48%).

Adolescent↗

Age as a factor in the complication rate after removal of unerupted/impacted third molars at the time of mandibular sagittal split osteotomy.

PURPOSE: This study was designed to investigate the effect that the presence of an unerupted third molar has on the mandibular sagittal split osteotomy (SSO). PATIENTS AND METHODS: One operator performed 139 SSOs (70 right side and 69 left side) in 70 patients during a period of 6 months. Data related to gender, age, presence or absence of unerupted third molar teeth, split difficulty during SSO, fracture complications of the segment, neurovascular bundle involvement at surgery, removal of unerupted third molar teeth, and the postoperative recovery of nerve function were recorded. RESULTS: The SSOs evaluated as technically difficult were significantly more prevalent in mandibles with unerupted third molar teeth. All fractures (4) occurred in the younger age group (<20 years) with unerupted third molars present at the time of surgery. Although inferior alveolar nerve recovery was slower in the patients in whom the unerupted third molar teeth were present at the time of surgery due to increased frequency of neurovascular bundle manipulation, the recovery rates at 1 year were equal. CONCLUSIONS: The presence of unerupted third molar teeth increases the degree of difficulty of the SSO. Fracture of proximal and/or distal segments during SSO tend to occur more frequently in the younger age group (<20 years) with an unerupted third molar present.

Adolescent↗

An unusual type of cilium.

The connective tissue cells of the dentinal pulp of unerupted dog teeth possess occasional cilia. Internally there are 4 to 8 peripheral doublets and one central doublet. Nine peripheral doublets are observed only close to or near the basal body.

Animals↗

Radiographic localization of unerupted maxillary anterior teeth using the vertical tube shift technique: the history and application of the method with some case reports.

The preferred means of radiographic localization is the parallax method introduced by Clark in 1910. He used 2 periapical radiographs and shifted the tube in the horizontal plane. In 1952, Richards appreciated that a vertical tube shift could also be carried out. No major changes then occurred in the technique until Keur, in Australia, in 1986 replaced the periapical radiographs with occlusal radiographs. This modification enables a greater tube movement and therefore a greater shift of the image of the impacted tooth; it also ensures that the whole of the tooth is captured on the radiograph. For the vertical tube shift, Keur introduced the use of a rotational panoramic radiograph with an occlusal radiograph. In 1987, Southall and Gravely discussed this vertical tube shift combination in the English dental literature, and it is now the preferred combination of radiographs for localizing impacted maxillary anterior teeth. Jacobs introduced this method to the American literature in 1999, but it has yet to gain acceptance in the continental European literature. Jacobs recommended, when using this combination, to routinely increase the vertical angulation for the occlusal radiograph by 10 degrees to achieve a greater image shift. Four case reports are presented in this article. Three have photographs taken at surgical exposure to illustrate how the position of the impacted tooth can be accurately predicted by appropriate interpretation of the radiographs.

Adolescent↗

Ectopic movement of an unerupted mandibular canine.

A case history has been given with the radiographic evidence of the migration, during development of an unerupted mandibular canine from its normal position. In a 30-month period the canine assumed a horizontal position and moved to a site that was apical to the mandibular incisors, still in the confines of the cortical plates. Because erratic movements of unerupted teeth cannot be anticipated, it would seem wise to defer the elective removal of permanent teeth during the mixed dentition stage until the clinician is assured of a normal eruption pattern of the succedaneous teeth.

Child↗

Unerupted second primary molars: report of two cases.

Two cases with an unerupted primary left mandibular second molar are described. second premolar was congenitally missing, in the other the unerupted primary molar was positioned inferiorly and lingually to its permanent successor. Unerupted primary molars should be extracted, but the time of extraction should be defined carefully by taking into consideration the development of the succedaneous premolar and the space relations in the permanent dentition.

Anodontia↗

The prevalence of pre-eruptive dentin radiolucencies in the permanent dentition.

PURPOSE: Although intracoronal radiolucencies in radiographs of unerupted teeth have been reported for several decades, the prevalence of this condition remains unknown. This study determined the prevalence and associated dental conditions of permanent teeth showing pre-eruptive dentin radiolucencies in bite-wing radiographs of school children attending two school dental therapy training centers. METHODS: There were 1959 subjects (934 males and 1025 females), each providing a set of bite-wing radiographs which showed the crowns of unerupted permanent teeth. The mean age of the children at radiographic exposure was 7.8 +/- 1.79 years of age. RESULTS: 126 (6%) of subjects had radiolucencies in the crowns of pre-eruptive permanent teeth. Of the 9919 teeth viewed on the radiographs, 163 (2%) were affected. There were no significant racial and gender differences in the prevalence of the defects. Of the 126 subjects with dentin radiolucencies, 93 (74%) had only 1 affected tooth compared with 31 (25%) who had two teeth affected, and 2 (2%) who had 3 affected teeth. CONCLUSIONS: Within each tooth type, the highest tooth prevalence was found in the mandibular first molar (4%), followed by the mandibular first premolar (2%), the mandibular second molar (1%), mandibular second premolar (1%), maxillary first molar (1%), maxillary first premolar (1%), and maxillary second premolar (0.2%). In addition, the group with dentin radiolucencies had a high prevalence of ectopically-positioned teeth of 14% compared with only 2% in the group without the defect, suggesting that ectopic position may predispose a tooth to pre-eruptive radiolucent defects. Other common developmental and acquired dental conditions were also examined, but no significant differences were noted between groups with and without the pre-eruptive dentin radiolucencies.

Adolescent↗

Dentoalveolar and skeletal changes associated with the pendulum appliance.

The purpose of the study was to examine the dentoalveolar and skeletal effects of the pendulum appliance in Class II patients at varying stages of dental development and with varying facial patterns (high, neutral, and low mandibular plane angles). Specifically, the amount and nature of the "distalization" of the maxillary first molars and the reciprocal effects on the anchoring maxillary first premolars and incisors were studied, as were skeletal changes in the sagittal and vertical dimensions of the face. Pretreatment and posttreatment cephalometric radiographs obtained from 13 practitioners were used to document the treatment of 101 patients (45 boys and 56 girls). The average maxillary first molar distalization was 5.7 mm, with a distal tipping of 10.6 degrees. The anchoring anterior teeth moved mesially, as indicated by the 1.8-mm anterior movement of the upper first premolars, with a mesial tipping of 1.5 degrees. The maxillary first molars intruded 0.7 mm, and the first premolars extruded 1.0 mm. Lower anterior facial height increased 2.2 mm; there was no significant difference in lower anterior facial height increase between patients of high, neutral, or low mandibular plane angles. In patients with erupted maxillary second molars, there was a slightly greater increase in lower anterior face height and in the mandibular plane angle and a slightly greater decrease in overbite in comparison to patients with unerupted second molars. Similar findings were observed in patients with second premolar anchorage versus those with second deciduous molar anchorage. The results of this study suggest that the pendulum appliance is effective in moving maxillary molars posteriorly during orthodontic treatment. For maximum maxillary first molar distalization with minimal increase in lower anterior facial height, this appliance is used most effectively in patients with deciduous maxillary second molars for anchorage and unerupted permanent maxillary second molars, although significant bite opening was not a concern in any patient in this study.

Activator Appliances↗

On nerves and teeth in the lower jaw of the cichlid Tilapia mariae.

The anatomy of the teeth and tooth-related nerves in the lower jaw was examined in the cichlid Tilapia mariae. This was done in order to establish a basis for studies on dental neuroplasticity in a polyphyodont vertebrate. The region of interest was explored in specimens fixed by glutaraldehyde perfusion, and by using X-ray photography, maceration, scanning electron microscopy, gross dissection, and light microscopic examination of serial sections. The results show that the lower jaw carries some 60-65 functional teeth. In addition, numerous replacement teeth and tooth germs in various stages of development are located in a cavity in the dentary bone. Numerous nerve bundles are present in immediate relation to the dental follicles of tooth germs. Unerupted teeth do not contain light-microscopically discernible pulpal axons, but the pulps of functional teeth contain myelinated axons. Both perifollicular and pulpal nerve bundles derive from a nerve plexus, which is formed by branches from r. mandibularis trigemini. This nerve is easily accessible to experimental manipulation, where it courses through the adductor mandibulae muscular complex. Thus, the lower jaw of T. mariae seems to represent a suitable system for the study of tooth-nerve interactions in a polyphyodont species.

Animals↗