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At least 433 records · Page 24Linked to original sources

Autofluorescence of bulk sound and in vitro demineralized human root dentin.

The aim of this paper is to report on the demineralization-induced changes in dentin autofluorescence. Confocal laser scanning microscopy (CLSM) images and fluorescence excitation and emission spectra in vitro demineralized root surfaces and sound controls on the same tooth roots were compared. When observed in CLSM images, demineralized dentin, excited at 488 nm, gave an increased emission at 529 nm compared to sound dentin. The difference in fluorescence decreased deeper into the root, as the sound dentin underneath the lesion was reached. In contrast, when using fluorescence spectrophotometry, excitation around 460 and 488 nm yielded a lower emission around 520 nm for demineralized dentin than for sound dentin, but in a more pronounced peak. From excitation spectra for emission around 520 nm, it could be seen that in demineralized dentin the contribution of excitation between 480 and 520 nm was more important than in sound dentin. The recorded fluorescence in CLSM images was not affected by demineralization-caused changes in scattering and absorption properties, due to the small measurement volume. Thus, the increased fluorescence for demineralized dentin implies an increased quantum yield. In fluorescence spectrophotometry, where the measurement volume is large, changes in scattering and absorption do have an influence on the fluorescence signal. Then, increased absorption by non-fluorescing chromophores and increased re-absorption around the emission wavelength may compensate for the increase in quantum yield and absorption around the excitation wavelength by fluorophores.

Absorption↗

A variation of the endosseous blade-vent implant.

This study demonstrates that it is possible to use a section of tooth root to achieve a connective tissue barrier to oral epithelium and oral bacteria. It appears that the reattachment gained is very susceptible to periodontal disease and that small amounts of plaque may be more than the attached tissue can tolerate.

Alveolar Process↗

Periodontal ligament cell culture on the hydrophobic substrate coated with proteins of periodontal ligament fibroblast-conditioned medium.

In regenerating periodontal ligament (PDL) around the root of an artificial tooth, an important role is played by some physiologically active substance that promotes adhesion of the cells to the surface of the tooth root and induces cell proliferation and differentiation. In this study, the supernatant of the conditioned medium (CM) of dog periodontal ligament fibroblast (DPLF) was fractionated using an ion exchange chromatography-diethylaminoethyl (IEC-DEAE) column. DPLFs were cultured on hydrophobic dishes coated with each fraction. Cell proliferative activity and alkaline phosphatase (ALPase) activity, including electron microscopic features of the contact surface between the cells and the dish, were investigated. The DPLF-CM was separated by IEC-DEAE column into six fractions. Each fraction promoted an increase in DNA content and ALPase activity of the cultured DPLF, and especially remarkable were fractions 2 and 3. Fraction 2 at a molecular weight (Mw) of 210, 160, 85, 50 and 22 kD, and fraction 3 at Mw = 21 and 23 kD contained the type of proteins not found in other fractions. Electron microscopic analysis revealed that the cells in the coating group were in close contact with the surface of the dishes and that fine fibers protruding from the cell membrane clinged to the dishes. In the control group, a wide gap between the cells and the dishes was observed. These findings suggest that the DPLF-CM fractions contain specific physiological activating factors that induce proliferation and differentiation as well as cell adhesion of the DPLF cells.

Alkaline Phosphatase↗

Endocytosis in odontoclasts and osteoclasts using microperoxidase as a tracer.

Microperoxidase (MP, a peptide tracer) was intravenously injected into rats after six days of tooth movement by the Waldo method. Bone resorption was seen along the distal bone surface of the inter-radicular septum of the upper first molar, and tooth root resorption occurred along the mesial and distal surfaces of the distal root of the same molar. Odontoclasts were smaller in size and numbers than osteoclasts, but had the same organelles [multiple nuclei, ruffled borders (RB), clear zones, vacuoles, mitochondria, and specific granules] as osteoclasts. MP was deposited on the resorbed area through the clear zone and was transported into the vacuoles along the channels of the RB. The uptake of MP by odontoclasts was small, compared with that by osteoclasts. Collagen fibrils were found in the channels of the RB but were not detected in the vacuoles. Instead, filament-like structures were seen in the vacuoles and were located very near the collagen fibrils in the channels. Fibroblasts outside the resorbed lacunae had endocytosed collagen. In contrast, some cells close to odontoclasts (osteoclasts) in the dentin (bone)-resorbed lacunae had not endocytosed any collagen fibrils. These findings suggest (1) that odontoclasts resorb the dentin or cementum just as osteoclasts do in bone resorption, (2) that the resorbed area connects with the extracellular spaces of the odontoclasts or osteoclasts, and (3) that the organic components (e.g., collagen fibrils) of dentin or cementum are endocytosed through the channels of the RB in the same manner as that for MP. However, the endocytotic ability of odontoclasts appears inferior to that of osteoclasts.

Animals↗

[The clinico-anatomical characteristics of the dental arches as an objective method for assessing periodontal reserve force].

A method for the assessment of the reserve force of the periodontium is described, based on the estimation of the tooth root square size, degree of well atrophy, and tooth mobility. Periodontal strength coefficient was derived and a table, based on this coefficient, plotted. This coefficient and the table were used to assess the periodontal status of the remaining teeth when planning orthodontic treatment and to predict the immediate and late results of treatment.

Alveolar Process↗

Prosthetically formulated natural aesthetics in implant prostheses.

The discrepancy in the anatomic dimensions between an endosteal root-form dental implant and the root of a natural tooth can compromise the aesthetic appearance of the final restoration. For the past five years the authors have used an abutment system, the components of which are designed to enable the clinician to achieve a predictable aesthetic result. This article describes and illustrates the anatomic abutment system (AAS). Until recently, the restoration usually began at the gingival line where a cylindrical implant emerged to be restored with a noncylindrical prosthesis. The new system uses components which compensate for the difference between the diameter of the natural tooth root and the endosteal implant. The importance of teamwork is emphasized, and a step-by-step procedure is presented, indicating which steps are performed by the combined team and which are the responsibility of the laboratory or the restorative dentist. The learning objective of this article is to introduce this system to the reader.

Dental Abutments↗

Morphologic changes following in vitro CO2 laser treatment of calculus-ladened root surfaces.

BACKGROUND AND OBJECTIVE: The purpose of this study was to compare morphologic changes following C02 laser or manual curette treatment of calculus-ladened tooth root surfaces. STUDY DESIGN/MATERIALS AND METHODS: Laser treatment consisted of repeated single passes with a 6 Watt focused beam at 20 pulses per second, a pulse length of 0.01 second, and a manufacturer's laser efficiency rating of 86% (i.e., the amount of total power delivered through the aperture). The rate of beam passage over the target surface was controlled at 4 mm/second using an 0.8 mm diameter tip. The calculated energy density was 240 J/cm2 for each pass of the beam. Scaled and root planed surfaces were treated with a standardized force of 600 grams using new curettes. Specimens were evaluated by scanning electron microscopy. RESULTS: Laser-induced surface changes included charring, meltdown and resolidification of calculus mineral, and ablation of microbial plaque. Laser-treated specimens also exhibited residual calculus and microbial plaque deposits in areas directly adjacent to the beam path. Scaled and root planed surfaces featured smooth and/or scale like smear layers and islands of residual calculus and microbial plaque. CONCLUSIONS: The rough surface topography resulting from laser treatment and residual calculus and microbial plaque deposits indicates that C02 laser treatment of exposed root surfaces is, at best, an adjunct to traditional methods of therapy.

Dental Calculus↗

[Theoretical and clinical prerequisites for the use of fragments of molar roots as abutment for dentures].

Experimental and clinical studies confirmed the possibility of using fragments of a multi-root tooth as abutment tooth for a bridge denture. When planning orthodontic treatment, choosing the abutment teeth, designing the denture, and treating the patient the orthodontist should be able to use the information on the maximum allowable loading of the fragments of resected teeth. A positive factor in utilization of the remaining tooth fragment is the ratio of clinical crown and root length, which should be inversely proportional. The study showed that retention of the morphofunctional integrity of dentition is possible when using dentures ensuring the optimum regulation stress (no higher than physiologically tolerable) in abutment tissues. Analysis of remote clinical and X-ray data showed normalization of the periodontal function of tooth fragments after tooth-sparing operations in cases when the patients were fitted with prostheses with consideration for theoretically valid methods for estimation of reserve force.

Adolescent↗

Studies on dental erosion: an in vitro model of root surface erosion.

Most research on dental erosion has focused on erosion in enamel. However, the increasing retention of teeth into old age has increased the potential for root surface erosion. The nature and kinetics of root surface erosion have not yet been adequately explored. The objective of this project was to develop an in vitro model of root surface erosion in order to investigate the polarised light microscopy of controlled erosion and the histology and rate of demineralisation of this process in root cementum/dentine. The results demonstrate a process quite different in outcome from that in enamel erosion. Erosion results in loss of volume of enamel. However, it leaves a root surface softened though with little volume loss so long as the demineralised collagen remains hydrated. The polarised light histology was similar to that seen in root surface caries. The rate of erosive demineralisation of tooth roots by selected acids was investigated, with differing rates of demineralisation similar to that seen in enamel erosion observed. The process of erosion showed evidence of significant diffusion control.

Acetic Acid↗

RME-induced root resorption and repair: a computerised 3-D reconstruction.

This study was designed to evaluate the 3-D relation of epithelial rests of Malassez (ERM) to orthodontically induced resorption lacunae in human tooth roots. First premolars were extracted following rapid maxillary expansion, then they were prepared for transmission electron microscopy and sectioned. Serial 1 micron sections were used for the 3-D reconstructions and ultra thin sections were utilized to verify the identification of epithelial cells and blood vessel types. Each serial section was photographed and profiles of the resorption bays, epithelial cells and blood vessels were digitized and computer reconstructions performed with an IBM-based software programme. The reconstructions supported the view that epithelial cell and blood vessel relation to the resorption lacunae appeared to be related to the level of activity of the bay. Possible functional roles for epithelial cells in the resorptive process are discussed.

Adolescent↗

Case report: Evaluation of supernumerary teeth with computerized tomography.

Radiographs play an important role in assessment of both the location and the typing of supernumerary teeth. In general, periapical, occlusal, and/or panoramic radiographs are sufficient for providing the information required by the clinician. These modalities, however, do not provide detailed information concerning the 3-dimensional relationship between supernumerary or ectopically impacted teeth and adjacent structures. This case report discusses the value of computerized tomography (CT) for evaluation of the root relationships of supernumerary teeth located palatally to maxillary permanent central incisors. CT accurately demonstrated the relationship between the supernumerary teeth and the permanent tooth roots.

Adolescent↗

Supernumerary roots.

Supernumerary roots are one of the development anomalies pertaining to the tooth root morphology. It is generally well known that the deciduous and permanent anterior teeth have a single root. Maxillary molars have three roots and mandibular molars have two roots. Pertaining to the premolars, except for the maxillary first premolars all other premolars have a single roots. These supernumerary roots may be due to the disturbances of the Hertwig's epithelial root sheath forming the root. Cases have been reported where in both the deciduous and permanent dentition exhibiting supernumerary roots. Here with we are presenting cases of supernumerary roots in permanent teeth involving maxillary third molars, mandibular first, second molars and mandibular second premolars.

Adolescent↗