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Propagation of various tooth impacts in the human body.

The purpose of this study was to investigate how far tooth impacts were propagated in the body and whether the propagation would be influenced by posture. The impacts were propagated to all recording sites on the head and neck of the 10 examinees tested. In the recordings on the limbs, even at the most distal site, the number of examinees detecting the vibration was seven out of nine examinees. These results showed that the impacts exerted on the tooth were propagated to distal sites of limbs through the bones and soft tissues and implied that the propagated vibration would influence the whole of the body. On the other hand, as the amplitude of propagated vibration was influenced by posture and recording site, the posture during jaw functioning appears to be important.

Acromion↗

Concrescence of teeth: cemental union between the crown of an impacted tooth and the roots of an erupted tooth.

Concrescence of teeth is a condition showing a union of adjacent teeth by only cementum. In all the previously reported cases, the union has been observed between the roots of the affected teeth. Here, we describe the first case that showed a concrescence of the crown of an impacted tooth and the roots of the erupted tooth. In addition, we discuss how this condition, especially the deposition of acellular cementum on the crown, occurred.

Female↗

Impacted tooth in mandibular fracture line: treatment with closed reduction.

PURPOSE: Most mandibular fractures occur because of blunt trauma. In some cases, the mandible can be weakened by the presence of an unerupted or impacted tooth. The fate of this tooth in the fracture line and its effects on bone healing remain an important outcome event. MATERIALS AND METHODS: In this study, we analyzed the records of 117 patients with a total of 121 fractures having an unerupted tooth remaining in the fracture line who were treated and followed by the Dental Faculty of Ankara University between 1986 and 1996. All were open fractures, and none of the patients had a history of an acute inflammatory episode related to the unerupted tooth before the injury. Intermaxillary fixation was used in all cases. RESULTS: Three of the patients subsequently required open reduction with internal fixation. The unerupted tooth was not extracted in any patient. The fixation was maintained for an average of 45 days and followed up for 3 months. No complications were encountered. CONCLUSION: According to these results, we suggest that asymptomatic impacted teeth in the fracture line of uncomplicated mandible fractures do not cause delayed healing when treated with closed reduction.

Adolescent↗

Extraoral extraction: a very rare surgical approach to tooth impaction. A case report.

Extraoral route of access is usually not considered in surgical extraction of teeth because of technical difficulties and above all because of scar resulting from surgical skin wound healing. Some specific conditions, however, should suggest the use of this kind of access. A case of an impacted transmigrated right mandibular canine in an 18-year-old girl is reported. A CT examination has been carried out to evaluate the anatomy of the impacted toot as well as its relationship with the neighbouring structures. Extraoral surgical technique is then detaily described: skin incision, muscular dissection, ostectomy, tooth extraction and suture. Esthetical result was also reevaluated after 10 years. Advantages and drawbacks of intraoral and extraoral routes of access to mandibular tooth impaction are discussed and all anatomic and topographic factors related to the present impacted canine are examined. In conclusion, it is possible to confirm that extraoral access is indicated when a tooth is superficially impacted, in the molar-premolar region, toward the lingual aspect and near the lower border of the mandible.

Adolescent↗

Computer aided gnathosonic analysis: distinguishing between single and multiple tooth impact sounds.

Watt developed a classification of tooth contact sounds that distinguished between the short sharp, reproducible sounds heard when the teeth meet simultaneously and the dull prolonged, poorly reproducible sounds heard when tooth contacts are sequential. However, when a large occlusal prematurity, for instance a high restoration, is introduced, tooth contact sounds are also short sharp and highly reproducible. In this study, a method of distinguishing single from multiple tooth contact sounds is described, based on an analysis of the phase and amplitude of sounds detected by headphones placed over the ears.

Adult↗

The influence of wisdom tooth impaction on root formation.

UNLABELLED: The development of wisdom teeth occurs within a definite period of time. The correlation of wisdom tooth development and chronological age has been frequently used for several purposes, e. g. the start of orthodontic treatment, estimates of age or, for legal and anthropological purposes. Wisdom teeth are frequently impacted in the bone. It has been argued that the impaction of wisdom teeth can cause a delay in root development. This thesis could have bearing on age estimations in teenagers and young adults and the timing of dental treatment. The aim of this study was to determine whether the impaction of wisdom teeth influences the velocity of root formation. MATERIAL AND METHODS: The dental x-rays (orthopantomograms) of 1053 outpatients were evaluated (age: 14 to 24 years). The condition "impacted" or "not impacted" was registered for each wisdom tooth present. The impaction types were further classified. The data were then calculated using statistical tools. RESULTS: The correlation between the developmental stages of wisdom teeth and the chronological age is high. However, neither any impaction type nor the whole group of retained wisdom teeth showed a statistically significant different course of root development compared to the root development of non-retained wisdom teeth. DISCUSSION: This study provides evidence for the lack of bearing of wisdom teeth topography on the growth stages of the dental roots within definite time intervals, based on the evaluation of orthopantomograms only. Obviously, the variations of root formation in the selected chronological periods are greater than the variations attributable to possible periods of delay in root formation of retained wisdom teeth. These results could have some importance for the fields of dental anthropology and dentistry.

Humans↗