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At least 55 records · Page 3Linked to original sources

Upper anterior tooth mobility. Selected associations in untreated periodontitis.

The relationship between buccolingual tooth mobility (TM) and other clinical parameters was studied in 124 upper anterior teeth in 21 patients with untreated periodontitis. Periapical long-cone radiographs were available for 74 teeth in the same population. TM was measured with Mühlemann's macroperiodontometer. Probing depths, attachment levels and bleeding were measured with a constant force probe. Bone levels were estimated from radiographs. Presence of occlusal contact was noted in the intercuspal position and excursive movements of the mandible. Attachment levels showed the highest correlation with TM, and radiographically estimated bone support was the next highest. Results varied according to tooth type: the attachment level of the lateral incisors showed the highest correlation with TM, while probing depths and proximal bone support showed lower associations with TM in all cases. In this population, no association was detected between the presence of occlusal contact and TM, or between inflammation and TM. Multiple and partial correlation analysis indicated that probing attachment level was the most important correlate of tooth mobility.

Adult↗

Occlusal interference during mastication can cause pathological tooth mobility.

BACKGROUND AND OBJECTIVE: Despite little evidence regarding the relationship between tooth mobility and nonworking contact, the evaluation of occlusion is performed mainly by the detection of premature and/or nonworking contacts during tapping movements and lateral excursion. The hypothesis of this study is that occlusal contact during mastication is potentially traumatic to periodontal tissue. It clarifies the relationship between chewing patterns and the status of periodontal tissue. MATERIAL AND METHODS: Subjects included 73 adults, 20-29 years of age (39 men and 34 women), with complete sets of teeth and no history of orthodontic treatment or periodontal disease. The closing chewing patterns of each subject were classified into three groups by the Masticatory Deviation Index, which depicts the deviation from the normal chewing patterns within 5 mm from the intercuspal position. Periotest was used to diagnose teeth mobility and the values were compared among the three groups. RESULTS: The present study indicates that the chewing movements which deviated from the normal chewing movements increased the mobility of specific types of teeth. CONCLUSION: The results of this study imply a relationship between chewing movements and tooth mobility and indicate that functional evaluation of occlusion is necessary for the examination of periodontal tissue. Occlusal evaluation with border and tapping movements might be insufficient, and functional occlusal evaluation during chewing movements can be clinically useful for using to evaluate periodontal tissue.

Adult↗

Selection of retainers in lower overlay denture-in relation to the abutment tooth mobility--(a laboratory study).

This study was done to evaluate the art of retaining the lower sub/complete, overlay denture, in relation to the abutment tooth mobility while the force was applied to the denture. The lower overlay denture was placed on a simulated model which was constructed of methylmethacrylate and silicone rubber. The author developed and used the special devices for measuring the tooth mobility. Results obtained were as follows: 1. When a force is applied directly to the abutment, the tooth mobility, i.e. the lateral excursion of the tooth, is markedly reduced according to the favorable ratio of the clinical crown to the root length. Splinting by the bar is effective to reduce the lateral excursion. 2. When a force is applied to the denture indirectly to the abutment tooth, the lateral excursion changes greatly according to the retainer selected. 3. The clasp retainer shows the greatest change in the lateral excursion against every loading on the denture. 4. All three types of bar attachment show the least value of lateral excursion.

Dental Abutments↗

The effect of splinting on tooth mobility. I. During initial therapy.

The purpose of this study was to assess whether fixed splinting aided in the reduction of posterior tooth mobility during initial therapy. A "split-mouth" approach was used in order to compare splinted segments with similar unsplinted segments. Seven patients were selected, all of whom demonstrated chronic destructive periodontitis and mobile teeth. Initial therapy, consisting of oral hygiene instruction, root curettage and occlusal adjustment, was performed over a 2-week period. At the time of initial therapy, teeth in contralateral segments were splinted with an intracoronal wire-and-acrylic splint. Tooth mobility and gingival inflammation were recorded in all four segments every 3 weeks for a 15-week monitoring period following initial therapy. The splints were removed before each data recording session and then replaced and the occlusion refined. Prophylaxis and oral hygiene instruction were repeated every second week throughout the monitoring period. The reduction in the mobility of teeth splinted during the entire therapy period did not differ from the reduction observed in the unsplinted segments. The reduction in tooth mobility observed in both the splinted and unsplinted segments over the 17-week period can be attributed to the improved occlusal relationships and reduction in inflammation.

Adult↗

[New control technic for tooth mobility].

The method described, used to establish tooth mobility, is a refinement of the method of Mühlemann, 30 years old. The improvements include a larger sensitivity of the chain of measures, a better stabilizatiin of the intraoral fixatioin of the instruement, the utilization of a retainer on the tooth to be tested, which ensures the precision of the point of forcetesting. This point remains the same for all measurements. Finally, the recording of the test on paper allows for an objective comparison of the course of the case.

Dental Abutments↗

[Tooth mobility in several age groups with reference to various periodontal diagnostic aspects].

The present study deals with a study of the tooth mobility, the pocket depth and the bone destruction in 616 periodontally healthy subjects. It was found that the mobility of the upper lateral incisor is inferior to that of the central one. Furthermore, relations of age to tooth mobility and bone destruction were established, whereas no relationship between age and pocket depth was evident.

Adult↗

[Studies on the mechano-electronic measurement of tooth mobility].

The correlations between dynamic and quasi-static mechano-electronic measurements of tooth mobility were investigated in more than 1500 teeth. The two methods correlate quite well with the conventional classification (in Germany). On the other hand, there is no correlation between dynamic and quasistatic mechano-electronic measurements. Nevertheless distinctive signs and periodontal findings could be verified by mechano-electronic evaluation of tooth mobility.

Dental Stress Analysis↗

[The mobile tooth].

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Carcinoma, Squamous Cell↗

Changes in abutment tooth mobility by wearing parital denture: a continued report.

Follow-up measurements of the abutment tooth mobility were carried out to examine the mobility changes for a long period of 12 to 14 years. The subjects were 6 patients, having 12 abutments and they were wearing mandibular unilateral distal extension partial dentures of the same design. These results were as follows: The tooth mobility of the abutment hadn't increased exclusively by the wearing of the distal extension denture over a 10-year period. Among the 12 abutments, 7 abutments showed nearly the same degree of mobility as the initial level, and the mobility of the other 4 abutments increased slightly. However, one abutment alone was extracted because of severe increased mobility. There was an extremely slight difference in the mobility between both abutments and the mobility of each abutment presented nearly the same amount. Also the tendency in the mobility change indicated a similar pattern. The long-term prognosis of mandibular unilateral distal extension partial denture, of the most common clasp design, presented a favourable state during the 12 to 14 years, judging from the changes in the abutment mobility.

Adult↗

Fracture mechanics analysis of an anterior resin bonded bridge including the effects of tooth mobility.

The effects of design parameters on crack growth along the adhesive layer in a resin-bonded first incisor/canine bridge are analysed using a finite element (FE) model in which allowance is made for tooth mobility by including elastic supports for the abutment teeth. The energy release rate, G, for incipient cracks in the adhesive layer are calculated for various crack lengths, metal frame configurations, frame thicknesses and tooth mobilities. Energy release rates for bridge frame designs with and without wrap round, denoted by G(w), and G(o), respectively, decrease as the metal frame thickness increases. The difference deltaG = G(o) - G(w), reaches a maximum with respect to the crack length, a, in the range 0.3 < a < 0.6mm, depending on the frame thickness. The effect of tooth mobility becomes increasingly important in the FE model as the overall stiffness of the bridge increases. Critical lengths for incipient cracks in the adhesive layer are estimated for a range of factors of safety against the onset of unstable crack propagation.

Ceramics↗

Lack of significance of increased tooth mobility in experimental periodontitis.

This experiment was carried out in order to study the rate of progression of experimentally produced periodontal tissue breakdown in teeth which prior to the placement of cotton floss ligatures either had a normal or a permanently increased tooth mobility. Six beagle dogs were used. Trauma from occlusion of the jiggling type was produced on test teeth using a model previously described. Four months later experimental periodontal tissue breakdown was induced around both control and test teeth by placing cotton floss ligatures around the necks of the teeth. The ligatures which were exchanged once every 4 weeks during a 4-month period were replaced at the level of the gingival margin. Tooth mobility measurements and radiographic examinations were performed on Days 0, 30, 60, 90, 120, 160, 240 and 300. One dog was killed on Day 120 and the remaining 5 dogs on Day 300. Biopsies of the test and control teeth were fixed in formalin, decalcified, embedded in paraffin and mesiodistal sections cut with the microtome set at 4 micron. The results demonstrated that the degree of periodontal breakdown, initiated and maintained by ligature placement and plaque accumulation, was similar around teeth with a wide periodontal ligament space and in teeth with a normal width of the periodontium. In other words, progression of the plaque-associated lesions appeared to be unrelated to the width of the periodontal ligament space, i.e., to the degree of horizontal tooth mobility.

Animals↗

Splints made of wire and composite: an investigation of lateral tooth mobility in vivo.

In 103 posttraumatic splints, later tooth mobility was measured with Periotest immediately before and after the routine splint removal. The splints were made of composite resin and an 0.017 X 0.025" orthodontic steel wire. 481 teeth were measured. A statistic evaluation revealed that the immobilisation effect did not exceed normal tooth firmness. Fixation to one neighbouring tooth had less effect than fixation to two. Adjacent tooth gaps reduced the effect. Splint extensions had no influence. With the use of the Periotest device, more than 50% of all teeth with a true mobility of 20 Periotest-units or more were detectable as mobile in spite of the fixed splint.

Adolescent↗

In vitro analysis of the initial tooth mobility in a novel optomechanical set-up.

An optomechanical set-up was developed to accurately measure displacement/force curves of the initial tooth mobility in vitro. The system presented is capable of recording all six components of a tooth movement resulting from an applied orthodontic force system, and consists of a laser diode-based optical part and a six degree of freedom mechanical part. Three laser diodes were mounted in orthogonal arrangement on the tooth of a specimen and their light (lambda = 670 nm) was focused on the surfaces of three position sensing detectors. The laser beams thus defined a cartesian rigid body coordinate system and the movements of the tooth could directly be derived from the movements of the laser spots on the surfaces of the optical detectors. The force system was applied and simultaneously measured via a three-dimensional force-torque transducer mounted on a six-axis positioning table. Measuring accuracy of the tooth displacements was in the range of 9.0 microns and 0.022 deg for translations and rotations, respectively. Resolution and accuracy of the mechanical system was approx. 0.02 N for the measurement of forces and 0.5 Nmm for torques. Displacement/force diagrams of the specimen of a swine's mandible are presented, showing the relationships between applied force system and tooth displacement of the lower first premolar. The accuracy reached proved to be sufficient for the verification of numerical (Finite Element) models of the initial tooth mobility.

Alveolar Process↗

Detection and prediction of tooth mobility during the periodontitis healing process.

The focus of the article is on a generic approach to prediction of a healing process based on automatic measurement and modelling of mechanical disease indicators. As a specific example the healing process after treatment of advanced periodontitis is characterised and predicted based on measurement of tooth mobility (TM). For the measurement a new mechatronic instrument was developed that includes a pneumatically driven probe with incorporated sensors of tooth displacement and loading force. TM is measured by a computer controlled data acquisition system and predicted by a non-parametric regression. Similarly as in the characterisation of technical processes, a measured sample is described by TM time series detected on a particular patient, while the regression is determined by a set of samples obtained from a group of patients following periodontal therapy. The influence of surgical access therapy and systemic administration of metronidazole as an adjunct to the mechanical treatment is demonstrated. For this purpose the average changes of tooth mobility are determined on variously treated subgroups. A new method of healing process prediction is demonstrated and its performance is described by a prediction quality.

Chemotherapy, Adjuvant↗

Experimental and numerical determination of initial tooth mobility and material properties of the periodontal ligament in rat molar specimens.

The mechanical parameters of the periodontal ligament (PDL) in rat specimens were investigated in a combined experimental and numerical approach. Tooth mobility of the rat mandibular first molar was measured in vitro using a high precision experimental set-up. Finite element models (FEM) were developed, based on histological sections of the measured specimens, to simulate tooth mobility numerically under the same force systems as used in the experiment. Force/deflection curves from the measurements showed a significant non-linear behaviour of elastic stiffness of the PDL. A bilinear material parameter set was assumed to simulate tooth deflections. The numerical force/deflection curves were fitted to the experimental curves by repeatedly calculating theoretical tooth deflections and varying the parameters describing the non-linearity. Mean values of E1 = 0.15 MPa, E2 = 0.60 MPa and an ultimate strain of epsilon12 = 6.3 per cent were derived for the elastic behaviour of the rat PDL. Comparing fresh specimens and those frozen in a 0.9 per cent saline solution, differences between the measurements were significant. Using the agent, Periston, for freezing significantly reduced the deviation. The results indicated that strains in the PDL with a maximum of 14 per cent at the furcation were 10(4) times higher than strains in the bone, while the variability of stress values in both PDL and bone was not significant.

Alveolar Process↗

Familial ogee roots, tooth mobility, oligodontia, and microdontia.

The term ogee is proposed to describe dome or onion-shaped incisor roots as presented in a family study. A case of ogee permanent upper incisor teeth associated with microdontia, oligodontia, and tooth mobility is described. Forty-seven members of the proband's family were examined. The dental abnormalities were found to be of an autosomal dominant pattern of inheritance.

Adolescent↗