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PubMed1980

An evaluation of postadjustment polishing techniques for porcelain denture teeth.

Eleven commonly used methods of adjusting and polishing porcelain denture teeth were evaluated. They were compared to the surface of an unaltered denture tooth. Three methods (7, 10, and 11) resulted in surfaces which appeared polished under visual examination. These three methods produced finished surfaces comparable to the unaltered tooth. In attempting to avoid the undesirable sequelae of occlusal wear due to friction, the dentist may choose one of these techniques to complete the adjustment of vacuum-fired porcelain denture teeth prior to placement of the denture. Clinical significance of slight differences in surface roughness must be assessed through carefully controlled patient studies.

Dental Instruments↗
PubMed2000

Clinical evaluation of polyacid-modified resin composite posterior restorations: one-year results.

OBJECTIVE: The aim of this investigation was to evaluate the clinical performance of a new compomer restorative system, Dyract AP, placed in combination with Non-Rinse Conditioner and Prime & Bond NT in permanent posterior teeth. METHOD AND MATERIALS: Fifty Class II and 41 Class I restorations were placed in 39 patients by 1 dentist. The restorations were evaluated directly, with modified US Public Health Service criteria, and indirectly, with color slides and polyvinyl siloxane impressions, at baseline and 6 months and 1 year after placement. Preoperative and 1-year postoperative bitewing radiographs were also taken. RESULTS: All 82 restorations available for 1-year evaluation were in situ. No postoperative sensitivity or pulpal problems were reported. Four Class II restorations (4.9%) failed because of partial fracture or recurrent caries. The percentages of Alfa score for each criterion were color match, 95.1%; marginal discoloration, 57.3%; marginal integrity, 35.4%; anatomic form, 98.8%; and surface texture, 91.5%. The average wear rate of Dyract AP was low (18.5 +/- 11.7 microns at 6 months and 35.7 +/- 13.6 microns at 12 months). CONCLUSION: The excellent handling characteristics, the good clinical performance, and the improved wear resistance suggest that this compomer will provide reliable direct tooth-colored restorations in stress-bearing areas.

Acid Etching, Dental↗
PubMed2001

Analyzing the etiology of an extremely worn dentition.

Patients requiring extensive restorative care frequently exhibit significant loss of tooth structure. Specific clinical findings in an extremely worn dentition may vary widely and are often confusing. Severe wear can result from a mechanical cause, a chemical cause, or a combination of causes. The location of the wear, the accompanying symptoms and signs, and information gained from the patient interview are essential components in determining the etiology. A diagnostic decision tree facilitates a systematic analysis and diagnosis of dental wear.

Decision Trees↗
PubMed2003

Smoking, alcohol, diet, dentition and sexual practices in the epidemiology of oral cancer in Poland.

The effect of smoking, drinking, diet, dental care and sexual habits on the risk of oral and pharyngeal cancer was investigated in a case-control study conducted in Warsaw, Poland. The study comprised 122 patients (including 44 females) aged 23-80 years with histologically confirmed cancer of oral cavity and pharynx. Controls were 124 subjects (including 52 females) admitted to the hospital for different non-neoplastic conditions unrelated to tobacco and alcohol consumption, with frequency matched to cases by age and sex. Smoking and drinking were strongly associated with an increased risk of oral cancer. Among consumers of both products, risks of oral cancer tended to combine in a multiplicative fashion and were increased more than 14-fold among those who consumed more than 15 cigarettes and seven or more drinks per day. Cessation of smoking was associated with reduced risk of this cancer. The risks varied by type of cigarettes smoked, being lower among those consuming filtered cigarettes only (OR = 1.6) than nonfilter (OR = 6.5) or mixed (OR = 4.2) cigarettes. High fruit intake was associated with significantly decreased risk (OR = 0.4) with the strongest significant inverse association found for fruit juices and citrus fruits ( < 0.01). After adjustment for tobacco smoking and alcohol drinking, poor dentition as evidenced by missing teeth, frequency of dental check-ups and frequency of teeth brushing emerged as a strong risk factor. Number of missing teeth and frequency of dental check-ups and frequency of tooth brushing showed increased ORs of 9.8, 11.9 and 3.2, respectively. Denture wearing did not affect oral cancer risk. No differences were detected in sexual practices (including oral sex and intercourse with prostitutes). In terms of attributable risk, smoking accounted for 57% of oral cancer cases in Poland, alcohol for 31% and low fruit intake for 12%. Attributable risks for low frequency of tooth brushing and dental check-ups were 56% and 47%, respectively. In conclusion, smoking and drinking cessation and increase of fresh fruit intake are likely to be effective preventive measures against oral cancer. These findings indicate also that poor oral hygiene may be an independent risk factor.

Adult↗
PubMed2005

Early hominid dental remains from Members 4 and 5 of the Sterkfontein Formation (1966-1996 excavations): catalogue, individual associations, morphological descriptions and initial metrical analysis.

The fossils recovered from the Sterkfontein Formation represent, without doubt, the largest collection of early hominid specimens from a single locality. Among the over 600 entries in the catalogue of fossil hominid specimens recovered since 1966, there are 242 dental remains (isolated teeth, jaws with two or more teeth, isolated teeth in association) for a total number of 495 teeth. The aim of this paper is to provide morphological descriptions of all hominid dental specimens recovered between 1968 and 1996 from areas presently known as Members 4 and 5 of the Sterkfontein site. Together with the descriptions, explanatory catalogue information is provided, along with basic measurements and summary statistics. This paper consists of six sections, with descriptive tables: (1) Catalogue of dental remains, arranged numerically. This includes isolated teeth, specimens with teeth still in position within their jaws, and specimens comprised of isolated teeth in association. (2) List of specimens with more complete dentition and the numbers of available teeth per tooth class. (3) List of specimens subdivided in tooth class, with an indication of their preservation, of the wear, if any, and with measurements (mesiodistal and buccolingual diameters) of the individual teeth. (4) List of associations of isolated teeth as individuals i.e. dental remains that can be associated with one another. Some remarks on the relative abundance of maxillary versus mandibular teeth, and on the numbers of available teeth are presented. (5) Morphological descriptions. (6) Summary statistics for the entire Sterkfontein sample (thus including specimens recovered both before and after 1966) and updated descriptive statistics for South African early hominids (A. africanus, A. robustus, South African early Homo). We have compared the coefficients of variation for the MD and BL diameters of the permanent teeth of the Sterkfontein Member 4 hypodigm of A. africanus with the hypodigms of the early hominid taxa. The results show that the Sterkfontein Member 4 sample is not consistently more variable than the other fossil hominid samples analysed; it turned out to be generally less variable than H. habilis sensu lato and A. boisei; it shows overall similar levels of variability to A. afarensis and higher levels than A. robustus. These results, per se, do not provide evidence of the existence of multiple species in the Sterkfontein Member 4 sample.

Animals↗
PubMed1995

Phenotypic plasticity in the lower pharyngeal jaw dentition of Astatoreochromis alluaudi (Teleostei: Cichlidae).

The potentially molluscivorous cichlid fish Astatoreochromis alluaudi is known to exhibit a pronounced phenotypic plasticity in its pharyngeal jaw apparatus. Two phenotypes (wild-caught snail-eating specimens and specimens raised on soft food) were examined for differences in the number, size, shape, spacing and wear of functional teeth on the lower pharyngeal jaw. During growth, snail-eating specimens maintain tooth numbers but invest in teeth of a larger size (width and depth). In contrast, specimens fed a soft diet invest in more teeth, their size remaining unchanged except for the central, most posterior teeth. All changes in the dentition must be achieved through successive tooth generations. Serial microradiographs in the caudal area of the lower pharyngeal jaw, a region that is most significant in food processing, indicated that functional teeth in hard-food specimens more often show a successor below. This may be due to more time needed for larger replacement teeth to form and possibly to a shorter replacement cycle linked to the greater wear of the functional teeth. It is hypothesized that maintenance of tooth numbers and increase of tooth size in hard-food specimens is achieved by a one-for-one replacement and expansion of the tooth-bearing region and possibly by closer spacing of the teeth. Increase of tooth numbers in the soft-food specimens is probably achieved through the establishment of new tooth loci at the margins of the dentigerous area in addition to a one-for-one replacement.

Africa, Eastern↗
PubMed1995

Repair of a removable partial denture using gold occlusals.

Limited interarch space causes maintenance problems with removable partial dentures. The problem of abrasion and breakage of acrylic resin teeth, the concomitant supraeruption of opposing natural teeth, and possible decrease of vertical dimension of occlusion can be prevented or minimized with cast-gold occlusals. Use of metal occlusals has been advocated on newly constructed removable partial dentures, but not on existing prostheses with severely worn or broken denture teeth. This article describes a repair procedure for a removable partial denture where minimal interarch distance resulted in wear and breakage of denture teeth. A thin, abraded denture tooth that had been repaired numerous times was prepared and covered with a cast gold restoration. The problem of abrasion and breakage of the acrylic resin tooth was solved and the service life of the prosthesis was extended.

Acrylic Resins↗
PubMed2004

Evaluation of the roughness and mass loss of the flowable composites after simulated toothbrushing abrasion.

The purpose of this study was to measure mass loss and surface roughness changes of different brands of flowable resin composites after a simulated toothbrushing test. The null hypotheses were that there would be no differences in mass loss and no significant changes in surface roughness after this test and that there would be no correlation between the two variables. The tested materials were Aeliteflo (Bisco), Flow-It (Pentron), Flow-It LF (Pentron), Natural Flow (DFL) and Wave (SDI). Z100 (3M/ESPE) microhybrid and Silux Plus (3M/ESPE) microfilled resin composites were used as control materials. Twelve specimens (5 mm in diameter, 3 mm thick) of each material were prepared according to manufacturers' instructions. Toothbrushing abrasion was performed on all specimens from each of the materials using a simulator. The percentage mass loss and surface roughness were assessed before and after 100,000 brushstrokes, using a Sartorius analytical balance of 0.0001 g accuracy and a Hommel Tester T1000, respectively. The measurements of both properties were statistically compared by paired t-test and Tukey's test (p < 0.05). All materials presented a statistically significant mass loss comparing initial and final values, with the exception of Flow-It LF. However, no difference was revealed when comparing the mass loss of the different tested materials. All materials became rougher and Wave presented statistically higher roughness compared to the other resin composites. Flowable resin composites did not seem to be superior to the control groups, and they can be expected to wear by mass loss and to have an increased roughness of surface after toothbrushing action. The anticipated null hypotheses were partially accepted.

Composite Resins↗
PubMed2001

Wear evaluation of MZ100 compared to ceramic CAD/CAM materials.

The material and antagonist wear of two CAD/CAM ceramic materials, the laboratory-processed IPS Empress ceramic, and the composite mill block material MZ100 were tested in an artificial wear simulator with human enamel as the antagonistic material. The material samples underwent 50,000 test cycles (1 cycle per second, 50 N) in distilled water. The wear of the material samples and of the opposing enamel was documented after 30,000 and 50,000 cycles with replicas, digitized, and evaluated with a 3D evaluation system. The loss of volume and height caused by wear was calculated. No significant difference between the ceramic materials could be found either in the amount of material or in the amount of antagonist wear. The material wear of MZ100 differed significantly from Vita Mark II only in terms of volume loss. Regarding height loss, MZ100 exhibited a significantly higher wear than all ceramic materials. The wear of the enamel antagonists does not differ significantly between the ceramic materials. With MZ100, however, a significantly smaller amount of enamel wear was found when compared with Empress and Vita Mark II. Despite the highest material wear, MZ100 had the lowest material wear rate, the lowest enamel wear rate, and the lowest total wear rate. The laboratory-processed IPS Empress material had a clearly higher material wear rate than the CAD/CAM materials.

Aluminum Silicates↗
PubMed1987

Quantitative analysis of occlusal microwear in Australopithecus and Paranthropus.

Quantitative analysis of microwear features preserved on the occlusal surfaces of the M2s of southern African specimens of Australopithecus and Paranthropus (the so-called 'gracile' and 'robust' australopithecines) reveals that there is no striking relationship in either taxon between occlusal facet inclination and the incidence of wear features. Within each taxon, Phase I and Phase II facets tend to differ in a similar manner in the total number of wear features, the percentage frequency of pitting, and in the orientation of wear scratches. Nevertheless, Paranthropus molars tend to display significantly greater numbers of microwear features on both Phase I and II facets than do Australopithecus homologues, and Paranthropus molars also evince significantly higher proportions of occlusal pitting on these surfaces. Paranthropus and Australopithecus crowns also differ significantly in the degree by which the occlusal wear scratches vary in their orientation. On each facet, Australopithecus tooth scratches display a greater degree of directional similarity. The differences between the Phase I and Phase II facets of Australopithecus and Paranthropus M2s suggest that the dietary items involved in the production of these observed patterns differed also. The diets of these Plio-Pleistocene hominids appear to have been qualitatively dissimilar.

Animals↗
PubMed2003

Peroxide degradation kinetics of a direct application percarbonate bleaching film.

PURPOSE: To evaluate the hydrogen peroxide (HP) degradation kinetics of a 19% sodium percarbonate (5.3% HP released) direct application bleaching gel on the tooth surface and in saliva during use. METHODS: This was a single center, 14 subject trial, where both maxillary and mandibular teeth were treated. Peroxide concentrations in the tooth scraping sample were determined at 10 minutes, 30 minutes, 1 hour, 2 hours, and 4 hours. Peroxide concentrations in the saliva were determined at 5, 10, 20, 30, and 60 minutes after test product application. RESULTS: The median peroxide concentrations on the teeth at 10 minutes, 30 minutes, 1 hour, 2 hours, and 4 hours of daytime wear were 4.7, 3.5, 1.5, 0.3 and 0.1% respectively, demonstrating significant substantivity of peroxide on the tooth surface. In contrast, the median peroxide concentrations in the saliva at 5, 10, and 20 minutes of daytime wear were very low; 0.001, 0.0001 and 0.0001% respectively. By 30 minutes, median salivary concentrations of peroxide were below the limit of detection (0.00007%). A comparison was made to previously reported data from other peroxide degradation studies with strips, trays and a paint-on tooth bleaching product.

Adult↗
PubMed1987

An index for evaluating wear of teeth.

An index for evaluation of dental wear based on Ryge's system comprising three satisfactory and two not acceptable categories was tested in two different age groups of individuals with brain damage. Group 1 consisted of 12 individuals, 3 women and 9 men, with a mean age of 34.5 years. Group 2 consisted of 13 individuals, 4 women and 9 men, with a mean age of 45.1 years. The wear was evaluated by three examiners, two dentists and one dental hygienist. The examiners worked independently, having available at all times the written criteria and a photographic guide illustrating the lowest limit of each category. Each tooth was given a rating in accordance with the index, and the interexaminer agreement of 612 such evaluations was approximately 85%. Each person was given an individual wear rating corresponding to the most severe category comprising 90% of the tooth ratings. The difference in the distribution of individual ratings between the two groups was tested for significance by the ridit method. Significantly greater wear was observed in group 2 than in group 1, indicating a good sensitivity of the index.

Adult↗
PubMed2003

[Characteristics of wearing resistance of materials for repair of masticatory teeth].

Wear resistance parameters were evaluated for 5 materials used for masticatory teeth filling. The study was carried out on an Uism-1 device for evaluation of abrasion resistance of dental materials by the friction method during circular movement of a premolar (removed for orthodontic indications) along the surface of reference material. Similar abrasion resistance in the material-tooth pair was detected for 4 materials: Herculite XRV (Kerr-Sybron), Unirest (Stomadent), Dyract AP (Dentsply/De Trey), and Tytin amalgams (S.S. White); the parameters of wear differed. The highest wear of material paralleled by high tooth abrasion were detected for Filtek P-60 (3M/Dental) material.

Bicuspid↗
PubMed2004

Surface wear on cervical restorations and adjacent enamel and root cementum caused by simulated long-term maintenance therapy.

BACKGROUND: In an in vitro study, the surface wear on cervical restorations and adjacent enamel and root cementum caused by different tooth-cleaning methods in simulated long-term therapy was investigated. METHODS: Cervical restorations of amalgam (Oralloy), modified composite resin (Dyract), glass-ionomer cement (ChemFill Superior), and composite (Tetric) were instrumented by POL (polishing), CUR+POL (curette and polishing), US+POL (ultrasonic device with polishing) and the polishing agents Cleanic and Proxyt in a computer-controlled test bench. Treatment time corresponding to a real-time period of 5 or 10 years. Substance loss from instrumented surfaces was measured with a digital gauge. A three-way anova was used in the statistical evaluation. RESULTS: The results showed that POL led to slight substance loss, which was greater using Cleanic (27 microm) than Proxyt (5 microm). CUR+POL produced a significantly greater substance loss than did US+POL, with 186 microm versus 35 microm on glass-ionomer cement, respectively, and 123 microm versus 18 microm, respectively, on root cementum, followed by composite (111 microm versus 27 microm, respectively), polyacid modified composite resin/compomer (89 microm versus 36 microm), amalgam (75 microm versus 19 microm), and enamel (32 microm versus 23 microm). CONCLUSIONS: As opposed to the use of US+POL or POL, substance loss on cervical restorations and especially root cementum must be expected to result from tooth-cleaning during long-term maintenance treatment using CUR+POL.

Analysis of Variance↗
PubMed1997

Dental disease in the late Medieval population from Nova Raca, Croatia.

Male and female dental disease frequencies were compared to test the hypothesis of differential stress levels between the sexes in the late Medieval population from Nova Raca, Croatia. The following categories of dental disease were compared: alveolar bone pathology defined by the presence of periodontal or periapical abscesses or antemortem tooth loss, caries, hypoplastic defects in the enamel and occlusal surface wear. The results show clear gender differences in the frequencies of alveolar bone pathology, carious lesions and occlusal surface wear. In all cases males exhibited significantly greater frequencies. Further analyses indicated that these differences were related to younger (15-29 years) adults and to the upper jaw. Together with paleodemographic data and the fact that females exhibited higher frequencies of enamel defects, this dichotomy in dental disease frequencies is interpreted as the result of a culturally imposed defensive mechanism which selectively buffered young males from malnutrition, exposing them at the same time to higher levels of cariogenic food and thus to higher frequencies of carious lesions and alveolar bone disease.

Croatia↗