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PubMed1992

Biomechanical responses of tooth to orthodontic forces applied at the lingual bracket positions.

The present study was designed to investigate biomechanical responses of tooth to orthodontic forces applied at the lingual bracket positions. A three-dimensional finite element model of the upper central incisor was developed to analyze tooth displacements and stress distributions in the periodontal ligament. Lingual horizontal and apical vertical forces of 100 gf were applied at a point on the labial surface of the crown and at three different points on the lingual surface of the crown. Tooth displacements and stress distributions from the forces applied at the lingual points were compared with those from the labial force loading. The following results were obtained. 1. Lingual horizontal force produced almost similar patterns of tooth displacements and stress distributions, irrespective of labial and lingual application points of the orthodontic forces. 2. Apical vertical force applied at the lingual points produced more uniform tooth displacements and stress distributions than labial application of the force, although the force applied at the lingual point close to the cervix generated different patterns from those with the remaining lingual force loadings. The present results suggest an important role of the positional relation of force application points to the center of resistance. It is shown that lingual force application may produce more optimal tooth movement in terms of more uniform patterns of tooth displacements and subsequent stress distributions in the PDL.

Biomechanical Phenomena↗
PubMed1982

Clinical assessment of injuries in orthodontic movement of impacted teeth. I. Methods of attachment.

Recent studies have indicated ankylosis, loss of attachment, and external resorption occurring as sequelae of orthodontic movement of impacted teeth when these teeth are ligated around the cervix with wire. The purpose of this study was to record the effects of two commonly employed methods of attachment to impacted teeth--the wire ligation and the direct bond. Twenty subjects who had previously undergone full-banded orthodontic treatment involving a unilateral impacted maxillary canine were studied. The contralateral non-impacted maxillary canine served as a control. In eight of the subjects the impacted canine was ligated at the cervix with wire at the time of surgical exposure. In the other twelve subjects the impacted tooth also was exposed surgically but then an orthodontic bracket was bonded directly to the tooth approximately 2 weeks after the surgical exposure. The criterion for the diagnosis of ankylosis was failure to move the tooth for at least 3 months. The diagnosis of external resorption was made from radiographs. Loss of periodontal attachment was measured by comparing the level of attachment on the previously impacted tooth with the contralateral canine 3 months after debanding. The results indicated that three of the eight patients in the group receiving wire ligation exhibited external resorption and ankylosis. Also, there was an average of 1.36 mm. greater loss of attachment in all four proximal and lingual probing measurements of teeth ligated with ligature wire but no significant differences in the direct buccal probing measurement.

Adolescent↗
PubMed2000

Brief communication: the timing of linear hypoplasias on human anterior teeth.

One hundred and fifteen unworn anterior teeth were sectioned longitudinally with a diamond saw and prepared for histological examination by polarized light microscopy. Incremental markings in the enamel of each tooth were used to estimate the average total crown formation times of each tooth type. The total time taken to form the crowns of each tooth type was apportioned by 1) cuspal enamel formation and 2) each tenth percentile of total tooth height. Based on these data, and on histological estimates for the time of initiation of mineralization in each anterior tooth, the following conclusions can be drawn. Little if any visible surface enamel is likely to form before the end of the first year after birth in any anterior tooth type. No relation exists between tooth crown height and the total time taken to form enamel. Anterior crown formation is nonlinear and slows towards the cervix in all teeth. The estimated mean chronological age at crown completion ranged in this study from between around 4 years for lower central incisors to around 6 years for lower canines. We suggest that these combined findings will be useful for devising more reliable ways to estimate the timing of linear enamel hypoplasias than some methods currently in use.

Dental Enamel Hypoplasia↗
PubMedDate not supplied

Radiographic and histological methodologies in estimating the chronology of crown development in modern humans and great apes: a review, with some applications for studies on juvenile hominids.

There has been a burgeoning of interest in the last decade on growth studies in hominids. These studies have relied heavily on dental development, and have compared juvenile hominids to modern human and ape standards, which are usually established using radiographic data. There has been considerable discussion on the most appropriate methods of deriving population standards from radiographs, but very little on the accuracy of the radiographic image itself. Previous histological and dissection studies have shown that age at onset of mineralization is overestimated, and age at crown completion is underestimated using radiographs. This study considers the process of X-ray absorbence by mineralized tissues and the formation of radiographic images of developing teeth. Following tooth initiation a critical mass of mineral is required for the tooth to register superimposed on the absorbence of alveolar crypt bone, which accounts for the late identification of tooth initiation. Determination of completion of crown growth depends upon the identification of the last formed enamel at the cervix. Recognition of this key stage is difficult as crown growth slows towards the cervix, and the last secreted enamel may take months to attain full mineralization levels due to the prolonged maturation process. Morphological and geometric factors have a significant influence on the imaging of the completed crown. The last formed enamel is located on the buccal face, where enamel thins progressively to nothing. X-ray absorption by enamel at the cervix becomes insignificant, and may be counterbalanced by increased dentine absorption. Approximal enamel in contrast is clearly visualized once maturation is complete. However, developmentally this enamel face initiates later, and is completed much earlier than buccal enamel. All of the radiographic estimates of crown completion times are based upon interpretations of approximal enamel completion. These considerations suggest that the human population standards in current usage may not represent true anatomical and chronological stages of crown development, and care should be taken in referring juvenile hominids to these radiological standards.

Animals↗
PubMed1991

Variable cementoenamel junction in one person.

The cementoenamel junction of 18 teeth obtained from a young man with minimal periodontal involvement was examined in the scanning electron microscope to compare the relationships of the enamel, dentin, and cementum. The predominant arrangement of tissues proved to be that of cementum overlapping enamel, which took three distinct forms. Exposed surfaces of dentin were infrequent. Scalloping of the cementoenamel junction occurred in five teeth. In addition, the cementoenamel junction varied in a single tooth and between contralateral teeth. The conclusions indicate that the distribution of the three hard tissues found at the cervix are unpredictable and irregular. The findings of this study provide a baseline for future studies of the cementoenamel junction and restorative procedures in cervical regions of teeth.

Acid Etching, Dental↗
PubMed1991

Patterns of initial tooth displacements associated with various root lengths and alveolar bone heights.

The present study was designed to investigate the nature of initial tooth displacements associated with varying root lengths and alveolar bone heights. A three-dimensional model of the upper central incisor was developed for the finite element analysis. Tooth displacements were determined at various levels of the tooth and the apicogingival levels of the center of resistance and centers of rotation were calculated. The results showed that moment-to-force values at the bracket level for translation of a tooth decreased with shorter root length and increased with lower alveolar bone height. In addition, apicogingival levels of the center of resistance shifted more gingivally to the cervix, or the alveolar crest with a shorter root. Alveolar bone loss also shifted the center of resistance toward the alveolar crest, whereas its position was more apical relative to the alveolar bone heights exhibited very slight changes in both cases. The centers of rotation from a single force varied substantially with a short root and alveolar bone loss. However, the relative distances of the centers of rotation from the alveolar crest in comparison with the alveolar bone heights were constant at 0.4 mm, with variations in the root length and alveolar bone height. Because this study showed that root length and alveolar bone height affect the patterns of initial tooth displacements both in the center of resistance and the centers of rotation and also in the amount of displacement, forces applied during orthodontic treatment should take into consideration the anatomic variations in the root length and alveolar bone height so as to produce optimal and desired tooth movement.

Alveolar Process↗
PubMed2004

[Biomechanical study of open bite treatment with tip forward bend].

OBJECTIVE: To verify whether it is effective to treat open bite cases with tip-forward bend. METHODS: Three-dimensional finite element (TDFE) models of the lower left central incisor and first molar were set up by means of CT. Stress distribution in root, PDL and alveolar bone, and the tendency of the tooth movement were obtained by calculation under different orthodontic forces. RESULTS: (1) The molar model revealed that the tensile stress concentration was at the distal cervix and the compressive stress concentration at mesial cervix. (2) The incisor model showed that the tensile stress was concentrated at apical tip and the compressive stress concentration was at the lingual side of the cervix. (3) The incisor had the tendency to elongate and move lingually. The molar tended to tip mesially and buccally. CONCLUSIONS: Arch wire with tip forward bend depends on the elongation and lingual movement of anterior teeth to treat open bite, but the anchorage molar will incline mesially further, which is not consistent with the mechanism to treat open bite.

Biomechanical Phenomena↗
PubMed1998

[Definitive injuries to the teeth. Lesions of hard tissue and pulp].

Tooth infraction and enamel fracture are the most simple traumatic crown lesions. When necessary the lesions can be covered with composite material. Follow-up of the traumatized tooth is necessary since pulp necrosis and obliteration can develop. In case of an uncomplicated fracture involving enamel and dentine immediate protection of the dentinal wound is important for the preservation of tooth vitality. In case of a negative vitality test, an endodontic treatment will be performed in case of a tooth with open apex only when supplemental clinical and or radiological signs of pulp necrosis are present. When a complicated enamel-dentine fracture is present, an endodontic treatment will be performed when root formation is complete. In case of a wide open apex, a pulp capping, partial pulpotomy or cervical pulpotomy will be performed in order to preserve vitality of pulpal tissues at the level of the root. Crown root fractures can be superficial, deep or vertical. In case of a superficial localisation of the fracture line, restoration with composite material or with the fractured tooth segment is indicated. Deep crown-root fractures can only be restored when the fracture line is localized not deeper than at 1/3 of the length of the root. In case of a vertical fracture, extraction is the only possibility. Root fractures on immature teeth are in most cases unilateral and have a good prognosis. In teeth with completed root formation, fractures at the level of the cervix have a poor prognosis. The fractured segment will be removed. Only when the remaining root segment is long enough, this part can be maintained. In case of a fracture at the mid-root level, repositioning and rigid splinting for a period of 8 weeks is necessary. When the tooth becomes non-vital, endodontic treatment is performed on the coronal part. Root fracture in the apical part does not necessary result in enhanced tooth mobility and immobilisation is not always necessary. Healing of a root fracture is only possible when the tooth is immobilized for a sufficiently long period. Regular control of tooth vitality is necessary since pulp necrosis can lead to an inflammatory reaction at the level of the fracture line.

Dental Enamel↗
PubMed1987

Three-dimensional finite element analysis for stress in the periodontal tissue by orthodontic forces.

This study was designed to investigate the stress levels induced in the periodontal tissue by orthodontic forces using the three-dimensional finite element method. The three-dimensional finite element model of the lower first premolar was constructed on the basis of average anatomic morphology and consisted of 240 isoparametric elements. Principal stresses were determined at the root, alveolar bone, and periodontal ligament (PDL). In all loading cases for the buccolingually directed forces, three principal stresses in the PDL were very similar. At the surface of the root and the alveolar bone, large bending stresses acting almost in parallel to the root were generally observed. During tipping movement, stresses nonuniformly varied with a large difference from the cervix to the apex of the root. On the other hand, in case of movement approaching translation, the stresses induced were either tensile or compressive at all occlusogingival levels with some difference of the stress from the cervix to the apex. The pattern and magnitude of stresses in the periodontium from a given magnitude of force were markedly different, depending on the center of rotation of the tooth.

Alveolar Process↗
PubMed1989

[Stress distribution in the periodontal ligament induced by orthodontic forces. Use of finite-element method].

This study was designed to investigate the stress levels induced in the periodontal tissue by orthodontic forces using the three-dimensional finite element method. The three-dimensional finite element model of the lower first premolar was constructed on the basis of average anatomic morphology and consisted of 240 isoparametric elements. Principal stresses were determined at the root, alveolar bone, and periodontal ligament (PDL). In all loading cases for the buccolingually directed forces, three principal stresses in the PDL were very similar. At the surface of the root and the alveolar bone, large bending stresses acting almost parallel to the root were generally observed. During tipping movement, stresses nonuniformly varied with a large difference from the cervix to the apex of the root. On the other hand, in case of movement approaching translation, the stresses induced were either tensile or compressive at all occlusogingival levels with some difference of the stress from the cervix to the apex. The pattern and magnitude of stresses in the periodontium from a given magnitude of force were markedly different, depending on the center of rotation of the tooth.

Dental Stress Analysis↗
PubMed2001

Development of stratum intermedium and its role as a Sonic hedgehog-signaling structure during odontogenesis.

Stratum intermedium is a transient and subtle epithelial structure closely associated with inner dental epithelium in tooth germs. Little is known about its development and roles. To facilitate analysis, we used bovine tooth germs, predicting that they may contain a more conspicuous stratum intermedium. Indeed, early bell stage bovine tooth germs already displayed an obvious stratum intermedium with a typical multilayered organization and flanking the enamel knot. Strikingly, with further development, the cuspally located stratum intermedium underwent thinning and involution, whereas a multilayered stratum intermedium formed at successive sites along the cusp-to-cervix axis of odontogenesis. In situ hybridization and immunohistochemistry showed that stratum intermedium produces the signaling molecule Sonic hedgehog (Shh). Maximal Shh expression was invariably seen in its thickest multilayered portions. Shh was also produced by inner dental epithelium; expression was not constant but varied with development and cytodifferentiation of ameloblasts along the cusp-to-cervix axis. Interestingly, maximal Shh expression in inner dental epithelium did not coincide with that in stratum intermedium. Both stratum intermedium and inner dental epithelium expressed the Shh receptor Patched2 (Ptch2), an indication of autocrine signaling loops. Shh protein, but not RNA, was present in underlying dental mesenchyme, probably resulting from gradual diffusion from epithelial layers and reflecting paracrine loops of action. To analyze the regulation of Shh expression, epithelial and mesenchymal layers were separated and maintained in organ culture. Shh expression decreased over time, but was maintained in unoperated specimens. Our data show for the first time that stratum intermedium is a highly regulated and Shh-expressing structure. Given its dynamic and apparently interactive properties, stratum intermedium may help orchestrate progression of odontogenesis from cusp to cervix.

Animals↗
PubMed1994

[Three dimensional finite element analysis of stress induced by orthodontic forces in the periodontal tissue].

The purpose of this study was to investigate the stress induced in the periodontal tissue of the upper central incisor by application of orthodontic forces. A three dimensional finite element model consist of tooth, periodontal ligament (PDL), cancellous and compact bone was established and the following results were obtained: (1) The highest stresses were observed on the root surface, the intermediate on the alveolar bone and the lowest in the PDL. (2) Stress condition on the surface of root and alveolar bone is very complex. The maximum, intermediate and minimum principle stresses on the same area are quite different, but the three principal stresses in the PDL are similar. (3) Regarding to tipping and torque movement, the stress value varied largely from the cervix to the apex, and there is stress concentration at the cervix and the apex. For bodily movement when M/F is -10.30, the stress induced is homogeneous and the difference of the stress values from the cervix to the apex is little, which seems to be more physiological.

Alveolar Process↗
PubMed1976

An autoradiographical study of [3H]thymidine incorporation into subcutaneously transplanted mouse molar teeth. Cell proliferation and migration in transplanted teeth.

Mice bearing either allografts or isografts of 10 day old molar teeth were injected with [3H]thymidine to identify proliferating and migrating cells within the graft and surrounding tissues. In isografts proliferating cells were found successively in the area underlying the cervix, in the cervical pulp and the coronal pulp. However, cells did not migrate from the cervical host tissue into the pulp, and it was concluded that donor cells are responsible for reparative processes in tooth isografts. Very few labelled cells were identified at any time in tooth allografts, which were not repaired. It is suggested that allografts are not repaired because allogeneic inhibition prevents the residual donor tissue from proliferating and differentiating. Inhibition of proliferation of residual cells may also account for the absence of a cell-mediated immune response to tooth allografts.

Animals↗
PubMed1994

[How to predict the presence of three-rooted maxillary premolars].

Sixty extracted maxillary premolars, 55 firsts and five seconds, were classified into three categories according to the beginning of their trifurcation. The mesiodistal dimensions of the buccal roots, at different levels, were compared with the mesiodistal diameter at the cervix. Among all teeth examined, the proximal profiles of the roots were parallel in the two cervical thirds, or the mesiodistal dimension at the middle third or apical third was greater than this at the cervix. If these observations are visualized on the radiograph, the dentist can presume that these teeth have three roots.

Bicuspid↗
PubMed2005

Novel heparan sulfate structures revealed by monoclonal antibodies.

The sulfated glycosaminoglycan heparan sulfate (HS) is found ubiquitously on cell surfaces, in the extracellular matrix, and intracellularly as HS proteoglycans. Because of the structural heterogeneity of HS, tissue-derived HS preparations represent a mixture of HS chains originating from different cell types and tissue loci. Monoclonal anti-HS antibodies have been employed to detect the localization of specific HS epitopes in tissues, but limited information has been available on the saccharide structures recognized by the antibodies. We have studied the saccharide epitope structures of four anti-HS antibodies, HepSS1, JM13, JM403, and 10E4, which all recognize distinct HS species as demonstrated by different patterns of immunoreactivity upon staining of embryonic rat and adult human tissues. The epitopes recognized by JM13 and HepSS1 were found almost exclusively in basement membrane HS, whereas JM403 and 10E4 reacted also with cell-associated HS species. The binding of HepSS1, JM403, and 10E4 to HS was dependent on the GlcN N-substitution of the polysaccharide rather than O-sulfation. HepSS1 thus interacted with N-sulfated HS domains, JM403 binding was critically dependent on N-unsubstituted GlcN residues, and 10E4 bound to "mixed" HS domains containing both N-acetylated and N-sulfated disaccharide units. By contrast, JM13 binding seemed to require the presence of 2-O-sulfated glucuronic acid residues.

Acetylation↗
PubMed1979

A new concept regarding the origin of the junctional and crevicular epithelium in rat molars.

The substitution of the internal enamel epithelium by a squamous epithelium during tooth eruption has been studied histologically in rat molars. Just prior to eruption, cytolysis of the connective tissue covering the cusp tip determines hyperplasia in the oral epithelium. A conspicuous infiltration results. Infiltrated undifferentiated cells form distinct cords which seem to be attracted by the internal enamel epithelium. They reaggregate when they come into its contact and form an underlying epithelium. The process starts in the superficial part and progressively extends towards the cervix. Finally, the internal enamel epithelium is expelled when desquamation begins. The lack of mitoses in both stratum intermedium and internal enamel epithelium and the pyknosis observed in the former, clearly show that the cells of the embryonic dental bell do not take part in the formation of the squamous epithelium as some authors still suppose.

Ameloblasts↗
PubMedDate not supplied

[Characteristics of the enamel mineralization of the intact permanent teeth in children 6 to 14 years old].

The composition of enamel from the first permanent lower molars was studied intravitally in 140 somatically asymptomatic children with intact teeth. The contents of Ca, P and molar Ca/P ratio were determined. At the age of 10, 13 and 14 years Ca levels were higher as related to 10, 13 and 14 for cuspid and to 13 and 14 years for paracervical specimen. After 10 years, cuspid Ca content was higher than cervical. At the age of 10 to 14 cuspid P content was reduced. Age-related increase in molar Ca/P ratio was also found. The values attained those characteristic of adult intact enamel at cuspid by the age of 9, and at cervix by 12 years. The data suggest that cuspid enamel matures earlier than pericervical one.

Adolescent↗