SEARCH · PubMed Health

Results for “Tooth”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 901 records · Page 50Linked to original sources

PubMed1977

Tooth-size discrepancy in mandibular prognathism.

A Bolton analysis of seventy-eight cases of Angle Class III malocclusion, twenty-six cases of Angle Class I malocclusion, and twenty-six cases of Angle Class II malocclusion was recorded. Frequency of excess mandibular tooth structure, magnitude of the excess, over-all ratios, and anterior segment ratios were computed and analyzed. Two clinical cases were presented to show the advantage of tooth-size harmony in mandibular prognathism. Analysis of the data as presented above suggests the following conclusions: 1. The frequency of mandibular tooth-size excess (over-all ratio) in this sample was greater in cases of mandibular prognathism than in Angle Class I and Angle Class II cases. 2. In those cases with mandibular tooth-size excess, there was a suggestion that the magnitude of the excess was greater in cases of mandibular prognathism than in Angle Class I and Angle Class II cases. 3. A tooth-size discrepancy analysis should be included as one part of the diagnostic records for mandibular prognathism.

Adolescent↗

PubMed1985

The pattern and control of eruptive tooth movements.

Assumptions about eruptive tooth movements based on experience with adolescents may not be applicable to all ages. The eruptive process can be subdivided into six phases--three profunctional stages of individual tooth eruption (follicular growth, pre-emergent eruptive spurt, and postemergent eruptive spurt) and three postfunctional stages of the eruption of the entire dentition (juvenile occlusal equilibrium, circumpubertal occlusal eruptive spurt, and adult occlusal equilibrium). Differences in tooth-eruption rates in each of these phases result from variations in systemic and local factors. A series of working hypotheses which incorporate recent research into a theoretical explanation of the control of eruption during each stage is presented. Prior to emergence, the force of eruption may influence the rate of bone resorption and later of gingival remodeling, but the resorptive processes occur independently and are the rate-limiting factors in pre-emergent eruption. After emergence, intermittent occlusal loading disrupts the generative or adaptive mechanisms of the periodontal ligament so that eruption slows. The light continuous forces from resting tongue pressure also are significant influences on tooth eruption during periods of rapid facial growth. Cellular adaptation of the alveolar bone and gingiva plays an important role in the control of tooth eruption in the adult.

Adolescent↗

PubMed1989

Disturbances of tooth form and eruption in the microphthalmic (mi) mouse: a light and electron microscopic study.

Changes in the surrounding alveolar bone occur during tooth eruption. The microphthalmic (mi/mi) mouse suffers from osteopetrosis and lack of bone resorption; tooth form and eruption were examined in both affected mi/mi mice and unaffected litter-mates to determine the effect of osteopetrosis on tooth development and eruption. Paraffin sections of mandibles from 3, 7, 10, 13, 15 and 20-day-old mice were examined by light microscopy after staining with haematoxylin and eosin and for stable acid phosphatase activity. Mandibles from 15- and 20-day-old mice were examined by scanning electron microscopy. The ultrastructure of odontoblasts was observed in 15-day-old mice. Tooth eruption was significantly reduced in the mi/mi mice; the bone of affected mice increased in area with increasing age and marrow spaces narrowed. There was little bony remodeling in the mi/mi mouse, as indicated by layers of reversal lines. This lack of bone resorption affected tooth eruption and root formation. No abnormalities were detected in odontoblasts, suggesting functional normality, but the wide predentine layer in the mi/mi mouse may indicate an alteration in dentine mineralization.

Animals↗

PubMed2004

Influence of aging on tooth eruption: experimental canine mandibular allograft.

PURPOSE: Aging is clinically related to tooth eruption; however, there are no known studies that have elucidated the relationship. We examined whether tooth eruption would occur normally in a mature subject. MATERIALS AND METHODS: Using vascularized composite tissue mandibular transplantation, we extracted portions of immature mandibles including the tooth germs from young beagle dogs and placed them into unrelated immature and mature beagle dogs. We then examined eruption of the lower first molar in the grafted mandibular bone and compared the results clinically, radiographically, and histologically. RESULTS: Normal tooth eruption was observed in the transplanted mandibles in the young dogs. In the mature dogs, eruption from the gingiva was delayed, whereas that from alveolar bone occurred normally in the transplanted mandibles. Further, the whole crown was covered with a cap of gingival tissue in the mature dogs, although this cap was not gingival overgrowth. CONCLUSIONS: Tooth eruption is influenced by some unknown factors related to aging. Apparently, apoptosis did not occur in the connective tissues between the reduced enamel epithelia and oral epithelia that overlay the teeth in the mature subjects.

Aging↗

PubMed2004

Strategies for management of single-tooth extraction sites in aesthetic implant therapy.

Achieving predictable aesthetic outcomes following the planned removal of a natural tooth suffering from structural, endodontic, or periodontal compromise depends on a multitude of factors that, once identified, guide the implant team in selecting the surgical and prosthetic treatment options best suited for the individual clinical scenario. This article presents pertinent information regarding systematic patient evaluation and special treatment planning considerations for patients facing the loss of a single tooth in an area of high aesthetic importance. The rationale for and details of performing the Bio-Col site preservation technique at the time of tooth removal; guidelines for immediate versus delayed implant placement; selection and sequencing of site-development procedures according to the types of alveolar ridge defects encountered following tooth removal despite the use of site preservation; and a description of prosthetic techniques necessary for the successful management of single-tooth extraction sites in areas of aesthetic concern also are reviewed.

Alveolar Process↗

PubMed1996

Prevalence of tooth agenesis and peg-shaped maxillary lateral incisor associated with palatally displaced canine (PDC) anomaly.

Fifty-eight nonsyndromic North American white orthodontic patients with palatal displacement of one or both maxillary canine teeth were studied for associated tooth agenesis and peg-shaped maxillary lateral incisors. Agenesis of permanent teeth was identified by x-ray film analysis. Conical crown-size reduction (peg-shape anomaly) of the maxillary lateral incisor (l2) was determined by direct observation. Increases in absence of third molars and second premolars associated with the palatally displaced canine (PDC) anomaly were statistically very highly significant compared with normative data for tooth-agenesis prevalence. In contrast, the prevalence of l2 agenesis in the PDC sample showed no difference statistically compared with reference values. Reasons for this posterior site-specific suppression of tooth formation are not clear. The l2 peg-shape anomaly exceeded a 10-fold elevation in expression in the PDC sample, a very highly significant increase from normal prevalence. The findings are consistent with a hypothesis that the anomalies of tooth agenesis, tooth-size reduction, and PDC are biologic covariables in a complex of genetically related dental disturbances.

Adolescent↗

PubMed1998

The prevalence of tooth wear in a cluster sample of adolescent schoolchildren and its relationship with potential explanatory factors.

OBJECTIVE: To assess the prevalence of tooth wear in adolescents and its relationship with diet, saliva and gastro-oesophageal reflux. DESIGN: Single centre cluster sample epidemiological study. SETTING: A school in London in the summer of 1996. SUBJECTS: 11-14-year-old schoolchildren. MAIN OUTCOME MEASURES: The Smith and Knight tooth wear index (TWI), salivary factors, diet and symptoms of gastro-oesophageal reflux were recorded for all subjects. RESULTS: Results were obtained from 210 subjects. One subject refused to provide a saliva sample and 11 subjects provided insufficient saliva for analysis of buffering power (n = 198). 57% (95% confidence intervals 50.3-63.7%) of subjects had tooth wear on more than ten teeth and a median 12% (interquartile range 6-18%, 95% confidence intervals 8-14%) of surfaces were affected. However, dentine involvement was rare. The median intake of carbonated drinks was 2 cans (interquartile range 1-3) a day. However, there was no correlation with TWI (r = -0.09, P = 0.19). There was no relationship between tooth wear index (TWI) and salivary flow rate (r = -0.02, P = 0.78) or buffering capacity (r = -0.02, P = 0.76). A trend was observed for those with a reported history of regurgitation (n = 27) to have a higher maxillary TWI (median 8, interquartile range 2-13) compared with those who did not (5, 2-9, P = 0.06). CONCLUSIONS: Tooth wear is common in adolescents and the relationship with dietary acid, salivary buffering and symptoms of gastro-oesophageal reflux is complex and requires further investigation.

Adolescent↗

PubMed2004

Epidemiological studies of tooth wear and dental erosion in 14-year-old children in North West England. Part 1: The relationship with water fluoridation and social deprivation.

OBJECTIVE: The effect of water fluoridation upon dental erosion/tooth wear in the UK has not been investigated. This study aimed to compare the prevalence of tooth wear in 14-year-old schoolchildren in non-fluoridated and fluoridated districts of North West (NW) England. The influence of deprivation and tooth brushing was also investigated. DESIGN: A random sample of 10% of the 14-year-old population in NW England was selected and stratified according to fluoridation status as determined from water authority postcode listings. METHODS: Tooth wear was scored on the labial, incisal and palatal/lingual surfaces of the 12 anterior teeth and the occlusal surfaces of the first molars. Enamel wear was scored 0, dentine was scored 1 or 2, dependent on whether less than or more than a third of the surface had exposed dentine. Secondary dentine or pulpal exposure scored 3. Townsend deprivation scores were gained from residential post codes. RESULTS: A total of 2,351 children were examined, of which 637 (27%) lived in the one fluoridated district of South Cheshire and 1,714 (73%) lived in 11 non-fluoridated districts. Fifty-three per cent of the children had exposed dentine with significantly more males affected than females (p<0.001). In the fluoridated district, significantly fewer children had exposed dentine on labial and palatal smooth surfaces (p<0.001) but no differences were found for incisal and occlusal surfaces. The interaction of fluoridation and tooth brushing twice per day resulted in a significant (30%) reduction in erosion. Smooth surface wear was more prevalent in children resident in affluent areas. CONCLUSION: Children in non-fluoridated districts are 1.5 times more likely to have smooth surface wear compared with children in fluoridated districts. Fluoridation and use of fluoridated toothpaste twice a day provide added protection from dental erosion. The risk of tooth wear is greater with increasing affluence.

Adolescent↗

PubMed2001

Intranasal tooth as a complication of cleft lip and alveolus in a four year old child: case report and literature review.

Ectopic position of teeth is not rare. The presence of teeth have been reported in ovaries, testes, anterior mediastinum, and pre-sacral regions. In the maxillofacial region, teeth have been found in maxillary sinus, mandibular condyle, coronoid process, chin, nose, and even orbit. Approximately 50 cases of a tooth in the nasal cavity have been reported in literature. However, an intranasal tooth in cases of cleft lip and palate is comparatively rare. Intranasal teeth can cause problems such as nasal obstruction, chronic rhinorrhea and speech problems. Sometimes however, they are totally symptom-free. We present here an interesting case of an intranasal tooth in a four year-old-boy, who was operated on for cleft lip and alveolus at 6 months of age. The intranasal tooth did not cause any symptoms. The tooth was extracted under general anaesthesia when it was found to be very loosely attached to the nasal mucosa. The case is discussed in the light of relevant literature on intranasal teeth in cases of cleft lip and palate.

Child, Preschool↗

PubMed2005

Review: extracellular matrix regulates tooth morphogenesis.

Mineralized tissues are unique in that they use proteins to attract and organize calcium and phosphate ions into a structured mineral phase, thus precise knowledge of the expression and extracellular distribution of matrix proteins is very important to understand their function. Tooth development is regulated by sequential and reciprocal interactions between neural crest-derived mesenchymal cells and the oral environment. However, the precise molecular mechanisms that mediate interactions between epithelium and mesenchymal cells are not clear, although basement membrane (BM) components have been shown to play important roles in these regulatory events. In addition, the extracellular matrix layer, whose main components are laminin, collagen IV, nidogen, and sulfated proteoglycan, and the BM layer are both considered to be involved with cell proliferation and differentiation. During tooth morphogenesis, extracellular matrices are dramatically changed. Further, the BM components, laminin and collagen IV support dental epithelium; however, in the late stage, they begin the processes of enamel matrix secretion and calcification, after which the BM structure between the dental epithelium and mesenchyme disappears. In addition, tooth abnormalities associated with several kinds of human diseases that cause mutations in the extracellular matrix, as well as the molecular mechanisms of the basement membrane and enamel matrix during tooth morphogenesis, are not clearly understood. In our review, we discuss the role of the extracellular matrix, with focus on the BM and enamel matrix during tooth morphogenesis.

Ameloblasts↗

PubMed1991

Tooth displacement analysed on human autopsy material by means of a strain gauge technique.

Tooth displacement was analysed on human autopsy material for various types of orthodontic force systems using an electronic strain gauge technique. Tooth movements were registered in two dimensions with low force clip gauges on three sections of the mandible, containing the first premolar and the first molar. The sensitivity was 0.1 microns when horizontal forces of 50, 100, and 150 cN were applied at different horizontal levels producing different M/F ratios. The relationship between a force system and the resulting tooth movement was described by the position of the centre of rotation, CR, and the angle of rotation. The centre of resistance was determined for the three autopsy specimens, and depended on tooth geometry, root length, and level of bony margin. Important differences in location were found. The dynamics of initial tooth movement were analysed within the first minute of load application. Force/displacement curves were generated to evaluate the behaviour of the periodontal ligament. There was a linear correlation between the two variables. Freezing the autopsy material some days before testing had no detectable effect. The results from measurements on human autopsy material were compared with previously derived in vivo measurements.

Adolescent↗

PubMed2001

Endoscopic extraction of an intranasal tooth: a review of 13 Cases.

OBJECTIVE: To present the clinical experience of a series of 13 consecutive cases of an intranasal tooth treated by endoscopic extraction during a 15-year period. STUDY DESIGN: Retrospective review. METHODS: The records of 13 patients who underwent endoscopic extraction of an intranasal tooth at Taipei Medical University Hospital and Chang Gung Memorial Hospital between 1986 and 2000 were reviewed. RESULTS: All the patients had an uneventful recovery and the presenting symptoms were completely relieved after surgery. The follow-up period was 6 months to 14 years 5 months (average, 9 yr 2 mo). Examination of these extracted teeth showed that 11 were supernumerary teeth and two were ectopic permanent canine teeth. CONCLUSIONS: Endoscopic extraction of the intranasal tooth has the advantages of good illumination, clear visualization, and precise dissection, and in our experience the result of endoscopic extraction of an intranasal tooth is satisfactory. We recommend the routine use of a rigid endoscope in the treatment of an intranasal tooth.

Adolescent↗

PubMed1999

Evidence that laminin-5 is a component of the tooth surface internal basal lamina, supporting epithelial cell adhesion.

Laminin-5 (Ln-5) is an extracellular matrix (ECM) glycoprotein found in epithelial basal laminae. We studied its expression on the surface of rat molars, in relationship to the location of the internal basal lamina (IBL) of the junctional epithelium (JE). In order to avoid disruption of the JE-tooth interface as much as possible, the surface of molars was prepared by mechanical removal of tissue debris and detergent/osmotic lysis of epithelial cell layers, and directly stained by immunohistochemistry, without sectioning. Antibodies to Ln-5 specifically stained a narrow band in the region of the cemento-enamel junction (CEJ), consistent with the expected location of the IBL. Western blotting of ECM material detergent--solubilized from the prepared tooth surfaces confirmed the molecular nature of Ln-5 identified by immunohistochemistry. By the use of a high-definition 3-D microscope, it appeared that Ln-5 coated the most apical part of the enamel and the most coronal portion of the cementum, on either side of the CEJ. In adhesion assays performed directly on tooth surfaces, epithelial cells adhered preferentially to the Ln-5 coated area of the tooth compared to the root surface, which is coated by other ECM components. Adhesion to the Ln-5 coated surface was specifically inhibited by a function-blocking monoclonal antibody to Ln-5. These results suggest that Ln-5 is a component of the IBL, and that it may be important in promoting adhesion of JE cells onto the tooth surface.

Animals↗

PubMed1984

Treatment of triple tooth: report of case.

A case of a young girl with a triple primary tooth that retarded normal development of the maxillary left lateral incisor is described. The primary tooth was extracted to encourage normal development of the permanent tooth. Subsequent examination of the extracted triple tooth suggests that it was composed of the primary left lateral incisor fused either to a geminated central incisor or to a fused central incisor and supernumerary tooth.

Child↗

PubMed2002

Differential diagnosis between dentigerous cyst and benign tumor with an embedded tooth.

It has been generally recognized that the radiological appearances of cysts and tumors related to an embedded tooth are similar. However, based on their clinical experience, Abrams et al. pointed out that there was a difference between the two lesions at the attachment point to the embedded tooth. To investigate this difference, we conducted a study employing the radiographs of patients who visited Nihon University Dental Hospital at Matsudo and were pathologically defined as having a cyst or tumor. Using radiographs of these patients, we investigated the attachment point to the embedded tooth, and expressed the results as the proportion of the attachment point to the embedded tooth root length. The study was carried out in 100 patients with cysts (87 dentigerous cysts and 13 odontogenic keratocysts), and 27 patients with benign tumors (24 ameloblastomas and three adenomatoid odontogenic tumors). Prior to treatment based on the numerical results, the distribution of the results was examined. Thus, we evaluated several methods of examining the distributions, and found the best method to be discriminant analysis. The results showed that the discriminated boundary value (from the cemento-enamel junction) was 0.38 for the embedded tooth root length. The cases showing a boundary value of less than 0.4 for the cemento-enamel junction were judged to be cysts, and those showing a value of 0.4 or more were judged to be benign tumors. The rate of misjudgement was 28% in the cyst group and 33.3% in the benign tumor group.

Adolescent↗

PubMed2001

[Repair and revision 4. Cracked tooth and crown fractures: diagnostics and treatment].

Trauma to the teeth can result in the formation of cracks in the crown or root of the tooth. The location and the extent of these cracks determine the proper treatment choice. This treatment is oriented towards saving pulp vitality and/or tooth integrity. In this paper the diagnosis of these cracks is described as well as the desired treatment. These are discussed relative to the location of the cracks, namely in the clinical crown of the tooth, resulting in enamel infraction, cracked tooth and crown fractures, and in the root of the tooth, resulting in a vertical or horizontal root fracture.

Dental Restoration, Permanent↗

PubMedDate not supplied

Tooth crown fractures in 3-year-old Andalusian children.

PURPOSE: The purpose of this study was to determine the prevalence of tooth crown fractures affecting primary incisors of 3-year-old Andalusian children. METHODS: Clinicians examined 337 three-year-old children (mean age=3.6 years) of Seville, Andalusia, southern Spain. They examined the children for several dental and oral conditions, including tooth trauma. RESULTS: Crown fractures were found in 15% of the examined children. The prevalence of tooth crown fractures was significantly higher in males (18%) than in females (10%) (P=.04; odds ratio:0.5). In both genders, the upper central incisors had the most fractures, 77% in males and 71% in females. The most common crown fracture was found in enamel only (82%), followed by fracture into dentin (12%), and fracture involving the dental pulp (7%). CONCLUSIONS: Dentists have a responsibility to examine primary tooth injuries at the initial presentation of children because a dental injury to a primary tooth may include more severe injuries, such as dento-alveolar fractures.

Child, Preschool↗

PubMed2003

Clinical evaluation of a novel liquid tooth whitening gel.

PURPOSE: To clinically evaluate a new system for at-home tooth whitening (Colgate Simply-White Whitening Gel), by comparing tooth color improvement and adverse event incidence after 14-days treatment. MATERIALS AND METHODS: 22 subjects (aged 21-46 years) were enrolled into the study. Tooth color and safety assessments were conducted at baseline and following a 2-week at-home treatment. Efficacy was assessed using VITA shade scores. Safety evaluations were performed including the examination of plaque index (PI), bleeding index (BOP), gingival recession and dentin hypersensitivity. Statistical analysis was performed to determine the mean change from baseline. RESULTS: The new whitening gel releasing 5.9% hydrogen peroxide was significantly effective in lightening tooth shade. After only 2 weeks, patients enrolled in the study exhibited an overall mean 3.56-shade improvement from baseline, far superior than minimum values established in ADA Guidelines for the acceptance of peroxide-containing oral hygiene products. Periodontal health (PI and BOP) improved with time overall. Dentin hypersensitivity slightly increased, but it was very well tolerated. No patient discontinued study participation due to such an adverse event. Therefore, it was concluded that the new Colgate Simply White Clear Whitening Gel provided clinically proven, safe and effective at-home tooth whitening.

Adult↗