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At least 1,279 records · Page 71Linked to original sources
PubMed2000

Tooth-supported telescopic prostheses in compromised dentitions: a clinical report.

This article describes indications for treatment with telescopic restorations on patients with periodontally and endodontically compromised dentitions that require splinting, with special emphasis on treatment that restores the entire dental arch. Stabilization of compromised teeth with fixed splinted restorations is usually inadvisable because of the risk factors involved, such as eventual localized abutment failure. Detachable telescopic prostheses may be preferred as a near equivalent or substitute because they can be detached and repaired without reconstruction of the entire restoration. Retentive and splinting properties of detachable telescopic restorations can be as effective as FPDs. Inner telescopic copings can be cemented as individual crowns to facilitate the procedure. Telescopic restorations can be retrieved by the patient for cleaning and easy access to the entire marginal periodontal circumference of the abutments. This promotes effective home care and oral hygiene. In addition, principles of design and indications, as well as technical and clinical factors, were discussed.

Aged↗
PubMed2004

Self-reporting of periodontal diseases and clinical assessment outcome in a Swedish urban population of smokers and non-smokers.

The aim of this study was to determine whether there is an association between self-reporting of periodontal diseases and outcome in a clinical examination, and whether any difference is present in awareness of periodontal status between smokers and non-smokers. Participants comprised 1676 adults (838 M and 838 F aged between 31 and 40 years), 564 of whom reported being smokers. Subjects were asked via questionnaire whether they thought they had periodontal disease and why. A total of 1655 subjects answered the questionnaire and were subsequently divided into those who suspected having periodontal disease (Yes-group) and those who did not (No-group). A full-mouth clinical examination was carried out in all subjects. Female smokers in the Yes-group had a significantly higher number of teeth with pockets > or = 5 mm (P < 0.001) and a higher calculus index (CI-S, P < 0.01) than female smokers in the No-group. Male smokers in the Yes-group had significantly less remaining teeth (P < 0.01), more teeth with pockets > or = 5 mm (P < 0.001), and a higher CI-S (P < 0.05) than their counterparts in the No-group. For smokers, multivariate logistic regression analysis yielded an odds ratio (OR 3.21 [95% CI 1.73 5.74]) of self-reported periodontal disease to periodontitis outcome which was significant (P < 0.001). This association remained significant (P < 0.01) after adjustment for confounding factors. Subjects who reported having periodontal disease, especially those who also reported having movable teeth, were confirmed to have the disease. Smokers were more aware of their periodontal status than non-smokers.

Adult↗
PubMedDate not supplied

A bone-remodelling scheme based on principal strains applied to a tooth during translation.

This paper investigates the role of principal strains within the periodontal ligament (PDL) during bone remodelling in orthodontics and particularly in the case of bodily motion (pure translation). Using analytical formulas of stress and strains within the PDL for the particular case of a paraboloidal central incisor during translation, the strains are directly related to the motion of the interface between the alveolar bone and the PDL, called bone surface. It is shown that both normal and shear strains within the PDL are of the same importance for bone surface motion. Moreover, both "mean average" and "geometrical average" of principal strains within the PDL play a significant role in the bone remodelling process, as they contribute with the same proportionality. In summary, the proposed formulas differ than previous ones that had been successfully applied to describe remodelling within long bones. The proposed theory is also sustained by a linear finite element analysis.

Algorithms↗
PubMed1991

Spontaneous changes in the rotation of premolar teeth from eruption until the established dentition.

The aim of this study was to investigate whether the rotation of teeth changed from the point of eruption until the established dentition. The first 50 cases with adequate records enrolled in the Belfast Growth Study were selected, and the premolar rotation was measured at the point of eruption and again at age 15 in the established dentition. All premolars in a quadrant with early loss of the deciduous predecessors, early loss of the first permanent molars or absence of premolars, were disregarded. The results showed that the second premolars in both the upper and lower arches which erupted rotated had a tendency to improve over the observed period. Upper and lower first premolars which erupt rotated show the same tendency to improve, but to a lesser extent and less frequently than the second premolars. There seemed to be cases where a premolar deteriorated over the period, especially the first premolars.

Adolescent↗
PubMed1989

The periodontal enigma: eruption versus tooth support.

The response of the periodontal ligament is reviewed when single or repeated loads are applied to the tooth, as in mastication. A more nearly elastic recovery is produced with simulated chewing than is indicated by single semi-static applications of force. The resting position of the tooth between loadings changes with the time of day and recent loading history. An unstressed tooth extrudes at a variable rate. Soon after entry into the mouth, extrusion is a progressive feature, which manifests as eruption with consequent structural rearrangement of the periodontium. Rates of extrustion are substantially higher than eruption. Experimental evidence is presented that newly erupted teeth of monkey erupt in a similar manner to rodent incisors. Thus reduction in masticatory loads allows teeth to erupt faster than control teeth. It is concluded that the ligament is well constructed to withstand the large but short-acting forces which occur in mastication and which cause relatively small, long term effects, on the position of the tooth in the alveolus. When unstressed, mechanisms in the ligament of a tooth with a developing or fully formed root, generate a continuous net force in the order of a gram tending to cause extrusion. The position a tooth adopts is determined by the interplay of these opposing sets of greatly differing forces.

Animals↗
PubMed2000

Idiopathic root resorption: report of a case.

A case of multiple idiopathic apical root resorption in a 26-yr-old female patient is presented. A review of the literature revealed that extensive idiopathic root resorption is unusual. Neither local nor systemic etiological factors were found in our case. Examination of parents and siblings did not reveal a familiar tendency. Radiographs and clinical evaluation showed a very poor prognosis for most of the teeth present in the mouth of our patient.

Adult↗
PubMed1992

An evaluation of the Periotest system. Part II: Reliability and repeatability of instruments. Dental Implant Clinical Research Group (Planning Committee).

Investigators involved in a clinical study on dental implants being conducted by the Dental Implant Clinical Research Group participated in a two-part in vitro evaluation of the Periotest system. The first part involved each of 35 investigators taking three readings for each of 16 models designed to simulate an implant in place in the oral cavity and to cover most of the effective measuring range of the instrument. The second part, with which this article is concerned, was conducted by three study investigators to determine the level of agreement in readings for six different Periotest instruments. Readings were taken according to the manufacturer's instructions until two coincident readings were obtained. The readings were compared to evaluate inter- and intrainstrument reliability. Instrument repeatability was evaluated by examining the number of attempts required to obtain the two coincident readings. The Periotest system generally demonstrated a high degree of repeatability and reliability, with higher variability associated with specific model samples.

Dental Implants↗
PubMed1997

Periotest values of dental implants in the first 2 years after second-stage surgery: DICRG interim report no. 8. Dental Implant Clinical Research Group.

In 1991, the Dental Implant Clinical Research Group initiated a long-term clinical study in cooperation with the Department of Veterans Affairs to investigate the influence of implant design, application, and site of placement on clinical performance and crestal bone height. As part of this investigation, Periotest values for 2,212 root from implants were determined at second-stage surgery and during a 24-month follow-up period. Mean Periotest values decreased for implants placed in quality 1 and 2 bone, did not change for implants in quality 3 bone, and increased for implants in quality 4 bone. Implants in the posterior maxilla and single implants in the anterior maxilla had increasing mean Periotest values as compared with decreasing values for implants in other regions. Mean Periotest values for uncoated implants decreased gradually to approach those of hydroxyapatite-coated implants.

Adult↗
PubMed2005

Strains recorded in a combined tooth-implant restoration: an in vivo study.

Implant-supported fixed prosthesis is a treatment option to restore missing teeth. Occasionally, it is necessary to connect teeth and implants as abutments for these restorations. Whether such restorations can be recommended is a matter of debate. This in vivo study measured strains involved in connecting implants to a natural tooth and compared rigid and nonrigid tooth/implant connections. A patient was treated with mandibular unilateral fixed prosthesis supported by two implants and one proximal tooth. Strain gauges were cemented to the experimental framework restoration. Recordings were obtained from the restorations while the patient bit on a wooden stick on the day of placement and after 2 weeks in function, using both rigid and nonrigid attachment connections. A significant difference was found in horizontal deformation of the tooth/crown between day 1 and 2 weeks later. Vertical deformations were smaller than horizontal ones. After applying biting forces, horizontal and vertical deformations were maintained. Strain recorded in a clinical setting revealed mostly horizontal strains generated in a combined tooth/implant device. These strains were maintained after a 2-week recording. Within the limitation of this study, combined tooth/implant restorations could be a potential complication and could cause an intrusion of a natural abutment regardless of the type of connection (rigid or nonrigid).

Bite Force↗
PubMed2004

Periodontal management of an adolescent with Down's syndrome--a case report.

A case of periodontitis in a young adolescent Japanese girl with Down's syndrome is presented in this report. The patient received a monthly preventive course of dental care consisting of mechanical plaque control and oral hygiene instruction. After 2.5 years she recovered from progression of periodontal disease both clinically and microbiologically. The importance of clinical care for periodontitis in Down's syndrome patients is discussed.

Adolescent↗
PubMed1978

Trauma from occlusion in monkeys.

Traumatic occlusion was induced in monkeys by insertion of bridges raising the bite. Both incisors and molars were used as abutments. Observation periods ranged from 7 to 24 months. No appreciable effect of the trauma on the apical proliferation of the crevicular epithelium was found. The results were the same in monkeys with or without marginal gingival inflammation before the trauma was induced.

Alveolar Process↗
PubMed1979

The effect of denervation on trauma from occlusion.

Trauma from occlusion was induced by inserting cantilever bridges bilaterally in the mandibles of two monkeys. In one monkey the mandibular nerve was cut on one side; in the other on both sides. By this procedure possible protective action of nerve receptors in the periodontal membrane was reduced. The occlusal trauma resulted in severe damage to the pulp and resorption of the roots, but no appreciable downgrowth of the crevicular epithelium.

Animals↗
PubMed1981

Recent results concerning physiological tooth movement and anterior guidance.

Physiological tooth movements during mandibular excursions with and without occlusion have been considered. Using electronic and pantographic techniques, anterior guidance and tooth movements during simulated mastication (without a bolus) were investigated. Investigations in the absence of occlusion showed that elastic deformation of the mandible gave rise to tooth movements. During occlusion three-dimensional tooth movements of up to 60 micro m in each direction occurred. Pantographic measurements of anterior guidance showed that each type of occlusion (balanced occlusion, group function and canine protected occlusion) has its own characteristic. Only canine protected occlusion gave values which corresponded to physiological data.

Cuspid↗
PubMed1983

Movement of abutment teeth in spring cantilever bridges: a laboratory study.

The extent and directions of movements of spring bridge abutments were studied on acrylic casts with resilient steep and shallow palates and containing human molar and premolar abutments with compressible 'periodontal ligaments'. Bridges with rigid bars and 'flexible' standard, long and short lengths were cast in Type IV gold, and soldered to Type III gold retainers which were pinned to the abutments. The pontic on each bar was depressed a standard 0.2 mm, and the movement of the abutments registered on a dial gauge resting against the mesio-buccal corner of each retainer. The combination of bar length and palatal contour causing least movement of an abutment was the shortest bar to the molar abutment in the shallow palate model; indeed all bars on this model deflected the molar abutment less than similar bars on the steep palate model. Differences in palatal contours did not affect the extent of movements of the premolar abutments which were comparable to molar movements in the steep palate model. Abutment teeth moved mesio-buccally when the pontic was depressed, and the elbow of the bar usually moved off the palate indicating the fulcrum was positioned along the anterior section of the bar.

Dental Abutments↗