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Co-destructive factors of marginal periodontitis and repetitive mechanical injury.

When repetitive mechanical injury was produced in combination with marginal periodontitis a significant loss of connective tissue attachment did not occur as compared with specimens in which periodontitis alone was produced. It seems unlikely, therefore, that there is a "co-destructive" factor effect on the loss of connective tissue attachment. The amount of alveolar bone lost as a result of marginal periodontitis was increased by the addition of repeated mesiodistal jiggling of the teeth. This could represent an irreversible "co-destructive" effect or could merely be a functional adaptation of the periodontium.

Alveolar Process↗

Determination of arbitrary tooth displacements.

The noninvasive, modern technique based on the method of double-exposure hologram interferometry was used to measure arbitrary displacements of teeth in the three dimensional space. The experimental studies were carried out on an idealized model of the maxillary central incisor. The results show that the experimental data, based on component loading, are inadequate to accurately predict tooth displacement from an arbitrary force acting in the three dimensional space.

Alveolar Process↗

Variation of approximal tooth contact tightness with postural change.

In order to investigate the role played by posture in determining posterior dental contact tightness, we measured contact tightness of maxillary and mandibular posterior teeth in ten adult subjects, while each was initially seated upright, after each had assumed a supine posture for two h, and finally after each had returned to an upright posture for two h. The technique used for measurement of contact tightness was based on frictional force concepts and consisted of the recording of the force required to withdraw a 0.038-mm-thick stainless-steel strip that had been slipped into each contact. A decreased mean tightness of all maxillary and mandibular contacts followed the change from an upright to a supine posture. The most significant decrease (-32%) occurred at the mandibular first molar-second premolar contact, and the smallest decrease (-10%) occurred at the mandibular first premolar-canine contact. An increased mean tightness of all maxillary and mandibular contacts followed a return to an upright posture. The most significant increase (20%) occurred at the maxillary first molar-second premolar contact, and the smallest increase (8%) occurred at the maxillary first premolar-canine contact. We conclude that posterior dental contact tightness, generally regarded by dentists as a static feature of occlusion, varies significantly as a function of posture.

Adult↗