Obsessive Behavior
Tooth Germ
Labial Frenum
Dental Pulp Necrosis
Orthodontic Space Closure
Odontogenesis
Tooth, Supernumerary
Elastic activator for treatment of open bite. (1/50)
This article presents a modified activator for treatment of open bite cases. The intermaxillary acrylic of the lateral occlusal zones is replaced by elastic rubber tubes. By stimulating orthopaedic gymnastics (chewing gum effect), the elastic activator intrudes upper and lower posterior teeth. A noticeable counterclockwise rotation of the mandible was accomplished by a decrease of the gonial angle. Besides the simple fabrication of the device and uncomplicated replacement of the elastic rubber tubes, treatment can be started even in mixed dentition when affixing plates may be difficult. (+info)An unusual case of talon cusp on geminated tooth. (2/50)
A rare case of talon cusp on geminated permanent central incisor is described. These developmental anomalies cause clinical problems including unsightly dental appearance, occlusal interference, displacement of the affected tooth, attrition, periodontopathy, irritation of the tongue, loss of space and malocclusion. Clinical and radiographic characteristics of these anomalies and modes of treatment are presented. Recognition of this condition and early diagnosis are important to avoid complications. (+info)Interdisciplinary approaches to adult orthodontic care. (3/50)
The orthodontic treatment of adult patients is most frequently just one component of a more complex treatment involving several dental disciplines. This report discusses the potential problems related to the establishment of a treatment plan and the necessity for the patient's full acceptance, and understanding of the pros and cons related to different treatment approaches. In addition, the case report underlines the importance of a well-defined treatment goal. We have illustrated the team approach and the treatment principles in this combined perio-, ortho-, and prosthodontic patient. (+info)Clinical evaluation of the centre of resistance of the upper incisors during retraction. (4/50)
The aim of this study was to evaluate the movement of anterior teeth during retraction with a force applied through the assumed centre of resistance (CRe).Twenty-two subjects with a Class I or II malocclusion were included. Each subject had the two upper first premolars extracted, resulting in a symmetrical extraction space of at least 3 mm between the upper laterals and canines. The force was applied through the assumed CRe, located 9 mm gingival to the lateral tooth bracket. To examine the type of anterior tooth movement, 10 parameters were measured. A Wilcoxon test was used to determine the differences between pre- and post-retraction values, and a Mann-Whitney U-test to determine the mean differences between groups. In spite of the force application through the CRe, tipping of the anterior teeth was observed in 19 subjects and parallel movement in three patients. Consequently, the subjects were divided into two groups according to the location of the centre of rotation (CRo). In group 1 (nine cases), the CRo was located coronal to the root apex, and in group 2 (13 cases), apical to the root apex. Both groups showed a significant decrease in inclination (P < 0.01) and posterior crown movement (P < 0.01 for group 1 and P < 0.001 for group 2) of the anterior teeth. A significant posterior movement of the root apex was observed in group 2 (P < 0.001). Significant differences were found between the groups for anterior tooth inclination (P < 0.05) and root apex movement (P < 0.001). The reasons for these differences could not be conclusively determined. Even though experimental studies provide information regarding CRe location, factors such as bone support, root morphology and incisor inclination should be taken into consideration. The observation of tooth movement occurring during treatment and changes in treatment mechanics would be helpful in obtaining desired tooth movement. (+info)Prevalence and distribution by gender of occlusal characteristics in a sample of Italian secondary school students: a cross-sectional study. (5/50)
The aim of this study was to describe the prevalence and distribution, by gender, of occlusal traits in a sample of Italian students aged 11-14 years (mean 13 +/- 1 years). Using standardized and validated recording criteria, a single operator measured the overjet, overbite, open bite, anterior and posterior crossbites, crowding, coincidence of the upper and lower midlines, and diastema, in 810 secondary school students (53.6 per cent males). Chi-square, t-test statistics, and odds ratios (ORs) with 95 per cent confidence intervals (CI) were used to investigate the relationship between gender and malocclusion characteristic. Logistic regression was used to further analyse the independent association between gender and each outcome measure. Ninety-three per cent of the subjects showed at least one occlusal trait, with one or two anomalies recorded in 63 per cent of children. The prevalence of occlusal traits ranged from 1.1 (negative overjet) to 54 per cent (upper and lower midlines not coincident). Males were more likely than females to show both an increased overbite and an increased overjet, although the latter result was not confirmed by logistic regression (P = 0.05). Multivariate analysis showed a negative association between overbite and misalignment of the lower incisors and lack of coincidence of the upper and lower midlines, whereas subjects with an increased overbite were more likely to have an increased overjet (all P < 0.01). Further studies are required in order to further clarify these findings and to provide accurate estimates of the orthodontic treatment need in Italian adolescents. (+info)Localized sequential use of resilient lining to generate orthodontic force in thermoformed active removable appliances. (6/50)
A new modality of orthodontic treatment based on the thermoformed appliance was developed and trialled clinically. A light-cured resilient lining material commonly used for denture relining was placed locally and sequentially in thermoformed appliances to generate orthodontic forces. The new method appeared to be effective. All the presented cases showed substantial improvement in dental alignment. A number of orthodontic movements were demonstrated. Localized use of resilient lining in thermoformed orthodontic appliances appeared to be a promising alternative to other thermoformed active removable appliance (TARA) treatments. Further studies are required to optimize the procedures and explore its full potential. (+info)Maxillary midline diastema: a case report involving a combined orthodontic/maxillofacial approach. (7/50)
This paper presents an orthodontic case of a large (14.5 mm) maxillary midline diastema that was related to the presence, and subsequent removal of 2 median maxillary supernumerary teeth and resulting bone loss. A combined orthodontic and maxillofacial approach involving bone grafting and fixed appliances was used to close the space. This episode of care was organized as interceptive treatment during development of the permanent dentition. (+info)Sprouty genes control diastema tooth development via bidirectional antagonism of epithelial-mesenchymal FGF signaling. (8/50)
Unlike humans, who have a continuous row of teeth, mice have only molars and incisors separated by a toothless region called a diastema. Although tooth buds form in the embryonic diastema, they regress and do not develop into teeth. Here, we identify members of the Sprouty (Spry) family, which encode negative feedback regulators of fibroblast growth factor (FGF) and other receptor tyrosine kinase signaling, as genes that repress diastema tooth development. We show that different Sprouty genes are deployed in different tissue compartments--Spry2 in epithelium and Spry4 in mesenchyme--to prevent diastema tooth formation. We provide genetic evidence that they function to ensure that diastema tooth buds are refractory to signaling via FGF ligands that are present in the region and thus prevent these buds from engaging in the FGF-mediated bidirectional signaling between epithelium and mesenchyme that normally sustains tooth development. (+info)A diastema is a gap or space that occurs between two teeth. The most common location for a diastema is between the two upper front teeth (central incisors). Diastemas can be caused by various factors, including:
1. Tooth size discrepancy: If the size of the teeth is smaller than the size of the jawbone, spaces may occur between the teeth. This is a common cause of diastema in children as their jaws grow and develop faster than their teeth. In some cases, these gaps close on their own as the permanent teeth erupt and fully emerge.
2. Thumb sucking or pacifier use: Prolonged thumb sucking or pacifier use can exert pressure on the front teeth, causing them to protrude and creating a gap between them. This habit typically affects children and may result in a diastema if it persists beyond the age of 4-5 years.
3. Tongue thrust: Tongue thrust is a condition where an individual pushes their tongue against the front teeth while speaking or swallowing. Over time, this force can push the front teeth forward and create a gap between them.
4. Missing teeth: When a person loses a tooth due to extraction, decay, or injury, the surrounding teeth may shift position and cause gaps to form between other teeth.
5. Periodontal disease: Advanced periodontal (gum) disease can lead to bone loss and receding gums, which can result in spaces between the teeth.
6. Genetic factors: Some people have a natural tendency for their front teeth to be widely spaced due to genetic predisposition.
Diastemas can be closed through various orthodontic treatments, such as braces or aligners, or by using dental restorations like bonding, veneers, or crowns. The appropriate treatment option depends on the underlying cause of the diastema and the individual's overall oral health condition.
Quackery is defined in the medical context as the promotion of fraudulent or unproven medical practices and treatments. Quacks, or individuals who practice quackery, often claim to have expertise in areas of medicine that they do not actually possess. They may use manipulative marketing techniques to exploit individuals' fears and vulnerabilities, promising quick cures or miracle treatments for various ailments.
Quackery can be harmful because it can lead people to choose ineffective or even dangerous treatments instead of evidence-based medical care. It is important for healthcare providers and consumers alike to be aware of quackery and to promote scientific literacy and critical thinking when evaluating medical claims.
Obsessive behavior is defined in the medical context as repetitive, persistent, and intrusive thoughts, images, or urges that cause distress or anxiety. These obsessions are not simply excessive worries about real-life problems, but rather they are irrational and uncontrollable. Often, individuals with obsessive behavior attempt to ignore or suppress their obsessions, which can lead to increased distress and anxiety. In some cases, the obsessions may become so overwhelming that they interfere with a person's daily life and ability to function.
Obsessive behavior is a key feature of several mental health conditions, including obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), and hoarding disorder. In these conditions, the obsessions are often accompanied by compulsive behaviors that are performed in an attempt to alleviate the anxiety or distress caused by the obsessions.
It is important to note that everyone experiences unwanted thoughts or urges from time to time. However, when these thoughts become so frequent and distressing that they interfere with a person's daily life, it may be indicative of an underlying mental health condition. In such cases, it is recommended to seek professional help from a qualified mental health provider.
A tooth germ is a small cluster of cells that eventually develop into a tooth. It contains the dental papilla, which will become the dentin and pulp of the tooth, and the dental follicle, which will form the periodontal ligament, cementum, and alveolar bone. The tooth germ starts as an epithelial thickening called the dental lamina, which then forms a bud, cap, and bell stage before calcification occurs and the tooth begins to erupt through the gums. It is during the bell stage that the enamel organ, which will form the enamel of the tooth, is formed.
A tooth is a hard, calcified structure found in the jaws (upper and lower) of many vertebrates and used for biting and chewing food. In humans, a typical tooth has a crown, one or more roots, and three layers: the enamel (the outermost layer, hardest substance in the body), the dentin (the layer beneath the enamel), and the pulp (the innermost layer, containing nerves and blood vessels). Teeth are essential for proper nutrition, speech, and aesthetics. There are different types of teeth, including incisors, canines, premolars, and molars, each designed for specific functions in the mouth.
A labial frenum, also known as the frenulum of the lip, is a small fold of mucous membrane that attaches the inner surface of the upper or lower lip to the gums. The maxillary labial frenum connects the upper lip to the gums behind the upper front teeth, while the mandibular labial frenum connects the lower lip to the gums between the lower front teeth. In some cases, a thick or tight labial frenum can cause dental issues such as gaps between the front teeth or recession of the gums, and may require surgical intervention.
I'm sorry for any confusion, but "smiling" is not typically considered a medical term. It's a part of normal human behavior and facial expression. A smile usually refers to the action of turning up the corners of the mouth to signal pleasure, affection, amusement, or approval. However, in a medical context, a person may be unable to smile due to various conditions, such as facial paralysis caused by Bell's palsy or a stroke. In such cases, the ability to smile can be an important part of rehabilitation and recovery.
Dental pulp necrosis is the death of the soft tissue inside a tooth, known as the dental pulp. The dental pulp contains nerves, blood vessels, and connective tissue that help the tooth grow and develop. It also provides sensations like hot or cold. Dental pulp necrosis can occur due to various reasons such as tooth decay, trauma, or infection. When the dental pulp dies, it can no longer provide nutrients to the tooth, making it more susceptible to fractures and infections. Symptoms of dental pulp necrosis may include pain, sensitivity, swelling, or abscess formation. Treatment options for dental pulp necrosis typically involve root canal therapy or extraction of the affected tooth.
Orthodontic space closure is the process of closing or reducing gaps or spaces between teeth using various orthodontic appliances, such as braces or aligners. This procedure is typically performed to improve the alignment and appearance of the teeth, as well as to enhance their function and overall oral health. The force applied by the appliance gradually moves the teeth together, eliminating the space over time.
Odontogenesis is the process of tooth development that involves the formation and calcification of teeth. It is a complex process that requires the interaction of several types of cells, including epithelial cells, mesenchymal cells, and odontoblasts. The process begins during embryonic development with the formation of dental lamina, which gives rise to the tooth bud. As the tooth bud grows and differentiates, it forms the various structures of the tooth, including the enamel, dentin, cementum, and pulp. Odontogenesis is completed when the tooth erupts into the oral cavity. Abnormalities in odontogenesis can result in developmental dental anomalies such as tooth agenesis, microdontia, or odontomas.
A supernumerary tooth, also known as hyperdontia, refers to an additional tooth or teeth that grow beyond the regular number of teeth in the dental arch. These extra teeth can erupt in various locations of the dental arch and may occur in any of the tooth types, but they are most commonly seen as extra premolars or molars, and less frequently as incisors or canines. Supernumerary teeth may be asymptomatic or may cause complications such as crowding, displacement, or impaction of adjacent teeth, and therefore, they often require dental treatment.
Root canal therapy, also known as endodontic treatment, is a dental procedure that involves the removal of infected or damaged pulp tissue from within a tooth's root canal system. The root canal system is a series of narrow channels that run from the center of the tooth (pulp chamber) down to the tip of the tooth roots, containing nerves, blood vessels, and connective tissues.
During the procedure, the dentist or endodontist will gain access to the pulp chamber, carefully clean and shape the root canals using specialized instruments, and then fill and seal them with a rubber-like material called gutta-percha. This helps prevent reinfection and preserves the structural integrity of the tooth. In many cases, a crown or other restoration is placed over the treated tooth to protect it and restore its function and appearance.
Root canal therapy is typically recommended when the pulp tissue becomes inflamed or infected due to deep decay, repeated dental procedures, cracks, or chips in the teeth. The goal of this treatment is to alleviate pain, preserve natural tooth structure, and prevent the need for extraction.