Tooth Socket
Alveolar Process
Bisphosphonate-Associated Osteonecrosis of the Jaw
Oral Surgical Procedures
Molar
Mandible
Surgery, Oral
Maxilla
Jaw Diseases
Dental Care
Dental Implants
Bicuspid
Mandibular Diseases
Bone Remodeling
Diphosphonates
Tooth Germ
Tooth, Deciduous
Tooth Crown
Tooth Root
Tooth Eruption
Tooth, Supernumerary
Tooth, Nonvital
Tooth, Impacted
Tooth Discoloration
Tooth, Unerupted
Incisor
Solid Phase Extraction
Odontogenesis
Tooth Cervix
Dental Enamel
Rats, Wistar
Cuspid
Balanced pre-emptive analgesia: does it work? A double-blind, controlled study in bilaterally symmetrical oral surgery. (1/589)
We studied 32 patients undergoing bilateral symmetrical lower third molar surgery under general anaesthesia to determine if the combined effects of pre-emptive local anaesthetic block using 0.5% bupivacaine, together with i.v. tenoxicam and alfentanil had any benefits over postoperative administration. Patients acted as their own controls and were allocated randomly to have surgery start on one side, the second side always being the pre-emptive side. Difference in pain intensity between the two sides was determined using visual analogue scales completed by each individual at 6 h, and at 1, 3 and 6 days after operation. A long-form McGill pain questionnaire was also used to assess difference in pain intensity between the two sides on the morning after surgery. There was no significant difference in pain intensity at any time after surgery. Our findings indicate that the combined use of pre-emptive analgesia from 0.5% bupivacaine, tenoxicam and alfentanil did not reduce postoperative pain intensity in patients undergoing molar exodontia. (+info)Tenoxicam and paracetamol-codeine combination after oral surgery: a prospective, randomized, double-blind, placebo-controlled study. (2/589)
We studied 90 adults undergoing surgical removal of at least both lower third molar teeth as day cases under standardized general anaesthesia. Patients were allocated randomly (with stratification for surgeon) to receive tenoxicam 40 mg, tenoxicam 20 mg or placebo i.v. at induction of anaesthesia and orally (effervescent tablets) with food on each of the subsequent 2 days. Panadeine (paracetamol 500 mg-codeine 8 mg) was given before operation and was available as needed for pain thereafter, to a limit of two tablets every 4 h. Nefopam i.v. was also available. Efficacy variables and adverse reactions were assessed over 6 days. Over the 6-day period, patients who received tenoxicam reported less pain on rest (area under the curve; P < 0.05) and less disturbance in sleep (P < 0.01) even though they used fewer Panadeine tablets (P < 0.05). Differences between tenoxicam 40 mg and 20 mg were not significant. There was no significant difference in nefopam requirements or side effects, and no adverse event attributable to the study medication. (+info)Pain-mediated altered absorption and metabolism of ibuprofen: an explanation for decreased serum enantiomer concentration after dental surgery. (3/589)
AIMS: Rapid onset of analgesia is essential in the treatment of acute pain. There is evidence that conditions of stress cause delayed and decreased pain relief from oral analgesic products through impaired absorption. The aim was to determine the effect of surgery for removal of wisdom teeth on the plasma concentration-time profile of ibuprofen enantiomers. METHODS: Racemic ibuprofen, 200 mg in one group (n=7) and 600 mg in another group (n=7) was administered 1 week before (control) and again after (test) surgical removal of wisdom teeth. Serum concentrations of ibuprofen enantiomers were measured for 6 h. RESULTS: During the control phase, S- and R-ibuprofen concentrations were within the suggested therapeutic range. Surgery resulted in a 2 h delay in the mean time to peak concentration, significant decreases in serum ibuprofen concentration following both doses, and a fall to sub-optimal serum concentrations following the 200 mg dose. During the first 2 h after the 200 mg dose, dental extraction resulted in a significant reduction of the area under serum drug concentration (AUC (0, 2 h) mg l-1 h) from 5.6+/-2.9 to 1.6+/-1.8 (P<0.01) and from 5.5+/-3.0 to 2.1+/-2.0 (P<0.05) for S and R-ibuprofen, respectively. Similar observations were made following the 600 mg dose for AUC (0, 2 h) of S-ibuprofen (from 14.2+/-6.1 to 7.2+/-5.5 mg l-1 h, P<0.05) with no significant difference for R-ibuprofen (from 14.4+/-9.5 to 5.8+/-7. 1). AUC (0, 6 h) was also significantly reduced by surgery. The pattern of stereoselectivity in serum ibuprofen concentration was reversed by surgery such that the S enantiomer was predominant in the control phase but not in the post-surgery phase, which is suggestive of reduced metabolic chiral inversion. CONCLUSIONS: Surgery for wisdom tooth removal resulted in substantial decreases in the serum concentration of ibuprofen enantiomers and a prolongation in the time to peak concentration. Reduced absorption and altered metabolism are the likely cause of these changes. Thus, dental patients may experience a delayed response and possible treatment failure when taking ibuprofen for pain relief after surgery. Our observation may have implications for the treatment of other diseases. (+info)Effectiveness of preoperative analgesics on postoperative dental pain: a study. (4/589)
Patients undergoing extractions of third molar teeth under general anesthesia were given a placebo, diclofenac (a nonsteroidal anti-inflammatory drug) 100 mg, or methadone (an opiate) 10 mg 60 to 90 min prior to surgery, and their pain scores and postoperative medication requirements were measured for 3 days. All patients received local anesthetic blocks and analgesic drugs during the perioperative period. There were no significant differences between the three groups in the pain scores and medication requirements during the period of study. It was concluded that preoperative use of nonsteroidal anti-inflammatory drugs and opiates may not offer a preemptive analgesic effect in patients who have had adequate analgesia during the surgery. Continued use of analgesic drugs during the postoperative period is perhaps more useful for this purpose. There appears to be a higher incidence of vomiting following opiates (methadone), precluding its clinical use in day-care patients. (+info)Epinephrine, magnesium, and dental local anesthetic solutions. (5/589)
Plasma levels of magnesium were unaffected by the inclusion of epinephrine in lidocaine dental local anesthetic solutions in patients having third molar surgery under general anesthesia. (+info)Analgesic and anti-inflammatory efficacy of tenoxicam and diclofenac sodium after third molar surgery. (6/589)
Tenoxicam and diclofenac sodium were compared with each other for analgesic efficacy following removal of third molars under general anesthesia. Thirty-five healthy patients between the ages of 18 and 28 yr were randomly allocated to two groups to participate in this study. Patients in Group A (n = 17) received a single intravenous injection of tenoxicam 40 mg at induction of anesthesia, followed by a 20-mg tablet given in the evening of the day of the operation and thereafter, one 20-mg tablet daily from days 2 to 7. Group B (n = 18) received a single intramuscular injection of diclofenac sodium 75 mg at induction of anesthesia, followed by a 50-mg tablet 4 to 6 hr after the operation and again, between 2100 hr and 2200 hr the same day. Thereafter, a 50-mg tablet was taken 3 times daily for the next 6 days. Pain was measured hourly for the first 4 hr postoperatively, then at 21 hr, and thereafter in the morning and the evenings on days 2 to 7. The highest pain scores were obtained 1 hr postoperatively for both trial groups. At 1 and 2 hr postoperatively, no statistical significant differences in pain scores could be shown for both groups. However, at 3 and 4 hr postoperatively, patients in the tenoxicam group experienced significantly (P < or = 0.05) less pain than those in the diclofenac sodium group. On the evening of the third postoperative day, the tenoxicam group of patients experienced significantly less pain (P < or = 0.05) than those in the diclofenac sodium group. This was again the case on the morning of the fourth postoperative day. On the fifth, sixth, and seventh postoperative days, the average pain scores for patients in the tenoxicam group were statistically significantly lower, both mornings and evenings, than those in the diclofenac sodium group of patients (P = 0.05). (+info)Comparison of recovery of propofol and methohexital sedation using an infusion pump. (7/589)
Two sedative anesthetic agents administered by an infusion pump were compared during third molar surgery. Forty American Society of Anesthesiologists (ASA) class I or II volunteers were randomly allocated to two groups. All subjects received supplemental oxygen via a nasal hood, fentanyl (0.0007 mg/kg intravenous [i.v.] bolus), and midazolam (1 mg/2 min) titrated to effect. Patients then received either 0.3 mg/kg of methohexital or 0.5 mg/kg of propofol via an infusion pump. Upon completion of the bolus, a continuous infusion of 0.05 mg/kg/min methohexital or 0.066 mg/kg/min propofol was administered throughout the procedure. Hemo-dynamic and respiratory parameters and psychomotor performance were compared for the two groups and no significant differences were found. The continuous infusion method maintained a steady level of sedation. Patients receiving propofol had a smoother sedation as judged by the surgeon and anesthetist. (+info)Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference? (8/589)
A prospective cohort study was undertaken to investigate the influences of anaesthetic modality and surgical difficulty on social reintegration and demands on health services after third molar removal. The study was undertaken at the Oral and Maxillofacial Surgery Department, Cardiff Dental Hospital. Of 444 patients, 266 (60%) had their third molars removed. The main outcome measures included anaesthetic modality, surgical difficulty (WHARFE scores), utilisation of health services, effects on work, school and home life. In all, 101 (40%) patients were treated under local anaesthesia (LA) +/- intravenous (i.v.) sedation and 165 (60%) under general anaesthesia (GA); 81 (49%) as inpatients and 84 (51%) as day cases. Of these patients, 38 (14%) returned to the hospital and 74 (28%) utilised primary care services postoperatively in addition to a standard review appointment. Patients treated under GA made more demands on primary care services (chi 2 = 6.41, df = 2, P < 0.05) and took more time away from work (P < 0.05). Patients underestimated the time they needed to recover. There was similar disruption to job, college and home life. There were no links between disruption and particular anaesthetic modalities and surgical difficulty. Surgery under GA was linked to increased postoperative demands on primary care, but not secondary care, and to longer job disruption. This could not fully be attributed to surgical difficulty. (+info)Tooth extraction is a dental procedure in which a tooth that is damaged or poses a threat to oral health is removed from its socket in the jawbone. This may be necessary due to various reasons such as severe tooth decay, gum disease, fractured teeth, crowded teeth, or for orthodontic treatment purposes. The procedure is performed by a dentist or an oral surgeon, under local anesthesia to numb the area around the tooth, ensuring minimal discomfort during the extraction process.
A tooth socket, also known as an alveolus (plural: alveoli), refers to the hollow cavity or space in the jawbone where a tooth is anchored. The tooth socket is part of the alveolar process, which is the curved part of the maxilla or mandible that contains multiple tooth sockets for the upper and lower teeth, respectively.
Each tooth socket has a specialized tissue called the periodontal ligament, which attaches the root of the tooth to the surrounding bone. This ligament helps absorb forces generated during biting and chewing, allowing for comfortable and efficient mastication while also maintaining the tooth's position within the jawbone. The tooth socket is responsible for providing support, stability, and nourishment to the tooth through its blood vessels and nerves.
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.
The alveolar process is the curved part of the jawbone (mandible or maxilla) that contains sockets or hollow spaces (alveoli) for the teeth to be embedded. These processes are covered with a specialized mucous membrane called the gingiva, which forms a tight seal around the teeth to help protect the periodontal tissues and maintain oral health.
The alveolar process is composed of both compact and spongy bone tissue. The compact bone forms the outer layer, while the spongy bone is found inside the alveoli and provides support for the teeth. When a tooth is lost or extracted, the alveolar process begins to resorb over time due to the lack of mechanical stimulation from the tooth's chewing forces. This can lead to changes in the shape and size of the jawbone, which may require bone grafting procedures before dental implant placement.
Bisphosphonate-associated osteonecrosis of the jaw (BAONJ) is a medical condition characterized by the death of bone tissue in the jaw due to the use of bisphosphonate medications. Bisphosphonates are commonly prescribed for the treatment and prevention of bone diseases such as osteoporosis, Paget's disease, and metastatic cancer that has spread to the bones.
BAONJ typically occurs after a dental procedure, such as tooth extraction or oral surgery, that causes trauma to the jawbone. The use of bisphosphonates can interfere with the body's ability to heal from this trauma, leading to the death of bone tissue in the jaw. Symptoms of BAONJ may include pain, swelling, numbness, and exposed bone in the mouth.
The risk of developing BAONJ is low but increases with higher doses and longer durations of bisphosphonate use. Dental care before starting bisphosphonate therapy and regular dental check-ups during treatment are recommended to reduce the risk of developing BAONJ. If BAONJ does develop, treatment may include antibiotics, pain management, and surgical debridement or removal of necrotic bone tissue.
Oral surgical procedures refer to various types of surgeries performed in the oral cavity and maxillofacial region, which includes the mouth, jaws, face, and skull. These procedures are typically performed by oral and maxillofacial surgeons, who are dental specialists with extensive training in surgical procedures involving the mouth, jaws, and face.
Some common examples of oral surgical procedures include:
1. Tooth extractions: This involves removing a tooth that is damaged beyond repair or causing problems for the surrounding teeth. Wisdom tooth removal is a common type of tooth extraction.
2. Dental implant placement: This procedure involves placing a small titanium post in the jawbone to serve as a replacement root for a missing tooth. A dental crown is then attached to the implant, creating a natural-looking and functional replacement tooth.
3. Jaw surgery: Also known as orthognathic surgery, this procedure involves repositioning the jaws to correct bite problems or facial asymmetry.
4. Biopsy: This procedure involves removing a small sample of tissue from the oral cavity for laboratory analysis, often to diagnose suspicious lesions or growths.
5. Lesion removal: This procedure involves removing benign or malignant growths from the oral cavity, such as tumors or cysts.
6. Temporomandibular joint (TMJ) surgery: This procedure involves treating disorders of the TMJ, which connects the jawbone to the skull and allows for movement when eating, speaking, and yawning.
7. Facial reconstruction: This procedure involves rebuilding or reshaping the facial bones after trauma, cancer surgery, or other conditions that affect the face.
Overall, oral surgical procedures are an important part of dental and medical care, helping to diagnose and treat a wide range of conditions affecting the mouth, jaws, and face.
In the context of dentistry, a molar is a type of tooth found in the back of the mouth. They are larger and wider than other types of teeth, such as incisors or canines, and have a flat biting surface with multiple cusps. Molars are primarily used for grinding and chewing food into smaller pieces that are easier to swallow. Humans typically have twelve molars in total, including the four wisdom teeth.
In medical terminology outside of dentistry, "molar" can also refer to a unit of mass in the apothecaries' system of measurement, which is equivalent to 4.08 grams. However, this usage is less common and not related to dental or medical anatomy.
The mandible, also known as the lower jaw, is the largest and strongest bone in the human face. It forms the lower portion of the oral cavity and plays a crucial role in various functions such as mastication (chewing), speaking, and swallowing. The mandible is a U-shaped bone that consists of a horizontal part called the body and two vertical parts called rami.
The mandible articulates with the skull at the temporomandibular joints (TMJs) located in front of each ear, allowing for movements like opening and closing the mouth, protrusion, retraction, and side-to-side movement. The mandible contains the lower teeth sockets called alveolar processes, which hold the lower teeth in place.
In medical terminology, the term "mandible" refers specifically to this bone and its associated structures.
Oral surgery is a specialized branch of dentistry that focuses on the diagnosis and surgical treatment of various conditions related to the mouth, teeth, jaws, and facial structures. Some of the common procedures performed by oral surgeons include:
1. Tooth extractions: Removal of severely decayed, damaged, or impacted teeth, such as wisdom teeth.
2. Dental implant placement: Surgical insertion of titanium posts that serve as artificial tooth roots to support dental restorations like crowns, bridges, or dentures.
3. Jaw surgery (orthognathic surgery): Corrective procedures for misaligned jaws, uneven bite, or sleep apnea caused by structural jaw abnormalities.
4. Oral pathology: Diagnosis and treatment of benign and malignant growths or lesions in the oral cavity, including biopsies and removal of tumors.
5. Temporomandibular joint (TMJ) disorders: Surgical intervention for issues related to the joint that connects the jawbone to the skull, such as arthroscopy, open joint surgery, or total joint replacement.
6. Facial trauma reconstruction: Repair of fractured facial bones, soft tissue injuries, and lacerations resulting from accidents, sports injuries, or interpersonal violence.
7. Cleft lip and palate repair: Surgical correction of congenital deformities affecting the upper lip and hard/soft palate.
8. Sleep apnea treatment: Surgical reduction or removal of excess tissue in the throat to alleviate airway obstruction and improve breathing during sleep.
9. Cosmetic procedures: Enhancement of facial aesthetics through various techniques, such as chin or cheekbone augmentation, lip reshaping, or scar revision.
Oral surgeons typically complete a four-year dental school program followed by an additional four to six years of specialized surgical training in a hospital-based residency program. They are qualified to administer general anesthesia and often perform procedures in a hospital setting or outpatient surgical center.
A third molar is the most posterior of the three molars present in an adult human dental arch. They are also commonly known as wisdom teeth, due to their late eruption period which usually occurs between the ages of 17-25, a time traditionally associated with gaining maturity and wisdom.
Anatomically, third molars have four cusps, making them the largest of all the teeth. However, not everyone develops third molars; some people may have one, two, three or no third molars at all. In many cases, third molars do not have enough space to fully erupt and align properly with the rest of the teeth, leading to impaction, infection, or other dental health issues. As a result, third molars are often extracted if they cause problems or if there is a risk they will cause problems in the future.
The maxilla is a paired bone that forms the upper jaw in vertebrates. In humans, it is a major bone in the face and plays several important roles in the craniofacial complex. Each maxilla consists of a body and four processes: frontal process, zygomatic process, alveolar process, and palatine process.
The maxillae contribute to the formation of the eye sockets (orbits), nasal cavity, and the hard palate of the mouth. They also contain the upper teeth sockets (alveoli) and help form the lower part of the orbit and the cheekbones (zygomatic arches).
Here's a quick rundown of its key functions:
1. Supports the upper teeth and forms the upper jaw.
2. Contributes to the formation of the eye sockets, nasal cavity, and hard palate.
3. Helps shape the lower part of the orbit and cheekbones.
4. Partakes in the creation of important sinuses, such as the maxillary sinus, which is located within the body of the maxilla.
Jaw diseases refer to a variety of conditions that affect the temporomandibular joint (TMJ) and the surrounding muscles, as well as dental disorders that can impact the jaw. Some common examples include:
1. Temporomandibular Joint Disorders (TMD): These are problems with the TMJ and the muscles that control jaw movement. Symptoms may include pain, clicking or popping sounds, and limited movement of the jaw.
2. Osteonecrosis of the Jaw: This is a condition where bone in the jaw dies due to lack of blood supply. It can be caused by radiation therapy, chemotherapy, or certain medications.
3. Dental Cavities: These are holes in the teeth caused by bacteria. If left untreated, they can cause pain, infection, and damage to the jawbone.
4. Periodontal Disease: This is an infection of the gums and bones that support the teeth. Advanced periodontal disease can lead to loss of teeth and damage to the jawbone.
5. Jaw Fractures: These are breaks in the jawbone, often caused by trauma.
6. Oral Cancer: This is a type of cancer that starts in the mouth or throat. If not treated early, it can spread to the jaw and other parts of the body.
7. Cysts and Tumors: These are abnormal growths in the jawbone or surrounding tissues. While some are benign (non-cancerous), others can be malignant (cancerous).
8. Osteomyelitis: This is an infection of the bone, often occurring in the lower jaw. It can cause pain, swelling, and fever.
9. Oral Thrush: This is a fungal infection that causes white patches on the inside of the mouth. If left untreated, it can spread to the jaw and other parts of the body.
10. Sinusitis: Inflammation of the sinuses can sometimes cause pain in the upper jaw.
Dental care refers to the practice of maintaining and improving the oral health of the teeth and gums. It involves regular check-ups, cleanings, and treatments by dental professionals such as dentists, hygienists, and dental assistants. Dental care also includes personal habits and practices, such as brushing and flossing, that help prevent tooth decay and gum disease.
Regular dental care is important for preventing common dental problems like cavities, gingivitis, and periodontal disease. It can also help detect early signs of more serious health issues, such as oral cancer or diabetes, which can have symptoms that appear in the mouth.
Dental care may involve a range of treatments, from routine cleanings and fillings to more complex procedures like root canals, crowns, bridges, and implants. Dental professionals use various tools and techniques to diagnose and treat dental problems, including X-rays, dental impressions, and local anesthesia.
Overall, dental care is a critical component of overall health and wellness, as poor oral health has been linked to a range of systemic health issues, including heart disease, stroke, and respiratory infections.
Dental implants are artificial tooth roots that are surgically placed into the jawbone to replace missing or extracted teeth. They are typically made of titanium, a biocompatible material that can fuse with the bone over time in a process called osseointegration. Once the implant has integrated with the bone, a dental crown, bridge, or denture can be attached to it to restore function and aesthetics to the mouth.
Dental implants are a popular choice for tooth replacement because they offer several advantages over traditional options like dentures or bridges. They are more stable and comfortable, as they do not rely on adjacent teeth for support and do not slip or move around in the mouth. Additionally, dental implants can help to preserve jawbone density and prevent facial sagging that can occur when teeth are missing.
The process of getting dental implants typically involves several appointments with a dental specialist called a prosthodontist or an oral surgeon. During the first appointment, the implant is placed into the jawbone, and the gum tissue is stitched closed. Over the next few months, the implant will fuse with the bone. Once this process is complete, a second surgery may be necessary to expose the implant and attach an abutment, which connects the implant to the dental restoration. Finally, the crown, bridge, or denture is attached to the implant, providing a natural-looking and functional replacement for the missing tooth.
A bicuspid valve, also known as a mitral valve in the heart, is a heart valve that has two leaflets or cusps. It lies between the left atrium and the left ventricle and helps to regulate blood flow between these two chambers of the heart. In a healthy heart, the bicuspid valve opens to allow blood to flow from the left atrium into the left ventricle and closes tightly to prevent blood from flowing back into the left atrium during contraction of the ventricle.
A congenital heart defect known as a bicuspid aortic valve occurs when the aortic valve, which normally has three leaflets or cusps, only has two. This can lead to narrowing of the valve (aortic stenosis) or leakage of the valve (aortic regurgitation), which can cause symptoms and may require medical treatment.
Osteonecrosis is a medical condition characterized by the death of bone tissue due to the disruption of blood supply. Also known as avascular necrosis, this process can lead to the collapse of the bone and adjacent joint surfaces, resulting in pain, limited mobility, and potential deformity if left untreated. Osteonecrosis most commonly affects the hips, shoulders, and knees, but it can occur in any bone. The condition may be caused by trauma, corticosteroid use, alcohol abuse, certain medical conditions (like sickle cell disease or lupus), or for no apparent reason (idiopathic).
Mandibular diseases refer to conditions that affect the mandible, or lower jawbone. These diseases can be classified as congenital (present at birth) or acquired (developing after birth). They can also be categorized based on the tissues involved, such as bone, muscle, or cartilage. Some examples of mandibular diseases include:
1. Mandibular fractures: These are breaks in the lower jawbone that can result from trauma or injury.
2. Osteomyelitis: This is an infection of the bone and surrounding tissues, which can affect the mandible.
3. Temporomandibular joint (TMJ) disorders: These are conditions that affect the joint that connects the jawbone to the skull, causing pain and limited movement.
4. Mandibular tumors: These are abnormal growths that can be benign or malignant, and can develop in any of the tissues of the mandible.
5. Osteonecrosis: This is a condition where the bone tissue dies due to lack of blood supply, which can affect the mandible.
6. Cleft lip and palate: This is a congenital deformity that affects the development of the face and mouth, including the lower jawbone.
7. Mandibular hypoplasia: This is a condition where the lower jawbone does not develop properly, leading to a small or recessed chin.
8. Developmental disorders: These are conditions that affect the growth and development of the mandible, such as condylar hyperplasia or hemifacial microsomia.
Bone remodeling is the normal and continuous process by which bone tissue is removed from the skeleton (a process called resorption) and new bone tissue is formed (a process called formation). This ongoing cycle allows bones to repair microdamage, adjust their size and shape in response to mechanical stress, and maintain mineral homeostasis. The cells responsible for bone resorption are osteoclasts, while the cells responsible for bone formation are osteoblasts. These two cell types work together to maintain the structural integrity and health of bones throughout an individual's life.
During bone remodeling, the process can be divided into several stages:
1. Activation: The initiation of bone remodeling is triggered by various factors such as microdamage, hormonal changes, or mechanical stress. This leads to the recruitment and activation of osteoclast precursor cells.
2. Resorption: Osteoclasts attach to the bone surface and create a sealed compartment called a resorption lacuna. They then secrete acid and enzymes that dissolve and digest the mineralized matrix, creating pits or cavities on the bone surface. This process helps remove old or damaged bone tissue and releases calcium and phosphate ions into the bloodstream.
3. Reversal: After resorption is complete, the osteoclasts undergo apoptosis (programmed cell death), and mononuclear cells called reversal cells appear on the resorbed surface. These cells prepare the bone surface for the next stage by cleaning up debris and releasing signals that attract osteoblast precursors.
4. Formation: Osteoblasts, derived from mesenchymal stem cells, migrate to the resorbed surface and begin producing a new organic matrix called osteoid. As the osteoid mineralizes, it forms a hard, calcified structure that gradually replaces the resorbed bone tissue. The osteoblasts may become embedded within this newly formed bone as they differentiate into osteocytes, which are mature bone cells responsible for maintaining bone homeostasis and responding to mechanical stress.
5. Mineralization: Over time, the newly formed bone continues to mineralize, becoming stronger and more dense. This process helps maintain the structural integrity of the skeleton and ensures adequate calcium storage.
Throughout this continuous cycle of bone remodeling, hormones, growth factors, and mechanical stress play crucial roles in regulating the balance between resorption and formation. Disruptions to this delicate equilibrium can lead to various bone diseases, such as osteoporosis, where excessive resorption results in weakened bones and increased fracture risk.
Tooth loss is the condition or process characterized by the disappearance or absence of one or more teeth from their normal position in the dental arch. This can occur due to various reasons such as tooth decay, periodontal disease (gum disease), injury, or aging. The consequences of tooth loss include difficulties in chewing, speaking, and adversely affecting the aesthetics of a person's smile, which may lead to psychological impacts. Additionally, it can cause shifting of adjacent teeth, bone resorption, and changes in the bite, potentially leading to further dental issues if not treated promptly.
Diphosphonates are a class of medications that are used to treat bone diseases, such as osteoporosis and Paget's disease. They work by binding to the surface of bones and inhibiting the activity of bone-resorbing cells called osteoclasts. This helps to slow down the breakdown and loss of bone tissue, which can help to reduce the risk of fractures.
Diphosphonates are typically taken orally in the form of tablets, but some forms may be given by injection. Commonly prescribed diphosphonates include alendronate (Fosamax), risedronate (Actonel), and ibandronate (Boniva). Side effects of diphosphonates can include gastrointestinal symptoms such as nausea, heartburn, and abdominal pain. In rare cases, they may also cause esophageal ulcers or osteonecrosis of the jaw.
It is important to follow the instructions for taking diphosphonates carefully, as they must be taken on an empty stomach with a full glass of water and the patient must remain upright for at least 30 minutes after taking the medication to reduce the risk of esophageal irritation. Regular monitoring of bone density and kidney function is also recommended while taking these medications.
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 deciduous tooth, also known as a baby tooth or primary tooth, is a type of temporary tooth that humans and some other mammals develop during childhood. They are called "deciduous" because they are eventually shed and replaced by permanent teeth, much like how leaves on a deciduous tree fall off and are replaced by new growth.
Deciduous teeth begin to form in the womb and start to erupt through the gums when a child is around six months old. By the time a child reaches age three, they typically have a full set of 20 deciduous teeth, including incisors, canines, and molars. These teeth are smaller and less durable than permanent teeth, but they serve important functions such as helping children chew food properly, speak clearly, and maintain space in the jaw for the permanent teeth to grow into.
Deciduous teeth usually begin to fall out around age six or seven, starting with the lower central incisors. This process continues until all of the deciduous teeth have been shed, typically by age 12 or 13. At this point, the permanent teeth will have grown in and taken their place, with the exception of the wisdom teeth, which may not erupt until later in adolescence or early adulthood.
A tooth crown is a type of dental restoration that covers the entire visible portion of a tooth, restoring its shape, size, and strength. It is typically made of materials like porcelain, ceramic, or metal alloys and is custom-made to fit over the prepared tooth. The tooth crown is cemented in place and becomes the new outer surface of the tooth, protecting it from further damage or decay.
The process of getting a tooth crown usually involves two dental appointments. During the first appointment, the dentist prepares the tooth by removing any decay or damaged tissue and shaping the tooth to accommodate the crown. An impression is then taken of the prepared tooth and sent to a dental laboratory where the crown is fabricated. In the meantime, a temporary crown is placed over the prepared tooth to protect it until the permanent crown is ready. At the second appointment, the temporary crown is removed, and the permanent crown is cemented in place.
Tooth crowns are often recommended for several reasons, including:
* To restore a broken or fractured tooth
* To protect a weakened tooth from further damage or decay
* To support a large filling when there isn't enough natural tooth structure left
* To cover a dental implant
* To improve the appearance of a discolored or misshapen tooth
Overall, a tooth crown is an effective and long-lasting solution for restoring damaged or decayed teeth and improving oral health.
A tooth root is the part of a tooth that is embedded in the jawbone and cannot be seen when looking at a person's smile. It is the lower portion of a tooth that typically has a conical shape and anchors the tooth to the jawbone through a periodontal ligament. The tooth root is covered by cementum, a specialized bone-like tissue, and contains nerve endings and blood vessels within its pulp chamber.
The number of roots in a tooth can vary depending on the type of tooth. For example, incisors typically have one root, canines may have one or two roots, premolars usually have one or two roots, and molars often have two to four roots. The primary function of the tooth root is to provide stability and support for the crown of the tooth, allowing it to withstand the forces of biting and chewing.
Wound healing is a complex and dynamic process that occurs after tissue injury, aiming to restore the integrity and functionality of the damaged tissue. It involves a series of overlapping phases: hemostasis, inflammation, proliferation, and remodeling.
1. Hemostasis: This initial phase begins immediately after injury and involves the activation of the coagulation cascade to form a clot, which stabilizes the wound and prevents excessive blood loss.
2. Inflammation: Activated inflammatory cells, such as neutrophils and monocytes/macrophages, infiltrate the wound site to eliminate pathogens, remove debris, and release growth factors that promote healing. This phase typically lasts for 2-5 days post-injury.
3. Proliferation: In this phase, various cell types, including fibroblasts, endothelial cells, and keratinocytes, proliferate and migrate to the wound site to synthesize extracellular matrix (ECM) components, form new blood vessels (angiogenesis), and re-epithelialize the wounded area. This phase can last up to several weeks depending on the size and severity of the wound.
4. Remodeling: The final phase of wound healing involves the maturation and realignment of collagen fibers, leading to the restoration of tensile strength in the healed tissue. This process can continue for months to years after injury, although the tissue may never fully regain its original structure and function.
It is important to note that wound healing can be compromised by several factors, including age, nutrition, comorbidities (e.g., diabetes, vascular disease), and infection, which can result in delayed healing or non-healing chronic wounds.
Tooth eruption is the process by which a tooth emerges from the gums and becomes visible in the oral cavity. It is a normal part of dental development that occurs in a predictable sequence and timeframe. Primary or deciduous teeth, also known as baby teeth, begin to erupt around 6 months of age and continue to emerge until approximately 2-3 years of age. Permanent or adult teeth start to erupt around 6 years of age and can continue to emerge until the early twenties.
The process of tooth eruption involves several stages, including the formation of the tooth within the jawbone, the movement of the tooth through the bone and surrounding tissues, and the final emergence of the tooth into the mouth. Proper tooth eruption is essential for normal oral function, including chewing, speaking, and smiling. Any abnormalities in the tooth eruption process, such as delayed or premature eruption, can indicate underlying dental or medical conditions that require further evaluation and treatment.
Osteogenesis is the process of bone formation or development. It involves the differentiation and maturation of osteoblasts, which are bone-forming cells that synthesize and deposit the organic matrix of bone tissue, composed mainly of type I collagen. This organic matrix later mineralizes to form the inorganic crystalline component of bone, primarily hydroxyapatite.
There are two primary types of osteogenesis: intramembranous and endochondral. Intramembranous osteogenesis occurs directly within connective tissue, where mesenchymal stem cells differentiate into osteoblasts and form bone tissue without an intervening cartilage template. This process is responsible for the formation of flat bones like the skull and clavicles.
Endochondral osteogenesis, on the other hand, involves the initial development of a cartilaginous model or template, which is later replaced by bone tissue. This process forms long bones, such as those in the limbs, and occurs through several stages involving chondrocyte proliferation, hypertrophy, and calcification, followed by invasion of blood vessels and osteoblasts to replace the cartilage with bone tissue.
Abnormalities in osteogenesis can lead to various skeletal disorders and diseases, such as osteogenesis imperfecta (brittle bone disease), achondroplasia (a form of dwarfism), and cleidocranial dysplasia (a disorder affecting skull and collarbone development).
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.
Tooth abnormalities refer to any variations or irregularities in the size, shape, number, structure, or development of teeth that deviate from the typical or normal anatomy. These abnormalities can occur in primary (deciduous) or permanent teeth and can be caused by genetic factors, environmental influences, systemic diseases, or localized dental conditions during tooth formation.
Some examples of tooth abnormalities include:
1. Microdontia - teeth that are smaller than normal in size.
2. Macrodontia - teeth that are larger than normal in size.
3. Peg-shaped teeth - teeth with a narrow, conical shape.
4. Talon cusps - additional cusps or points on the biting surface of a tooth.
5. Dens invaginatus - an abnormal development where the tooth crown has an extra fold or pouch that can trap bacteria and cause dental problems.
6. Taurodontism - teeth with large pulp chambers and short roots.
7. Supernumerary teeth - having more teeth than the typical number (20 primary and 32 permanent teeth).
8. Hypodontia - missing one or more teeth due to a failure of development.
9. Germination - two adjacent teeth fused together, usually occurring in the front teeth.
10. Fusion - two separate teeth that have grown together during development.
Tooth abnormalities may not always require treatment unless they cause functional, aesthetic, or dental health issues. A dentist can diagnose and manage tooth abnormalities through various treatments, such as fillings, extractions, orthodontic care, or restorative procedures.
Tooth wear is the progressive loss of tooth structure that can occur as a result of various factors. According to the medical definition, it refers to the wearing down, rubbing away, or grinding off of the hard tissues of the teeth (enamel and dentin) due to mechanical forces or chemical processes.
There are three primary types of tooth wear:
1. Abrasion: This is the loss of tooth structure caused by friction from external sources, such as incorrect brushing techniques, bite appliances, or habits like nail-biting and pipe smoking.
2. Attrition: This type of tooth wear results from the natural wearing down of teeth due to occlusal forces during biting, chewing, and grinding. However, excessive attrition can occur due to bruxism (teeth grinding) or clenching.
3. Erosion: Chemical processes, such as acid attacks from dietary sources (e.g., citrus fruits, sodas, and sports drinks) or gastric reflux, cause the loss of tooth structure in this type of tooth wear. The enamel dissolves when exposed to low pH levels, leaving the dentin underneath vulnerable to further damage.
Professional dental examination and treatment may be necessary to address significant tooth wear and prevent further progression, which can lead to sensitivity, pain, and functional or aesthetic issues.
A nonvital tooth is one that no longer has a living or viable pulp, which contains the nerves and blood vessels inside the tooth. This condition can occur due to various reasons such as tooth decay that has progressed deeply into the tooth, dental trauma, or previous invasive dental procedures. As a result, the tooth loses its sensitivity to temperature changes and may darken in color. Nonvital teeth typically require root canal treatment to remove the dead pulp tissue, disinfect the canals, and fill them with an inert material to preserve the tooth structure and function.
An impacted tooth is a condition where a tooth fails to erupt into the oral cavity within its expected time frame, resulting in its partial or complete entrapment within the jawbone or soft tissues. This commonly occurs with wisdom teeth (third molars) but can affect any tooth. Impacted teeth may cause problems such as infection, decay of adjacent teeth, gum disease, or cyst formation, and they may require surgical removal.
Tooth discoloration, also known as tooth staining or tooth color change, refers to the darkening or staining of teeth. It can be categorized into two main types: extrinsic and intrinsic. Extrinsic discoloration occurs when the outer layer of the tooth (enamel) becomes stained due to exposure to colored substances such as coffee, tea, wine, tobacco, and certain foods. Intrinsic discoloration, on the other hand, occurs when the inner structure of the tooth (dentin) darkens or gets a yellowish tint due to factors like genetics, aging, trauma, or exposure to certain medications during tooth development. Tooth discoloration can also be caused by dental diseases or decay. It is important to note that while some forms of tooth discoloration are cosmetic concerns, others may indicate underlying oral health issues and should be evaluated by a dental professional.
A tooth is classified as "unerupted" when it has not yet penetrated through the gums and entered the oral cavity. This can apply to both primary (baby) teeth and permanent (adult) teeth. The reasons for a tooth's failure to erupt can vary, including crowding of teeth, lack of sufficient space, or anatomical barriers such as bone or soft tissue. In some cases, unerupted teeth may need to be monitored or treated, depending on the specific situation and any symptoms experienced by the individual.
An incisor is a type of tooth that is primarily designed for biting off food pieces rather than chewing or grinding. They are typically chisel-shaped, flat, and have a sharp cutting edge. In humans, there are eight incisors - four on the upper jaw and four on the lower jaw, located at the front of the mouth. Other animals such as dogs, cats, and rodents also have incisors that they use for different purposes like tearing or gnawing.
In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.
For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.
Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.
Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.
Solid-phase extraction (SPE) is a method used in analytical chemistry and biochemistry to extract, separate, or clean up specific components from a complex matrix, such as a biological sample. It involves the use of a solid phase, typically a packed bed of sorbent material, held within a cartridge or column. The sample mixture is passed through the column, and the components of interest are selectively retained by the sorbent while other components pass through.
The analytes can then be eluted from the sorbent using a small volume of a suitable solvent, resulting in a more concentrated and purified fraction that can be analyzed using various techniques such as high-performance liquid chromatography (HPLC), gas chromatography (GC), or mass spectrometry.
The solid phase used in SPE can vary depending on the nature of the analytes and the matrix, with different sorbents offering varying degrees of selectivity and capacity for specific compounds. Commonly used sorbents include silica-based materials, polymeric resins, and ion exchange materials.
Overall, solid-phase extraction is a powerful tool in sample preparation, allowing for the isolation and concentration of target analytes from complex matrices, thereby improving the sensitivity and selectivity of downstream analytical techniques.
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.
The term "tooth cervix" is not commonly used in medical dentistry with a specific technical definition. However, if you are referring to the "cervical region of a tooth," it generally refers to the area where the crown (the visible part of the tooth) meets the root (the portion of the tooth that is below the gum line). This region is also sometimes referred to as the "cementoenamel junction" (CEJ), where the enamel covering of the crown meets the cementum covering of the root. Dental issues such as tooth decay, receding gums, or abrasion can affect this area and may require professional dental treatment.
Dental enamel is the hard, white, outermost layer of a tooth. It is a highly mineralized and avascular tissue, meaning it contains no living cells or blood vessels. Enamel is primarily composed of calcium and phosphate minerals and serves as the protective covering for the crown of a tooth, which is the portion visible above the gum line.
Enamel is the hardest substance in the human body, and its primary function is to provide structural support and protection to the underlying dentin and pulp tissues of the tooth. It also plays a crucial role in chewing and biting by helping to distribute forces evenly across the tooth surface during these activities.
Despite its hardness, dental enamel can still be susceptible to damage from factors such as tooth decay, erosion, and abrasion. Once damaged or lost, enamel cannot regenerate or repair itself, making it essential to maintain good oral hygiene practices and seek regular dental checkups to prevent enamel damage and protect overall oral health.
"Wistar rats" are a strain of albino rats that are widely used in laboratory research. They were developed at the Wistar Institute in Philadelphia, USA, and were first introduced in 1906. Wistar rats are outbred, which means that they are genetically diverse and do not have a fixed set of genetic characteristics like inbred strains.
Wistar rats are commonly used as animal models in biomedical research because of their size, ease of handling, and relatively low cost. They are used in a wide range of research areas, including toxicology, pharmacology, nutrition, cancer, cardiovascular disease, and behavioral studies. Wistar rats are also used in safety testing of drugs, medical devices, and other products.
Wistar rats are typically larger than many other rat strains, with males weighing between 500-700 grams and females weighing between 250-350 grams. They have a lifespan of approximately 2-3 years. Wistar rats are also known for their docile and friendly nature, making them easy to handle and work with in the laboratory setting.
A cuspid, also known as a canine tooth or cuspid tooth, is a type of tooth in mammals. It is the pointiest tooth in the dental arch and is located between the incisors and bicuspids (or premolars). Cuspids have a single cusp or pointed tip that is used for tearing and grasping food. In humans, there are four cuspids, two on the upper jaw and two on the lower jaw, one on each side of the dental arch.
Tooth exfoliation is not a term that is commonly used in dental or medical literature. However, I believe you may be referring to the natural process of tooth loss that occurs with the shedding of primary (baby) teeth to make way for permanent (adult) teeth. This process is also known as physical or physiological tooth exfoliation.
Exfoliation in this context refers to the separation and shedding of the primary tooth's root from the underlying permanent tooth, allowing the permanent tooth to erupt into its proper position. The primary tooth becomes loose due to the resorption of its roots by the developing permanent tooth beneath it. Eventually, the primary tooth falls out, making room for the adult tooth to emerge and take its place in the dental arch.
It is essential to maintain good oral hygiene during this process to prevent any potential complications such as infection or premature loss of primary teeth.