Should the Development of Third Molars Be Prevented Early in Life?

Total Page:16

File Type:pdf, Size:1020Kb

Load more

Perspectives Should the shown to have ‘dramatic effects on summary of the literature may point tooth bud initiation and early tooth to a solution. Rather than prophylactic development of third development’.2 removal, the solution is to determine They conclude that the cause. Rather than looking at molars be prevented ‘evolution likely favoured the evolution as a means of understanding early in life? development of large third molars this problem, it seems far more fruitful and the added chewing surfaces to evaluate recent shifts in lifestyle. Jerry Bergman they provided when jaws were Diet has been closely linked with jaw large and there was a survival development in children. Typically, a 3 Anthony Silvestri and Igbal Singh advantage to possessing teeth.’ diet that requires more chewing causes the jaw to become larger, and wisdom recently revisited the problem of third 4 molars in The Journal of the American Has the jaw size gradually shortened teeth to be less problematic. The Dental Association.1 The authors in human history? authors agree with this observation, concluded that third molars evolved noting that evidence indicates dental because they were of enormous benefit Given the evolutionary assumption pathology among ‘prehistoric people’ for our ancestors. In modern humans, that humans have evolved from a was relatively low. Assuming that this however, they are sometimes a problem chimp-like common ancestor, the is correct, the next step is to determine and a source of pain because ‘jaw sizes first question that must be answered why. They note that ‘toward the end th have shortened over the ages’ and, is, has the jaw size, in fact, gradually of the 17 century, people experienced as a result, so has ‘the space that is shortened in human evolution? A a dramatic increase in the prevalence necessary for third molars’ inclusion.’1 comparison of modern-day chimps of dental disease, most likely a result Based on this, they advocate that the with humans (controlling for age and of a dramatic shift in lifestyles and dental-research community should body size) shows that human jaws are diets’ which produced not only more develop new innovative ‘preventive’ clearly smaller. However, a literature third molar problems, but a ‘dramatic approaches to deal with this problem, review of the abundant humanoid acceleration in the rate of dental such as prevention of third molar fossils indicates a lack of such evidence disease associated … with every other development early in life before in modern Homo sapiens in the time tooth’ as well.5 any third-molar tooth development period evolutionists estimate (10,000 They also correctly point out that begins. years). Silvestri and Singh admit that cooking techniques, such as boiling, Initiation of third molars occurs ‘evolution is a complicated subject soften foods greatly, and that foods just millimetres below the oral mucosa with many differing theories that today are processed to the degree that in children. Silvestri and Singh suggest are being re-examined in the light people can survive on certain diets that electro surgery with lasers or of emerging genetic discoveries’,1 even if they possessed no teeth at locally delivered teratogens (chemicals and suggest that some of the work all. In addition, as a result of cultural that interfere with development, such as done by investigators, to explain changes, ‘people have experienced those that cause birth defects—the most evolutionary changes in teeth, amounts a decreased dependency on all tooth famous example is thalidomide) can be to ‘speculation’. types, particularly third molars, over used to block their development. The the ages’.3 The problem, as they rightly authors recommend experimentation Recent shifts in lifestyle conclude, involves less need for any with compounds such as retinoic teeth today, especially molars and acid and citral, which have been Silvestri and Singh’s accurate ‘particularly third molars’. TJ 18(1) 2004 13 Perspectives than by empirical evidence. It is also an excellent example of how Darwinism presuppositions can impede or misdirect research. The focus should clearly be on nutritional factors, possible teratogens, or other factors that affect normal development. The literature of other cultures shows that diet is a critical factor, and this argues that part of the solution for unhealthy teeth is the same solution as that for many other modern health problems—i.e. good diet, exercise, healthy living, etc. Silvestri and Singh argue for an unspecified influence of Darwinism Courtesy of orthodontist, Peter Grant that is admittedly based on a great Full mouth x-ray scan showing impacted wisdom teeth (arrows). deal of speculation. Conversely, This information points to a of jaw-growth pattern, as well as creationists argue that the problems solution of the problem—evaluation changes in the migration of dental can be explained by the Fall, primarily of the soft, so-called ‘mashed potato lamina (both problems related to in the area of environmental and social diet’ that barely requires teeth in the factors, including nutrition, diet and third molar pathology) occur due to 4 first place. Just as many humans are ‘environmental factors such as trauma teratogens. less and less dependent on muscles and disease’. In addition, the reasons References for transportation (many of us drive some people have third molar problems almost everywhere, even to a neighbor ‘remain elusive’.3 Before we can who lives a block away), one could 1. Silvestri, A.R., Jr. and Singh, I., The unre- attribute such problems to Darwinism, solved problem of the third molar: would argue that surgical removal of excess it is necessary to more fully understand people be better off without it? J. American muscle tissue will solve the problem of the environmental factors (such as Dental Association 134:450–455, 2003; p. 450. flabbiness common in our society (and teratogens) that ‘have been shown to the concomitant muscle problems)—a 2. Silvestri and Singh, ref. 1, p. 453. affect tooth development’.3 Focusing solution that is obviously foolish. only on a solution based on evolutionary 3. Silvestri and Singh, ref. 1, p. 451. The remedy is to use the body as it ideas can detract from evaluating 4. Bergman, J., Are wisdom teeth (third molars) was designed, i.e. to exercise, as is environmental factors with respect to vestiges of human evolution? TJ 12(3):297 universally recommended by the health 304, 1989. their role in tooth pathology. community. Likewise, applying this 5. Silvestri and Singh, ref. 1, p. 452. The authors also admit the third- same philosophy to the third-molar teeth problem, one solution may be a molar problem is complicated by the healthier diet, including one high in fact that our understanding of the fibre, raw fruits and vegetables, which problem is very limited, based on requires more vigorous chewing. not only ‘little or no histopathologic evaluation of tissue’, but also the fact Factors involved in the that much of the morbidity data on 5 development of teeth problems wisdom teeth is ‘inherently flawed’. As a result, a controversy even exists A number of factors are involved over when to extract wisdom teeth, and in the development of teeth problems the whole question of how to handle and, admittedly, the third molars have problematic third molars.5 the highest frequency of problems. Yet as the authors note, around 35% Conclusion of the population does not have any problems with even a single wisdom This article is an excellent example tooth by age twenty, and many people of the abuses to which evolutionary have problems with only one or two theory can potentially lead, as their of them.1 recommendation for intervention The authors admit that alteration is driven more by evolution theory 14 TJ 18(1) 2004.
Recommended publications
  • Predictors of Osteoradionecrosis Following Irradiated Tooth Extraction

    Predictors of Osteoradionecrosis Following Irradiated Tooth Extraction

    Khoo et al. Radiat Oncol (2021) 16:130 https://doi.org/10.1186/s13014-021-01851-0 RESEARCH Open Access Predictors of osteoradionecrosis following irradiated tooth extraction Szu Ching Khoo1, Syed Nabil1, Azizah Ahmad Fauzi2, Siti Salmiah Mohd Yunus1, Wei Cheong Ngeow3 and Roszalina Ramli1* Abstract Background: Tooth extraction post radiotherapy is one of the most important risk factors of osteoradionecrosis of the jawbones. The objective of this study was to determine the predictors of osteoradionecrosis (ORN) which were associated with a dental extraction post radiotherapy. Methods: A retrospective analysis of medical records and dental panoramic tomogram (DPT) of patients with a history of head and neck radiotherapy who underwent dental extraction between August 2005 to October 2019 was conducted. Results: Seventy-three patients fulflled the inclusion criteria. 16 (21.9%) had ORN post dental extraction and 389 teeth were extracted. 33 sockets (8.5%) developed ORN. Univariate analyses showed signifcant associations with ORN for the following factors: tooth type, tooth pathology, surgical procedure, primary closure, target volume, total dose, timing of extraction post radiotherapy, bony changes at extraction site and visibility of lower and upper cortical line of mandibular canal. Using multivariate analysis, the odds of developing an ORN from a surgical procedure was 6.50 (CI 1.37–30.91, p 0.02). Dental extraction of more than 5 years after radiotherapy and invisible upper cortical line of mandibular canal= on the DPT have the odds of 0.06 (CI 0.01–0.25, p < 0.001) and 9.47 (CI 1.61–55.88, p 0.01), respectively.
  • Clinical Significance of Dental Anatomy, Histology, Physiology, and Occlusion

    Clinical Significance of Dental Anatomy, Histology, Physiology, and Occlusion

    1 Clinical Significance of Dental Anatomy, Histology, Physiology, and Occlusion LEE W. BOUSHELL, JOHN R. STURDEVANT thorough understanding of the histology, physiology, and Incisors are essential for proper esthetics of the smile, facial soft occlusal interactions of the dentition and supporting tissues tissue contours (e.g., lip support), and speech (phonetics). is essential for the restorative dentist. Knowledge of the structuresA of teeth (enamel, dentin, cementum, and pulp) and Canines their relationships to each other and to the supporting structures Canines possess the longest roots of all teeth and are located at is necessary, especially when treating dental caries. The protective the corners of the dental arches. They function in the seizing, function of the tooth form is revealed by its impact on masticatory piercing, tearing, and cutting of food. From a proximal view, the muscle activity, the supporting tissues (osseous and mucosal), and crown also has a triangular shape, with a thick incisal ridge. The the pulp. Proper tooth form contributes to healthy supporting anatomic form of the crown and the length of the root make tissues. The contour and contact relationships of teeth with adjacent canine teeth strong, stable abutments for fixed or removable and opposing teeth are major determinants of muscle function in prostheses. Canines not only serve as important guides in occlusion, mastication, esthetics, speech, and protection. The relationships because of their anchorage and position in the dental arches, but of form to function are especially noteworthy when considering also play a crucial role (along with the incisors) in the esthetics of the shape of the dental arch, proximal contacts, occlusal contacts, the smile and lip support.
  • Big Data in Dental Research and Oral Healthcare

    Big Data in Dental Research and Oral Healthcare

    Big Data in Dental Research and Oral Healthcare • Tim Joda Big Data in Dental Research and Oral Healthcare Edited by Tim Joda Printed Edition of the Special Issue Published in International Journal of Environmental Research and Public Health www.mdpi.com/journal/ijerph Big Data in Dental Research and Oral Healthcare Big Data in Dental Research and Oral Healthcare Editor Tim Joda MDPI • Basel • Beijing • Wuhan • Barcelona • Belgrade • Manchester • Tokyo • Cluj • Tianjin Editor Tim Joda University of Basel Switzerland Editorial Office MDPI St. Alban-Anlage 66 4052 Basel, Switzerland This is a reprint of articles from the Special Issue published online in the open access journal International Journal of Environmental Research and Public Health (ISSN 1660-4601) (available at: https: //www.mdpi.com/journal/ijerph/special issues/BDIDR). For citation purposes, cite each article independently as indicated on the article page online and as indicated below: LastName, A.A.; LastName, B.B.; LastName, C.C. Article Title. Journal Name Year, Volume Number, Page Range. ISBN 978-3-0365-0456-8 (Hbk) ISBN 978-3-0365-0457-5 (PDF) © 2021 by the authors. Articles in this book are Open Access and distributed under the Creative Commons Attribution (CC BY) license, which allows users to download, copy and build upon published articles, as long as the author and publisher are properly credited, which ensures maximum dissemination and a wider impact of our publications. The book as a whole is distributed by MDPI under the terms and conditions of the Creative Commons license CC BY-NC-ND. Contents About the Editor .............................................. vii Preface to ”Big Data in Dental Research and Oral Healthcare ” ..................
  • Periapical Implant Pathology

    Periapical Implant Pathology

    RESEARCH PERIAPICAL IMPLANT PATHOLOGY Harold I. Sussman, DDS, MSD Periapical implant pathology, a distinct dental lesion, is the coalescence of adjacent Downloaded from http://meridian.allenpress.com/joi/article-pdf/24/3/133/2032380/1548-1336(1998)024_0133_pip_2_3_co_2.pdf by guest on 01 October 2021 periapical pathology with the apical segment of a dental implant that results in a common lesion. I present four cases to document two proposed case types: type KEY WORDS 1, implant to tooth, which occurs during osteotomy preparation either by direct trauma or through indirect damage and causes adjacent pulp to undergo Dental implants devitalization; and type 2, tooth to implant, which occurs shortly after placement Osseointegration Periapical pathology of the implant when an adjacent tooth develops periapical pathology, either by Etiology operative damage to the pulp or through reactivation of a prior apical lesion. In Classi®cation both types, the resulting periapical pathology contaminates the ®xture and inhibits osseointegration of the implant during stage 1 healing. These two case types are presented to help clarify the use of etiology as the basis of a classi®cation system. INTRODUCTION eriapical implant pathology Type 1: Implant to Tooth as a distinct entity was ®rst reported as endodontic-im- An implant-to-tooth lesion occurs plant pathology in the den- when the insertion of the implant re- tal literature in 1993.1 The le- sults in tooth devitalization. Possible sion occurs infrequently causes include placement of the im- when implants are placed adjacent to plant at an insuf®cient distance from Pnatural teeth.2±5 When a periapical lesion the tooth during the osteotomy, over- from a tooth and an implant coalesce, heating of bone during the osteotomy, the bone±titanium interface may become or direct trauma to a tooth root via os- contaminated.
  • Maxillofacial Imaging T.A.Larheim · P.-L.Westesson

    Maxillofacial Imaging T.A.Larheim · P.-L.Westesson

    I Maxillofacial Imaging T.A. Larheim · P.-L.Westesson III T.A. Larheim P.-L.Westesson Maxillofacial Imaging With 425 Figures (approx. 1450 Illustrations) 123 IV ISBN 10 3-540-25423-4 Library of Congress Control Number: 2005923311 ISBN 13 978-3-540-25423-2 Springer Berlin Heidelberg NewYork This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specif- ically the rights of translation,reprinting,reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this pub- lication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its cur- rent version, and permission for use must always be obtained from Springer. Violations are liable for prosecution under the German Copyright Law. Springer is a part of Springer Science+Business Media springeronline.com © Springer-Verlag Berlin Heidelberg 2006 Printed in Germany The use of general descriptive names, registered names, trade- marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accu- racy of any information about dosage and application con- tained in this book. In every individual case the user must check such information by consulting the relevant literature. Editor: Dr. Ute Heilmann, Heidelberg Desk editor: Dörthe Mennecke-Bühler, Heidelberg Production editor: LE-TeX Jelonek, Schmidt & Vöckler GbR, Leipzig Cover design: F.Steinen, eStudio Calamar, Spain Reproduction and Typesetting: AM-productions GmbH, Wiesloch Printing and bookbinding: Stürtz AG, Würzburg 21/3150 – 5 43210 Printed on acid-free paper To our wives Sigrid and Ann-Margret And our children Tor Eirik and Arnstein and Karin, Oscar and Nils Besides the fascinating field of radiology, you mean everything to us.
  • Gafforov Sunnatullo Amrulloevich, 2Rizaev Jasur Alimjanovich, 3Fazilbekova Gavkhar Anvarovna

    Gafforov Sunnatullo Amrulloevich, 2Rizaev Jasur Alimjanovich, 3Fazilbekova Gavkhar Anvarovna

    Annals of R.S.C.B., ISSN: 1583-6258, Vol. 25, Issue 1, 2021, Pages. 7200 – 7213 Received 15 December 2020; Accepted 05 January 2021. Clinical-Functional and Biochemical Characteristics of Organs with Dental Anomalies in Children and Adolescents with Bronchial Asthma 1Gafforov Sunnatullo Amrulloevich, 2Rizaev Jasur Alimjanovich, 3Fazilbekova Gavkhar Anvarovna. 1 Head of the Department of Dentistry, Pediatric Dentistry and Orthodontics, Tashkent Institute of Advanced Medical Education, Doctor of Medical Sciences, Professor. 2 Rector of the Samarkand State Medical Institute, Doctor of Medical Sciences, Professor. 3 Assistant of the Department of "Dentistry, Pediatric Dentistry and Orthodontics" of the Tashkent Institute for Advanced Training of Doctors. Abstract. The study was conducted to assess the clinical, functional and biochemical state of the oral cavity in children and adolescents with dentoalveolar anomalies against the background of bronchial asthma. A comprehensive epidemiological examination was carried out in 225 children and adolescents, divided into two groups. The main group of 180 included patients with dentoalveolar anomalies and deformity, suffering from bronchial asthma, and the Control group of 45 patients without somatic pathology. Both groups were divided into age categories 6-9 years old, 10-13 years old and 14-18 years old. In the course of clinical research, the state of hard tissues of the tooth, periodontal tissues and the oral mucosa, as well as the frequency of dentoalveolar anomalies and deformities, the level of oral hygiene were studied. Keywords: children and adolescents, oral cavity, bronchial asthma, dentoalveolar anomalies and deformities, clinical and functional state, biochemical characteristics. Relevance of work. The epidemiology of major dental diseases in children and adolescents with bronchial asthma indicates a high prevalence of caries and non-carious lesions of the hard tissues of the tooth, pathology of periodontal tissues and oral mucosa [10, 21].
  • Analysis of Oral Health and Quality of Life of Groups of Patients with Type 2 Pjaee, 17 (6) (2020) Diabetes and Chronic Kidney Disease

    Analysis of Oral Health and Quality of Life of Groups of Patients with Type 2 Pjaee, 17 (6) (2020) Diabetes and Chronic Kidney Disease

    ANALYSIS OF ORAL HEALTH AND QUALITY OF LIFE OF GROUPS OF PATIENTS WITH TYPE 2 PJAEE, 17 (6) (2020) DIABETES AND CHRONIC KIDNEY DISEASE. ANALYSIS OF ORAL HEALTH AND QUALITY OF LIFE OF GROUPS OF PATIENTS WITH TYPE 2 DIABETES AND CHRONIC KIDNEY DISEASE. Umid Golibovich Nusratov Assistant of the Department of Orthopedic Dentistry and Orthodontics, Bukhara State Medical Institute,Uzbekistan. [email protected] Umid Golibovich Nusratov, ANALYSIS OF ORAL HEALTH AND QUALITY OF LIFE OF GROUPS OF PATIENTS WITH TYPE 2 DIABETES AND CHRONIC KIDNEY DISEASE.-Palarch’s Journal Of Archaeology Of Egypt/Egyptology 17(6),ISSN 1567-214x Abstract: Recent advances in the study of the mechanisms of development of type 2 diabetes have contributed to the development of fundamentally new views on the genesis of the disease and its complications. Our goal is a comparative analysis of the assessment of quality of life in patients with type 2 diabetes mellitus complicated by chronic kidney disease after the use of orthopedic dental treatment. Analysis of questionnaires showed that the quality of life of patients with partial absence of teeth was reduced to a varying degree in all groups of patients. Summarizing the results of the study, we can conclude that the correct deontological approach using the developed recommendations for the collection of anamnesis will facilitate understanding by the dentist of the algorithms and methods of treating the patient and help to improve the quality of prosthetics and further rehabilitation. Key words: diabetes, Dental diseases, kidney disease, orthopedic dentistry, Tongue plaque. Introduction In recent years, the role of chronic inflammation in the development and progression of atherosclerosis, obesity, metabolic syndrome, insulin resistance has been actively discussed.3 Diabetic neuropathy complicates the course of diabetes in 60-90% and is dangerous for the development of diabetic foot syndrome.
  • Self-Study Report Pre-Doctoral Program General Educational Objectives and Course Outlines

    Self-Study Report Pre-Doctoral Program General Educational Objectives and Course Outlines

    2015 SELF-STUDY REPORT PRE-DOCTORAL PROGRAM GENERAL EDUCATIONAL OBJECTIVES AND COURSE OUTLINES SEPTEMBER 1-3, 2015 1 Pre-doctoral General Education Objectives & Course Outlines The course outline summaries have been prepared to provide an overview of each course presented in the D.M.D. educational program. Each course consists of the following: Course Number and Title Credit Hours Term Offered Grade Type Course Description Course Objectives Course topics are available in the course syllabi for Fall of Spring for the didactic and clinical courses. The course topics provide a detailed analysis of each instructional session in terms of topics presented, classification by ADA major teaching code, method of instruction and clock hours of instruction. The table of contents organizes the course listings by semester. 2 D1 YEAR BMSC 802-01 Histology (General and Oral) 9 BMSC 804-02 Biochemistry 11 BMSC 805-01 Physiology 15 BMSC 809-02 Survey of Dental Gross and Neuroanatomy 18 GDOM 800-12 Dental Anatomy and Occlusion Lecture 22 GDOM 801-12 Dental Anatomy and Occlusion Laboratory 25 GDOM 802-02 Introduction to Preventative Dentistry 29 GDOM 804-12 Preclinical Operative Dentistry Laboratory I 25 GDOM 805-12 Introduction to Clinical Dentistry I 32 GDOM 807-01 Evidence Based Dentistry 36 OHR 801-01 Infection Control 38 OHR 830-02 Periodontics I 41 OPSC 800-02 Growth and Development 43 SUHD 800-01 Correlated Sciences 47 SUHD 813-01 Oral Radiology I 49 SUHD 817-02 Cariology 52 3 D2 YEAR BMSC 806-02 Microbiology and Immunology 54 BMSC 807-04 Pharmacology
  • The Dental Reference Manual

    The Dental Reference Manual

    The Dental Reference Manual A Daily Guide for Students and Practitioners Geraldine M. Weinstein Mitchell T. Zientz Editors 123 The Dental Reference Manual Geraldine M. Weinstein • Mitchell T. Zientz Editors The Dental Reference Manual A Daily Guide for Students and Practitioners Editors Geraldine M. Weinstein Mitchell T. Zientz University of Connecticut Wellspring Dental School of Dental Medicine Brooklyn Farmington New York CT USA USA ISBN 978-3-319-39728-3 ISBN 978-3-319-39730-6 (eBook) DOI 10.1007/978-3-319-39730-6 Library of Congress Control Number: 2016958298 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recita- tion, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or infor- mation storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica- tion does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made.
  • 267 Eruption of the Upper Wisdom Tooth Among The

    267 Eruption of the Upper Wisdom Tooth Among The

    Analele UniversităŃii din Oradea Fascicula:Ecotoxicologie, Zootehnie şi Tehnologii de Industrie Alimentară, 2012 ERUPTION OF THE UPPER WISDOM TOOTH AMONG THE YOUNG PEOPLE OF ORADEA Todor Liana* *University of Oradea, Faculty of Medicine and Pharmacy, Department of Dental Medicine [email protected] Abstract Wisdom teeth have the highest chronological variability in their eruption, their appearance on the arcade being made between 16-25 years. Less than 5% of adults with the full complement of teeth have sufficient space for the complete eruption of the third molars. Thus, it play a predominant role in the incidence of retention. With retention can be connected infections, cysts, tumours, neuralgiform pain, anomalies of tooth position, masticatory dysfunction, disturbances of occlusion and myoarthropathies. A study based on gender was made on the number of erupted upper wisdom teeth in the oral cavity. Thus, an individual may present one, two or not even one upper wisdom tooth in the oral cavity. Upper wisdom teeth present in the oral cavity have also been studied in terms of eruption progress: fully erupted or in eruption, as well as in terms of the eruption axis: on the axis or protruded. Key Words: rash, upper wisdom tooth, protruded. INTRODUCTION Eruption of permanent teeth is usually easy without any occuring disorders in the incisors, canines and premolars, while spontaneous exfoliation of deciduous teeth occurs through progressive root resorption. Also, the eruption of the first two molars generally does not cause accidents. The most common accidents are related to the lower wisdom teeth eruption and to a lesser extent to the upper wisdom teeth eruption.
  • Canine Transmigration Accompanying Mandibular Retrognathism Secondary to Osteitis

    Canine Transmigration Accompanying Mandibular Retrognathism Secondary to Osteitis

    Open Med. 2015; 10: 566–571 Case Report Open Access Rafał Koszowski, Agnieszka Pisulska-Otremba, Sylwia Wójcik, Joanna Śmieszek-Wilczewska* Canine transmigration accompanying mandibular retrognathism secondary to osteitis DOI: 10.1515/med-2015-0096 received July 29, 2015; accepted October 27, 2015. However, Tarsitano and collegues were the first to define transmigration as the passing of an unerupted tooth Abstract: Transmigration is a tooth pathology in which across the median line [3]. Javid claims that the term the migrating tooth bud passes the median plane. transmigration can be applied when at least half the length Methods: This study is a presentation of the diagnostic of a tooth has passed the median line [4]. Joshi and others and therapeutic outcomes in the cases of 4 stomach teeth consider this view to be incorrect. In their opinion, what is transmigrations diagnosed in 3 patients with mandibular more important is the tendency of a tooth to migrate and retrognathia which was a complication after osteitis in the pass the median plane rather than the distance a tooth has postnatal period and infancy. Results: Extending imaging passed [5]. Howard observed a link between the migration diagnostics to include CT, most preferably CBCT, makes it of a tooth and the angle between the longitudinal axis of possible to precisely evaluate a transmigrated canine’s the impacted canine and the median line. Transmigration position and to plan a course of treatment. Conclusions: does not occur if the angle is 25-30˚. An angle of 30-95˚ Planning of the treatment of teeth in transmigration in promotes transmigration [6].
  • Clinical Findings and Psychosocial Factors in Patients with Atypical Odontalgia: a Case-Control Study

    Clinical Findings and Psychosocial Factors in Patients with Atypical Odontalgia: a Case-Control Study

    List.qxd 4/5/07 1:20 PM Page 89 Clinical Findings and Psychosocial Factors in Patients with Atypical Odontalgia: A Case-Control Study Thomas List, DDS, Odont Dr Aim: To provide a systematic description of clinical findings and Professor psychosocial factors in patients suffering from atypical odontalgia Orofacial Pain Unit (AO). Methods: Forty-six consecutive AO patients (7 men and 39 Faculty of Odontology women; mean age, 56 years; range, 31 to 81 years) were compared Malmö University with 35 control subjects (11 men and 24 women; mean age, 59 Malmö, Sweden years; range, 31 to 79 years). Results: The pain of the AO patients Göran Leijon, MD, PhD was characterized by persistent, moderate pain intensity (mean, Senior Consultant 5.6 ± 1.9) with long pain duration (mean, 7.7 ± 7.8 years). Eighty- Division of Neurology three percent reported that onset of pain occurred in conjunction Department of Neuroscience and with dental treatment. No significant difference was found Locomotion between the groups in number of remaining teeth or number of University Hospital root fillings. Temporomandibular disorder (TMD) pain (P < .001), Linköping, Sweden tension-type headache (P < .002), and widespread pain (P < .001) were significantly more common among AO patients than con- Martti Helkimo, DDS, Odont Dr trols. Significantly higher scores for somatization (P < .01) and Professor depression (P < .01) and limitations in jaw function (P < .001) Department of Stomatognathic were found for the AO group compared with the control group. Physiology The Institute for Postgraduate Dental Significant differences between groups were found in 4 general Education health domains: role-physical (P < .001), bodily pain (P < .001), Jönköping, Sweden vitality (P < .004), and social functioning (P < .001).