Applied Kinesiology and Dentistry – a Narrative Review

Total Page:16

File Type:pdf, Size:1020Kb

Applied Kinesiology and Dentistry – a Narrative Review CRANIO® The Journal of Craniomandibular & Sleep Practice ISSN: (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/ycra20 Applied kinesiology and dentistry – A narrative review Marcello Melis & Massimiliano Di Giosia To cite this article: Marcello Melis & Massimiliano Di Giosia (2020): Applied kinesiology and dentistry – A narrative review, CRANIO®, DOI: 10.1080/08869634.2020.1798669 To link to this article: https://doi.org/10.1080/08869634.2020.1798669 Published online: 28 Jul 2020. Submit your article to this journal View related articles View Crossmark data Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=ycra20 CRANIO®: THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE https://doi.org/10.1080/08869634.2020.1798669 LITERATURE REVIEW Applied kinesiology and dentistry – A narrative review Marcello Melis DMD, Pharm Da and Massimiliano Di Giosia DDSb aPrivate Practice, Cagliari, Italy; Department of Orthodontics, School of Dentistry, University of Cagliari, Cagliari, Italy; bOrofacial Pain Clinic, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA ABSTRACT KEYWORDS Objective: To investigate the use of applied kinesiology in the field of dentistry. Applied kinesiology; muscle Methods: A review of the literature was carried out looking for all articles written on the topic. testing; muscle strength; PubMed, Ovid Medline, and The Cochrane Central Register of Controlled Trials (CENTRAL) data­ dentistry; dental occlusion; bases were searched. vertical dimension; temporomandibular Results: Only one study was retrieved on the use of applied kinesiology in temporomandibular disorders disorder patients, and only one study was published on dental material testing. A change in muscle strength associated with changes in dental occlusion has been observed in many of the articles selected. Discussion: The use of applied kinesiology for the diagnosis and treatment of pathologies in the field of dentistry is not supported by scientific evidence. However, a relationship between dental occlusion or maxillo-mandibular relationship and isometric muscle strength has been noted. Introduction be a clinically useful tool, but its ultimate scientificvalida ­ tion and application require testing that employs sophis­ Kinesiology is the study of muscles and their effects on ticated research models in the area of neurophysiology, movements; it is widely used to assess neurologic biomechanics, randomized controlled trials, and statisti­ integrity. A more specific type of kinesiology is called cal analysis.” However, their study was criticized by Haas “applied kinesiology.” The term refers to a discipline et al. [4], who described many flaws of the article. First, that uses manual muscle testing (MMT) to assess they included in the review trials on MMT used as a variety of body functions [1]. Applied kinesiology a standard orthopedic/neurological test to evaluate mus­ (AK) evaluates a summation of excitatory and inhibi­ cle and neurologic integrity, which is very different from tory inputs reaching the motoneurons of the anterior the use of MMT in AK applications. They also carried out horn of the spinal cord by testing the response of a limited review of the literature, excluding from the a particular muscle to resistance applied by a trained study trials showing poor interexaminer reliability [5– professional examiner. A conditionally inhibited 7], insufficient sensitivity and specificity [6–8], and no response is designated as “weak,” and a conditionally test–retest reproducibility [9]. According to the authors, facilitated response is designated as “strong” [2]. when evaluating only MMT as used in AK, excluding the Authors have intended to study alterations in neuro­ studies where it is used in standard orthopedic/neurolo­ muscular function in response to physical, chemical, or gical procedures, the limited trials either refute or cannot mental stimuli, usually used in combination with support the validity of AK procedures as diagnostic tests. a standard physical examination with both diagnostic Specifically, MMT for the diagnosis of organic patholo­ and therapeutic purposes [1,3]. gies or presumed pre/subclinical diseases is not supported A particular type of muscle testing is “therapy loca­ by scientific evidence [4]. lization” (TL). This is a technique by which any strong Nonetheless, some authors have suggested the use and normally functioning muscle (indicator muscle) of AK in the fieldof dentistry [10–13]. For this reason, will become weak when the patient places his finger on the present review tries to summarize the studies on a specific area to be tested [2]. the topic with the purpose to evaluate whether the use The reliability and validity of MMT have been studied of AK is scientificallysupported and can be suggested by Cuthbert and Goodheart [2] in a review article, where as a diagnostic and therapeutic tool in the field of they concluded that “The MMT employed by chiroprac­ dentistry. tors, physical therapists, and neurologists was shown to CONTACT Marcello Melis [email protected] Department of Orthodontics, School of Dentistry, University of Cagliari, Selargius, CA 09047, Italy © 2020 Taylor & Francis Group, LLC 2 M. MELIS AND M. DI GIOSIA Materials and methods Several articles, especially the less recent ones, were not clinical trials, rather they represented experts’ opi­ Literature search nions on the applications of AK in the field of dentistry A literature search was carried out looking for articles [10–17]. Five of them were review articles [1,18–21], on the use of AK in dentistry, including PubMed, Ovid and the rest were clinical trials [22–50]. Most of the Medline, and The Cochrane Central Register of clinical trials included only one group of subjects, who Controlled Trials (CENTRAL) databases. After combin­ were tested in different conditions (the same subjects ing the different keywords and limiting the search to were used as their own control) [22,23,25–32]. Only two human studies, the titles and abstracts were examined to trials included a placebo [24,25], and only 6 were single- exclude articles not related to the topic. A handsearch of or double-blind studies [24–28,33]. the references of the selected articles was performed The specific topics of AK described in the articles looking for additional papers. An outline of the litera­ were: 1) application of AK in dentistry; 2) evaluation of ture search is shown in Table 1. dental occlusion; 3) temporomandibular disorders; and 4) dental material testing. They are shown in the respective sections. No trials were identified on therapy localization. Results A total of 23 articles were identifiedon the topic through Application of applied kinesiology in dentistry the database search, and 21 additional papers were found after examining the references. Three of them, Goodheart [11–13], in three papers, promotes the use of which were very old, could not be obtained (Table 1). AK for the evaluation of dental health, especially for the assessment of proper mandibular and temporomandibu­ lar joint (TMJ) function, by the use of MMT and TL. The Table 1. Literature search. use of MMT was also encouraged by Eversaul [10], espe­ Searches Keywords Results cially for the determination of correct vertical dimension 1 Applied kinesiology 44,325 Kinesiology of dental occlusion (VDO), and by Glassley [14], to Muscle testing identify TMJ disorders before the occurrence of signs Manual muscle testing Muscle strength and symptoms, to distinguish which TMJ and neuromus­ Isometric strength cular mechanism is altered, to recognize the necessity of 2 Dentistry 53,7008 Dental preventive procedures in children, to identify cellular Dental occlusion energy deficit and nutritional deficiencies, to establish Temporomandibular joint Temporomandibular joint disorders proper VDO, to detect the degree of TMJ degeneration Temporomandibular disorders and discover whether complete resolution is achievable, Craniomandibular disorders and to comprehend the cause-and-effect relationship TMJ TMD between TMJ pathology and other general health condi­ CMD tions. Moreover, Nahmani [15] supports the use of AK Myofascial pain Myofascial pain syndrome MMT for the examination of TMJ disorders and dental Myofascial pain dysfunction syndrome occlusion. The only experts’ opinions dismantling the use Face pain Facial pain of AK were written by Schissel [16] and Jakush [17] while Toothache examining the use of alternative medicine in dentistry Tooth pain Tooth pathology and questioning the placebo effect of dental appliances. Tooth cavities In addition, two reviews, by Deogade et al. [1] and Tooth decay Singh et al. [20] promote the use of AK in differentfields Periodontitis Pulpitis of dentistry, such as orthodontics, detection of neural­ Dental abscess gia-inducing cavitational osteonecrosis (NICO), dental Dental materials Composite resin material tolerance, and temporomandibular disorders Dental composite (TMD). Nonetheless, no evidence was described to sup­ Dental composite resin Dental amalgam port those hypotheses, and the studies cited do not Amalgam corroborate such suppositions. Mercury amalgam 3 1 AND 2 316 4 Limit to humans 170 5 Title and abstract selection 23 Evaluation of dental occlusion 6 From references 21 7 Unobtainable 3 When specifically looking for AK evaluation of dental 8 Total of articles obtained 41 occlusion by the use of MMT, no clinical trials were CRANIO®: THE JOURNAL OF CRANIOMANDIBULAR
Recommended publications
  • 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.
    [Show full text]
  • 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.
    [Show full text]
  • 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 ” ..................
    [Show full text]
  • 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.
    [Show full text]
  • 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.
    [Show full text]
  • 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].
    [Show full text]
  • 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.
    [Show full text]
  • 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
    [Show full text]
  • 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.
    [Show full text]
  • 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.
    [Show full text]
  • 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].
    [Show full text]
  • 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).
    [Show full text]