Dental Occlusion Research Papers - Academia.edu (original) (raw)

To analyse the effect of integrated orthodontic treatment, orthognathic surgery and orofacial myofunctional therapy on masseter muscle thickness in patients with class III dentofacial deformity three years after orthognathic surgery. A... more

To analyse the effect of integrated orthodontic treatment, orthognathic surgery and orofacial myofunctional therapy on masseter muscle thickness in patients with class III dentofacial deformity three years after orthognathic surgery. A longitudinal study was conducted on 13 patients with class III dentofacial deformities, denoted here as group P1 (before surgery) and group P3 (same patients 3 years to 3 years and 8 months after surgery). Fifteen individuals with no changes in facial morphology or dental occlusion were assigned to the control group (CG). Masseter muscle ultrasonography was performed in the resting and biting situations in the three groups. Data were analysed statistically by a mixed-effects linear model considering a level of significance of P < 0.05. Significantly higher values (P < 0.01) of masseter muscle thickness (cm) were detected in group P3 (right rest: 0.82 ± 0.16, left rest: 0.87 ± 0.21, right bite: 1 ± 0.22, left bite: 1.04 ± 0.28) compared to group P1 (right rest: 0.63 ± 0.19, left rest: 0.64 ± 0.15, right bite: 0.87 ± 0.16, left bite: 0.88 ± 0.14). Between P3 and CG (right rest: 1.02 ± 0.19, left rest: 1 ± 0.19, right bite: 1.18 ± 0.22, left bite: 1.16 ± 0.22) there was a significant difference on the right side of the muscle (P < 0.05) in both situations and on the left side at rest. The proposed treatment resulted in improved masseter muscle thickness in patients with class III dentofacial deformity.

Many treatment options are currently available for single tooth replacement, such as metal-ceramic, all-ceramic, direct or indirect fiber-reinforced composite fixed dental prostheses (FDPs) or implants. Inlay-retained FDPs could be... more

Many treatment options are currently available for single tooth replacement, such as metal-ceramic, all-ceramic, direct or indirect fiber-reinforced composite fixed dental prostheses (FDPs) or implants. Inlay-retained FDPs could be indicated especially when adjacent teeth have preexisting restorations and where implant placement is not possible or not indicated. In such cases, indication of both metal-ceramic and fiber-reinforced composite FDPs has certain disadvantages. This paper describes the use of all-ceramic inlay-retained FDPs with zirconia frameworks, veneered with a press-on technique. The retainer margins were made of pressed ceramic to make adhesive luting possible. In deep cavities, a full contour press-on ceramic all around the retainers increased the available surface area for the adhesive approach.

Abnormal foot motion impacts the position of the cranial bones. Section I of this paper describes this foot-cranial-dental coupling. Section II describes the Ascending Foot Cranial Model Section III describes an embryonic foot type that... more

Abnormal foot motion impacts the position of the cranial bones. Section I of this paper describes this foot-cranial-dental coupling. Section II describes the Ascending Foot Cranial Model Section III describes an embryonic foot type that is frequently responsible for cranial imbalances and Class II malocclusions Section IV describes a proprioceptive therapy, using insoles, to reverse or stabilize cranial imbalances and malocclusions.

Background and Objective: Dental occlusion is still a controversial field in dentistry. The dental professionals are trying to uncover the relationship between the influence of head posture on mandibular position and, therefore,... more

Background and Objective: Dental occlusion is still a controversial field in dentistry. The dental professionals are trying to uncover the relationship between the influence of head posture on mandibular position and, therefore, occlusion. Hence, the present study was conducted to assess and compare the centric occlusion in three different head postures in mixed dentition children. Materials and Methods: Children with age group between 7 and 12 years were selected for the study, and centric occlusion in three different head postures was evaluated. The three head postures were supine (45° dorsiflexion) head posture, normal upright sitting head posture, and alert feeding (30° ventroflexion). Force outliers were recorded from all the children and were tabulated in SPSS version 20. Kruskal-Wallis test was used to assess the data. Results: Statistically significant P-values were obtained on comparing different head postures in children with mixed dentition. Conclusion: Statistically significant changes of centric occlusion in varying head postures demonstrate that these parameters have to be evaluated before any oral rehabilitation procedures.

To determine whether trumpet performance skills are associated with malocclusion. Following institutional review board approval, 70 university trumpet students (54 male, 16 female; aged 20-38.9 years) were consented. After completing... more

To determine whether trumpet performance skills are associated with malocclusion. Following institutional review board approval, 70 university trumpet students (54 male, 16 female; aged 20-38.9 years) were consented. After completing a survey, the students were evaluated while playing a scripted performance skills test (flexibility, articulation, range, and endurance exercises) on their instrument in a soundproof music practice room. One investigator (trumpet teacher) used a computerized metronome and a decibel meter during evaluation. A three-dimensional (3D) cone-beam computerized tomography scan (CBCT) was taken of each student the same day as the skills test. Following reliability studies, multiple dental parameters were measured on the 3D CBCT. Nonparametric correlations (Spearman), accepting P < .05 as significant, were used to determine if there were significant associations between dental parameters and the performance skills. Intrarater reliability was excellent (i...

The masticatory system is widely adaptable and tolerant especially in young people ; this characteristic can be helpful but it can also incur risks because there are limits to everything. Guided solely by the insubstantial support... more

The masticatory system is widely adaptable and tolerant especially in young people ; this characteristic can be helpful but it can also incur risks because there are limits to everything. Guided solely by the insubstantial support provided by data derived from evidence-based medicine, a researcher would have to be both excessively clever and unusually cunning to define the borderline between physiological and pathological occlusion. Accordingly, the optimization of masticatory function through the intermediary of efficient occlusal interaction of upper and lower teeth remains a fundamental common sense objective of all dental treatment. This common sense is based on the fundamental principles of simplicity and of ergonomy that govern all biological "mechanisms ". By respecting the principles of "centering, stabilization, and guidance", dentists will adhere to a simple but precise manual for preserving or creating, if need be, the good occlusal relationships that ...

This article presents a prototype of an intraoral device that facilitates preparation of parallel guide planes with accuracy and minimal occlusal divergence. The design of this device facilitates transfer of the desired path of insertion... more

This article presents a prototype of an intraoral device that facilitates preparation of parallel guide planes with accuracy and minimal occlusal divergence. The design of this device facilitates transfer of the desired path of insertion from the diagnostic cast to the mouth quickly and efficiently.

Even if a clinician possesses basic knowledge in esthetic dentistry and clinical skills, many cases presenting in modern dental practices simply cannot be restored to both the... more

Even if a clinician possesses basic knowledge in esthetic dentistry and clinical skills, many cases presenting in modern dental practices simply cannot be restored to both the clinician&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s and the patient&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s expectations without incorporating the perspectives and assistance of several dental disciplines. Besides listening carefully to chief complaints, clinicians must also be able to evaluate the patient&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s physical, biologic, and esthetic needs. This article demonstrates the use of a smile evaluation form designed at New York University that assists in developing esthetic treatment plans that might incorporate any and all dental specialties in a simple and organized fashion.

Accuracy of techniques for recording the orientation of the maxillary arch to the articulation of the temporomandibular joints has been reported. The variability contributed by the dentist and the equipment within a technique may also... more

Accuracy of techniques for recording the orientation of the maxillary arch to the articulation of the temporomandibular joints has been reported. The variability contributed by the dentist and the equipment within a technique may also contribute to technical error. This study investigated the variability of a group of dentists who used an arbitrary ear-face-bow instrument to mount a maxillary cast. The same maxillary cast on a single experimental subject was mounted on an articulator with a common arbitrary ear-face-bow instrument. This cast was equipped with 4 reference points for the measurement of changes of spatial orientation of the cast, which were determined through coordinate measurements with a machinist's microscope. A repeated measures analysis of variance was used to determine statistically significant changes in spatial orientation with a Wilks' Lambda test to compare mean values. A confidence interval of 95% demonstrated that any dentist might expect a range of...

An epidemiologic transition to high prevalence of such diseases as diabetes and coronary heart disease accompanies the process of modernization/industrialization. I suggest that an equally clearly defined epidemiologic transition... more

An epidemiologic transition to high prevalence of such diseases as diabetes and coronary heart disease accompanies the process of modernization/industrialization. I suggest that an equally clearly defined epidemiologic transition characterizes malaligned and discrepant dental occlusal relations in western societies, and others undergoing urbanization, and that the rapidity of the transition is proportional to the rapidity of urbanizational change. This phenomenon rather throws the weight of suspicion toward environmental, not genetic, etiologic factors. The dental occlusal epidemiologic transition provides a model for developing further research into causes of malocclusion.

Dentinogenesis imperfecta (DI) type 2 is a disease inherited in a simple autosomal dominant mode. As soon as the teeth erupt the parents may notice the problem and look for a pediatric dentist's advice and treatment. Early diagnosis... more

Dentinogenesis imperfecta (DI) type 2 is a disease inherited in a simple autosomal dominant mode. As soon as the teeth erupt the parents may notice the problem and look for a pediatric dentist's advice and treatment. Early diagnosis and treatment of DI is recommended, as it may prevent or intercept deterioration of the teeth and occlusion and improve esthetics. The purpose of this article is to present the objectives, treatment options, and problems encountered in the treatment of DI in the early primary dentition. A two-stage treatment of a toddler under general anesthesia is described and discussed. This paper recommends for severe cases of DI two treatment stages performed under general anesthesia. Stage 1 is early (around age 18-20 months) and is directed to covering the incisors with composite restorations and the first primary molars with preformed crowns. Stage 2 (around age 28-30 months) seeks to protect the second primary molars with preformed crowns and cover the canin...

Contrary to the situation for amalgam restorations, obtaining acceptable proximal contacts with posterior composite restorations can be difficult. Proximal contacts that are less than ideal may permit food impaction and subsequent caries... more

Contrary to the situation for amalgam restorations, obtaining acceptable proximal contacts with posterior composite restorations can be difficult. Proximal contacts that are less than ideal may permit food impaction and subsequent caries formation and periodontal problems. The aim of this study was to assess the quality of proximal contacts of posterior composite restorations placed with 4 restorative techniques. Seventy-five mounted ivorine teeth with large, standardized MOD cavities were divided into 5 groups of 15 teeth each. The teeth in 4 of these groups were restored with a resin composite and those in the remaining group were restored with amalgam. The restorative techniques for the 4 composite groups were traditional wedge and matrix (Group 1), use of a light-tip attachment (Group 2), use of the Contact Pro hand instrument (Group 3) and use of Beta Quartz glass-ceramic inserts (Group 4). All restorations were completed under simulated clinical conditions. Standards for evalu...

The masticatory system is widely adaptable and tolerant especially in young people ; this characteristic can be helpful but it can also incur risks because there are limits to everything. Guided solely by the insubstantial support... more

The masticatory system is widely adaptable and tolerant especially in young people ; this characteristic can be helpful but it can also incur risks because there are limits to everything. Guided solely by the insubstantial support provided by data derived from evidence-based medicine, a researcher would have to be both excessively clever and unusually cunning to define the borderline between physiological and pathological occlusion. Accordingly, the optimization of masticatory function through the intermediary of efficient occlusal interaction of upper and lower teeth remains a fundamental common sense objective of all dental treatment. This common sense is based on the fundamental principles of simplicity and of ergonomy that govern all biological "mechanisms ". By respecting the principles of "centering, stabilization, and guidance", dentists will adhere to a simple but precise manual for preserving or creating, if need be, the good occlusal relationships that ...