Model for the examination of evolutionary trends in tooth development

Evaluating predictions of the patterning cascade model of crown morphogenesis in the human lower mixed and permanent dentition

OBJECTIVE

The patterning cascade model of crown morphogenesis has been studied extensively in a variety of organisms to elucidate the evolutionary history surrounding postcanine tooth form. The current research is the first to use a large modern human sample to examine whether the crown configuration of lower deciduous and permanent molars aligns with expectations derived from the model. This study has two main goals: 1) to determine if metameric and antimeric pairs significantly differ in size, accessory trait expression, and relative intercusp spacing, and 2) assess whether the relative distance among early-forming cusps accounts for observed variation in accessory cusp expression.

METHODS

Tooth size, intercusp distance, and morphological trait expression data were collected from 3D scans of mandibular dental casts representing participants of the Harvard Solomon Islands Project. Paired tests were utilized to compare tooth size, accessory trait expression, and relative intercusp distance between diphyodont metameres and permanent antimeres. Proportional odds logistic regression was implemented to investigate how the odds of greater accessory cusp expression vary as a function of the distance between early-developing cusps.

RESULTS/SIGNIFICANCE

Comparing paired molars, significant differences were identified for tooth size and cusp 5 expression. Several relative intercusp distances emerged as important predictors of cusp 6 expression, however, results for cusp 5 and cusp 7 did not match expected patterns. These findings support previous quantitative genetic results and suggest the development of neighboring crown structures represents a zero-sum partitioning of cellular territory and resources. As such, this study contributes to a better understanding of the foundations of deciduous and permanent molar crown variation in humans.

The rachitic tooth: Refining the use of interglobular dentine in diagnosing vitamin D deficiency

PURPOSE

This study provides guidelines on how IGD can be differentiated from other microstructures that naturally occur in dentine. Interglobular dentine (IGD) has recently been linked to disruption in vitamin D, calcium, and phosphorous pathways offering a valuable method to investigate vitamin D deficiency in archaeological individuals, but not all dentine defects are IGD.

METHODS

A detailed review of dental literature and dental histology cases gathered from known living and archaeological individuals were incorporated into interpretations.

RESULTS

Investigation of tooth dentine revealed that there can be instances where IGD is not linked to vitamin D deficiency. Information on how to differentiate different forms of defects in dentine were identified.

CONCLUSIONS

We conclude that caution is required when evaluating low-grade IGD, as it may be misidentified.

CONTRIBUTION TO KNOWLEDGE

Information reviewed and assimilated contributes to refining the role of IGD to act as a biological marker, particularly in less severe cases of vitamin D deficiency through provision of clear guidance.

LIMITATIONS OF THIS STUDY

Information from earlier experimental work is limited and until recently understanding of vitamin D and deficiency of this pro-hormone was restricted.

SUGGESTIONS FOR FURTHER RESEARCH

Further data could be gathered from living individuals with known biological/medical information.

Crown shape of maxillary molars with delayed eruption

The purpose of this study was to explore the crown shapes of maxillary molars with delayed eruption (DEMo1) at the position distal to the maxillary second premolar. Included teeth erupted later than the average for the maxillary first molar eruption in Japanese females (6.58 ± 0.67 years) by more than two standard deviations. Crown shapes of 12 four-cusped left DEMo1 teeth were compared with those of 25 four-cusped left maxillary first molars (U6n) and 25 four-cusped left maxillary second molars (U7n) from different patients with normal eruption. Seven landmarks were established on the reference plane containing the mesiobuccal, distobuccal and mesiolingual cusp tips of the molars; the origin was defined as the center of gravity of these three points. According to the obtained discriminant function (percentage of correct classifications, 84%), five DEMo1 teeth were classified as U6n and the other seven as U7n. The DEMo1 teeth were also classified into two subgroups, the U6n-close and U7n-close groups, according to the location of the distolingual cusp tip. These results suggest that DEMo1 teeth could include U6 and U7 with delayed eruption or could be an intermediate between U6 and U7, according to their crown shapes.

Cusp expression of protostylid in deciduous and permanent molars

The present article is a case report on the cusp expression of protostylid in the deciduous inferior molars and in the first permanent inferior molar, in which the correspondence and bilateral symmetry of the mentioned expression can be evidenced, as well as the their relation with the foramen cecum of the mesiobuccal furrows of the deciduous and of the permanent inferior molars.

Adaptive Evolution Favoring KLK4 Downregulation in East Asians

The human kallikrein (KLK) cluster, located at chromosome 19q13.3-13.4, encodes 15 serine proteases, including neighboring genes (KLK3, KLK2, KLK4, and KLK5) with key roles in the cascades of semen liquefaction, tooth enamel maturation, and skin desquamation. KLK2 and KLK3 were previously identified as targets of adaptive evolution in primates through different mechanisms linked to reproductive biology and, in humans, genome-wide scans of positive selection captured, a yet unexplored, evidence for KLK neutrality departure in East Asians. We perform a detailed evaluation of KLK3-KLK5 variability in the 1000 Genomes samples from East Asia, Europe, and Africa, which was sustained by our own sequencing. In East Asians, we singled out a 70-kb region surrounding KLK4 that combined unusual low levels of diversity, high frequency variants with significant levels of population differentiation (FST > 0.5) and fairly homogenous haplotypes given the large local recombination rates. Among these variants, rs1654556_G, rs198968_T, and rs17800874_A stand out for their location on putative regulatory regions and predicted functional effects, namely the introduction of several microRNA binding sites and a repressor motif. Our functional assays carried out in different cellular models showed that rs198968_T and rs17800874_A operate synergistically to reduce KLK4 expression and could be further assisted by rs1654556_G. Considering the previous findings that KLK4 inactivation causes enamel malformations in humans and mice, and that this gene is coexpressed in epidermal layers along with several substrates involved in either cell adhesion or keratinocyte differentiation, we propose KLK4 as another target of selection in East Asians correlated to tooth and epidermal morphological traits.

Patterns of morphological variation in enamel-dentin junction and outer enamel surface of human molars

Tooth crown patterning is governed by the growth and folding of the inner enamel epithelium (IEE) and the following enamel deposition forms outer enamel surface (OES). We hypothesized that overall dental crown shape and covariation structure are determined by processes that configurate shape at the enamel-dentine junction (EDJ), the developmental vestige of IEE. This this hypothesis was tested by comparing patterns of morphological variation between EDJ and OES in human permanent maxillary first molar (UM1) and deciduous second molar (um2). Using geometric morphometric methods, we described morphological variation and covariation between EDJ and OES, and evaluated the strength of two components of phenotypic variability, canalization and morphological integration, in addition to the relevant evolutionary flexibility, i.e. the ability to respond to selective pressure. The strength of covariation between EDJ and OES was greater in um2 than in UM1, and the way that multiple traits covary between EDJ and OES was different between these teeth. The variability analyses showed that EDJ had less shape variation and a higher level of morphological integration than OES, which indicated that canalization and morphological integration acted as developmental constraints. These tendencies were greater in UM1 than in um2. On the other hand, EDJ and OES had a comparable level of evolvability in these teeth. Amelogenesis could play a significant role in tooth shape and covariation structure, and its influence was not constant among teeth, which may be responsible for the differences in the rate and/or period of enamel formation.

Intercusp relationships of the permanent maxillary first and second molars in American whites

Much of a human molar's morphology is concentrated on its occlusal surface. In view of embryologists' recent attention on the determination of crown morphology by enamel knots that initiate cusp formation, we were interested in the arrangement of cusp apices in the definitive tooth. Computer-assisted image analysis was used to measure intercusp distances and angles on permanent maxillary M1 and M2 in a sample of 160 contemporary North American whites. The intent was to generate normative data and to compare the size and variability gradients from M1 to M2. There is little sexual dimorphism in intercusp distances or angles, even though the conventional mesiodistal (MD) and buccolingual (BL) crown size is 2.0% and 4.0% larger in males, respectively, in these same teeth. Dimensions decreased in size and increased in variability from M1 to M2, but differentially. Cusps of the trigon were more stable between teeth, especially the paracone-protocone relationship. Principal components analysis on the six M1 distances disclosed only one eigenvalue above 1.0, indicating that overall crown size itself is the paramount controlling factor in this tooth that almost invariably exhibits a hypocone. In contrast, four components were extracted from among the 12 angular cusp relationships in M1. These axes of variation may prove useful in studies of intergroup differences. A shape difference occurs in M2, depending on whether the hypocone is present; when absent, the metacone is moved lingually, creating more of an isosceles arrangement for the cusps of the trigon. Statistically, correlations are low between occlusal intercusp relationships and conventional crown diameters measured at the margins of the crowns that form later. Weak statistical dependence between cusp relationships and traditional MD and BL diameters suggest that separate stage- and location-specific molecular signals control these different parts (and different stages) of crown formation.

Correlations between deciduous and permanent tooth morphology in a European American sample

The expression of dental morphological characteristics is partially genetically controlled, and is assumed to be similar in deciduous and permanent dentitions. However, there are few published data comparing normal morphological variation between the two dentitions in the same individual. For the current study, data were collected from European Americans (N = 54) whose teeth were cast both as children and adults. We observed 19 trait expressions in deciduous and permanent dentitions. Deciduous traits were scored based on Hanihara's and Sciulli's descriptions, while permanent teeth were scored using the ASU dental anthropology system. The two dentitions' scores were compared using Goodman-Kruskal's Gamma (gamma) in the original, commonly used systems as well as in a new, shared scale to which the scores were converted. Observations were also dichotomized in both formats and compared using tetrachoric correlation. We expected high correlations between the two dentitions and for both statistics to yield similar results. For the original scores, gamma correlations vary from -1.0 to 0.68; tetrachoric correlations vary from 0.04 to 0.67. For the shared scale scores, gamma correlations range from -1.0 to 1.0 and tetrachoric correlations range between -0.47 and 0.8. Several traits showed no correlation in either test. Overall, categorical data analysis returned more positive moderate to high correlations than tetrachoric correlation analysis, and shared scale tests resulted in more correlations than did tests of data in the original scoring systems. These results reflect differences in commonly used scoring systems, variation in rarely occurring traits, different strengths of trait expression, and complex genetic/environmental interactions.

New approach to quantifying developmental variation in the dentition using serial microtomographic imaging

Dental morphogenesis and cellular differentiation are expressed in the fully formed tooth by the topography of the dentin-enamel junction and outer enamel surface. These boundaries can be differentiated using a variety of imaging systems. In this study, we used serial microCT imaging to provide accurate 3D reconstructions of developing lower human second deciduous molars. These were used to quantify the volume of enamel and dentin of individual cusps in relation to basal crown height. As growth and differentiation proceed apically, the spatial orientation of cusp tips and their bases were used to estimate their order of initiation and coalescence. We found that the order of coalescence differed from the order of initiation. We also found that dentin cusp height and volume as well as rate and quantity of enamel apposition varied along mesio-distal and bucco-lingual axes, and were independent of order of initiation and duration of growth. These results demonstrate that the potential for variation in crown size and form is maintained throughout development. We propose that the microCT model developed in this study constitutes a new approach for the investigation of developmental variation and its contribution to phylogenetic variation expressed in crown form and size.

Molar intercuspal dimensions: genetic input to phenotypic variation

Molecular studies indicate that epigenetic events are important in determining how the internal enamel epithelium folds during odontogenesis. Since this process of folding leads to the subsequent arrangement of cusps on molar teeth, we hypothesized that intercuspal distances of human molar teeth would display greater phenotypic variation but lower heritabilities than overall crown diameters. Intercuspal distances and maximum crown diameters were recorded from digitized images of dental casts in 100 monozygotic and 74 dizygotic twin pairs. Intercuspal distances displayed less sexual dimorphism in mean values but greater relative variability and fluctuating asymmetry than overall crown measures. Correlations between intercuspal distances and overall crown measures were low. Models incorporating only environmental effects accounted for observed variation in several intercuspal measures. For those intercuspal variables displaying significant additive genetic variance, estimates of heritability ranged from 43 to 79%, whereas those for overall crown size were higher generally, ranging from 60 to 82%. Our finding of high phenotypic variation in intercuspal distances with only moderate genetic contribution is consistent with substantial epigenetic influence on the progressive folding of the internal enamel epithelium, following formation of the primary and secondary enamel knots.

Intercusp differences in enamel prism patterns in early and late stages of human tooth development

Enamel prism-packing patterns reflect the past history of ameloblasts, providing information about growth patterns in tooth development. Here, the area and density of enamel prisms on the cuspal surface of molar teeth were measured to examine if the onset and rate of enamel apposition differ according to stage of development and/or cusp type. Scanning electron-microscopic images were taken from the mesiobuccal and distal cusp tips of 30 mandibular first permanent molars at different stages of development recovered from archaeological sites in Israel dating to the past 10000 years. Selected enamel microstructural characters were measured for each cusp. The mean area of prisms on the mesiobuccal (MB) cusp was significantly larger than that of the distal (D) cusp at all stages of development and the differences in prism area between cusps were significant for each stage of development. Prism density was significantly smaller on the MB cusp than the D cusp at all stages of development but no significant differences were found between early and later stages in each cusp. This was interpreted as indicating that enamel formation in the MB cusp was almost complete, even in the earliest tooth germs studied, whereas in the D cusp it was less advanced. The differences between MB and D cusps are proposed to result from asynchrony of enamel formation between the different cusps of molar teeth in recent populations. The method provides a non-destructive approach to the study of growth patterns in teeth and provides baseline data for comparison with fossil teeth.

The human chin revisited: what is it and who has it?

Although the presence of a "chin" has long been recognized as unique to Homo sapiens among mammals, both the ontogeny and the morphological details of this structure have been largely overlooked. Here we point out the essential features of symphyseal morphology in H. sapiens, which are present and well-defined in the fetus at least as early as the fifth gestational month. Differences among adults in expression of these structures, particularly in the prominence of the mental tuberosity, are developmental epiphenomena and serve to emphasize the importance of studying this region in juveniles whenever possible. A survey of various middle to late Pleistocene fossil hominids for which juveniles are known reveals that these features are present in some late Pleistocene specimens assigned to H. sapiens, but not in all of the presumed anatomically modern H. sapiens (i.e., Qafzeh 8, 9, and 11). The adult specimens from Skhūl, as well as the adult Qafzeh 7 specimen, are similarly distinctive in symphyseal morphology. Neanderthals are quite variable in their own right, and they as well as other middle to late Pleistocene fossils lack the symphyseal features of H. sapiens. Some of the latter are, however, seen in the Tighenif (Ternifine) mandibles.

Modified cuspal relationships of mandibular molar teeth in children with Down's syndrome

A total of 50 permanent mandibular 1st molars of 26 children with Down's syndrome (DS) were examined from dental casts and 59 permanent mandibular 1st molars of normal children were examined from 33 individuals. The following measurements were performed on both right and left molars (teeth 46 and 36 respectively): (a) the intercusp distances (mb-db, mb-d, mb-dl, db-ml, db-d, db-dl, db-ml, d-dl, d-ml, dl-ml); (b) the db-mb-ml, mb-db-ml, mb-ml-db, d-mb-dl, mb-d-dl, mb-dl-d angles; (c) the area of the pentagon formed by connecting the cusp tips. All intercusp distances were significantly smaller in the DS group. Stepwise logistic regression, applied to all the intercusp distances, was used to design a multivariate probability model for DS and normals. A model based on 2 distances only, mb-dl and mb-db, proved sufficient to discriminate between the teeth of DS and the normal population. The model for tooth 36 for example was as follows: p(DS) = (e(30.6-5.6(mb-dl)+25(mb-db)))/(1 + e(30.6 5.6(mb-dl)+25(mb db))). A similar model for tooth 46 was also created, as well as a model which incorporated both teeth. With respect to the angles, significant differences between DS and normals were found in 3 out of the 6 angles which were measured: the d-mb-dl angle was smaller than in normals, the mb-d-dl angle was higher, and the mb-dl-d angle was smaller. The dl cusp was located closer to the centre of the tooth. The change in size occurs at an early stage, while the change in shape occurs in a later stage of tooth formation in the DS population.

Morphometric analysis of developing crowns of maxillary primary second molars and permanent first molars in humans

The purpose of this study was firstly to characterize the changes occurring in size and form of the mineralizing maxillary second primary molar and first permanent molar crowns, and secondly to determine if similar changes in size and form characterize enamel apposition in the crowns of these teeth. Twenty-five primary second molars and 20 maxillary permanent first molars at various stages of development, found in archaeological excavations in Israel, were examined for a number of measured variables using image analyser software. Teeth were divided into two groups according to their stage of development: stage I included all teeth at an early stage of development in which mesiobuccal-cusp height was less than 5 mm for the primary molar and 5.9 mm for the permanent molar; stage 2 included all teeth in later stages of development where mesiobuccal-cusp height was greater than these values. In the primary molar, a significant increase was found between the two stages in almost all variables. Significant correlations were also found between all intercusp distances and the external variables. Strong correlations between height of the mesiobuccal cusp and all external and internal variables were noted in stage 1, but fewer in stage 2. In the permanent tooth, no increase was observed in intercusp distances and very few correlations were found between and among the variables. The results suggest that a change in the shape of the maxillary primary second molar occurs during formation, with the lingual cusp tips moving lingually and distally, and the distobuccal cusp tips moving distally. No change occurs in the shape of the maxillary permanent first molar during crown formation. Growth of the maxillary primary second and permanent first molar crowns occurs in 'bursts' of development.

Morphometric variables of developing primary maxillary first molar crowns in humans

The following morphometric variables were examined in 18 primary maxillary first molars at various stages of development, collected from archaeological excavation sites in Israel: perimeters and areas from the occlusal view; buccolingual and mesiodistal dimensions and intercusp distances; the angle between the line joining the distobuccal, mesiobuccal and lingual cusps; and the height of the mesiobuccal cusp. An image-analysing technique comprising a photographic camera, a monitor, a computer with appropriate software and a digital caliper was used. Significant correlations were demonstrated between most variables. Teeth were divided into two groups according to their stage of development: stage one included all teeth at an early stage of development in which mesiobuccal cusp height was less than 5 mm; stage two included all teeth in later stages of development where mesiobuccal cusp height was greater than 5 mm. All external variables showed an increase in size between the two stages (while, among the internal ones, only the angle between the cusps showed a very small increase). The small sample is a limitation but the results suggest the following: (1) growth of the primary maxillary molar crown occurs with 'bursts' of development ; and (2) a change in the shape of the crown occurs during its formation where the mesiobuccal cusp moves buccally and distally, and the lingual cusp moves mesially.