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Machado R, Pamplona GF, de Souza Júnior C, Nascimento J, Back EDEE, Comparin D, Ignácio SA, Reinke SMG, Kovalik AC, da Silva Neto UX. Clinical determination of anatomical diameter in different dental groups correlating them with gender, age, tooth/canal and pulpoperiradicular diagnosis: an observational clinical study. Sci Rep 2023; 13:16215. [PMID: 37758735 PMCID: PMC10533535 DOI: 10.1038/s41598-023-41967-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 09/04/2023] [Indexed: 09/29/2023] Open
Abstract
The aim of this observational clinical study (OCS) was to determine the clinical anatomical diameter (CAD) in several dental groups, thus correlating them with gender, age, tooth/canal and pulpoperiradicular diagnosis. Three-hundred fifty-nine teeth/584 vital or necrotic root canals from patients of both genders and different ages composed the sample. After performing the necessary previous procedures, K-Flexofiles were used to determine the CAD. Then, the gender and age of the patients, as well as the pulpoperiradicular diagnosis of the teeth were tabulated to conduct the statistical analysis (p < 0.05). Of the 359 teeth/584 root canals evaluated, 208/342 were from women (mean age 38.85 ± 13.42 years) and 151/242 were from men (mean age 45.41 ± 14.90 years). Statistically significant differences between the CAD means of root canals from women and men were not identified (p = 0.411). The analysis of the correlation between the CAD and age also showed a total independence (p = 0.271). Teeth with pulp necrosis and asymptomatic apical periodontitis diagnosed radiographically (TPNAAPDR) had a significantly larger CAD mean than teeth with pulp necrosis and no asymptomatic apical periodontitis diagnosed radiographically (TPNNAAPDR) and teeth with vital pulp and normal apical tissues (TVPNAT) (p = 0.0297); and the last two did not differ statistically (p > 0.05). The largest CAD mean was observed in single canals of maxillary central incisors. The lowest values of this variable were identified in the mesiobuccal and mesial canals of maxillary and mandibular first molars, respectively. The CAD of the root canals was influenced only by the root canal/tooth and pulpoperiradicular diagnosis.
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Affiliation(s)
- Ricardo Machado
- Department of Endodontics, School of Dentistry, Regional University of Blumenau-FURB, Rua São Paulo, 2171, Itoupava Seca, Blumenau, Santa Catarina, 89030-001, Brazil.
| | - Gabriel Filipe Pamplona
- Department of Endodontics, School of Dentistry, Regional University of Blumenau-FURB, Rua São Paulo, 2171, Itoupava Seca, Blumenau, Santa Catarina, 89030-001, Brazil
| | | | - Jaqueline Nascimento
- Department of Endodontics, School of Dentistry, Pontifical Catholic University of Paraná-PUC/PR, Curitiba, Paraná, Brazil
| | | | - Daniel Comparin
- Department of Endodontics, School of Dentistry, Paranaense University-UNIPAR, Francisco Beltrão, Paraná, Brazil
| | - Sérgio Aparecido Ignácio
- Department of Biostatistics, School of Dentistry, Pontifical Catholic University of Paraná-PUC/PR, Curitiba, Paraná, Brazil
| | - Stella Maria Glaci Reinke
- Department of Endodontics, School of Dentistry, Regional University of Blumenau-FURB, Rua São Paulo, 2171, Itoupava Seca, Blumenau, Santa Catarina, 89030-001, Brazil
| | - Ana Cristina Kovalik
- Department of Periodontics, School of Dentistry, Regional University of Blumenau-FURB, Blumenau, Santa Catarina, Brazil
| | - Ulisses Xavier da Silva Neto
- Department of Endodontics, School of Dentistry, Regional University of Blumenau-FURB, Rua São Paulo, 2171, Itoupava Seca, Blumenau, Santa Catarina, 89030-001, Brazil
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Machado R, de Souza Júnior C, Nascimento J, Elgelke Back EDE, Comparin D, Ignácio SA, Silva Neto UXD. Analysis of obtaining apical patency indexes during endodontic treatments considering gender, age, pulpoperiradicular diagnosis and canal/tooth-A clinical study. AUST ENDOD J 2023; 49 Suppl 1:323-329. [PMID: 36735354 DOI: 10.1111/aej.12737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 12/20/2022] [Accepted: 01/15/2023] [Indexed: 02/04/2023]
Abstract
This study aimed to perform an analysis of obtaining apical patency indexes during endodontic treatments considering gender, age, pulpoperiradicular diagnosis and canal/tooth (n. 639/383). Following previous clinical procedures, a thin K-File (No. 20, 15, 10 or 08) was used to achieve apical patency. These specific data and some demographic and clinical information were submitted to the statistical analysis (p < 0.05). Significant statistical differences were not identified considering gender (p = 0.156) and age (p = 0.793). However, in 14.6% of the canals of vital teeth and 14.1% of the canals of necrotic teeth without periapical lesions, apical patency could not be achieved, which occurred in only 7% of the canals of necrotic teeth with periradicular disease (p = 0.009). Considering canal/tooth, apical patency was more challenging to obtain in canals of posterior teeth (p = 0.000). The pulpoperiapical diagnosis and canal/tooth significantly influenced the obtaining of apical patency.
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Affiliation(s)
- Ricardo Machado
- Department of Endodontics, School of Dentistry, Pontifical Catholic University of Paraná - PUC/PR, Curitiba, Paraná, Brazil
| | | | - Jaqueline Nascimento
- Department of Endodontics, School of Dentistry, Pontifical Catholic University of Paraná - PUC/PR, Curitiba, Paraná, Brazil
| | | | - Daniel Comparin
- Department of Endodontics, School of Dentistry, Paranaense University - UNIPAR, Francisco Beltrão, Paraná, Brazil
| | - Sérgio Aparecido Ignácio
- Department of Biostatistics, School of Dentistry, Pontifical Catholic University of Paraná - PUC/PR, Curitiba, Paraná, Brazil
| | - Ulisses Xavier da Silva Neto
- Department of Endodontics, School of Dentistry, Pontifical Catholic University of Paraná - PUC/PR, Curitiba, Paraná, Brazil
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Joparti S, Kiran MJ, Rao GV, Sivaranjani Y, Thakur M, Pradeepthi K. Digitilized Radiographic Analysis of Coronal Pulp for Age Estimation in Adults using Tooth Coronal Index Method – A Pilot Study. J Forensic Dent Sci 2021. [DOI: 10.18311/jfds/13/1/2021.627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023] Open
Abstract
Background: Teeth have become a valuable index to estimate age of an individual in forensic odontology. Although various methods have been reported in forensic literature for age estimation, radiographic methods are simple and require less expertise. Digitalization of panoramic radiographs and intraoral periapical radiographs helps in obtaining the more precise images and accurate measurements. Secondary dentin continuously gets deposited on pulpal surface throughout the life thus reducing the size of the pulp cavity. The Tooth Coronal Index (TCI) method is the indirect assessment of secondary dentin deposition for age estimation. Aim: This study aims to estimate the Tooth Coronal Index of mandibular first molar and its correlation with chronological age to derive a regression equation. Materials and Methods: A total of 50 adults above 20 years of age were selected from the outpatient department of our college. Digital intraoral periapical radiographs were taken by using Radiovisiography (RVG) for mandibular first molar. The crown height and Coronal Pulp Cavity Height were measured and then TCI was calculated. Further the data were subjected to statistical analysis. Results: Statistically significant difference was observed between age and TCI (p<0.05*) and statistically insignificant difference observed between gender and TCI (p>0.05). Conclusion: The Tooth Coronal Index provides more accurate estimation of age and it is a simple, non invasive and cost-effective method that could be easily applied for both living and dead individuals without any highly specialized equipment.
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Havale R, Rao DG, Latha AM, Nagaraj M, Karobari NM, Tharay N. Coronal pulp: An age biomarker - A cross-sectional radiographic study in children. J Oral Maxillofac Pathol 2021; 24:389-394. [PMID: 33456252 PMCID: PMC7802847 DOI: 10.4103/jomfp.jomfp_342_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 06/12/2020] [Accepted: 06/17/2020] [Indexed: 11/21/2022] Open
Abstract
Background: Age plays an important role in personal identification, treatment planning, forensic dentistry, and legal issues. It is one of the key identification tools for distinguishing one person from another and one population from another. An intraoral radiographic technique for age estimation is an easier approach. The widely accepted age estimation method in children is the Demirjian system. Tooth coronal index is another method that gained popularity for adult age estimation. Aim: This study aims to estimate the tooth coronal index (TCI) of mandibular right and left second deciduous molar and its correlation with chronological age to derive a regression equation. Settings and Design: The present study is a cross-sectional radiographical study which is conducted in AME's Dental College and Hospital, Raichur, Karnataka, India. Materials and Methods: A total of 100 children aged 5–10 years were selected. Digital intraoral periapical radiographs were taken for right and left deciduous mandibular second molar. The length of the tooth crown and the coronal pulp cavity were measured. Statistical Analysis: Further, the data are subjected to student's unpaired t-test and ANOVA test for the statistical analysis and simple linear regression to derive the regression equation. Results: TCI showed a statistically significant reduction with increasing age in both right and left mandibular deciduous second molar (P ≤ 0.05), and the strength of the correlation is moderate (r = −0.59) if age is correlated with TCI using simple linear regression. Conclusion: The tooth coronal index method is found as a simple, noninvasive, nondestructive and cost-effective method for age assessment in children.
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Affiliation(s)
- Raghavendra Havale
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
| | - Dhanu G Rao
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
| | - Athira Mohan Latha
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
| | - Manasa Nagaraj
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
| | - Namira Mohammad Karobari
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
| | - Namratha Tharay
- Department of Paedodontics and Preventive Dentistry, AME's Dental College and Hospital, Raichur, Karnataka, India
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Kato Y, Yokose S. Oxytocin Facilitates Dentinogenesis of Rat Dental Pulp Cells. J Endod 2021; 47:592-599. [PMID: 33422572 DOI: 10.1016/j.joen.2020.12.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/24/2020] [Accepted: 12/28/2020] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Oxytocin (OT) is a neurohypophysial hormone that plays a role in lactation and parturition and exerts diverse biological actions via the OT receptor. Recently, several studies have reported that OT stimulates bone formation by osteoblasts in osteoporosis. We focused on OT and hypothesized that OT can stimulate the differentiation of odontoblasts as well as osteoblasts. The aim of this study was to verify whether OT is an essential factor in dentinogenesis; we examined the effects of OT on dentinogenesis using a long-term culture system of rat dental pulp cells. METHODS Using a culture system of rat dental pulp cells with Otr knocked out by CRISPR-Cas9 genome editing, we examined the effects of OT on odontoblastlike cell differentiation as reflected by dentin formation. RESULTS We confirmed that OT stimulated mineralized nodule formation and the expression of both dentin sialoprotein and bone Gla protein messenger RNAs (mRNAs) in the culture system. Interestingly, the cultured cells treated with OT also exhibited an increase of both Wnt10a and Lef-1 mRNA. The Otr knockout cells showed inhibition of nodule formation and mRNA expression, and these phenomena remained despite OT treatment. These results indicate the following: OT regulates odontoblastlike cell differentiation via the OT receptor, it stimulates dentin formation, and the Wnt canonical pathway is closely related to these effects. CONCLUSIONS The present results suggest that OT can promote odontoblastlike cell differentiation, resulting in increased dentin formation, and that OT could be an important factor for dentinogenesis.
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Affiliation(s)
- Yuka Kato
- Division of Endodontics and Operative Dentistry, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Saitama, Japan.
| | - Satoshi Yokose
- Division of Endodontics and Operative Dentistry, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Saitama, Japan
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Paolillo FR, Romano RA, de Matos L, Martin AA, Guimarães FEG, de Castro Neto JC, Bagnato VS. Short-term and long-term effects of osteoporosis on incisor teeth and femoral bones evaluated by Raman spectroscopy and energy dispersive X-ray analysis in ovariectomized rats. J Bone Miner Metab 2019; 37:18-27. [PMID: 29344812 DOI: 10.1007/s00774-018-0903-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 01/04/2018] [Indexed: 01/05/2023]
Abstract
There are few published data on the relationship between loss of bone mass due to osteoporosis and poor tooth quality. This study analyzed the effects of osteoporosis on incisor teeth and femoral bones using optical techniques in rats. Twenty female Wistar rats aged 6 months (n = 20) were randomized into two groups: control group, non-ovariectomized rats (n = 10); ovariectomy group, ovariectomized rats to induce osteoporosis (n = 10). Each group was subdivided randomly into two groups containing five rats each as follows. Control group 1: non-ovariectomized rats euthanized at the age of 9 or 3 months post-ovariectomy (n = 5); Control group 2: non-ovariectomized rats euthanized at the age of 1 year or 6 months post-ovariectomy (n = 5); ovariectomy group 1: ovariectomized rats euthanized at the age of 9 months or 3 months post-ovariectomy (n = 5); ovariectomy group 2: ovariectomized rats euthanized at the age of 1 year or 6 months post-ovariectomy (n = 5). The incisor teeth and femoral bones of Wistar rats were removed to perform Raman spectroscopy using an excitation laser at 785 nm. In addition, an energy-dispersive X-ray spectrometer system was used to evaluate calcium (Ca) and phosphorus (P). The main findings included significant changes (p < 0.05) for phosphate and carbonate band areas for both incisor teeth and femur bones. In addition, there was significant negative correlation between the P concentration and phosphate/carbonate ratio (lower P content-larger ratio, p < 0.05) for incisor teeth and femoral bones. The proline and CH2 wag band areas were significantly reduced only for the incisor teeth (p < 0.05). Therefore, Raman spectroscopy assessed the compositional, physicochemical and structural changes in hard tissue. The current study also pointed out the possible action mechanisms of these changes, bone fracture risk and dental fragility. It is important to emphasize that poor dental quality may also occur due to osteoporosis.
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Affiliation(s)
- Fernanda Rossi Paolillo
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil.
| | - Renan Arnon Romano
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil
| | - Luciana de Matos
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil
| | - Airton Abrahão Martin
- Department of Physics from Federal University of Piauí (UFPI), Campus Universitário Ministro Petrônio Portella, Bairro Ininga, Teresina, Bairro Ininga, Teresina, PI 64049-550, Brazil
- Department of Biomedical Engineering from Brazil University (UnBr), Rua Carolina Fonseca, 584, Itaquera, SP, Brazil
| | - Francisco Eduardo Gontijo Guimarães
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil
| | - Jarbas Caiado de Castro Neto
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil
| | - Vanderlei Salvador Bagnato
- Optics Group from São Carlos Institute of Physics (IFSC), University of São Paulo (USP), Av. Trabalhador Sãocarlense, 400, Centro, São Carlos, SP, CEP 13560-970, Brazil
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Naka T, Yokose S. Spatiotemporal expression of sclerostin in odontoblasts during embryonic mouse tooth morphogenesis. J Endod 2011; 37:340-5. [PMID: 21329818 DOI: 10.1016/j.joen.2010.11.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Revised: 11/22/2010] [Accepted: 11/23/2010] [Indexed: 01/10/2023]
Abstract
INTRODUCTION Sclerostin is the product of the SOST gene. Loss-of-function mutations in the SOST gene result in a high bone mass phenotype, thus confirming that sclerostin is a negative regulator of bone mass. SOST knockdown in humans also causes oral and dental malformations. However, the relationship between sclerostin and tooth development is unclear. METHODS Using immunohistochemical techniques, we investigated sclerostin expression during fetal mouse tooth development and adult mouse tooth morphogenesis. RESULTS Sclerostin was expressed in the secretory odontoblasts located along the ameloblasts of fetal mouse tooth germ and adult incisor. Sclerostin expression was also observed in the fetal and adult osteocytes in the jaw bone. CONCLUSION These results suggest that sclerostin, one of the important regulatory factors of differentiated odontoblast function, may usable in vital pulp therapy.
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Affiliation(s)
- Takahiro Naka
- Division of Restorative Dentistry, Department of Conservative Dentistry, Ohu University, School of Dentistry, Fukushima, Japan
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Optimization of extraction technology of Se-enriched Hericium erinaceum polysaccharides by Box–Behnken statistical design and its inhibition against metal elements loss in skull. Carbohydr Polym 2010. [DOI: 10.1016/j.carbpol.2010.06.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Agematsu H, Someda H, Hashimoto M, Matsunaga S, Abe S, Kim HJ, Koyama T, Naito H, Ishida R, Ide Y. Three-dimensional observation of decrease in pulp cavity volume using micro-CT: age-related change. THE BULLETIN OF TOKYO DENTAL COLLEGE 2010; 51:1-6. [PMID: 20574128 DOI: 10.2209/tdcpublication.51.1] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We investigated three-dimensional decrease in the volume of the pulp chamber caused by age-related secondary dentin formation using micro-CT and evaluated the applicability of the results to evaluation of age taking into account sex, age and tooth type. Decrease was slightly higher in females than in males, and a higher correlation between decrease and aging was observed in females. A comparison between age-groups revealed that decrease progressed between the fifties and sixties in males, and the forties and fifties in females. A stronger correlation between aging and decrease was observed in the mandibular central incisors than in the mandibular second premolars. This correlation was higher than other correlations between sexes and age-groups.
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Affiliation(s)
- Hiroko Agematsu
- Department of Anatomy, Tokyo Dental College, Mihama-ku, Chiba, Japan.
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Kim M, Yang WK, Baek J, Kim JJ, Kim WK, Lee YK. The effect of estrogen deficiency on rat pulpodentinal complex. ACTA ACUST UNITED AC 2005. [DOI: 10.5395/jkacd.2005.30.5.402] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Miri Kim
- Department of Conservative Dentistry, Asan Medical Center, Seoul, Korea
| | - Won-Kyung Yang
- Department of Conservative Dentistry, Asan Medical Center, Seoul, Korea
| | - Jin Baek
- Department of Prothodontics, Asan Medical Center, Seoul, Korea
| | - Jong-Jin Kim
- Department of Prothodontics, Asan Medical Center, Seoul, Korea
| | - Won-Kyung Kim
- Department of Periodontology, Asan Medical Center, Seoul, Korea
| | - Young-Kyoo Lee
- Department of Periodontology, Asan Medical Center, Seoul, Korea
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