Quantitative assessment of interproximal wear facet outlines for the association of isolated molars

The determination of the minimum number of individuals can be very challenging, especially in an assemblage of fragmentary bones and isolated teeth. Similarities in tooth morphology, degree of wear, and interproximal wear facets (IPWF) are generally used to associate isolated teeth qualitatively. However, no quantitative method has yet been established for an objective identification and matching of isolated tooth crowns. In this study, we analyze the IPWF morphology of adjacent mandibular molars (17 M(1)/M(2) pairs), applying both qualitative and quantitative methods to test a reproducible approach for crown association. The surfaces of distal (for M(1)) and mesial (for M(2)) IPWF were surface-scanned and digitally selected. Three-dimensional (3D) and two-dimensional (2D) outlines of IPWF were analyzed using elliptic Fourier analysis (EFA) and geometric morphometrics methods (GMM). Additionally, teeth were qualitatively associated by visual evaluation of the IPWF outline and by physical matching. Unsatisfactory results with less than 50% of tooth pairs correctly associated were obtained by using both methods, shape analysis (digital approach) and the visual evaluation (qualitative assessment) of the IPWF outline. The physical matching of the crowns showed highly variable accuracy ranging between 53% and 77%. The quantitative form-space analysis of 2D IPWF outlines provided the best results (82% of correctly associated teeth), but no statistically significant differences were recorded when compared with the manual matching. Since three tooth pairs out of 17 could not be quantitatively associated, we suggest that the quantitative analysis of IPWF should be used only in addition with other approaches.     

Tooth wear, Neanderthal facial morphology and the anterior dental loading hypothesis

The Anterior Dental Loading Hypothesis states that the unique Neanderthal facial and dental anatomy was an adaptive response to the regular application of heavy forces resulting from both the masticatory and cultural use of the anterior teeth. Heavy anterior tooth wear frequently observed in Neanderthal specimens is cited as a main source of evidence for heavy forces being applied to these teeth. From this, it might be predicted that the wear shown on the anterior teeth of Neanderthals would greatly exceed that of the posterior teeth and that this differential would be greater than in other hominins with different facial morphologies.In this paper, a new method of examining tooth wear patterns is used to test these predictions in a large assemblage of Late Pleistocene hominins and a group of recent hunter-gatherers from Igloolik, Canada. The results show that all Late Pleistocene hominins, including Neanderthals, had heavily worn anterior teeth relative to their posterior teeth but, contrary to expectations, this was more pronounced in the modern humans than in the Neanderthals. The Igloolik Inuit showed heavier anterior tooth wear relative to their posterior teeth than any Late Pleistocene hominins. There was, however, a characteristic Neanderthal pattern in which wear was more evenly spread between anterior teeth than in modern humans. Overall, the evidence presented here suggests that all Late Pleistocene hominins habitually applied heavy forces between their anterior teeth and that Neanderthals were not exceptional in this regard. These results therefore does not support the Anterior Dental Loading Hypothesis.     

Association of occlusal wear facets in patients with temporomandibular disorders

Occlusal changes were important factors in temporomandibular disorder (TMD). It is of interest to evaluate the association of occlusal wear facets in TMD patients. We used a dataset of 49 patients with and without TMD for this study. Occlusal wear facets were evaluated using Smith and Knight tooth wear index. Data shows that teeth wear was present more in patients with TMD (55%). The age group 26-40 years showed high prevalence of teeth wear (grade1) in TMD patients (P value = 0.034). TMD was present more in females than males. Female (54%) patients with TMD showed more teeth wear compared to males. Most patients with TMD showed posterior teeth wear (61%) than generalized teeth wear. Thus, association was present between occlusal teeth wear and TMD patients especially in the age group of 26-40 years. Hence, proper evaluation of occlusal factors will aid in early diagnosis of TMDs.     

The caries-attrition competition

Contradictory reports on the interreation of caries and attrition concerning their destructive activity at the occlusal surface of teeth required more investigation. Some suggested that the abrasive action of attrition worked against the progress of decay. Others proposed that attrition facilitated the development of caries in dentine exposed due to the dental wear. A comparison of the condition of teeth in western societies from an intermediate stage, with the preceding period characterized by excessive attrition, and with the following period of ongoing reduction of dental wear, might elucidate the mutual relationship. For this reason the almost complete dental assemblage of fifty men, whalers buried during their short sojourn in the Arctic in the 17th and 18th centuries at a Dutch whaling station, and the data of their contemporaries, were evaluated. The results confirmed the proposition that the rise in caries incidence from (pre-) medieval times on, was associated with an ongoing fall of dental attrition. Within this sample of an intermediate phase, one sees that the percentage of carious molars decreases considerably when the degree of dental wear increases. Besides, at the occlusal surface the decay was almost exclusively located in the natural fissures and pits of teeth, not in the exposed dentine due to wear. These findings strongly suggest a competitive relationship between progress of caries and attrition. The best impression of the attrition rate is gained by linkage of degree of dental attrition (i.e. functional age) to age at death. The wide age ranges fitting to the degrees of molar wear make it hazardous to use attrition for age determination.     

Occlusal relief changes with molar wear in Pan troglodytes troglodytes and Gorilla gorilla gorilla

Most research on primate tooth form-function relationships has focused on unworn teeth. This study presents a morphological comparison of variably worn lower second molars (M(2)s) of lowland gorillas (Gorilla gorilla gorilla; n=47) and common chimpanzees (Pan troglodytes troglodytes; n=54) using dental topographic analysis. High-resolution replicas of occlusal surfaces were prepared and scanned in 3D by laser scanning. The resulting elevation data were used to create a geographic information system (GIS) for each tooth. Occlusal relief, defined as the ratio of 3D surface area to 2D planometric area of the occlusal table, was calculated and compared between wear stages, taxa, and sexes. The results failed to show a difference in occlusal relief between males and females of a given taxon, but did evince differences between wear stages and between taxa. A lack of significant interaction between wear stage and taxon factors suggests that differences in occlusal relief between chimpanzees and gorillas are maintained throughout the wear sequence. These results add to a growing body of information on how molar teeth change with wear, and how differences between primate species are maintained at comparable points throughout the wear sequence. Such studies provide new insights into form-function relationships, which will allow us to infer certain aspects of diet in fossils with worn teeth.     

Direct restorative treatment of anterior weared teeth after re‐establishment of occlusal vertical dimension: a case report

doi: 10.1111/j.1741‐2358.2012.00630.x Direct restorative treatment of anterior weared teeth after re‐establishment of occlusal vertical dimension: a case report Objective: The loss of posterior teeth resulting in a lack of stability may lead to excessive mandibular load on some points of occlusion of the remaining teeth, causing wear. The rehabilitation of these cases must be carefully planned and the treatment requires a period of adaptation with a new vertical dimension. Background: This case report describes the treatment of a patient with a loss of almost all posterior inferior teeth and a consequential loss of occlusal vertical dimension and accentuated wear of anterior elements. Materials and methods: Provisional removable partial dentures were manufactured and the patient used them for a period of adaptation prior to restoration of the anterior teeth. After the patient’s adaptation with the new occlusal dimension, anterior restorations were made using a mycrohibrid resin composite with different color aspects for an optimal stratification. Results: The restorations achieved an aesthetic configuration with ideal function as the final result and the occlusion showed a satisfactory stability for a provisional removable partial dentures. Conclusion: This article presents an anterior direct rehabilitation approach not only as an alternative option, but also as viable and less expensive treatment option with an optimally aesthetic and functional result.     

The reliability of determining the onset of medial gastrocnemius muscle activity during a stretch-shorten-cycle action

The instant at which a muscle increases its level of activity from baseline represents the onset of muscle activity. Accurate identification of muscle onset allows determination of temporal and amplitude characteristics of the surface electromyography (sEMG) signal. This investigation determined the intra- and inter-tester reliability for determining the onset of medial gastrocnemius (MG) activity using visual and automated methods. One hundred hop cycles, performed at 2.2 Hz, were selected from sEMG recordings (bandpass filtered 50–500 Hz and full wave rectified) of ten participants who performed three trials of single-leg hopping. The onset of MG muscle activity was identified by 3 separate investigators on two separate occasions and an automated method (10% of the peak activation amplitude). The duration of the anticipatory period, from muscle onset to initial ground contact, was then determined. Intra-tester (ICC from 0.72 to 0.95) and inter-tester reliability (ICC from 0.70 to 0.88) were high as was comparison to the automated method (ICC = 0.90). These findings indicate that visual onset detection was highly reproducible between testing sessions, independent investigators and comparable to an automated method. These methods may be used reliably to determine the onset of MG muscle activity during a stretch-shorten-cycle muscle action.     

Cheek tooth erosion in male babirusa (genus Babyrousa)

The wear on the occlusal surfaces of male babirusa cheek teeth was evaluated in 53 skulls of Babyrousa babyrussa from Buru and the Sula Islands and 87 skulls of B. celebensis from Sulawesi, Indonesia. Based on the comparative lengths of their continually growing maxillary canine teeth, the skulls were divided into five ‘age categories’ (A–E). Numerical and symbolic codes representing tooth wear were applied to each pillar (cusp region) of the mandibular and maxillary permanent third and fourth premolar teeth, and the first, second and third permanent molar teeth. There was no significant difference between the tooth wear patters of skulls in groups A and B, or in groups C and D, and so these were amalgamated. There was close correspondence in wear patterns between each side of the mouth in both species and in each age group. The wear patterns of the mandibular and maxillary teeth, although not identical, were very similar, as were the wear patterns of both species. In group A + B for both species tooth wear was relatively slight, with the M1 teeth experiencing most relative wear. There was almost no wear of the M3 teeth. In group C + D substantial wear of upper and lower M1 was evident. In group E more widespread wear of the cheek teeth was seen, with increased severity of M1 tooth wear, yet there was comparatively much less M2 and M3 tooth wear. The pattern of cheek tooth wear of the Babyrousa spp. was different from that shown by Sus scrofa. Differences in diet selection and processing were highlighted as potential contributing factors. The pattern of cheek tooth wear in male babirusa was not adequate for use to monitor their age.     

Dental topography and molar wear in Alouatta palliata from Costa Rica

Paleoprimatologists depend on relationships between form and function of teeth to reconstruct the diets of fossil species. Most of this work has been limited to studies of unworn teeth. A new approach, dental topographic analysis, allows the characterization and comparison of worn primate teeth. Variably worn museum specimens have been used to construct species-specific wear sequences so that measurements can be compared by wear stage among taxa with known differences in diet. This assumes that individuals in a species tend to wear their molar teeth in similar ways, a supposition that has yet to be tested. Here we evaluate this assumption with a longitudinal study of changes in tooth form over time in primates. Fourteen individual mantled howling monkeys (Alouatta palliata) were captured and then recaptured after 2, 4, and 7 years when possible at Hacienda La Pacifica in Costa Rica between 1989-1999. Dental impressions were taken each time, and molar casts were produced and analyzed using dental topographic analysis. Results showed consistent decreases in crown slope and occlusal relief. In contrast, crown angularity, a measure of surface jaggedness, remained fairly constant except with extreme wear. There were no evident differences between specimens collected in different microhabitats. These results suggest that different individual mantled howling monkeys wear their teeth down in similar ways, evidently following a species-specific wear sequence. Dental topographic analysis may therefore be used to compare morphology among similarly worn individuals from different species.     

Comparison of a manual and an automated method to estimate the number of uterine eggs in anisakid nematodes: to Coulter or not to Coulter. Is that the question?

Studies reporting numbers of eggs in vagina and utero in nematodes often give little information of the technique used for the estimations. This situation hampers comparison among studies, because, so far, differences in estimations provided by different techniques have not been assessed. This note examines whether a manual method based on visual counts in aliquots and an automated method using a Coulter counter yield equivalent estimations of egg numbers in vagina and utero of 3 anisakid nematode species (Anisakis simplex, Pseudoterranova decipiens, and Contracaecum osculatum). The number of eggs from 50 females per nematode species was estimated using both techniques. The automated and manual methods yielded similar egg counts (correlation coefficients >0.9 in the 3 species), but the methods were not always statistically equivalent. The automated method was more precise and seemed less dependent on egg density, whereas the manual method was less time-consuming (contrary to previous perceptions) and less expensive. Despite the higher precision of automated counts, the manual technique seemed to produce similar estimates; thus, it may be particularly useful in developing countries where nematode parasitism is prevalent in humans and domestic animals, but scientific resources are limited.     

Exploring the relationship between dental wear and status in late medieval subadults from England

Dental wear patterns were recorded on 458 deciduous molar teeth, of 142 subadults from late medieval (AD 1086–1539) England, to explore the relationship between dental wear and burial status of children. A new ordinal method for scoring dental wear stages on the deciduous molar teeth was devised. It was postulated that if a discernible relationship between dental wear stage and burial location could be seen then this could reflect a difference in diet between those receiving higher or lower status burial. The dental wear stages recorded were statistically similar for the dentitions of subadults from different cemeteries, as well as from different burial locations, indicating a comparable diet for the children studied. Am J Phys Anthropol, 2013. © 2013 Wiley Periodicals, Inc.     

Interproximal wear facets and tooth associations in the Paşalar hominoid sample

Interproximal wear facets were examined on hominoid teeth from the middle Miocene site at Pa?alar, Turkey. The aim was to find matches between adjacent premolar and molar teeth from single individuals that were collected in the field as isolated teeth and use them to reconstruct tooth rows. These were then used to investigate: (1) the wear gradient on the molar teeth; (2) the dispersal of teeth from single mandibles and maxillae; (3) the size ratios among the molars; and (4) the number of individuals represented by the hominoid sample. Facets were scored for size and shape and were assessed visually using photographs and superimposed outline drawings on acetate transparencies. Out of a sample of approximately 1,500 teeth collected between 1983 and 1996, 532 molars and 258 premolars produced apparent matches making up 160 tooth rows. These were then examined rigorously for morphological consistency and state of wear, and, employing the criterion that only the most unequivocal associations should be used, the final number was reduced to 48 tooth rows-31 mandibular and 17 maxillary. The tooth associations represent a minimum of 21 individuals and probably as many as 34. Molar wear was rapid, with M1s having almost twice as much wear as M3s, as measured by a wear-gradient index. The M2s are intermediate but generally closer to M1s in degree of wear, as are P4s. This wear pattern suggests either delayed eruption of M3s or extremely abrasive diets causing rapid, heavy wear. There is some indication that the wear patterns in Griphopithecus alpani and Kenyapithecus kizili are different, with the latter perhaps having a lower wear gradient, but the K. kizili sample is very small. In both species, the M2 is the largest molar and the M1 is the smallest. Separation of individual teeth in the 48 tooth associations varied from widely separated-up to 8.5m apart-to within a few centimeters of each other. One tooth row (D922) was found with the teeth in contact but the maxillary bone had dissolved away. Two dispersal mechanisms have been identified from earlier taphonomic work: transport of disarticulated elements to the fossil site and reworking of sediments by spring action.     

Changes in the pattern of tooth wear from prehistoric to recent periods in Japan

Although a number of studies have been performed on interpopulational variation of tooth wear patterns in recent humans, the major interest in the study of tooth wear so far has been in reconstructing the subsistence and behavior of prehistoric populations, and hence research on wear pattern changes in historic times has been superficial. The present study investigated temporal change in the pattern of wear on the permanent dentition of the Japanese through comparison of the following five groups: prehistoric hunter-gatherers, prehistoric agriculturists, medieval, premodern, and recent populations. The pattern of reduction of occlusal wear severity across thesechronological groups was not similar between the anterior and posterior portions of the dentition. Occlusal wear on the anterior teeth was noticeably lighter in the prehistoric agriculturists and later populations than in the prehistoric hunter-gatherers, while clear reduction of occlusal wear on the posterior teeth occurred after medieval times. The temporal variations in the degree of mesiodistal crown diameter loss due to wear and its anterior-posterior gradient within the dentition are generally consistent with those observed in the occlusal wear pattern. Possible causative factors of these temporal changes in the wear pattern are discussed. Am J Phys Anthropol 109:501–508, 1999. © 1999 Wiley-Liss, Inc.     

Form and patterning of anterior tooth wear among aboriginal human groups

Form and severity of dental attrition was assessed in aboriginal human groups including hunter-gatherers (Eskimos, Australians) and those with dependence to a varying degree on food production (Southwest U.S. and Ohio American Indians). Wear on anterior teeth was both relatively and absolutely greater in the hunter-gatherers, as indicated by comparisons of wear on anterior and posterior teeth which come into occlusion at roughly the same time. Distinct differences in form of anterior wear were also apparent: The hunter-gatherers exhibited steadily increasing incidences of labially rounded wear with greater functional age, while the food-producing groups showed little or no rounding but instead high frequencies of heavily cupped wear (especially in those with premature loss of posterior teeth). These differences were attributed to nonmasticatory utilization of the front teeth in hunter-gatherers and to employment of the anterior teeth in masticatory (grinding) activities necessitated by large-scale molar loss in food producers.     

Automated extraction of canopy shadow fraction using unmanned helicopter-based color vegetation indices

The canopy shadow fraction (CSF) is composed of the fractional area covered by shadowed tree crowns and shadowed backgrounds for a given illumination and view geometry. Since the CSF is related to the canopy biological and structural features, an accurate estimation of the CSF is expected for better understanding of the canopy characteristics. This study explores an algorithm for an automated extraction of the CSF using near-surface remote sensing method. The high-spatial resolution true-color images over different forested canopies were acquired using an unmanned helicopter. For each site, the images of the same target canopy from multiple view zenith angles (VZA) were taken at the principal plane. The digital images were processed to extract the CSF using the color vegetation indices (CVI) combined with an image threshold algorithm. The CSF was measured based on visual interpretation of the grayscale images. For an automated extraction of the CSF, different CVI related to CSF were assessed with Otsu threshold algorithm. A new CVI called the blue deficient index (BDI) was proposed as an indicator of the CSF exploiting the canopy spectral properties. The performance of each automated extraction method was evaluated with comparison to measured CSF. Among the methods assessed under the study, the CSF estimated by the BDI with the Otsu algorithm was found to be most closely related to the measured CSF. After a successful extraction of the CSF, the effect of VZA on CSF was analyzed. The substantial variation of the CSF with respect to the VZA in the principal plane was confirmed for a given solar position.     

Relationships between age and dental attrition in Australian aboriginals

Tooth wear scores (ratios of exposed dentin to total crown area) were calculated from dental casts of Australian Aboriginal subjects of known age from three populations. Linear regression equations relating attrition scores to age were derived. The slope of the regression line reflects the rate of tooth wear, and the intercept is related to the timing of first exposure of dentin. Differences in morphology between anterior and posterior teeth are reflected in a linear relationship between attrition scores and age for anterior teeth but a logarithmic relationship for posterior teeth. Correlations between age and attrition range from less than 0.40 for third molars (where differences in the eruption and occlusion of the teeth resulted in different patterns of wear) to greater than 0.80 for the premolars and first molars. Because of the generally high correlations between age and attrition, it is possible to estimate age from the extent of tooth wear with confidence limits of the order of +/- 10 years.     

Tooth wear and compensatory modification of the anterior dentoalveolar complex in humans

In populations living in environments where teeth wear severely, some compensatory modification of the dentoalveolar complex is thought to occur during life whereby functional occlusion is maintained as tooth substance is lost by wear. This study investigates one aspect of this modification process: Changes in the anterior dentoalveolar complex that are accompanied with wear were examined in a series of Japanese skeletal samples. In the prehistoric Japanese hunter-gatherer population heavy wear occurs over the entire dentition. The following changes were demonstrated to have occurred in the anterior segment of the dentition accompanied by wear on the anterior teeth: The anterior teeth tip lingually with wear up to a nearly upright position to fill in interproximal spaces that would have been generated by wear, and to maintain contact relations between adjacent teeth. At the same time, the anterior surface of the maxillary alveolar process also inclines lingually to a certain extent. The amount of lingual tipping is greater in the maxillary anterior teeth than in their mandibular antagonists. It is because of this discrepancy that, with age, the horizontal component of the overlap between maxillary and mandibular anterior teeth decreases, and their bite form changes from scissor bite to edge-to-edge bite. Lesser degrees of lingual tipping of the anterior teeth were also detected in the prehistoric agriculturists and historic Japanese populations. The variation in the degree of lingual tipping observed among the samples is explained by inter-population variation in severity and pattern of tooth wear. This and other evidence suggests that mechanisms that compensate for wear in the anterior dentition may be characteristic of all living human populations, independently of the degree of wear severity endured in their environments.     

Estimation of total and direct serum bilirubin using modified micro assay method

Estimation of total and direct bilirubin in serum plays an important role in differential diagnosis of hyperbilirubinemia. Several direct spectrophotometric methods are commercially available for total and direct bilirubin estimation in which the amount of the sample (serum) varies from 200 ml to 800 ml. It is difficult to collect such amount of serum from infants, as neonatal jaundice is the most common problem in this age group. To overcome this problem modified micro assay method was developed using dimethylsulfoxide (DMSO). The amount of the serum sample is reduced from 100 ml to 20 ml per test for both total and direct bilirubin. A method comparison study was performed using 100 consecutive serum samples, by modified micro assay method and a reference Jendrassik-Grof method. Total bilirubin in these human serum samples ranged from 0.4-15.0 mg/dl and direct bilirubin ranged from 0.05-12.0 mg/dl. The results conclude that modified micro assay method had significant correlation with r-value of 0.99989 for total serum bilirubin and with r-value of 0.99971 for direct serum bilirubin. Linearity of the method is 20 mg/dl and 15 mg/dl for total and direct bilirubin, respectively. Monoreagent used during the assay is stable for 24 hours at 2-8 degrees C while the kit is stable for one year at 2-8 degrees C. In conclusion this micro assay method is rapid, reliable, simple and accurate for the estimation of total and direct bilirubin with small serum quantities. It is equally reliable for manual; semi automated and automated chemistry analyzers.     

Comparison of visual evoked potentials, automated perimetry and frequency-doubling perimetry in early detection of glaucomatous visual field loss

The present study compares frequency-doubling perimetry (FDP), automated perimetry (AP) and visual evoked potentials (VEP) for their ability to diagnose early glaucoma. In present study 224 patients of Clinic for Eye Diseases, Clinical Hospital "Sestre Milosrdnice" that had diagnosis of open angle glaucoma and glaucomatous visual field loss proven by automated static perimetry on only one eye were performing all three tests. Visual evoked potentials, automated perimetry and frequency-doubling perimetry were performed four times in each patient with six months period in between testing. Significant difference was proven between frequency-doubling perimetry and automated perimetry in favor for FDP in early detection of glaucomatous field loss. There was no significant difference between FDP and VEP neither between VEP and AP measurements. The results of this study indicate that frequency-doubling perimetry is significantly better method for early detection of glaucomatous visual field loss than automated static perimetry.     

广西敢造遗址史前居民口腔的健康状况

广西扶绥敢造遗址是华南新石器时代一处典型的河岸贝丘遗址,其人骨测年结果的上限为8488 BC,下限为6492 BC。本文对敢造遗址2014年出土的108例个体的999枚恒齿进行观察统计,结果显示居民的饮食结构应是以肉食为主并辅以富含淀粉的块茎类植物。该遗址居民的龋齿率高于部分农业人群,但远低于同为华南渔猎—采集经济的鲤鱼墩、甑皮岩和顶蛳山遗址,其原因应与食用块茎类植物的多寡有关。较高的牙结石罹患率(89.86%)可能与鱼类、贝类等高蛋白饮食有关。相比农业、游牧或狩猎人群,该遗址居民偏重的牙齿磨耗可能与食用含沙量较大的螺类、贝类等有关;肉类食物的食用导致该遗址居民上颌前部牙齿磨耗重于后部牙齿,而“上颌前部牙齿舌侧过度磨耗”现象的出现则与食用块茎类植物有关。