Dental arch shape and tooth wear variability

The rapid rate of tooth wear frequently reported among certain contemporary aboriginal populations has often been attributed to dietary form and abrasives. Several investigators have reported a close correlation between food bulk and the wear planes formed over the dental arches, i.e., steep oblique wear vs. flat horizontal planes. In this investigation we demonstrate that arch shape is an additional and a significant factor influencing the distribution of wear facets and exposed dentin over occlusal surfaces. We examined 64 dental stone casts of Aboriginals from Yuendumu, Central Australia, born between 1900 and 1940. These casts offer a record of the variety of tooth wear and arch forms and their interrelationships. This group of individuals, some subsisting on abrasive and some on soft diets, have dentition which exhibit various wear rates and wear patterns probably due to the diversity of arch shape, size, and occlusal relationships. Hypsiloid or U-shaped maxillas had a more buccally directed wear in contrast to the parabolic or hyperbolic forms, which exhibit a heavier lingual loading. Varying occlusal conditions also contribute to differing wear patterns over the arches. Individuals with alternate intercuspation, for example, have a more horizontally directed wear. These and other conditions of shape, size, and occlusion emphasize the importance of morphological factors in the production of tooth wear rates and patterns in addition to dietary abrasives.     

Population studies on southwestern Indian tribes. V. Tooth morphology as an indicator of biological distance

The value of phylogenetic comparisons between populations based on tooth morphology depends on a knowledge of the extent to which the observed morphological variation is genetic in origin. This knowledge can be derived unequivocally only from the analysis of family data. However, in the absence of such knowledge the ability of tooth morphology to distinguish biological differences can be evaluated directly by testing its discriminating power in practice on populations between which the degrees of genetic difference are already known. The results of such an evaluation show that different degrees of subjectivity of scoring are associated with different characters, but that moderately good correspondence between known genetic differences and differences based on tooth morphology can be achieved when characters showing the least subjectivity of scoring are used.     

Maxillary molar occlusal polygons in five human samples

Angular and linear measurements of maxillary first molar occlusal polygons are given for young San (Bushmen), Sotho, Asiatic Indians, Whites, and Papago Indians. Angular and linear measurements are inseparably related. Much greater variation occurs in widths than in lengths. Maximum variation occurs between San and Papago. Papago maxillary first molars are separable from Old World molar samples in two of four angles and eight of 13 indices.     

Changing occlusal variation in Pima Amerinds

Occlusal variables and arch measurements have been recorded on 341 Pima Amerinds pertaining to two samples, one of older individuals raised on traditional diets, the other of younger individuals raised on refined commercial foods that are typical of modern urbanized people. Permanent dental occlusion is significantly more variable from defined ideals in the younger sample, despite their fewer deformities resulting from progressive aging. The youths had relatively narrower palates, correlating with a general trend among industrialized populations and also among experimental animals fed soft diets. Relative rate of deciduous tooth loss and replacement did not correlate with any occlusal variable.     

Patterns of dental wear in the Lengua Indians of Paraguay

Wear patterns were examined on dental casts of 202 living Lengua Indians from the Chaco area of Paraguay. Consideration was given to the development of the molar helicoidal plane, age-related changes in occlusal attrition, coalescence of dentine exposures, interproximal attrition, and erupted crown height. This study lends support to Osborn's theory of the helicoidal plane development by showing that attrition enhances rather than modifies posteruption molar occlusal planes. The rate of interproximal attrition was found to slow down with the eruption and functional initiation of the third molars. Sinuous and cavo-convex interproximal contact areas that are generated with age, however, appeared to be less abrasion resistant than straight surfaces, hence leading to an increase in interproximal attrition rates with advanced age. Maximum crown height reduction occurred between the ages of 20 and 40 years in central incisors, canines, and first molars. Kruskal-Wallis tests and log linera models failed to demonstrate significant sexually dimorphic or antimeric differences in wear patterns of Lengua teeth.     

Comparative genetic variance and heritability of dental occlusal variables in U.S. and Northwest Indian twins

Genetic variance analysis of 15 dental occlusal and arch variables is based on cross-cultural comparison of twin variances (U.S. Whites and Northwest Indian Punjabis). Both samples exhibit high genetic versus environmental partition of variance. However, monozygotes and dizygotes have unequal variance, which invalidates conventional genetic variance ratios. The pattern of environmental biases on the zygosities is quite different in the two groups. Revised estimates that acknowledge zygosity heterogeneity (hence unequal environmental influences) are generally much lower for occlusal traits, whereas arch size measurements are unaffected.     

An energy dissipation and cross shear time dependent computational wear model for the analysis of polyethylene wear in total knee replacements

The cost and time efficiency of computational polyethylene wear simulations may enable the optimization of total knee replacements for the reduction of polyethylene wear. The present study proposes an energy dissipation wear model for polyethylene which considers the time dependent molecular behavior of polyethylene, aspects of tractive rolling and contact pressure. This time dependent – energy dissipation wear model was evaluated, along with several other wear models, by comparison to pin-on-disk results, knee simulator wear test results under various kinematic conditions and knee simulator wear test results that were performed following the ISO 14243-3 standard. The proposed time dependent – energy dissipation wear model resulted in improved accuracy for the prediction of pin-on-disk and knee simulator wear test results compared with several previously published wear models.     

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.     

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.     

儿童牙齿磨耗研究概述

牙齿磨耗是一个多因素、多阶段、复杂渐进的过程。其特征是牙齿硬组织逐渐消失,牙齿磨耗程度可以一定程度反映饮食结构和生活方式。国外很多学者探讨了年龄、性别、饮食结构、断奶、社会分工、社会经济地位等因素对儿童牙齿磨耗的影响,及乳齿恒齿磨耗差异、牙列磨耗模式特点、牙齿磨耗与错(牙合)畸形的关系等,而国内儿童牙齿磨耗研究相对薄弱。本文通过梳理和归纳相关文献,对儿童牙齿磨耗研究作简要概述,并对国内相关研究作简要回顾及展望。     

Canine role in dental wear patterns: Macaca nemestrina

A study of variables and patterns in dental wear among 30 individuals in a colony of Macaca nemestrina shows that consideration of age and sex are crucial for understanding differential wear degrees on molar occlusal planes. With advanced age, this species of non-human primate undergoes obliteration of initial morphological characteristics through the gradual erosion of enamel. Wear gradients are differential from PM1-M3 in both sexes. It appears that there is a functional relationship between degrees of occlusal plane wear and the degree of wear on the canines, and that females show a greater degree of wear changes relative to males of equivalent age because of initial differences in canine length and robusticity due to sexual dimorphism. It appears that there is a direct relationship between occlusal wear plane changes and the degree of wear on the canines, with advanced differential wear showing up in individuals in whom years of maxillary canine honing, canine damage, and the normal wear of mastication has reduced dimensions of unworn permanent canines. Other considerations included in this study are the honing functions of the deciduous first mandibular molars and molar cusp height relative to canine function.     

Stereophotogrammetric analysis of occlusal morphology of extant hominoid molars: phenetics and function

Because teeth are commonly preserved in the fossil record, dental remains have often been employed in estimating evolutionary relationships among fossil hominoids. This is appropriate, however, only to the extent that dental morphology is phylogenetically informative. I have used phenetic analytic techniques to assess whether hominoid molars are likely to be useful for phylogenetic inference. Thirty-four occlusal landmarks for first and second molars were chosen; seven on each maxillary and ten on each mandibular tooth. Three-dimensional locations of these points were determined from stereophotographs of dental arcades of more than 260 specimens from six taxa (gorilla, chimpanzee, human, orangutan, siamang, and gibbon). Analytic emphasis was on canonical variates analyses of landmark coordinates for mandibular and maxillary second molars, adjusted for intergroup size differences. There is little correspondence between the systematic implications of hominoid molar morphometrics and reliable estimates of evolutionary propinquity based on interhominoid biomolecular similarities. The former seem to have been determined largely by dietary constraints. Although this suggests the possibility of using the protocol employed here to infer diets of fossil hominoids, molar crown measurements seem unlikely to serve well as phylogenetic indicators in the Hominoidea.     

Age-related nuclear size variability of thyreocytes in thyroid aspirates

Variations in nuclear areas in thyroid aspirates may be caused by many different pathologic conditions of the thyroid gland. Our experience in routine thyroid cytology has suggested that the age of the patient could also be a factor that can influence the nuclear size of thyroid epithelial cells. Planimetric measurements of nuclear areas of cytologically normal thyroid nuclei from patients with normal thyroid glands and from those with cold thyroid nodules, with each category containing two different age groups, revealed both a significant increase in nuclear areas in normal thyroid tissue from older patients and a significant increase in nuclear size variability among older patients with nodular goiters. This finding seems to indicate that patient age is another factor that exercises an influence upon the variability of nuclear areas, even in histologically normal thyroid glands.     

Variation in occlusal dental wear of two Chalcolithic populations in the southern Levant

Occlusal wear rate and wear plane in two Chalcolithic ( approximately 6500-5500 BP) samples from the southern Levant were compared, using paired first and second mandibular molars. Though food staples in both societies were derived from agro-pastoralism, they were located in distinct environmental regions: Wadi (W.) Makkukh in the Judean desert, and Peqi'in in the Upper Galilee. Accordingly, it was predicted that variation in wear should occur due to their location in distinct environments. Jaw size and tooth size were measured to estimate the possible impact of these variables on wear scores. Molar occlusal surfaces were divided into four quadrants, and wear scores were recorded for each quadrant. Principal axis analysis was then performed between total wear scores of paired, adjacent first and second molars to assess wear rates. Principal axis analysis was also used to analyze the change in occlusal wear plane in each sample by comparing between-buccal-cusps wear scores of the first molar with lingual wear scores of the second molar. The results indicate that the occlusal wear plane was similar in both samples but that wear tended to be more rapid in W. Makkukh. Since both samples were similar in jaw/tooth size, it is argued that the results reflect less refined food-processing methods as well as the unintentional ingestion of sand by individuals interred in the Judean desert.     

In vitro simulation and quantification of wear within the patellofemoral joint replacement

Quantification of the wear rate in vitro is now considered an essential step in the development of a new joint replacement prior to clinical trials. However, little research exists around in vitro simulation of wear in the patellofemoral joint (PFJ) despite over 200,000 being implanted annually within the European Union. A method to simulate wear in the laboratory using four input degrees of freedom within the PFJ of total knee replacement (TKR) has been developed. Wear simulation was validated through comparison of functional kinematics and patellar surface damage modes produced in vitro to clinical outcomes. The technique has been shown to replicate the prescribed in vivo kinematics in a reproducible and repeatable manner. The wear scar areas were similar to those found in vivo. However, geometrical measurements of wear were not reliable due to creep and geometry changes. As has been found previously with tibial inserts, geometrical determination of wear volume was not found to be an effective method of comparing wear from simulators and retrievals. Change in volume calculated gravimetrically was seen to be the most repeatable measure of patellar wear in vitro.     

Three-dimensional measurement of the occlusal surfaces of lower first molars of Australian aboriginals

The occlusal surfaces of lower first molars of Australian Aboriginals were measured in three dimensions with the aid of Moiré contourography. Molar cuspal heights in this population were higher than in Japanese (Mongoloid) but lower than in Dutch (Caucasoid) populations. Intercuspal distances were considerably larger than those in the two other populations. Populational differences in occlusal features may influence both craniofacial structures and jaw movements in the three populations. Low correlations between the cuspal heights and the intercuspal distances in the other two populations were also found in this population, indicating that human molar cuspal height is independent of the transverse size of the crown. Mean values for the height of the three principal cusps in lower first molars were less than those in upper ones. However, the height of the hypoconid, which was the highest in the lower molar cusps, showed almost the same mean value as the height of the upper three principal cusps, indicating that the height of the main functional cusp, in both upper and lower first molars, was almost the same.     

Genetic variability in two Brazilian ethnic groups: A comparison of mitochondrial and protein data

Sequence data from the first hypervariable segment of the mitochondrial DNA control region of 124 subjects belonging to three African-Brazilian and three Brazilian Indian populations were compared with information related to 12 protein genetic loci from 601 persons living in the same localities. There is high diversity among the mtDNA sites, and the most variable in one ethnic group are not the most variable in the other. No differences in gene diversity between populations within ethnic groups were observed, but the Indians showed a reduced variability. Much more interpopulation variation was observed in the mtDNA data than in the protein set. The relationships obtained for the six populations, however, are the same regardless whether mtDNA or protein loci are considered. African-Brazilians from Porto Alegre and Salvador, situated 3,000 km apart, are more similar to each other than both are to Paredão, despite the geographical proximity between Porto Alegre and Paredão, which are just 50 km apart. The tree topology in relation to the three Indians groups, on the other hand, is that expected when languages, culture, and geography are considered. Am J Phys Anthropol 103:147–156, 1997. © 1997 Wiley-Liss, Inc.     

A correlation of tooth wear and age among modern Igloolik eskimos.

The level of molar wear can be estimated reliably by measuring the cusp height. A correlation between age and the level of molar wear, expressed by a normalizing index (TWI) of cusp height, was found to exist in a sample of modern Igloolik Northwest Territories Eskimos. Not only was it possible to derive linear regression models to test the degree of correlation in the sample of 46 female and 39 male maxillary casts of Igloolik Eskimos, but the models were capable of accurately predicting the age of natives of the neighboring Hall Beach community. Sexual dimorphism in molar wear, perhaps attributable to differential bruxism, was demonstrated for the Igloolik sample. Based on the combined estimate of slopes for each maxillary molar pair for females and males, it was discovered that the male maxillary molars are worn approximately 30% more rapidly than female maxillary molars.