MTA、iRoot BP Plus及氢氧化钙在年轻恒牙活髓切断术中临床疗效的比较分析

摘要 目的：研究三氧化矿物凝聚体（MTA）、iRoot BP Plus（iRooT）以及氢氧化钙（Ca(OH) ₂）三种材料在年轻恒牙活髓切断术中的临床疗效。方法：将60例需要接受年轻恒牙活髓切断术的患者（60颗患牙）按照使用材料不同随机分为三组：MTA组、iRooT组和Ca（OH）₂组,每组20例（20颗患牙）,比较三组患者术后3个月和6个月手术成功率、牙本质桥形成和牙齿变色发生率、牙根管壁厚度、牙齿功能和美观度、以及血清基质金属蛋白酶-3（MMP-3）和白细胞介素-8（IL-8）水平。结果：（1）三组患者仅术后6个月临床治疗成功率存在显著差异（P<0.05）;（2）Ca（OH）₂组术后牙本质桥形成率显著低于其他两组（P<0.05）,而牙齿变色发生率显著低于MTA组（P<0.05）和显著高于iRooT组（P<0.05）。（3）三组患者治疗后牙根管壁厚度均较治疗前显著增加,且治疗后Ca（OH）₂组患牙根管壁厚度增加显著低于MTA组和iRooT组（P<0.05）。（4）Ca（OH）2组患者术后6个月牙齿舒适功能、固定功能和咀嚼功能评分均显著低于MTA组和iRooT组（P<0.05）,而牙齿美观度评分显著低于iRooT组（P<0.05）和显著高于MTA组（P<0.05）。（5）三组患者术后6个月血清MMP-3和IL-8均显著低于术前（P<0.05）,并且MTA组患者血清MMP-3和IL-8水平显著高于iRooT组（P<0.05）和显著低于CaOH组（P<0.05）。结论：iRoot BP Plus和MTA材料应用于年轻恒牙活髓切断术均具有较高的远期成功率,但MTA材料远期牙齿变色率较高因而影响牙齿美观度。     

NEOSELACHIAN SHARK AND RAY TEETH FROM THE VALANGINIAN, LOWER CRETACEOUS, OF WĄWAŁ, CENTRAL POLAND

Abstract:  Valanginian strata at Wąwał in central Poland have yielded the oldest marine neoselachian assemblages from the Cretaceous of Europe. The faunas comprise seven taxa including Heterodontus polonicus sp. nov., an indeterminate orectolobiform, Protolamna sp., Palaeoscyllium sp., Synechodus nitidus , Squatina cranei and Belemnobatis sp. Heterodontus polonicus is recognized primarily by the high amount of reticulate ornamentation on the lower labial side of the anterior teeth. The faunas from Wąwał are numerically dominated by neoselachian genera such as Synechodus , Heterodontus and Belemnobatis that were already well established in the Jurassic. More modern taxa include the oldest recorded occurrence of the true Squatina -lineage, and the presence of Protolamna is one of the earliest undoubted lamniform occurrences so far reported.     

Heavy metals in human hair and teeth

Biological samples were collected simultaneously with environmental quality investigations. Studies of metal levels in biological (hair and teeth) and environmental (soil and air) samples were performed in Zwardoń during 1991/1992. Zwardoń is a small mountain resort village, situated on the border pass of Zwardoń, in the close proximity of the southwestern border of Poland. Heavy metal levels in soil, air, and chemical metals forms in the soil were examined. Pearson’s product correlation in soil (for total concentration of heavy metals and each chemical form) in hair and in teeth was calculated to investigate bioavailability of heavy metals in human organism. We received essential correlations simultaneously between: Pb vs Mn in exchangeable form of metal in soil, in teeth and in soil (total); Cd vs Zn and Mn vs Co in organically bound form in soil and in teeth and soil (total); and Cu vs Zn in all investigated samples (teeth, hair, soil total, and organically bound form in soil); Mn vs Co and Cr vs Mn in residual form in soil, in teeth, and in soil (total) and between Co vs Ni for hair, soil (total), and residual form in soil.     

Sequence and age of eruption of deciduous dentition in the baboon (Papio sp)

A detailed eruption sequence and associated age of eruption for deciduous dentition in baboons (Papio sp) are presented in this paper. The sequence was determined by evaluation and comparison of the number and kinds of teeth present in nine age cohorts comprising the study sample of 88 males and 87 females who ranged in age from birth to 763 days. Eruption was assessed visually as present or absent. Several statistical methods used to derive the ages associated with the eruption sequence are described. The basic eruption sequence in the sample population is: i¹ i₁, i₂, i², \documentclass{article}\pagestyle{empty}\begin{document}$ \mathop {\rm c}\limits_{\rm -} {\rm,}\mathop {\rm c}\limits^{\rm -} $\end{document} m¹ (m², m₂), M₁, M¹. Both sexes show the same pattern, with the exception of the second deciduous molar, where males show a sequence of m₂, m₂, while females show the opposite. Posterior dentition shows the greatest gender-specific variation in average age of eruption.     

An experimental approach to modeling the strength of canine teeth

The strength of canine teeth in several carnivores is found through direct fracture experiments. The average forces required to break the canines of adult animals are coyote 1170 N, red fox 533 N, bobcat 737 N and raccoon 512 N. Stresses created in teeth at the breaking load are predicted by finite-element analysis and beam theory. The ultimate tensile stress sustainable in these teeth is 338 MPa in adult animals. The large pulp cavity in the canines of young animals significantly weakens the bases of their teeth (by about 25%), but as the animal ages the pulp cavity decreases and has little effect on overall tooth strength. The tooth material of young of the year is significantly weaker than that from older animals (by about 35%). With the experimentally derived ultimate tensile stress, finite-element analysis can estimate the breaking load of canines for several carnivores. A significant allometric relationship exists between log of body weight and log of strength of tooth (slope=0.81).     

Abnormal births and other “ill omens”

We summarize the ethnographic literature illustrating that “abnormal birth” circumstances and “ill omens” operate as cues to terminate parental investment. A review of the medical literature provides evidence to support our assertion that ill omens serve as markers of biological conditions that will threaten the survival of infants. Daly and Wilson (1984) tested the prediction that children of demonstrably poor phenotypic quality will be common victims of infanticide. We take this hypothesis one stage further and argue that some children will be poor vehicles for parental investment yet are not of demonstrably poor quality at birth. We conclude that when people dispose of infants due to “superstitious beliefs” they are pursuing an adaptive strategy in eliminating infants who are poor vehicles for parental investment. Catherine Hill lectures in biological anthropology/human sciences at Durham University’s University College, Stockton. She trained in biological anthropology at University College, London. Her current research interests include human and nonhuman primate socioecology and human resource ecology and development issues. Helen Ball lectures in biological anthropology/human sciences at Durham University’s University College, Stockton. She trained in biological anthropology at the University of Massachusetts at Amherst. Her current research interests include nonhuman primate behavior and socioecology, reproductive biology, and evolutionary issues.     

Rudiment incisors survive and erupt as supernumerary teeth as a result of USAG-1 abrogation

The term "supernumerary teeth" describes production of more than the normal number of teeth in the primary or permanent dentitions. Their aetiology is not understood. Uterine sensitization associated gene-1 (USAG-1) is a BMP antagonist that plays important roles in the local regulation of BMP signaling by binding and neutralizing BMP activities, and also serves as a modulator of Wnt signaling. We report here that USAG-1 deficient mice have supernumerary teeth. The supernumerary maxillary incisor appears to form as a result of the successive development of the rudimentary upper incisor tooth. We confirmed that the USAG-1 expression is localized to the epithelium and mesenchyme of the rudimentary maxillary incisor tooth organ formation. USAG-1 abrogation rescued apoptotic elimination of odontogenic mesenchymal cells. Based upon these results, we conclude that USAG-1 controls the number of teeth in the maxillary incisor region by regulating apoptosis.