Evaluation Of Gingival Biotype And Recession Following Non-Surgical Periodontal Treatment Using 3-Dimensional Scan Methods.

The study evaluated the position of gingival margins in anterior teeth using clinical and 3-dimensional (3D) optical scanning method among patients subjected to non surgical periodontal treatment (NSPT). A single arm, longitudinal study was undertaken at the Archway Dental Center, University of Manchester, UK. History and clinical examination were done. Gingival recession, attachment loss (AL), and periodontal probing depth (PD) were recorded at baseline and 12-weeks follow-up. NSPT was done using hand and ultrasonic instruments. Impressions were made, the resultant gypsum models were scanned to generate 3D images. The change in the gingival level and thickness of facial gingiva were assessed. Out of eight patientsrecruited, three were lost to follow up. The 3D scan showed a poor correlation with the clinical assessment of gingival recession in anterior teeth following NSPT (r=- 0.0089). Recession did not improve after NSPT (p= 0.20).

Inferring echolocation in ancient bats.

Laryngeal echolocation, used by most living bats to form images of their surroundings and to detect and capture flying prey, is considered to be a key innovation for the evolutionary success of bats, and palaeontologists have long sought osteological correlates of echolocation that can be used to infer the behaviour of fossil bats. Veselka et al. argued that the most reliable trait indicating echolocation capabilities in bats is an articulation between the stylohyal bone (part of the hyoid apparatus that supports the throat and larynx) and the tympanic bone, which forms the floor of the middle ear. They examined the oldest and most primitive known bat, Onychonycteris finneyi (early Eocene, USA), and argued that it showed evidence of this stylohyal-tympanic articulation, from which they concluded that O. finneyi may have been capable of echolocation. We disagree with their interpretation of key fossil data and instead argue that O. finneyi was probably not an echolocating bat.

Primitive Early Eocene bat from Wyoming and the evolution of flight and echolocation.

Bats (Chiroptera) represent one of the largest and most diverse radiations of mammals, accounting for one-fifth of extant species. Although recent studies unambiguously support bat monophyly and consensus is rapidly emerging about evolutionary relationships among extant lineages, the fossil record of bats extends over 50 million years, and early evolution of the group remains poorly understood. Here we describe a new bat from the Early Eocene Green River Formation of Wyoming, USA, with features that are more primitive than seen in any previously known bat. The evolutionary pathways that led to flapping flight and echolocation in bats have been in dispute, and until now fossils have been of limited use in documenting transitions involved in this marked change in lifestyle. Phylogenetically informed comparisons of the new taxon with other bats and non-flying mammals reveal that critical morphological and functional changes evolved incrementally. Forelimb anatomy indicates that the new bat was capable of powered flight like other Eocene bats, but ear morphology suggests that it lacked their echolocation abilities, supporting a 'flight first' hypothesis for chiropteran evolution. The shape of the wings suggests that an undulating gliding-fluttering flight style may be primitive for bats, and the presence of a long calcar indicates that a broad tail membrane evolved early in Chiroptera, probably functioning as an additional airfoil rather than as a prey-capture device. Limb proportions and retention of claws on all digits indicate that the new bat may have been an agile climber that employed quadrupedal locomotion and under-branch hanging behaviour.

Two Gingival Cell Lines Response to Different Dental Implant Abutment Materials: An In Vitro Study.

Objectives: This study aimed to investigate the response of human gingival fibroblasts (HGFB) and human gingival keratinocytes (HGKC) towards different dental implant abutment materials. Methods: Five materials were investigated: (1) titanium (Ti), (2) titanium nitride (TiN), (3) cobalt-chromium (CoCr), (4) zirconia (ZrO2), and (5) modified polyether ether ketone (m-PEEK). Both cell lines were cultured, expanded, and seeded in accordance with the protocol of their supplier. Cell proliferation and cytotoxicity were evaluated at days 1, 3, 5, and 10 using colourimetric viability and cytotoxicity assays. Data were analysed via two-way ANOVA, one-way ANOVA, and Tukey's post hoc test (p < 0.05 for all tests). Results: There was a statistically significant difference in cell proliferation of HGKC and HGFB cells in contact with different abutment materials at different time points, with no significant interaction between different materials. There was a significant effect on cell proliferation and cytotoxicity with different exposure times (p < 0.0001) for each material. Cell proliferation rates were comparable for both cell lines at the beginning of the study, however, HGFB showed higher proliferation rates for all materials at day 10 with better proliferation activities with ZrO and m-PEEK (40.27%) and (48.38%) respectively. HGKC showed significant interactions (p < 0.0001) in cytotoxicity between different materials. Conclusion: The present in vitro assessment investigated the biocompatibility of different abutment materials with soft tissue cells (HGFB and HGKC). The findings suggest that m-PEEK and TiN are biologically compatible materials with human cells that represent the soft tissue and can be considered as alternative implant abutment materials to Ti and ZrO2, especially when the aesthetic is of concern.

In-Vitro Phenotypic Response of Human Osteoblasts to Different Degrees of Titanium Surface Roughness.

Objectives: This study aimed to investigate human osteoblast (HOB) responses towards different degrees of titanium (Ti) implant surface roughness. Methods: Four degrees of Ti surface roughness were investigated on a micrometer roughness scale: smooth (S: 0.08−0.1 µm), minimally rough (MM: 0.3−0.5 µm), moderately rough (MR: 1.2−1.4 µm), and rough (R: 3.3−3.7 µm). HOB cells were cultured, expanded, and maintained according to the supplier's protocol. Cell proliferation and cytotoxicity were assessed at day 1, 3, 5, and 10 using alamarBlue and lactate dehydrogenase colorimetric assays. Data were analyzed with one-way ANOVA, two-way ANOVA, and Tukey's post hoc test (p = 0.05 for all tests). Results: There was no significant difference in the cell proliferation or cytotoxicity of the HOB cells in contact with the different degrees of Ti surface roughness. There was, however, a significant time effect on cell proliferation (p < 0.0001) with different exposure durations for each roughness degree. Furthermore, a positive correlation (non-significant) between proliferation and cytotoxicity was observed for all investigated degrees of surface roughness. Conclusion: All investigated roughness degrees showed comparable HOB proliferation, with the MR surface presenting the highest percentage, followed by the R, MM, ad S, surfaces, respectively. The S surface showed the highest cytotoxic effect on HOBs; however, it did not reach the cytotoxic level suggested by the ISO for any medical device to be considered cytotoxic.

Human osteoblasts response to different dental implant abutment materials: An in-vitro study.

OBJECTIVES: This study aimed to investigate human osteoblasts (HOB) response towards different dental implant abutment materials. METHODS: Five dental implant abutment materials were investigated: (1) titanium (Ti), (2) titanium coated nitride (TiN), (3) cobalt chromium (CoCr), (4) zirconia (ZrO2), and (5) modified polyether ether ketone (m-PEEK). HOBs were cultured, expanded, and seeded according to the supplier's protocol (PromoCell, UK). Cell proliferation and cytotoxicity were evaluated at days 1, 3, 5, and 10 using Alamar Blue (alamarBlue) and lactate dehydrogenase (LDH) colorimetric assays. Data were analysed via two-way ANOVA, one-way ANOVA and Tukey's post hoc test (significance was determined as p < 0.05 for all tests). RESULTS: All the investigated materials showed high and comparable initial proliferation activities apart from ZrO2 (46.92%), with P% of 79.91%, 68.77%, 73.20%, and 65.46% for Ti, TiN, CoCr, and m-PEEK, respectively. At day 10, all materials exhibited comparable and lower P% than day 1 apart from TiN (70.90%) with P% of 30.22%, 40.64%, 37.27%, and 50.65% for Ti, CoCr, ZrO2, and m-PEEK, respectively. The cytotoxic effect of the investigated materials was generally low throughout the whole experiment. At day 10, the cytotoxicity % was 7.63%, 0.21%, 13.30%, 5.32%, 8.60% for Ti, TiN, CoCr, ZrO2, and m-PEEK. The Two-way ANOVA and Tukey's Multiple Comparison Method highlighted significant material and time effects on cell proliferation and cytotoxicity, and a significant interaction (p < 0.0001) between the tested materials. Notably, TiN and m-PEEK showed improved HOB proliferation activity and cytotoxic levels than the other investigated materials. In addition, a non-significant negative correlation between viability and cytotoxicity was found for all tested materials. Ti (p = 0.07), TiN (p = 0.28), CoCr (p = 0.15), ZrO2 (p = 0.17), and m-PEEK (p = 0.12). SIGNIFICANCE: All the investigated materials showed excellent biocompatibility properties with more promising results for the newly introduced TiN and m-PEEK as alternatives to the traditionally used dental implant and abutment materials.

Biological response of epithelial and connective tissue cells to titanium surfaces with different ranges of roughness: An in-vitro study.

OBJECTIVES: This study aimed to investigate how titanium (Ti) surface with different range roughness created by industrial machining influence the biological response of primary human gingival fibroblasts (HGFB) and keratinocytes (HGKC) in terms of cell proliferation and cytotoxicity. METHODS: Four Ti surfaces of different roughness ranges were investigated: smooth (S: 0.08-0.1 µm), minimally rough (MM: 0.3-0.5 µm), moderately rough (MR: 1.2-1.4 µm) and rough (R: 3.3-3.7 µm). Discs topography and surface roughness were evaluated by scanning electron microscopy (SEM) and non-contact profilometer. Both cell lines were cultured, expanded, and maintained according to their supplier's protocols. Cell proliferation and cytotoxicity were evaluated at days 1, 3, 5, and 10 using cell viability and cytotoxicity colorimetric assays. Data were analysed via two-way ANOVA, one-way ANOVA and Tukey's post hoc test (p = 0.05 for all tests). RESULTS: Both cell lines showed comparable initial proliferation activity of 70-86% for all the investigated roughnesses. HGKC showed better and higher proliferation % with S surface at all time points than all the other investigated surfaces which was significantly higher than MM at day 3 and higher than all the other investigated surfaces at day 5 and 10. On the other hand, HGFB exhibited the best proliferation with both MM and R surfaces with no significant differences from the other two surfaces (S and MR). Different surface roughnesses and exposure times showed significant effect on cell proliferation in both cell lines. Cytotoxicity for both cell lines was generally the highest on day 3, with the following order from highest to lowest: S (19.86%)> R> MR> MM for HGKC and MM (39.48%)> MR> S> R for HGFB. Different exposure times showed a significant effect on cell cytotoxicity in both cell lines and a significant effect of surface roughness in HGFB. SIGNIFICANCE: All investigated roughness levels were sufficiently biologically compatible with cells representative of the major population of the soft tissue surrounding dental implants. However, the S surface was most cytotoxic to HGKC, while the MM surface was most cytotoxic to HGFB cells.

Smilodon fatalis siblings reveal life history in a saber-toothed cat.

The saber-toothed cat Smilodon fatalis is known predominantly from "predator trap" deposits, which has made many aspects of its life history difficult to infer. Here, we describe an association of at least two subadult and one adult S. fatalis from Pleistocene coastal deposits in Ecuador. The assemblage likely derived from a catastrophic mass mortality event, and thereby provides insights into the behavior of the species. The presence of a P3 in the subadult dentaries suggests inheritance, a rare instance of familial relatedness in the fossil record. The siblings were at least two years old and were associated with an adult that was likely their mother, indicating prolonged parental care in S. fatalis. Comparison with the growth of pantherine cats suggests that S. fatalis had a unique growth strategy among big cats that combines a growth rate that is similar to a tiger and the extended growth period of a lion.

Taper of full-veneer crown preparations by dental students at the University of the West Indies.

PURPOSE: The ideal taper recommended for a full-veneer crown is 4° to 14°, but this is very difficult to achieve clinically, and studies on taper achieved by dental students have found mean taper measurements ranging from 11° to 27°. The objective of this study was to examine and compare the taper of teeth prepared for full-veneer crowns by dental students on typodonts in the laboratory and on patients, and also to compare the results with those of other dental schools. MATERIALS AND METHODS: Preparations were scanned by specialized metrology equipment that gave the taper of the preparation in a buccolingual (BL) and mesiodistal (MD) plane. RESULTS: No undercut was detected on any of the laboratory specimens; however, 12.5% of clinical specimens were undercut. The mean taper of the laboratory anterior specimens were 26.7° BL and 14.9° MD, and the laboratory posterior specimens were 18.2° BL and 14.2° MD. The mean taper of the clinical anteriors were 31.6° BL and 16.8° MD, and the clinical posteriors were 16.8° BL and 22.4° MD. CONCLUSIONS: This study shows that although the taper achieved by dental students in the University of the West Indies when preparing teeth for full-veneer crowns was outside the ideal range of 4° to 14°, it is comparable to those achieved by dental students in other schools.

Abutment taper of full cast crown preparations by dental students in the UWI School of Dentistry.

Retention of crowns has been shown to be inversely proportional to taper. The objective of this study was to compare the abutment taper of teeth prepared for full veneer crowns by students at the UWI School of Dentistry with those of other dental schools. Twenty five dies were scanned by a Co-ordinate Measuring Machine (CMM) and the mean taper and standard deviations were found to be 20.3 +/- 11.3 degrees mesio-distally and 18.3 +/- 8.5 degrees bucco-lingually. This study shows that the taper achieved by dental students at the UWI School of Dentistry preparing teeth for full veneer crowns is comparable to those achieved by other dental students in the US, UK, Europe and Japan.

Synergistic roles of climate warming and human occupation in Patagonian megafaunal extinctions during the Last Deglaciation.

The causes of Late Pleistocene megafaunal extinctions (60,000 to 11,650 years ago, hereafter 60 to 11.65 ka) remain contentious, with major phases coinciding with both human arrival and climate change around the world. The Americas provide a unique opportunity to disentangle these factors as human colonization took place over a narrow time frame (~15 to 14.6 ka) but during contrasting temperature trends across each continent. Unfortunately, limited data sets in South America have so far precluded detailed comparison. We analyze genetic and radiocarbon data from 89 and 71 Patagonian megafaunal bones, respectively, more than doubling the high-quality Pleistocene megafaunal radiocarbon data sets from the region. We identify a narrow megafaunal extinction phase 12,280 ± 110 years ago, some 1 to 3 thousand years after initial human presence in the area. Although humans arrived immediately prior to a cold phase, the Antarctic Cold Reversal stadial, megafaunal extinctions did not occur until the stadial finished and the subsequent warming phase commenced some 1 to 3 thousand years later. The increased resolution provided by the Patagonian material reveals that the sequence of climate and extinction events in North and South America were temporally inverted, but in both cases, megafaunal extinctions did not occur until human presence and climate warming coincided. Overall, metapopulation processes involving subpopulation connectivity on a continental scale appear to have been critical for megafaunal species survival of both climate change and human impacts.

Bisphosphonate and Implant Dentistry - Is it Safe?

Bisphosphonates are a group of drugs that are commonly used to alter bone metabolism in order to prevent bone loss in diseases such as osteoporosis and bone cancers. Unfortunately, the use of bisphosphonates has been associated with bisphosphonate-related osteonecrosis of the jaws. The debate as to whether it is wise to consider implant therapy in patients being treated with bisphosphonate therapy remains a grey area. This review will present the latest evidence and guidelines available on bisphosphonates and their possible effects on implant dentistry. The risk factors, co-morbidities, clinical presentation and findings from various imaging modalities for bisphosphonate-related osteonecrosis of the jaws are highlighted. The management of patients being treated with bisphosphonates, in whom dental implants might be considered or have already been placed, will also be discussed. Finally, the areas requiring future research are considered.

Quantification of residual dentine thickness following crown preparation.

OBJECTIVES: Pulpal response to tooth preparation is a major concern in fixed prosthodontics. Research has suggested that 2mm or more of remaining dentine is critical in protecting the pulp following tooth preparation. However, clinicians have no means of knowing dentine thickness either before or after preparation and therefore lack feedback about this important aspect of preparation quality. The aim of this project was to develop a method for measuring local dentine thickness following tooth preparation for metal ceramic crowns, in vitro, which could be used as a tool to evaluate preparation technique and instrumentation. METHODS: Microtomography (XMT or micro-CT) scans were taken of extracted teeth before and after crown preparation. Local dentine thickness was defined for every voxel within the 3D tooth image as the sum of distances from that voxel to the pulp and to the anatomical surface. The method also allows the thickness of material removed to be quantified. Three-dimensional colour-coded maps of dentine thickness were generated, and the distributions of dentine thickness throughout the teeth were analysed. This was tested by a single operator on sixteen extracted upper central incisors. RESULTS: This method enabled clear visualisation and analysis of residual dentine thickness. In the trial, it revealed consistent over-prepared regions along the labial proximal line angles which, in a clinical case, could affect subsequent tooth and restoration longevity. All but one of the prepared teeth had regions with a residual dentine thickness of less than 1.5mm, in 6 it was less than 1.0mm and in 3 of these it was less than 0.5mm. CONCLUSION: Although ex vivo, this method can be used as a research tool to look for patterns of over- or under-preparation, leading to possible modification of technique, instrumentation and, or crown design. CLINICAL SIGNIFICANCE: It is not currently possible for clinicians to know the thickness of residual dentine following crown preparation, a key factor in long term outcome. The described method of quantifying and visualising this thickness allows preparation techniques and instrumentation to be evaluated in vitro, leading to prospective improvements in clinical procedures.

Consistency of labial finish line preparation for metal ceramic crowns: an investigation of a new bur.

PURPOSE: Previous studies have reported on the difficulties inherent in preparing the labial aspect of teeth for metal ceramic crowns with consistency and also the implications for the definitive restoration of underprepared and overangled finish lines. In this study, a bur designed to prepare a 1.2-mm deep chamfer was tested and compared with two other bur kits. MATERIALS AND METHODS: Seventy-two teeth were prepared to receive metal ceramic crowns in vitro by students using one of the two bur kits or the new bur. Using a coordinate measuring machine (CMM), replicas of the prepared teeth were scanned in the mid-labial plane, and shoulder width and cavosurface angles were measured. RESULTS: The new bur produced preparations with a mean shoulder width and cavosurface angle of 1.146 +/- 0.241 mm and 108 +/- 11 degrees, respectively, compared with 0.626 +/- 0.234 mm and 128 +/- 14 degrees produced by a commercially available standardized crown cutting bur system and 0.626 +/- 0.218 mm and 124 +/- 15 degrees produced by the bur kit in use at our center at the time of the study. These differences were statistically significant at the 5% level, using Tukey's comparison of means. CONCLUSIONS: Teeth prepared by the new bur had wider shoulders and lower cavosurface angles than teeth prepared either with a standardized crown cutting system or locally selected bur kit. The quality of labial preparations produced by the new bur in terms of closeness to the postulated "ideal" width and angulation warrants further investigation.

Dentin exposure in tooth preparations for porcelain veneers: a pilot study.

STATEMENT OF PROBLEM: The various clinical techniques available for even reduction of a tooth surface to receive a porcelain veneer restoration do not produce a consistently even conservative reduction. In addition, it is not known which technique is most conservative of enamel. PURPOSE: The purpose of this pilot study was to assess the effectiveness of 3 clinical techniques, namely, dimple, depth groove, and freehand, in producing an intraenamel preparation. The relation between overpreparation beyond the commonly accepted depth of preparation of 0.5 mm and dentin exposure was also examined. MATERIAL AND METHODS: A single operator prepared 3 groups of 5 extracted maxillary central incisors to a depth of 0.5 mm using dimple, depth-groove, and freehand methods of tooth preparation. The prepared teeth were scanned using an x-ray microtomography scanner. The reconstructed images were studied using software that provided a volume-rendering routine so that, by choosing suitable x-ray linear attenuation coefficient thresholds, enamel (2.78 cm(-1) at 40 keV) and dentin (1.63 cm(-1) at 40 keV) surfaces could be viewed. The percentage area of enamel conserved was analyzed from these images. Coordinate metrology was used to produce color-coded images depicting the depth of preparation. The Kruskal-Wallis test was used to determine the statistical significance (alpha=.05) in the difference between the mean percentage area of enamel conserved in the 3 technique groups. The coordinate metrology and x-ray microtomography images were visually compared to study the correlation between overpreparation and dentin exposure. RESULTS: The Kruskal-Wallis test did not demonstrate significant difference (P=.07) between the 3 techniques in conserving enamel. However, the dimple technique showed a greater trend to retaining a larger mean percentage area of enamel (77.5% +/- 14.2) compared to depth-groove (50.1% +/- 17.5) and freehand (76.8% +/- 24.4) techniques. Preparation depth in the range of 0.4 to 0.6 mm was largely seen to be intraenamel, except in the cervical region. CONCLUSION: Within the limitations of this pilot study, the 3 different techniques tested did not differ significantly in conserving enamel.

Observations and comments on the reliability of muscle reconstruction in fossil vertebrates.

In Canis and Ursus the largest proportion of attachments of muscles of the shoulder and brachium on the scapula and humerus is direct; fewer attachments are aponeurotic or tendinous. In both genera most attachments can be associated with superficial osteological features (scars or delimitable surfaces); attachments that lack such features are direct. Most aponeurotic attachments are associated with rugose scarring whereas tendinous attachments are often associated with smooth surfaces. Although most attachments can be associated with osteological features the areal extent of attachment is often not inferrable from the bone. The inference of muscle size or functional significance from osteological features is problematic. The amount of myological information that can be deciphered from the osteology in Canis and Ursus is greater than that reported for particular members of other vertebrate groups which suggests that there may be differences in the degree to which muscles can be reconstructed from superficial osteology alone. Nonetheless, even in mammals such as the Carnivora, detailed muscular reconstructions in extinct taxa cannot be achieved without reference to the musculature of extant relatives. Such reconstructions rely on assumptions, that often have not been adequately tested, regarding the similarity of musculature in closely related taxa. This testing and well corroborated hypotheses of phylogenetic relationship are essential for the evaluation of the accuracy of reconstructions of the musculature in fossil vertebrates.