Secondary dentition characteristics in an ethnic Chinese orthodontic population: A retrospective cross-sectional study.

AIM: To determine the prevalence of dental anomalies and its association with gender. METHODS: This retrospective cross-sectional study was conducted using radiographs, photographs and clinical records of patients who attended the Department of Orthodontics at the National Dental Centre Singapore. Records of 2508 ethnic Chinese orthodontic patients aged 14-25 years were examined for the prevalence of dental anomalies in the permanent dentition, excluding third molars. Statistical analyses were performed using SAS version 9.4 (SAS Institute Inc.). Logistic regression was used to determine the association between gender and the occurrence of various dental anomalies. Kappa coefficients were calculated to test for intra-examiner reproducibility. Statistical significance was set at P < 0.05. RESULTS: Prevalence of dental anomalies was 5.7% hyperdontia, 11.1% hypodontia, 5.5% peg-shaped upper lateral incisors, 21.9% impacted teeth, 1.3% transposition and 0.4% double teeth. There was no significant gender difference in the occurrence of the anomalies except hyperdontia, with males having significantly higher odds of hyperdontia compared with females (odds ratio, 1.488; 95% confidence interval, 1.062-2.085; P = 0.021). CONCLUSION: Occurrence of hyperdontia is greater in males than females, while no significant gender differences were noted for hypodontia, peg-shaped upper lateral incisors, impacted teeth, transposition and double teeth.

Streptococcus mutans forms xylitol-resistant biofilm on excess adhesive flash in novel ex-vivo orthodontic bracket model.

INTRODUCTION: During orthodontic bonding procedures, excess adhesive is invariably left on the tooth surface at the interface between the bracket and the enamel junction; it is called excess adhesive flash (EAF). We comparatively evaluated the biofilm formation of Streptococcus mutans on EAF produced by 2 adhesives and examined the therapeutic efficacy of xylitol on S mutans formed on EAF. METHODS: First, we investigated the biofilm formation of S mutans on 3 orthodontic bracket types: stainless steel preadjusted edgewise, ceramic preadjusted edgewise, and stainless steel self-ligating. Subsequently, tooth-colored Transbond XT (3M Unitek, Monrovia, Calif) and green Grengloo (Ormco, Glendora, Calif) adhesives were used for bonding ceramic brackets to extracted teeth. S mutans biofilms on EAF produced by the adhesives were studied using the crystal violet assay and scanning electron microscopy. Surface roughness and surface energy of the EAF were examined. The therapeutic efficacies of different concentrations of xylitol were tested on S mutans biofilms. RESULTS: Significantly higher biofilms were formed on the ceramic preadjusted edgewise brackets (P = 0.003). Transbond XT had significantly higher S mutans biofilms compared with Grengloo surfaces (P = 0.007). There was no significant difference in surface roughness between Transbond XT and Grengloo surfaces (P >0.05). Surface energy of Transbond XT had a considerably smaller contact angle than did Grengloo, suggesting that Transbond XT is a more hydrophilic material. Xylitol at low concentrations had no significant effect on the reduction of S mutans biofilms on orthodontic adhesives (P = 0.016). CONCLUSIONS: Transbond XT orthodontic adhesive resulted in more S mutans biofilm compared with Grengloo adhesive on ceramic brackets. Surface energy seemed to play a more important role than surface roughness for the formation of S mutans biofilm on EAF. Xylitol does not appear to have a therapeutic effect on mature S mutans biofilm.

Morphologic quantification of the maxilla and the mandible with cone-beam computed tomography.

INTRODUCTION: The purpose of this pilot study was to use cone-beam computed tomography (CBCT) to determine the volumes of the maxilla and the mandible in subjects with skeletal Class I, Class II, and Class III malocclusions. Hypothesis 1 was that the volume (size) of a skeletal Class II maxilla is larger than those of Class I and Class III. Hypothesis 2 was that the volume of a skeletal Class III mandible is larger than those of Class I and Class II. METHODS: Thirty women patients were classified into 3 groups according to their skeletal pattern: skeletal Class I (0 degrees < or =ANB <6 degrees ), Class II (ANB > or =6 degrees ) and Class III (ANB <0 degrees ). The volumes of the maxilla and the mandible were measured with CBCT. CB MercuRay (Hitachi Medico, Tokyo, Japan) and CB works software (CyberMed, Seoul, Korea) were used to process the images. RESULTS: There was a trend that skeletal Class III subjects might have significantly greater mandibular volume compared with Class II subjects (P = 0.089). The ratios of maxilla-to-mandible volumes between the skeletal Class II and Class III groups were significantly different (P = 0.005). Differences were observed in the ratios of maxillary and mandibular volumes across the 3 groups. CONCLUSIONS: Hypotheses 1 and 2 were rejected; there was no trend for Class III subjects to have larger mandibles (P = 0.089) compared with Class II subjects. The ratio of the maxilla and mandible volumes in skeletal Class III subjects was significantly larger (P = 0.005) compared with Class II subjects.

Autotransplantation of 28 premolar donor teeth in 24 orthodontic patients.

OBJECTIVE: To test the null hypothesis that premolar autotransplantation is not successful for orthodontic patients. MATERIALS AND METHODS: In the present study, 28 premolar transplants from 24 orthodontic patients were associated with orthodontic treatment. At a routine 3-month appointment, patients underwent a dental radiograph and a chair-side observation for periodontal problems. Three sets of dental radiographs were taken by one dental assistant using a custom holder at: preoperation (T0), 2 year postoperation (T1), and retention (T2) (4- to 14-year follow-up observation) stages. All transplants were conducted in a one-phase operation by one operator (Dr Inoue). Recipient sites were: ten for missing maxillary canines, nine for maxillary centrals and laterals, eight for lower second premolar, and five for other missing premolar sites. All recipients maintained the retained primary tooth with a socket. RESULTS: The success ratio of all 28 transplants was 100%, although four transplants shorter than a 4-year period of observation were omitted. Two transplant patients, one with a medical history of histiocytosis and the other with a history of osteomyelitis of the maxilla without a recipient socket, were also excluded from this study. Eleven of 22 premolar transplants had a root canal treatment (RCT), four of which had RCT within 2 years after the operation. CONCLUSIONS: The null hypothesis was rejected. The success ratio of premolar transplants was 100%.

Analysis of esthetic smiles by using computer vision techniques.

Properly aligned teeth and a beautiful smile are the twin goals of orthodontic treatment. Unfortunately, a change in the smile arc is sometimes an unintended consequence of proper alignment. We used 3-dimensional dental models and visualization techniques, including curve-fitting and image-processing algorithms, to analyze smile arcs with respect to different parameters. The results show that smile consonance depends greatly on the conversational distance and the angle of elevation between the viewer and the smile.

Computer-based extraction of the inferior alveolar nerve canal in 3-D space.

Computed tomography (CT) is increasingly employed in orthodontic treatment. One of the most successful applications is in dental implantology, in which an artificial root is surgically inserted into the jawbone to provide anchorage for a dental prosthesis. For successful implant surgery, it is crucial to locate internal structures such as the inferior alveolar nerve canal (IAC). This paper presents a computerized technique for extracting the IAC. To facilitate the extraction, we first generate panoramic CT images (panoramics) by reformatting the original CT images. The panoramics are a series of cross-sectional images along curved planes through the mandible (lower jawbone). Hollow canals are subsequently detected by analyzing the voxel intensities and 3-D gradient orientations in the panoramics. The axis of the IAC is then traced out by a novel 3-D line-tracking technique. The method is effective for extracting the IAC despite the open structure of the surrounding bone.

Tooth segmentation of dental study models using range images.

The accurate segmentation of the teeth from the digitized representation of a dental study model is an important component in computer-based algorithms for orthodontic feature detection and measurement and in the simulation of orthodontic procedures such as tooth rearrangement. This paper presents an automated method for tooth segmentation from the three-dimensional (3-D) digitized image captured by a laser scanner. We avoid the complexity of directly processing 3-D mesh data by proposing the innovative idea of detecting features on two range images computed from the 3-D image. The dental arch is first obtained from the plan-view range image. Using the arch as the reference, a panoramic range image of the dental model can be computed. The interstices between the teeth are detected separately in the two range images, and results from both views are combined for a determination of interstice locations and orientations. Finally, the teeth are separated from the gums by delineating the gum margin. The algorithm was tested on 34 dental models representing a variety of malocclusions and was found to be robust and accurate.