Dental developmental alterations in patients with dilacerated teeth

Background: The aim of this study was to record and analyze all DDAs associated to dilacerated teeth in patients attending the clinics of the Postgraduate Division, Facultad de Odontología, UNAM in Mexico City. Material and Methods: Orthopantomograms from all patients seeking for stomatological attention in our institution were reviewed and those cases of dilaceration were separated. Age, gender, diagnosis, location, involved teeth and associated DDAs were recorded and analyzed. Results: From 6,340 patients, 99 (1.6%) harbored 125 dilacerated teeth. Of them, 45 (45.5%) showed one or more DDAs. The most frequently detected DDAs were hypodontia, enamel pearls, taurodontism and microdontia. Conclusions: 45.5% is a very high proportion of DDAs in patients with dilacerated roots. Findings from this study strongly suggest that patients with dilacerated teeth should be carefully screened since many of them could present other DDAs. Simultaneous occurrence of dilaceration and DDAs suggests synchronic developmental defects during dental growth

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Dental developmental alterations in patients with dilacerated teeth.

BACKGROUND: The aim of this study was to record and analyze all DDAs associated to dilacerated teeth in patients attending the clinics of the Postgraduate Division, Facultad de Odontología, UNAM in Mexico City. MATERIAL AND METHODS: Orthopantomograms from all patients seeking for stomatological attention in our institution were reviewed and those cases of dilaceration were separated. Age, gender, diagnosis, location, involved teeth and associated DDAs were recorded and analyzed. RESULTS: From 6,340 patients, 99 (1.6%) harbored 125 dilacerated teeth. Of them, 45 (45.5%) showed one or more DDAs. The most frequently detected DDAs were hypodontia, enamel pearls, taurodontism and microdontia. CONCLUSIONS: 45.5% is a very high proportion of DDAs in patients with dilacerated roots. Findings from this study strongly suggest that patients with dilacerated teeth should be carefully screened since many of them could present other DDAs. Simultaneous occurrence of dilaceration and DDAs suggests synchronic developmental defects during dental growth.

Study on frequency of dental developmental alterations in a Mexican school-based population.

BACKGROUND: The aim of this study was to know the distribution of dental developmental alterations in the population requesting stomatological attention at the Admission and Diagnosis Clinic of our institution in Mexico City. MATERIAL AND METHODS: We reviewed the archives and selected those files with developmental dental alterations. Analyzed data were diagnoses, age, gender, location and number of involved teeth. RESULTS: Of the 3.522 patients reviewed, 179 (5.1%) harbored 394 developmental dental alterations. Of them, 45.2% were males and 54.8% were females with a mean age of 16.7 years. The most common were supernumeraries, dental agenesia and dilaceration. Adults were 30.7% of the patients with dental developmental alterations. In them, the most common lesions were agenesia and supernumeraries. Mesiodens was the most frequently found supernumerary teeth (14.7%). CONCLUSIONS: Our finding that 30.7% of the affected patients were adults is an undescribed and unusually high proportion of patients that have implications on planning and prognosis of their stomatological treatment.

Pathological findings in a sample of Mexican pediatric patients. Clinical and radiographic survey.

AIM: The findings of a clinical-radiological review of 467 children attending the Oral Diagnosis Clinic of the Facultad de Odontología, UNAM, Mexico, are presented. METHODS: All patients were clinically reviewed, clinical history was taken, and an orthopantomogram obtained by last year dentistry students. Patients and radiographs were then reviewed by the panel and all alterations in teeth, soft tissues and bone were recorded. RESULTS: Clinical and/or radiographic alterations were found in 132 (28.26%) children. The main alterations were developmental (75%) and inflammatory/infectious and traumatic (6.06% each). The most common entities were: supernumeraries (30.77%); hypodontia (29.7%); osteosclerotic lesions and microdontia (4.4% each). CONCLUSION: The data on the frequency of alterations in the pediatric population attending at our institution reinforce the importance of this kind of study in efforts to improve the quality of stomatologic services in the pediatric population.

Multiple supernumeraries in a non-syndromic patient.

Presence of supernumerary teeth (ST) in non-syndromic patients is an exceptional event. The aim of this article is to present an unusual case of a non-syndromic 12 years old girl with 12 ST In the reported case supernumeraries were found in three quadrants and the most common ST were bicuspids. All ST were surgically excised and occlusion and functionality was restored with prosthetic appliances. ST are an exceedingly uncommon event in the Pediatric Clinic. An extensive review of the literature dealing on non-syndromic cases comprising 10 or more ST and a discussion about the origin of the ST is presented.

Ameloblastomas: a regional Latin-American multicentric study.

AIM: To classify 163 ameloblastoma cases according to the new WHO Classification of Odontogenic Tumours (2005) and analyse their clinical and microscopic features. METHODS: We studied the clinico-pathological features of 163 ameloblastoma cases from nine regional Latin-American institutions from Mexico and Guatemala. RESULTS: Ameloblastomas comprised 22.7% of all odontogenic tumours. The mean age was 41.4 years for solid ameloblastoma (SA) and 26.3 years for unicystic ameloblastoma (UA) (P < 0.001) and both sexes were almost equally affected. The mandible was mainly affected for both UA and SA. The mean size was 6.2 cm for SA and 6.3 cm for UA cases. The recurrence rate was 21.7% for SA and 12.6% for UA. UA was twice as more frequent than the solid variant. CONCLUSIONS: In this study we found that UA was frequently misdiagnosed as SA; however, there are enough clinical and microscopic features that allow for an accurate differentiation between both types of ameloblastoma that should be recognized for surgical and prognostic purposes. In this study, SA was not found in patients younger than 20 years, UA had a constant myxoid stroma while mature connective tissue was more frequently associated with the solid type.

Fluoride content in bottled waters, juices and carbonated soft drinks in Mexico City, Mexico.

OBJECTIVE: The objective of this study was to analyse 283 samples of soft drinks available in the metropolitan market of Mexico City, Mexico: 105 juices, 101 nectars, 57 carbonated drinks and 20 bottled waters. MATERIALS AND METHODS: Samples of the beverages were analysed using an Orion 720A potentiometer and an Orion 9609BN F ion-specific electrode. RESULTS: Fluoride concentration in the above-mentioned products ranged from 0.07 to 1.42 p.p.m. It was found that fluoride concentrations varied according to the brand, flavour and presentation of the product. The highest mean concentration of fluoride was found in the juices and cola drinks (0.67 +/- 0.38 and 0.49 +/- 0.41 p.p.m., respectively). The mean fluoride concentration for carbonated drinks was 0.43 +/- 0.36 p.p.m. Bottled waters had a fluoride concentration of 0.21 +/- 0.08 p.p.m. CONCLUSIONS: The findings suggest that fluoride ingested through bottled drinks represents an important part of the total fluoride ingested by the population. In view of the wide variation of fluoride concentration in the tested products, it is necessary to implement regulatory guidelines for controlling its concentration in order to prevent dental fluorosis.

Lead levels in primary teeth of children living in Mexico City.

OBJECTIVE: The aim of this study was to discover the lead concentration in primary teeth extracted in the peripheral clinics of the Faculty of Dentistry, UNAM (Mexico City). DESIGN: One hundred healthy primary teeth were collected from 2 to 13-year-old children (52 girls and 48 boys). Sixty-six were maxillary teeth and 34 were mandibular teeth. Lead concentrations were measured by Graphite Furnace Atomic Absorption Spectrophotometry. RESULTS: Our results indicate that lead concentration in the 10-13-year-old group (7.7 micro g/g(-1)) was higher than in the other groups. Geometric mean lead concentration was higher in girls than in boys (7.3 micro g/g(-1) and 6.3 micro g/g(-1), respectively). Maxillary teeth had higher lead concentrations than mandibular teeth and primary canines showed the highest mean lead concentration followed by incisors and molars. Teeth from children living in the south-east area (which according to the Mexico City's Pollution Center data is the more polluted area), presented the highest lead concentration but no statistically significant difference was found among teeth from the different areas. CONCLUSIONS: Our results suggest that age, gender and place of residence are not related to the lead concentration in human primary teeth. This fact seems to indicate the ubiquitous presence of lead in the whole atmosphere of Mexico City and suggests that zones of residence do not appear to influence tooth lead concentration.

Salivary gland tumours in a Mexican sample. A retrospective study.

Salivary gland tumours are an important part of the Oral and Maxillofacial Pathology, unfortunately, only few studies on these tumours have been done in Latin-American population. The aim of this study was to compare demographic data on salivary gland tumours in a Mexican sample with those previously published from Latin American and non-Latin American countries. All cases of salivary gland tumours or lesions diagnosed in our service were reviewed. Of the reviewed cases,67 were confirmed as salivary gland tumours. Out of these 64.2% were benign neoplasms, 35.8% were malignant and a slight female predominance (56.7%) was found. The most common location was palate followed by lips and floor of the mouth. Mean age for benign tumours was 40.6 years with female predominance (60.5%). Mean age for malignant tumours was 41 years and female predominance was found again. Palate followed by retromolar area were the usual locations. Pleomorphic adenoma (58.2%), mucoepidermoid carcinoma (17.9%) and adenoid cystic carcinoma (11.9%) were the more frequent neoplasms. All retromolar cases were malignant and all submandibular gland tumours were benign. We found a high proportion of salivary gland neoplasms in children. Our results showed that differences of the studied tumours among our sample and previously reported series exist. These differences can be related to race and geographical location.

Clinico-pathologic study of odontogenic cysts in a Mexican sample population.

BACKGROUND: Odontogenic cysts are uncommon lesions that frequently behave agressively and attain a large size. Unfortunately, information on the relative incidence of these cysts from different populations is not abundant. In Mexico, for example, only a few examples have been reported. The aim of this study was to ascertain the frequency of odontogenic cysts in a Mexican sample and to compare these data with previously reported studies from other countries. METHODS: The files of the Oral and Maxillofacial Pathology Diagnosis Service at the School of Dentistry at the Universidad Nacional Autónoma de México (UNAM) were reviewed and all accessions of odontogenic cysts were listed. Clinical and radiographic data were recorded and microscopic slides evaluated according to the most recent World Health Organization (WHO) classification (1992). RESULTS: Three hundred and four cases of odontogenic cysts (55.9% male predominance) were found. The most frequent odontogenic cysts were the following: periapical cyst (38. 8%); dentigerous cyst (35.5%), and odontogenic keratocyst (18.8%). Periapical cyst was more frequent in females, and maxillary anterior teeth were most commonly involved. Dentigerous cysts appeared in males at a rate of 64.8%, this cyst found more frequently between the 1st and 2nd decades of life and in the molar zone. Odontogenic keratocyst was more frequent in males (59.6%), between the 2nd and 4th decades of life and more common in the molar zone. CONCLUSIONS: More than 50% of the sample were aggressive cysts (dentigerous and keratocyst). Our results suggest that Mexican patients develop aggressive odontogenic cysts more commonly than other populations. Our figures point to the need for a precise diagnosis in order to institute the correct surgical procedure, prevent recurrence, and forestall more extensive tissue destruction.

Gingival salivary gland choristoma. A case report.

Gingival salivary gland choristoma is an extremely rare disturbance of glandular development. A review of the literature disclosed only 5 reported cases of this entity and 7 gingival salivary gland tumors or alterations. We present a case of this condition present in a 43-year-old female patient, which was found while reviewing casts for the design of a prosthetic appliance. This case suggests that embryonal pluripotentiality of gingival epithelial cells is retained and that development of salivary glands in gingival tissue is feasible. An additional discussion about its histogenesis is presented.

Effects of maternal ethanol intake on second alcoholic generation murine skull and mandibular size.

BACKGROUND: Fetal Alcohol Syndrome (FAS) represents an important array of abnormalities in the development of offspring born of alcoholic mothers. This investigation used a murine Balb/cJ model to investigate the effects of maternal ethanol intake on craniomandibular and long bone development. METHODS: Experimental 8-week-old female mice (daughters of alcoholic female mice) drank an ethanol solution increasing from 1-20%, and 6 weeks later were mated with non-alcoholic males. The control group consisted of normal Balb/cJ male and female mice that drank water without ethanol. Alcohol intake was suspended at delivery, and 90 puppies (second alcoholic generation) were sacrificed at 14.5, 21.5 and 28.5 postnatal days. Measurements of craniofacial structures and long bones were done blindly by means of a standardized method. RESULTS: Our results indicate that maternal ethanol intake had a significant deleterious effect on craniofacial development, since litters from alcoholic mothers had smaller dimensions compared with non-alcoholic control puppies. No statistically significant results were obtained from long bone measurements. CONCLUSIONS: Even though the mechanism that accounts for these changes is not fully explained by our results, we hypothesize that the reduction of cephalometric dimensions found in this study could be a manifestation of disorganized neural and mesenchymal development.

Cytotoxicity of Ketac Silver cement.

The aim of this experiment was to investigate the effect of a glass ionomer cement with silver particles (Ketac Silver) on pulp tissue. Class V cavities were prepared in 60 healthy teeth scheduled for extraction for orthodontic reasons. A base of Dycal was placed in each cavity. Thirty teeth were filled with Ketac Silver and 30 with ZOE. Ten teeth of each group were extracted 15, 30, and 60 days later. At 15 days, the pulps in the Ketac group showed vacuolization and disruption of the odontoblastic layer, edema, vasodilation, chronic inflammatory infiltrate (CII), and necrosis. At 30 days, a necrotic odontoblastic layer, severe CII, and extensive areas of necrosis were seen. At 60 days, pulp tissue was almost completely necrotic. The ZOE control group showed a slight CII at 15 days. Our results suggest that under these experimental conditions, this cement is highly toxic and induces irreversible pulpal damage.

Odontogenic tumors in Mexico: a collaborative retrospective study of 349 cases.

Reports about the frequency of odontogenic tumors are scarce, and diagnostic criteria used in the reports are not uniform. This article presents the results of a retrospective study of odontogenic tumors recorded in four services of diagnostic pathology in Mexico City (two dental schools, one cancer hospital, and one private oral pathology service). The final diagnosis in each case was based on the 1992 histologic criteria of the World Health Organization. The frequency of odontogenic tumors, expressed as a percent of all oral and maxillofacial specimens, ranged from 0.8% in the cancer hospital (0.02% of all biopsies) to 3.7% in the private oral pathology service. The frequency was identical for the two dental schools (2.5%). We found a total of 349 odontogenic tumors; of these, 345 were benign (98.8%), and 4 (1.1%) were malignant (3 were primary intraosseous carcinomas and 1 was a malignant ameloblastoma). The most frequently occurring tumors were odontoma (34.6%), ameloblastoma (23.7%), myxoma (17.7%), adenomatoid odontogenic tumor (7.1%), and calcifying odontogenic cyst (6.8%). Although relatively rare, odontogenic tumors are still an important cause of extensive surgical procedures in Mexico.

Gingival compound odontoma.

Peripheral odontomas arising in gingival tissue are very rare; only three have been reported to date. The case of a peripheral odontoma arising in the gingiva of a 3-year-old girl is presented.

[The prevalence of caries in marginal rural and peripheral urban areas]. / Prevalencia de caries en zonas rurales y peri-urbanas marginadas.

A descriptive study of caries prevalence in peripheral urban and rural underprivileged groups was undertaken in self-selected populations demanding basic dental therapy in seven states of Mexico. Dental therapy services were delivered as part of a mobile oral health care program in the Mexican countryside implemented by the Dental School of Universidad Nacional Autónoma de México, during 1990 and 1991. Partial examination of clinical histories of 2,596 patients (mean age 21.8 years) revealed a mean DMFT (the sum of decayed, missing and filled teeth) of 9.21. Only 6.3 per cent of patients had DMFT = 0 and 10.7 per cent were caries-free. The largest component of DMFT were decayed teeth and the smallest one filled teeth. In general, results suggested that caries prevalence was high within the study populations, highlighting the little restorative treatment previously undertaken. The convenience of implementing oral health care schemes to deal with caries morbidity is discussed from the perspective of both the traditional dental treatment approach and preventive public health policies, taking into account the background of complex treatment needs present in these population groups.

[Odontogenic myxoma: review of the literature and presentation of two cases]. / Mixoma odontogénico: revisión de la literatura y presentación de dos casos.

Two cases of Fibromyxoma with an exophytic appearance, both located in the upper maxilla, with full clinical and histological characteristics, are reported, followed by a bibliographical review on myxomas, with an emphasis on Odontogenic Myxoma.

[Importance of hairy leukoplakia and AIDS to the dentist. (Review of the literature)]. / Importancia de la leucoplasia vellosa y el SIDA para el cirujano dentista. (Revisión de la literatura).

AIDS is currently one of the most important and concerning diseases for dentists, both general and specialized. This review of the literature makes emphasis on the main biological, epidemiological, diagnostic and prognostic aspects of oral hairy leucoplakia which every dental care professionist should know, as well as the importance of those conditions in the evolutionary course of this disease.