Leiomyoma with Uncommon Localization-Incisive Papilla and Palatal Fibromucosa: A Case Report.

The current paper presents a case of a 33-year-old female with an uncommon localization of a leiomyoma in the oral cavity-the anterior palatal fibromucosa and the incisive papilla. The patient referred to the Oro-Maxillo-Facial Surgery Clinic of Emergency City Hospital Timisoara, Romania, complaining of a slight discomfort in the act of mastication and the occurrence and persistence of a diastema between the upper central incisors, due to the presence of a nodule located in the anterior palatal mucosa, between the upper central incisors, without any changes of the subjacent bone structure in the anterior hard palate visible on a cone beam computed tomography image (CBCT). The lesion was removed using a surgical excisional biopsy and a histopathological examination was performed using morphological Hematoxylin-Eosin (HE) staining and additional immunohistochemical (IHC) reactions, in order to confirm the diagnosis. On microscopic examination, bundles of spindle cells were found with eosinophilic cytoplasm and vesicular nuclei, with finely granular chromatin. The immunohistochemical reactions were positive for smooth muscle actin (SMA) and desmin and negative for vimentin. The treatment of choice for leiomyoma of the oral cavity is surgical excision with clear margins, followed by periodical clinical monitoring.

Immunolocalization of vesicular glutamate transporter 2 and exocytosis-related proteins in afferent nerve endings innervating taste buds in the rat incisive papilla.

The present study aimed to investigate the immunolocalization of vesicular glutamate transporter (VGLUT) 1 and 2, and proteins associated with exocytosis, i.e., core components of the soluble N-ethylmaleimide-sensitive factor attachment protein receptor complex (synaptosomal-associated protein of 25 kDa, syntaxin 1, and vesicle-associated membrane protein 2) and synaptotagmin-1 (Syt1), in incisive papillary taste buds of rats using double-indirect immunofluorescence. No VGLUT1 immunoreactivity was observed, whereas VGLUT2-immunoreactive punctate products were closely associated with guanine nucleotide-binding protein G(t) subunit α3-immmunoreactive cells in taste buds. VGLUT2 was immunolocalized in P2X3 purinoceptor-expressing afferent nerve endings. Synaptosomal-associated protein of 25 kDa, syntaxin 1, and vesicle-associated membrane protein 2 were immunolocalized in nerve endings containing VGLUT2-immunoreactive products as well as a few cells in taste buds. VGLUT2 was co-immunolocalized in some intragemmal nerve endings immunoreactive for Syt1, a calcium sensor implicated in vesicle membrane fusion. The present results suggest that afferent nerve endings innervating incisive taste buds release glutamate by exocytosis to modulate taste cell function.

Establishing the reliability of incisive papilla and palatal rugae patterns in individual identification.

Context: The study of palatal rugae forms an important basis of human identification, especially due to mass disasters where routinely used techniques may not be helpful. Aims: This study aimed at evaluating the palatal rugae and incisive papilla on the basis of shape. Settings and Design: The study was conducted in 280 individuals (males and females) among dental students of Dayananda Sagar College of Dental Sciences. Materials and Methods: The study included 280 students from Dayananda Sagar College and out-patients from the orthodontics department. Pictures of rugae and the incisive papilla were taken from individuals aged 10-36 using a camera, mirror, and lighting. Two investigators analysed the shape of the rugae and incisive papilla using classification systems by Thomas and Kotze, and Ortman and Tsao, respectively. Statistical Analysis Used: The data were statistically analysed using SPSS 20.0 software, and a significance level of P ≤ 0.05 was used. Results: The results suggested that rugae showing a wavy shape were the most common pattern in both the genders. Significant differences were observed in the curved rugae type between males and females. In incisive papillae evaluation, the pear shape was the most common, with the triangular shape being the least common. Conclusions: It can be concluded that evaluation of palatal rugae along with the incisive papilla can be an important tool for identification of an individual and for evaluating various ethnic populations.

Morphology and chemical characteristics of taste buds associated with P2X3-immunoreactive afferent nerve endings in the rat incisive papilla.

The present study investigated the cellular components and afferent innervations of taste buds in the rat incisive papilla by immunohistochemistry using confocal scanning laser microscopy. Taste buds containing guanine nucleotide-binding protein G(t), subunit α3 (GNAT3)-imunoreactive cells were densely distributed in the lateral wall of incisive papilla forming the opening of nasoincisor ducts. GNAT3-immunoreactive cells in the taste buds were slender in shape and the tips of apical processes gathered at one point at the surface of the epithelium. The number of taste buds was 56.8 ± 4.5 in the incisive papilla. The incisive taste buds also contained ectonucleoside triphosphate diphosphohydrolase 2-immunoreactive cells and synaptotagmin-1-immunoreactive cells in addition to GNAT3-immunoreactive cells. Furthermore, GNAT3-immunoreactive cells were immunoreactive to taste transduction molecules such as phospholipase C, ß2-subunit, and inositol 1,4,5-trisphosphate receptor, type 3. P2X3-immunoreactive subepithelial nerve fibers intruded into the taste buds and terminated with hederiform or calix-like nerve endings attached to GNAT3-immunoreactive cells and synaptosomal-associated protein, 25 kDa-immunoreactive cells. Some P2X3-immunoreactive endings were also weakly immunoreactive for P2X2. Furthermore, a retrograde tracing method using fast blue dye indicated that most of the P2X3-immunoreactive nerve endings originated from the geniculate ganglia (GG) of the facial nerve. These results suggest that incisive taste buds are morphologically and cellularly homologous to lingual taste buds and are innervated by P2X3-immunoreactive nerve endings derived from the GG. The incisive papilla may be the palatal taste papilla that transmits chemosensory information in the oral cavity to the GG via P2X3-immunoreactive afferent nerve endings.

Morphometrical, histological, and scanning electron microscopic investigations on the hard palate of Rahmani sheep (Ovis aries).

The present study investigated the hard palate of Rahmani sheep (Ovis aries). Samples from nine healthy adult male sheep were investigated using morphometrical, histological and scanning electron microscopic examination. Morphologically, the hard palate was elongated, narrow rostrally, and wide caudally. The incisive papilla was heart-shaped, flanked on both sides by a groove on which the nasopalatine duct opened. The palatine raphe was in the form of a groove that contained a ridge caudally. On both sides of the raphe, 13-15 pairs of palatine ridges were present and mainly occupying the narrow part. The wide part had a rough part that contains few ridges rostrally and a smooth part caudally. Histologically, the incisive papilla and palatine ridges were lined by a keratinized stratified squamous epithelium resting on a dense layer of lamina propria. The incisive papilla characterized by the presence of seromucoid salivary glands and hyaline cartilage fragments in the lamina propria. The salivary glands became abundant and well-developed in the wide part till the end of hard palate. All palatine salivary glands were Alcian blue-periodic acid-Schiff positive. By scanning electron microscopy, numerous gland openings were scattered on the surface of the palatine ridges. In conclusion, the hard palate of Rahmani sheep presented characteristic features, which may be related to the species differences, feeding behavior, and possible functional adaptations. This is the first study to report the presence of cartilaginous segments and salivary glands in the incisive papilla and provide detailed descriptions of the Rahmani sheep hard palate.

Anatomical, histological, and surface ultrastructural evaluation of the palatal mucosa of domestic rabbit (Oryctolagus cuniculus).

The present study investigated the morphology of the palate of rabbit (Oryctolagus cuniculus). Samples from 12 healthy adult rabbits were examined by gross observation, morphometry, scanning electron and light microscopy. The hard palate was elongated and narrowed rostrally. The incisive papilla appeared as a diamond-shaped prominence flanked on both sides by a groove on which a slit-like opening of the nasopalatine duct opened. The palatine raphe was in the form of a groove. On either side of the raphe, 14-16 palatine ridges were present. The direction of these ridges differed according to their position. An incomplete (short) palatine ridge was occasionally present at the caudal part of the hard palate. Several gland openings were scattered on the surface of the palatine ridges. The soft palate extended to about the middle of epiglottis caudally. Its ventral surface had numerous thin transverse mucosal folds separated by furrows, and several openings of glands. Histologically, the incisive papilla, palatine ridges, and soft palate were lined by a parakeratinized stratified squamous epithelium resting on a dense connective layer of lamina propria. The degree of keratinization and the thickness of the lamina propria decreased caudally. Seromucoid glands were present in the rostral and caudal parts of the hard palate, as well as in the soft palate. In conclusion, the palate of rabbit presented characteristic features suggesting functional adaptations for their herbivores diet. Studying the morphological characteristics of the hard and soft palate of rabbits will help veterinary practitioners to investigate pathology malformations and diseases of the oral cavity.

Determining the occlusal plane using hamular notch incisive papilla plane evaluator: An in vivo study.

AIMS: Identification and establishment of the occlusal plane in patients with impaired occlusal plane, presents a major hurdle for the execution of natural esthetics, speech, and function. The aim of this study was to minimize such errors while occlusal rehabilitation, and employ hamular notchincisive papilla (H.I.P) plane as landmark and scribe it on the cast using H. I. P evaluator and utilise for occlusal corrections. SETTINGS AND DESIGN: HIP plane being parallel to the occlusal plane could ease the operator when it could be scribed on cast to analyze and restore the compromised occlusal plane. MATERIALS AND METHODS: Dentulous casts of two hundred participants were mounted on the Hanau Wide-Vue articulator. Reference points were marked on the maxillary right central incisor and maxillary molars on casts for attaining different occlusal planes, the incisive papilla and hamular notch region were also marked for HIP plane. A plane parallel HIP was scribed on cast using HIP Evaluator. The casts were then scanned using a three-dimensional coordinate measuring machine attached to perception V5 laser scanner and measurements were made using Geomagic X design software. The most parallel occlusal plane to HIP plane was evaluated, and the reliability of HIP evaluator was verified. STATISTICAL ANALYSIS USED: ANOVA test, Post hoc-Bonferroni test, and independent sample "t"-test were carried out for the comparison between occlusal planes, among the genders and for the analysis of the angle of deviation of scribed plane on the cast to HIP plane on the right and left sides. RESULTS: Occlusal plane III (Mesio-labial incisal edge of upper right central incisor to Mesio-buccal cusp tips of upper second molars) showed least angle of deviation with 1.316° ± 1.158° to HIP plane among tested subjects. There is no significant difference between the genders. The plane scribed on the cast with H. I. P evaluator showed relative parallelism to H. I. P plane with minimum deviation of 0.010° ± 0.363°. CONCLUSION: Occlusal plane III is more parallel to H. I. P plane. Scribed plane on the cast using H. I. P evaluator is parallel to H. I. P plane. H. I. P evaluator can be used as an alternative tool to establish the occlusal plane to rehabilitate patient with deficient dentition or disordered occlusal plane.

Evaluation of esthetics of incisor position in relation to incisive papilla to replicate in the denture prosthesis.

BACKGROUND: The distance between the central incisor to incisive papilla (CI-IP) is constant and regarded as one of the landmarks for the placement of artificial teeth in the prosthesis. Earlier studies were done in relation to anterior border of papilla but after extraction the incisive papilla recedes changing the position of anterior border. MATERIALS AND METHODS: In this study, 100 dentulous subjects were divided into two groups (males and females) with 50 in each group. Maxillary alginate impressions were made and base poured using levelling instrument to standardize all casts and surveyed on the surveyor for uniformity of the casts. The measured distances were analyzed using Student t-test analysis. RESULTS: The ovoid arch was the commonest arch form found in both males and females with slightly more prevalent in females. Analysis was done using Student t-test analysis and found that the mean distance from CI-IP was found to be at 12.85 mm and 12.39 mm in males and females, respectively. CONCLUSION: When square arch form (both male and female) mean CI-IP was compared with the total sample mean CI-IP, the mean CI-IP of square arch form was less than that of total sample with greater significance (P < 0.05). When ovoid arch form (both male and female) mean CI-IP was compared with the square arch form (both male and female) mean CI-IP, the mean CI-IP of ovoid arch form was greater than that of square arch form with greatest significance (P = 0).

The incisive papilla as a guide to maxillary anterior teeth position for complete dentures.

CONTEXT: The incisive papilla as a guide for complete dentures. AIMS: To evaluate incisive papilla as a guide to maxillary anterior teeth position for complete dentures. SETTINGS AND DESIGN: To measure the linear distances from the incisive papilla to the maxillary central incisors in Odia population and compare it to other ethnic groups. SUBJECTS AND METHODS: The subjects were selected following inclusion & exclusion criteria. The impressions of maxillary & mandibular arches were taken and poured with die stone to produce the cast. The incisive papilla & incisors were marked on casts with a pencil. The photographs of casts were traced on an acetate tracing paper. The anterior-most points of maxillary incisors, anterior, middle & posterior-most points of incisive papillae were marked on the tracing as A, I1,M, I2 respectively. The A to M and A to I2 distances were measured, analysed and compared with Caucasians, Southern Chinese, and Dravidians. STATISTICAL ANALYSIS: Independent sample "t" test and Analysis of Variance followed by the post-hoc Bonferroni test were used. RESULTS: A sample of 100 subjects in the age group of 20 to 40 years with was selected. The A to M measurements of Odia population differed significantly from Caucasians but were similar to Southern Chinese population. The A to I2 measurements of Odia population differed significantly from Caucasians & Dravidians but were similar to Southern Chinese. CONCLUSION: The linear measurements from incisive papilla to maxillary incisors of the Odia population are similar to that of Southern Chinese but differ significantly from Caucasians and Dravidians.

Innervation of the Human Incisive Papilla: Comparison with Other Oral Regions.

Immunohistochemistry for several neurochemical substances was performed on the human incisive papilla and other oral structures. Sodium channel alpha subunit 7 (SCN7A) protein-immunoreactive (IR) Schwann cells and protein gene product 9.5 (PGP 9.5)-IR nerve fibers made nerve plexuses beneath the epithelium of the palate, including the incisive papilla, tongue, and lip. SCN7A immunoreactivity could also be detected in lamellated and nonlamellated capsules of corpuscle endings. Lamellated SCN7A-IR corpuscle endings were mostly restricted to the mucous and cutaneous lips. These endings had thick and spiral-shaped PGP 9.5-IR axons without ramification. Nonlamellated SCN7A-IR corpuscle endings were most numerous in the incisive papilla among the oral regions. On the basis of axonal morphology, the nonlamellated endings were divided into simple and complex types. PGP 9.5-IR terminal axons in the simple type ran straight or meandered with slight ramification, whereas those in the complex type were densely entangled with abundant ramification. Substance P (SP)-, calcitonin gene-related peptide (CGRP)-, and transient receptor potential cation channel subfamily V member 2 (TRPV2)-IR varicose fibers were rarely seen beneath the epithelium of oral structures. The present study indicates that the human incisive papilla has many low-threshold mechanoreceptors with nonlamellated capsules. SP-, CGRP-, and TRPV2-containing nociceptors may be infrequent in the incisive papilla and other oral regions.

An Innovative Method to Determine the Width of Maxillary Anterior Teeth with the Help of Measurements Obtained from the Master Cast.

AIM: Analyse the correlation between the measurements made from the landmarks on the cast and the width of the anterior teeth in dentulous study subjects and assessed whether a similar correlation exists in edentulous condition. MATERIALS AND METHODS: Measurements were made on the cast of dentulous and edentulous subjects. The measurements made were, from incisive papilla to the right hamular notch, from incisiv e papilla to left hamular notch and distance between two hamular notches. After measuring these distances, the predicted value was calculated by taking mean of these three distances. The actual value in both the groups was measured with a flexible ruler. The mean and standard deviation of both groups were calculated. Results were analyzed with correlation and regression analysis. RESULTS: The analysis showed that there was a positive correlation between actual and predicted values in both dentulous and edentulous group of study subjects (p-value <0.01). As the actual value increased in both the groups, the predicted value also increased. So the actual value can be derived with the help of predicted value which will be useful in selecting the proper tooth mold size of the maxillary teeth for edentulous patients. CONCLUSION: A positive correlation exists between the width of the maxillary teeth (actual value) and mean of the distance (predicted value) between the right hamular notch and incisive papilla, left hamular notch and incisive papilla and interhamular distance in dentate subjects. CLINICAL SIGNIFICANCE: The results obtained from the present study will be helpful for selecting the proper teeth mold size along with other teeth selection methods. Further studies are required to derive a more scientific and reliable method for anterior teeth selection.

Oral Subcutaneous Midline Leiomyomatous Hamartoma Presenting as Congenital Incisive Papilla Overgrowth in a Toddler.

Congenital soft-tissue tumors of oral cavity are mostly hyperplastic and benign in nature. This article presents an unusual case of congenital subcutaneous hamartoma of incisive papilla in a 2-year-old female child causing feeding and breathing difficulty. Total excisional biopsy was done under local anesthesia. Histopathology of tissue in reticulin-stained slide showed the presence of immature muscle fibers whereas Masson's trichrome stain revealed collagen fibers and smooth muscles confirming the diagnosis of oral midline subcutaneous smooth muscle (leiomyomatous) hamartoma of incisive papilla. It is important for dental professionals to be aware of this oral lesion present from birth mimicking overgrowth of incisive papilla, by its presentation, differential diagnosis, histopathology, and management.

Relationship of Incisive Papilla to Maxillary Incisors and Canines.

AIM: The study was carried to find a relationship between the postextraction stable landmark, the incisive papilla, and the most labial position of the maxillary central incisor teeth, which occurred in Nepalese population. MATERIALS AND METHODS: Casts of the subjects selected by nonprobability random sampling meeting the inclusion criteria were obtained. Each casts were standardized with respect to the occlusal plane and a photographic technique was used to measure the distance from the tangent of the labial surface of the central incisors to the posterior border of the incisive papilla. The measurements were made using Adobe Photoshop and results were analyzed by using appropriate statistical methods. Most appropriate software (SPSS) for the purpose was used to generate all desired values. RESULTS: The data obtained suggested that the distance from the labial surface of maxillary central incisors to the posterior border of the incisive papilla ranged from 9 to 15.9 mm with a mean of 11.59 mm (SD 1.3). Various other results were also found after evaluation of the arch forms in relation to sex and race. CONCLUSION: Within the limitations of the study, these results suggested that there is a relationship between the maxillary central incisors and the incisive papilla aiding in the anteroposterior positioning of the anterior tooth. The clinical relevance of the study lies in application of the incisive papilla as a starting point in the preliminary location of maxillary incisors and canines during construction of the denture in absence of preextraction records.

Correlation between the size of the incisive papilla and the distance from the incisive papilla to the maxillary anterior teeth.

BACKGROUND/PURPOSE: The incisive papilla remains relatively constant in position and is frequently used as an anatomic landmark for anterior teeth. Several attempts have been made to use the incisive papilla as guides to arrange maxillary anterior teeth for edentulous patients. The aim of the present study was to determine the relationship between maxillary anterior teeth and the incisive papilla, while comparing the findings with the classical estimate value. MATERIALS AND METHODS: Horizontal distances between the labial surface of the central incisors and the incisive papilla [the distance from the labial surface of the central incisors and the posterior border of the incisive papilla (CPIP), the distance from the labial surface of the central incisors and the anterior border of the incisive papilla (CAIP), and the distance from the labial surface of the central incisors and the center of the incisive papilla (CCIP)] and the size of the incisive papilla (SIP) were measured by a digital caliper on the stone casts formed for 103 dentate persons. The Pearson correlation coefficient was used to investigate and quantify the correlation, while simple linear regression analyses were conducted to determine the strength of the association between the variables (α = 0.05). RESULTS: Pearson correlation coefficients for SIP and the distance between the labial surface of the central incisors and the incisive papilla (CPIP, CAIP, and CCIP) were significant (P < 0.05). A simple linear regression analysis of the data was performed, which showed that SIP contributed significantly to the prediction of the distances between the labial surface of the central incisors and the incisive papilla (CPIP and CCIP; P < 0.05). CONCLUSION: Using regression methods within the population tested, it was determined that the distance between the labial surface of the central incisors and the incisive papilla could be predicted by the size of the incisive papilla.

First Description of a Palatal Organ in Chimaera monstrosa (Chondrichthyes, Holocephali).

Chimaeroid fishes are the only extant Holocephali, a subclass of Chondrichthyes. We describe for the first time a well evidenced structure localized in the palate of the chimaeroid Chimaera monstrosa, here named a palatal organ (PO). Attention has been paid to the holocephalan head morphology, but there has been no mention of this particular organ in the literature. The PO is a soft-tissue mass located within a slight hollow in between the two vomerine toothplates, and it protrudes into the oral cavity, resembling the mammalian incisive papilla. It is characterized by dense connective tissue with abundant collagen and elastic fibers and no muscular tissue. The robust innervation but low density of taste buds suggest a role in gustation for the PO, but primary utility in general mechanical sensitivity likely implicated in food sorting. The presence of numerous multicellular serous glands in the anterior/dorsal part of the PO is quite surprising because, in gnathostome fish, the presence of multicellular glands within the mouth has been reported in only the rare case of teeth-associated venom glands. Hypothesized roles for these glands could include food lubrication, digestion and defense against pathogens. In the literature, the presence of a PO has been demonstrated in many published images of chimaeroid fishes, but has gone unnoticed. This trait could represent a peculiar characteristic of all or a subset of holocephalans.

Influence of non-orthodontic intervention on digit sucking and consequent anterior open bite: a preliminary study.

OBJECTIVES: This study aimed to assess behavioural and occlusal outcomes of non-orthodontic intervention (NOI) in a sample of children, 4-12 years of age, in Australia, in order to establish clinical relevance. MATERIALS AND METHODS: Data from 91 patient records of 4- to 12-year-old children reporting a habit of digit sucking, from two clinics in north-eastern Australia, were de-identified and used. Each patient had been examined at two visits, separated by an interval of 4 months, using standard clinical procedures. RESULTS: Of the 77 children who received a 4-month NOI, 69 (89.6%) had ceased their digit sucking habit by the end of the NOI period [χ2=67.0, degrees of freedom (d.f.)=1, P<0.001]. Of the 72 subjects who had front teeth, the number with anterior open bite decreased from 37 (51.4%) to 12 (16.7%) upon completion of NOI (χ2=21.3, d.f.=1, P<0.001). Among the 32 patients with a measurable overjet, the mean overjet was found to decrease from 4.2±2.4 mm to 3.1±1.9 mm after implementation of NOI (t=5.8, d.f.=31, P<0.001). Children who received NOI were more likely to quit the digit sucking habit in the 4-month period (P<0.001, OR=51.8, 95% CI: 9.8-273.9) and were more likely to appear without anterior open bite at a 4-month recall (P<0.001, OR=30.0, 95% CI: 5.9-151.6). CONCLUSIONS: This study demonstrated clinical relevance of NOI on the cessation of a digit sucking habit, closure of anterior open bite and reduction of overjet. Further investigations are indicated.

Distribution of transient receptor potential melastatin-8-containing nerve fibers in rat oral and craniofacial structures.

The transient receptor potential melastatin-8 (TRPM8) is a cold and menthol receptor located in the sensory ganglia. Immunohistochemistry for TRPM8 was performed on oral and craniofacial structures of the rat. TRPM8-immunoreactive (-IR) nerve fibers were detected in the oral mucous membrane. In the gingiva, TRPM8-IR nerve fibers were abundant beneath and within crestal and outer epithelia. Such nerve fibers were also common beneath and within taste buds in the incisive papilla. In addition, TRPM8-immunoreactivity was expressed by some taste bud cells in the papilla. Lips, periodontal ligaments and salivary glands as well as masticatory muscles and temporomandibular joints were mostly devoid of TRPM8-IR nerve fibers. A double immunofluorescence study indicated different distribution patterns of nerve fibers containing TRPM8 and calcitonin gene-related peptide in oral and craniofacial tissues. Retrograde tracing method also indicated that TRPM8-IR nerve fibers in the gingiva and incisive papilla originate from small sensory neurons in the trigeminal ganglion. TRPM8 may be associated with cool, cold nociceptive (

Evaluation of the relation of maxillary canine and edge of central incisor to incisive papilla in Indian population with respect to arch form.

Finding the most suitable position for artificial anterior teeth in the absence of pre-extraction records presents a new challenge with every denture and has resulted in a variety of measurements. It encompasses the knowledge of anatomy and physiology of oral tissue. In this study, the relation between anatomical landmarks the tips of the maxillary canines, edge of central incisor and center of incisive papilla was evaluated and compared with respect to arch form in Indian population. Arch forms were accessed by their morphological description as square, tapering or ovoid arch. Measurements on the casts were recorded for incisive papilla and maxillary central incisor distance, by digital vernier caliper and photographic technique was used to record the relation between tips of the canine and the centre of the incisive papilla. The mean distance between edge of central incisor to center of incisive papilla for square arch, oval arch and tapered arch was found as 9.667, 9.991 and 10.912 mm respectively. When all the 300 casts were taken together, it indicated that 51.3 % of intercanine lines passed through the center, 18.1 % of inter canine lines passed posterior and 30.6 % of the intercanine lines passed anterior to the center of incisive papilla. χ(2) (Chi square) values concluded they differ significantly and significant number of intercanine lines crossed through the center of the incisive papilla irrespective of the arch form.

A comparative study to evaluate the vertical position of maxillary central incisor and canine in relation to incisive papilla line.

OBJECTIVES: The aim of the study was to determine the vertical distance of maxillary central incisor (CI) and maxillary canine (CA) from the incisive papilla (IP) line and their variation with age and sex. MATERIALS AND METHODS: A total of 120 dentulous subjects following the inclusion and exclusion criteria were randomly selected from the local population. On the basis of gender and age, subjects were divided into four groups: Ma, Mb, Fa and Fb . Maxillary impressions of selected subjects were made and corresponding casts were retrieved. The cast was positioned on the surveyor and the center of IP was transferred to the labial side of maxillary right CI and CA regions with the help of analyzing rod of the surveyor and a line was drawn in this region which was referred to as "IP line". The measurements were made from the IP line to the mesio-incisal line angle of right maxillary CI-IP and cusp tip of right maxillary CA with the help of digital vernier caliper (CA to IP). RESULT: The mean vertical distance of maxillary CI-IP ranged from 6.31 ± 0.74 mm to 7.04 ± 0.87 mm and the mean vertical distance of maxillary CA-IP ranged from 5.83 ± 0.80 mm to 6.30 ± 0.82 mm. CONCLUSION: The CA position in relation to the IP line is more stable to its position than the CI position irrespective of age and sex.

Analysis of Relative Parallelism Between Hamular-Incisive-Papilla Plane and Campers Plane in Edentulous Subjects: A Comparative Study.

The study was undertaken to evaluate the parallelism between hamular-incisive-papilla plane (HIP) and the Campers plane. And to determine which part of the posterior reference of the tragus i.e., the superior, middle or the inferior of the Camper's plane is parallel to HIP using digital lateral cephalograms. Fifty edentulous subjects with well formed ridges were selected for the study. The master casts were obtained using the standard selective pressure impression procedure. On the deepest point of the hamular notches and the centre of the incisive papilla stainless steel spherical bearings were glued to the cast at the marked points. The study templates were fabricated with autopolymerizing acrylic resin. The subjects were prepared for the lateral cephalograms. Stainless steel spherical bearings were adhered to the superior, middle, inferior points of the tragus of the ear and inferior border of the ala of the nose using surgical adhesive tape. The subjects with study templates were subjected to lateral cephalograms. Cephalometric tracings were done using Autocad 2010 software. Lines were drawn connecting the incisive papilla and hamular notch and the stainless steel spherical bearings placed on the superior, middle and inferior points on the tragus and the ala of the nose i.e., the Campers line S, Campers line M, Campers line I. The angles between the three Camper's line and the HIP were measured and recorded. Higher mean angulation was recorded in Campers line S -HIP (8.03) followed by Campers line M-HIP (4.60). Campers line I-HIP recorded the least angulation (3.80). The HIP is parallel to the Camper's plane. The Camper's plane formed with the posterior reference point as inferior point of the tragus is relatively parallel to the HIP.