Pattern of dental anomalies encountered in cleft patients shows subtle signs of genetic involvement. This study aimed to evaluate the prevalence and pattern of tooth agenesis and supernumerary teeth in Thai cleft population according to the cleft type. Data collected from patients with cleft lip and palate, who had been treated at Tawanchai Cleft Center, Khon Kaen University, Thailand, available during year 2012–2022, were investigated. Records from 194 patients with non-syndromic clefts met the inclusion criteria. Standard dental records, and at least either orthopantomogram (OPG) or cone beam computed tomography (CBCT), were examined. Statistical analysis was performed using chi-square and binominal test (p ≤ 0.05). Prevalence of tooth agenesis was higher (77.3%) than that of supernumerary teeth (5.7%) and was more common in bilateral cleft lip and palate (BCLP) (88.1%) than in unilateral cleft lip and palate (UCLP) (72.6%) (p = 0.017). The upper lateral incisor was more frequently affected (46.4%), followed by the upper second premolar. The number of missing teeth observed on the left side was significantly higher. Patients with left UCLP (ULCLP) had the highest prevalence of tooth agenesis. A total of 41 tooth agenesis code (TAC) patterns was found. The prevalence of supernumerary teeth was comparable with 6.6% of ULCLP, 5.1% of BCLP, and 4.5% of URCLP. Tooth-number anomalies were observed more often in the BCLP and were most likely to occur on the left side of the maxilla. Both types of anomalies could be featured in a small proportion of cleft patients. More than half of the patients with non-syndromic cleft lip and palate in this study, presented with tooth-number anomalies. Tooth agenesis was approximately 10-time more prevalent than supernumerary teeth. Tooth agenesis was likely to appear on the left-side of the maxilla regardless of the laterality of the cleft.
Purpose: The purpose of this in vivo study was to determine the effects of stress-induced depression and antidepressants on depressive-like behavior, microstructure, and histomorphology of the temporomandibular joint (TMJ) using rats.Methods: Experimentally induced depression in rats was created before being treated with two antidepressants; escitalopram (selective-serotonin-reuptake inhibitors) and atomoxetine (norepinephrine-reuptake inhibitors). Micro-computed tomography (Micro-CT) was performed to measure the change in bone volume and bone porosity of the condyle. Further histological evaluation of the condylar cartilage was performed.Results: Micro-CT scanning revealed a decrease in bone volume in the depression group. The bone porosity percentage significantly increased in both the escitalopram and atomoxetine groups compared with the control group and the depression group. Histopathological analysis showed increased thickness of cartilage layers in the depression group. In the atomoxetine group, there was a significant increase in the pre-hypertrophic and hypertrophic layer thickness and cell count, but a significant decrease in proteoglycans.Conclusion: The present study findings indicated the change in TMJ characteristics, especially on the superficial part of the condylar head in the depression group. Concerning the applicability of the different antidepressants, depression with the treatment of atomoxetine has the most disadvantages due to bone porosity and cartilaginous condyle changes.
Background: In addition to behavioral and biochemical abnormalities, a parafunction associated with temporomandibular joint disorders (TMDs) resulted in stress-induced depression in rats. Exploring how chronic stress influences molar wear in rodents provides insights into the understanding of depression, TMD, and oral health. This study aimed to conduct a three-dimensional (3D) analysis of first molar wear in an animal model of depression by comparing molar attrition and cusp variation between stressed male rats and control groups. Methods: After obtaining a validated model of depression in male rats, we obtained 3D scans of lower molars to analyze wear patterns. The 3D analysis was applied to quantify cusps’ volume and the difference in first molar cusp morphological structure. The data were then compared to identify significant morphological differences between groups side by side. Results: The analysis revealed the reduction of cusps’ volume in the depression groups. Rats exposed to depression exhibited significantly greater occlusal table wear than their control counterparts (p < 0.05). Conclusions: As dentistry moves towards greater digital imaging, understanding the impact of psychological factors on TMD becomes increasingly necessary. This study shows that stress-induced depression in rats can result in significant tooth wear, as investigated using a 3D dental scanner.
Background: In addition to behavioral and biochemical abnormalities, a parafunction associated with temporomandibular joint disorders (TMD) resulted in stress-induced depression in rats. By exploring how chronic stress influences molar-wear in rodents, providing insights into the understanding of depression, TMD, and oral health. This study aimed to conduct a three-dimensional (3D) analysis of first molar wear in an animal model of depression, by comparing molar attrition and cusp variation between stressed male rats and control groups. Methods: After a validated model of depression in male rats, we obtained 3D scans of lower molars to analyze wear patterns. The 3D analysis was applied to quantify cusps volume and the difference in first molar cusp morphological structure. The data were then compared to identify significant morphological differences between groups side-by-side. Results: The analysis revealed the reduction of cusps volume in the depression groups. Rats exposed to depression exhibited significantly greater occlusal table wear than their control counterparts (p < 0.05). Conclusions: As dentistry moves towards greater digital imaging, understanding the impact of psychological factors on TMD becomes increasingly necessary. This study demonstrates that chronic stress can lead to significant tooth wear, suggesting the occurrence of bruxism, leading to TMD cause by parafunction.
Background Pattern of dental anomalies encountered in cleft patients shows subtle signs of genetic involvement. This study aimed to evaluate the prevalence and pattern of tooth agenesis and supernumerary teeth in Thai cleft population according to the cleft type. Methods Data collected from patients with cleft lip and palate, who had been treated at Tawanchai Cleft Center, Khon Kaen University, Thailand, available during year 2012–2022, were investigated. Records from 194 patients with non-syndromic clefts met the inclusion criteria. Standard dental records, and at least either orthopantomogram (OPG) or cone beam computed tomography (CBCT), were examined. Statistical analysis was performed using chi-square and binominal test (p ≤ 0.05). Results Prevalence of tooth agenesis was higher (77.3%) than that of supernumerary teeth (5.7%) and was more common in bilateral cleft lip and palate (BCLP) (88.1%) than in unilateral cleft lip and palate (UCLP) (72.6%) (p = 0.017). The upper lateral incisor was more frequently affected (46.4%), followed by the upper second premolar. The number of missing teeth observed on the left side was significantly higher. Patients with left UCLP (ULCLP) had the highest prevalence of tooth agenesis. A total of 41 tooth agenesis code (TAC) patterns was found. The prevalence of supernumerary teeth was comparable with 6.6% of ULCLP, 5.1% of BCLP, and 4.5% of URCLP. Tooth-number anomalies were observed more often in the BCLP and were most likely to occur on the left side of the maxilla. Both types of anomalies could be featured in a small proportion of cleft patients. Conclusions More than half of the patients with non-syndromic cleft lip and palate in this study, presented with tooth-number anomalies. Tooth agenesis was approximately 10-time more prevalent than supernumerary teeth. Tooth agenesis was likely to appear on the left-side of the maxilla regardless of the laterality of the cleft.
About Me
Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand
Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand