Oral tooth
Searched over 200M research papers for "oral tooth"
Summary
10 papers analyzed
These studies suggest that maintaining a healthy natural dentition is crucial for oral function, aesthetics, and longevity, while preventive measures and treatments like MTA pulpotomy and root canal therapy can enhance oral health and quality of life.
Not a yes or no question
To use the Consensus Meter, try asking a simple yes or no question
Research summarized with Copilot
Beta20 papers analyzed
Understanding Oral Tooth Health: Key Insights from Recent Research
Dual Epithelial Origin of Vertebrate Oral Teeth
Recent studies have revealed that vertebrate oral teeth can originate from both ectodermal and endodermal tissues. This dual origin is evident in species like the axolotl, where oral teeth display developmental uniformities despite their different embryonic sources. The neural crest mesenchyme plays a dominant role in tooth initiation, suggesting that the odontogenic capacity of neural crest cells is crucial for tooth evolution, regardless of the epithelial origin.
Dentition and Oral Function
The relationship between dentition and oral function is well-documented. Adequate masticatory efficiency and ability are linked to having at least 20 teeth with nine to ten pairs of contacting units. Loss of anterior teeth significantly impairs aesthetics and satisfaction, while occlusal support and stability are generally maintained with three to four functional posterior units. Phonetics, tactile perception, and taste are less prioritized by patients compared to mastication and appearance.
Longevity of Teeth and Oral Implants
Healthy teeth can last a lifetime, with a survival rate of up to 99.5% over 50 years if surrounded by healthy periodontal tissues. Even periodontally or endodontically compromised teeth, when treated and maintained, show high survival rates. Oral implants, while effective, do not surpass the longevity of well-maintained natural teeth, with survival rates between 82% and 94% after ten years.
Impact of Tooth Loss on Oral Microbiota
Tooth loss significantly alters the oral microbiota. The presence of periodontopathogens decreases after complete tooth extraction, although the presence of Staphylococcus spp. and Streptococcus spp. remains unchanged. This reduction in harmful microorganisms highlights the importance of maintaining oral hygiene and managing periodontal diseases to preserve oral health.
Role of Oral Microbial Biofilms in Dental Caries
Dental caries are primarily caused by microbial biofilms, which are communities of microorganisms that adhere to tooth surfaces. The oral microbiome is unique to each individual, influenced by genetic and environmental factors. Effective management of dental caries involves early detection, risk assessment, and personalized preventive measures to maintain oral health.
Pulp Treatment for Extensive Decay in Primary Teeth
Pulp treatment techniques such as direct pulp capping, pulpotomy, and pulpectomy are essential for managing extensive decay in primary teeth. Mineral trioxide aggregate (MTA) is identified as the most effective medicament for pulpotomy, reducing both clinical and radiological failures. However, the choice of medicament for pulpectomy remains at the clinician's discretion due to inconclusive evidence on the superiority of one over another.
Bone Loss in the Oral Cavity
Bone loss in the oral cavity can result from periodontitis and residual ridge resorption. Periodontitis leads to the resorption of alveolar bone and loss of soft tissue attachment, potentially causing tooth mobility and abscesses. Residual ridge resorption occurs post-tooth extraction, affecting the stability of dentures and potentially causing pain due to nerve exposure.
Inflammatory Response of the Dentine-Pulp Complex
The dentine-pulp complex has robust defense mechanisms against bacterial invasion, primarily through odontoblasts that form a barrier and initiate immune responses. Inflammation plays a critical role in maintaining tissue homeostasis, but without intervention, deep carious lesions can lead to pulp necrosis and periradicular bone infection.
Age-Related Changes in Teeth
Aging affects teeth through wear of dental hard tissues, gingival recession, and changes in dentine and pulp. These changes can lead to root caries, dentine hypersensitivity, and reduced pulp chamber volume. Distinguishing between physiological and pathological changes is crucial for maintaining oral health in older adults.
Importance of Natural Dentition in Older Adults
Maintaining natural teeth in older adults is vital for masticatory performance, nutrition, and social interaction. Tooth loss can lead to malnutrition and social withdrawal, while the presence of natural teeth is associated with higher life expectancy. Therefore, preserving natural dentition is beneficial from structural, functional, and psycho-social perspectives.
Conclusion
The research underscores the importance of maintaining oral health through proper dental care, early intervention, and personalized treatment strategies. Understanding the origins, functions, and longevity of teeth, as well as the impact of tooth loss and microbial biofilms, is crucial for improving oral health outcomes across all age groups.
Sources and full results
Most relevant research papers on this topic
