Tuesday, March 26, 2013

Tooth Growth & Development


What's the difference between "baby" teeth and permanent teeth? At between six and ten months of age, most infants begin to get their "baby" teeth.
The Central Incisors (front middle teeth) usually come in first, and then teeth begin appearing on either side and work their way back to the second molars. By the time a child has reached three years old, most of the "baby" teeth should be present.
The process begins to repeat itself when the child is about seven years old. The Central Incisors fall out first and are replaced by permanent teeth. By the age
of 21, most people have all of their permanent teeth.

Diagram of First Teeth

"Baby" teeth are important because they hold the place for permanent teeth and help guide them into correct position. "Baby" teeth play an important role in the development of speech and chewing.



Next on this Topic 

Different types of teeth and what do they do

What are the parts of a tooth?


Tuesday, March 12, 2013

Hybrid human tooth grown in mouse


Hybrid human tooth grown in mouse


iol scitech march 12 hybrid tooth
REUTERS
This handout picture taken in 2010 shows a bioengineered tooth unit grown by researchers at Tokyo University of Science, using mouse stem cells.
London - Scientists have taken a step closer to growing human teeth from scratch using cells taken from a patient's mouth. They now envisage missing or diseased teeth could one day be replaced by freshly grown, living substitutes.
A “hybrid” tooth made from a mixture of human gum cells and mouse embryonic cells has been grown in laboratory mice to test a method that might in the future be adapted to become an alternative to dental implants.
Researchers believe growing bio-engineered teeth from a patient's own cells could revolutionise dentistry, which in recent years has focused on replacing damaged or missing teeth with porcelain crowns attached to metal implants inserted into the jaw.
“The idea is to identify cells you can put together and will grow into an immature tooth, which will develop into a mature tooth after it is inserted into the patient's mouth,” said Professor Paul Sharpe of King's College London. The “bio-tooth” produced by mixing human gum cells with embryonic mouse cells formed viable roots with good periodontal ligaments - the tissue fibres anchoring teeth to the jawbone, he added.
As well as anchoring teeth, the periodontal ligaments act as shock absorbers during chewing. Metal implants are fixed to the bone and do not have shock absorbers, which can damage the jawbone over time, he said. The study, published in the Journal of Dental Research, is the first demonstration of a tooth grown using human and mouse cells. - The Independent

Saturday, February 2, 2013

Dental facts





8 Amazing Dental facts your Dentist didn’t tell you


Dental health is quite intriguing. There are plenty of myths around that we blindly believe and follow. Dental health is a whole science in itself and there is a lot more to it than appears so. Here are some interesting facts that an average person does not know about dental health.
  • The commonly used practice of putting a cap on toothbrush is actually more detrimental. The moisture entrapped in the cap favors bacterial growth.
  • You are not supposed to brush within 6 feet of a toilet. The airborne particles from the flush can travel up to a distance of 6 feet.
  • 75% of the United States population suffers from some stage of periodontal gum disease.
  • People who tend to drink 3 or more glasses of soda/pop daily have 62% more tooth decay, fillings and tooth loss than others.
  • The first toothbrush with bristles was manufactured in China in 1498. Bristles from hogs, horses and badgers were used. The first commercial toothbrush was made in 1938.
  • Fluoridated toothpastes when ingested habitually by kids can lead to fluoride toxicity.
  • You are supposed to replace your toothbrush after you have an episode of flu, cold or other viral infections. Notorious microbes can implant themselves on the toothbrush bristles leading to re-infection.
  • New born babies do not have tooth decay bacteria. Often, the bacteria are transmitted from mother to baby when she kisses the child or blows in hot food/drink before feeding the baby.


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Tooth Development and Weaning in Chimpanzees Not as Closely Related as Once Thought

Jan. 28, 2013 — For more than two decades, scientists have relied on studies that linked juvenile primate tooth development with their weaning as a rough proxy for understanding similar developmental landmarks in the evolution of early humans. New research from Harvard, however, is challenging those conclusions by showing that tooth development and weaning aren't as closely related as previously thought.


Using a first-of-its-kind method, a team of researchers led by professors Tanya Smith and Richard Wrangham and Postdoctoral Fellow Zarin Machanda of Harvard's Department of Human Evolutionary Biology used high-resolution digital photographs of chimps in the wild to show that after the eruption of their first molar tooth, many juvenile chimps continue to nurse as much, if not more, than they had in the past. Their study is described in a January 28 paper in the Proceedings of the National Academy of Sciences.
"When these earlier studies were published about 20 years ago, they found a very tight relationship between the eruption of the first molar and certain developmental milestones, particularly weaning," Smith explained. "A number of researchers have tried to extrapolate that relationship to the human fossil record, but it now appears that our closest living relative doesn't fit that pattern. That suggests we should be more cautious if we want to infer what juvenile hominins were like."
Getting an inside view of chimpanzee childhood, however, is no easy task.
Most prior studies of tooth development in juvenile chimps relied on two methods of collecting data -- observing captive animals or studying skeletal remains of wild primates. Both, however, also came with challenges for researchers.
Studies have shown that captive chimps grow dramatically faster -- often reaching adult size by age 10 or 11, compared to 13 to 15 for wild chimps. That early development means the milestones researchers rely on as proxies for understanding early human species likely occur earlier than they normally would. Researchers studying skeletal remains of wild primates face a similar challenge. To properly understand those developmental landmarks, remains must be properly identified and aged, a notoriously difficult process for primates in dense tropical forests.
To solve those problems, Smith, Wrangham and Machanda developed a unique method for studying juvenile chimps in the wild. Researchers studying the Kanyawara chimpanzee community in Kibale National Park in Uganda teamed up with wildlife photographers who snapped photos of juvenile chimp's teeth whenever they opened their mouths. The detailed photos, some of which captured the same individuals over months, allowed researchers to track precisely when molars erupted, and to correlate that information with chimp's behavior more closely than ever before.
What the images revealed, Smith and Machanda said, came as a surprise.
Where earlier studies suggested that juvenile primates were weaned shortly after their first molar erupts, their study showed that, in addition to eating more solid food, chimps continued to "suckle as much, if not more, than they had before," Smith said. "They were showing adult-like feeding patterns while continuing to suckle, which was unexpected."
While questions of why juvenile chimps continue to nurse -- in some cases for months -- have yet to be answered, Machanda said those questions will likely be the subject of future studies.
"We're now working on a project that's focused on body size and growth, but we're also planning future studies that will look at their energetic condition so we can understand what they're trying to get from the mother by continuing to nurse," she said. "What's interesting, however, is that there can be conflict surrounding this where the juveniles are trying to get as much as possible from the mother and the mother is actually covering up her nipples and moving around. Sometimes they'll even throw these temper tantrums that look exactly like human babies."
"I think there are two bottom lines here," Smith said. "One, I think, is a cautionary tale. The findings in this paper are going to challenge us to find other proxies for weaning and the spacing between offspring, but the other aspect that's exciting is that we have some suggestion that we should start looking at how feeding behaviors develop in the wild.
"No one has looked at how infants become more adult-like, both in their food choice and in the time they spend feeding," she continued. "This actually appears to correlate fairly well with dental development, so, while this is a preliminary finding, we may have a new anatomical proxy for when juvenile primates begin eating like adults."

Tuesday, January 29, 2013


In some California counties, finding a dentist is like pulling teeth

Several areas in the state have dire shortages. In Alpine County there are no dentists, and Inyo County has one for 5,000 people, according to a report by the UCLA Center for Health Policy Research.

Have a toothache in Alpine County? Tough luck. There are no active dentists there, making it the most underserved dental population in California, according to a report released Thursday by the UCLA Center for Health Policy Research.

The 700-square-mile mountainous region is one of several counties with severe dentist shortages. San Benito and Inyo counties have less than one dentist per 5,000 people; Imperial and Colusa counties have less than one dentist per 4,000. Even some poorer parts of Los Angeles County are considered underserved, said Nadereh Pourat, director of research planning at the UCLA School of Public Health and the report's primary author.

"In some areas, particularly when they're rural, you're talking about having to travel a long way before you can find a dentist," Pourat said. "And if you don't have dental insurance, you have to pay out of pocket in order to find a dentist willing to accommodate you."

In Hollister -- located in San Benito County, where the UCLA data show only five working dentists serving nearly 58,000 residents -- Dr. Mark Stephens said he's been able to handle the demands on his practice, so far.

"If someone calls with a toothache, we try to see them the same day, but some offices don't see them for a week or two," Stephens said. "If I have to work through lunch or stay late, I will."

Stephens said he thought there were more than a handful of dentists still practicing locally, but added that in the last several months, his brother, who is also a dentist, sold his practice and another dentist died.

Like many dentists, Stephens does not accept Denti-Cal, the state's dental insurance for the poor. He said he knows of only one dentist in Hollister who does.

The shortage situation may worsen in some already-underserved areas because new dentists are not keeping pace with those retiring.

Because dentists often leave school with between $200,000 and $300,000 in loans, setting up practice in areas where patients rely on government-sponsored insurance that pays only 30 to 40 cents on the dollar can be hard, said Cathy Mudge, chief administrative officer of the California Dental Assn.

"They need to be able to repay that loan," she said.

To encourage new dentists to move to needy areas, Mudge said, the association's foundation offers a loan repayment program. In exchange for a three-year commitment in an underserved population, the foundation covers their loan payments during that time.

For Dr. James Forester, who works at La Clinica de Tolosa in Paso Robles, that equals about $35,000 a year in loan payback -- a hefty sum, particularly when he's working at a clinic that pays significantly less than what he could be making elsewhere.

"For me to be able to work in a population where people really need me is ideal," he said. "Who else would be here if I wasn't here? It's a great opportunity, but also a responsibility. These people are here. They need care too."

Friday, January 18, 2013

Begin With Patients In Mind

The life of a dental student is rather selfish, isn’t it?
Seriously, think about it. After countless hours of your day spent in classrooms and clinics, the remainder of your time is usually allocated to studying and lab work. With so much of your schedule and energy monopolized, the most important people in your life get the short end of the stick—a version of you that’s devoid of energy and propped-up just long enough to make an appearance. Home life suffers during an exam-heavy week as dirty laundry and dishes pile up. Plants and pets are lucky to survive a finals week! Though you may not realize it, your decision to pursue a dental degree obligated those around you to years of sacrifice and compromise toward your cause.
I’m a dental student…and it’s all about me!
Now, please don’t take this the wrong way. The nature of the “dental school” beast demands a level of selfishness. It’s a reality all dental students share, and my story was no exception. Like you, my success as a dental student was defined by my ability to improve and advance my skills. It was a system that legitimized self-mindedness, and even rewarded it. For a long time, the primary mission was simply to work on me. Then I entered the private practice world, and all the rules changed.
As associateship interviews approached, I began nailing down a few priority items I was looking for in a prospective practice. The list included a great staff, a boss interested in mentorship, a thriving business with ownership opportunity, and an overall compatibility with the practice philosophy and style. The criterion that rose to the top of my list, however, was “the patient experience”. Thinking about my own experiences as a patient, I wanted to work for an office that, without question, kept its patients as the primary focus.
During the course of interviews, I encountered practices that ran the gamut— a few were more staff-centered or money-centered, and some were, well, “my most recent vacation”-centered. I did find, however, a few offices that seemed to concentrate on the patient experience first and foremost. Fortunately, the opportunity to join one such office arose. In the whirlwind of my transition from residency to private practice, I almost overlooked the true significance of what I had discovered.
There’s only so much a manikin can teach about customer service.
I was beginning a new game, with new rules. In order to succeed in this new system, I would need a whole new mindset. Unlike the student experience, success would no longer be a function of things I did for me. Success, from this point forward, would depend on my ability to be patient-centered.A patient-centric practice philosophy positions the patient as a singular center, and then derives all aspects of the practice from that center. In other words, consideration for the wants and needs of the patient permeates every aspect of practice behavior. A patient-centric philosophy is a simple concept, but “simple” and “easy” are two completely different things. The challenge to “think like the patient” can be formidable for an emerging practitioner. The new dentist’s mind is already quite busy just trying to “think like a dentist”! Making that critical shift from a self-focused to a patient-focused mindset is not easy. However, I believe it is the most impactful way to squarely position yourself on a path to successful practice, and to get moving down that path. The sooner you overcome this mental hurdle, the better!


Part 2 will be POSTED later

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