Sexual dimorphism in mesiodistal dentin and enamel thickness

How teeth can be used to estimate sexual dimorphism? A scoping review

INTRODUCTION

Teeth are biological structures with a high degree of hardness, density, calcification, and capacity to adapt to extrinsic factors at physical, biological, and physiological levels. Subsequently, they resist for a longer period in deteriorating environmental conditions. With dental analysis, it is possible to acquire biographical data about a person. The aim of this scoping review was to identify publications using human teeth tissues to estimate sexual dimorphism.

METHODS

The scoping review was carried out in the following databases: Jstor, Scielo, Science Direct, PubMed, and Scopus, using ten search strategies in English and guaranteeing completeness and reproducibility of the phases stipulated in the PRISMA guide.

RESULTS

143 studies on sexual dimorphism based on dental tissue traits were included, of which 40.6% (n = 58) were done in Asia and 27.2% (n = 39) in America. 80% of the studies (equivalent to 114 articles) focused their observations and measurements on the dental crown; 4.2% in enamel, dentin, and pulp together; 3.5% in dental pulp; 2.1% in the entire tooth; 2.8% in enamel, root, and the enamel-cementum junction, and only 0.7% in dentin and pulp. In addition, 92.3% of the studies used metric methods, while only 4.9% and 2.8% used biochemical and non-metric method respectively.

CONCLUSION

For sexual dimorphism establishment, enamel has been the most analyzed dental tissue in permanent canines and molars mainly. Likewise, the most widely and accurately used methods for this purpose are the metrics, with the odontometry as the most implemented (intraoral or by using dental plaster models, digital scanning or software) with prediction percentages ranging from 51% to 95.9%. In contrast to biochemical methods, that can achieve the highest precision (up to 100%), the non-metric methods, to a less extent, reported prediction percentages of 58%.

The impact of different polishing systems on yttria-stabilized tetragonal zirconia polycrystalline crowns in relation to heat generation

OBJECTIVES

To investigate the heat generation on yttria-stabilized tetragonal zirconia polycrystalline (Y-TZP) crowns during polishing with coarse and fine polishing systems at various speeds.

MATERIALS AND METHODS

Two polishers (coarse and fine) at three polishing speeds were investigated. Two simulation models of the first mandibular molars were prepared for full coverage Y-TZP restorations with different reduction dimensions. Preheated water was pumped into the abutment chamber, to simulate the intrapulpal temperature and blood flow. Twelve Y-TZP crowns (3M™ Lava™ Esthetic) were milled for each prepared tooth abutment and each cusp (n = 10) was individually ground for 30 s and polished for 2 min. Thermocouple wire was secured to the intaglio surface of the crown and linked to a data logger for recording temperature changes. Selected scanning electron microscopy (SEM) images of the treated surfaces and polishers were analyzed. The data was statistically analyzed using Prism 9.

RESULTS

The highest temperature rise was observed in the 20,000 RPM polishing speed groups for both coarse and fine polishing, and higher than the threshold value of 5.5°C for pulp damage. The Kruskal-Wallis test, revealed statistically significant differences (p < .0001) in heat generation between low (10,000 RPM) and high (20,000 RPM) polishing speeds.

CONCLUSIONS

High-speed polishing at 20,000 RPM generated the most heat over the threshold of 5.5°C, which would threaten the dental pulp. The results suggest that a cautionary approach should be taken to high-speed intraoral polishing.

CLINICAL RELEVANCE

Dental clinicians should be aware of the choice of polishing systems and speeds to avoid pulp damage from intraoral polishing of Y-TZP restorations.

Evaluation of enamel thickness of mandibular incisors

OBJECTIVE

To measure enamel thickness at the proximal surfaces of the mandibular incisors, using micro-computed tomography (micro-CT) scans.

MATERIAL AND METHODS

Forty-one single-rooted mandibular incisors were selected and analyzed according to anatomical characteristics, to form three groups: Group 1 - central incisors (n = 18); Group 2 - right lateral incisors (n = 10); and Group 3 - left lateral incisors (n = 13). First, enamel thickness at the proximal contact areas of the mandibular incisors was measured. Second, the mesial and distal surfaces of the lateral incisors were compared. Finally, the relationship between the tooth width and the mean enamel thickness was determined. Each tooth was scanned with a micro-CT scanner, and the image was processed with SCANCO micro-CT onboard analysis software.

RESULTS

There were no statistically significant differences in mean enamel thickness between the mesial and distal surfaces for each lateral incisor, or between contralateral lateral incisors. In all surfaces analyzed, the upper zones had statistically significantly thinner enamel (0.52 ± 0.10 mm) when compared to the middle and lower zones (0.60 ± 0.08 mm and 0.59 ± 0.08 mm, respectively). There was no correlation (r =0.07) between enamel thickness of the mandibular incisor and the tooth width.

CONCLUSIONS

The enamel thickness of the mandibular incisors is similar on the mesial and distal surfaces, with the thinnest layer located at the upper zone.

Preparation of matrix-matched standards for the analysis of teeth via laser ablation-inductively coupled plasma-mass spectrometry

Mineralised tissue such as teeth can serve as a retrospective, chronological bioindicator of past exposure to toxic metals. Laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) can be used to determine the presence and spatial distribution of toxic metals in teeth, giving a record of when an exposure occurred. Concentrations of these metals are often determined by a one-point calibration against NIST glass using an equation that requires an internal standard factor that accounts for differences in ablation behaviour between the glass and the tooth. However, an ideal external calibration would contain multiple matrix-matched standards to obtain a calibration curve. Here, we investigated optimal procedures for preparing synthetic hydroxyapatite (HA) doped with elements of interest as a calibration material. The materials were examined for homogeneity of metal incorporation, matrix-matched ablation characteristics, linearity, and limits of detection. A homogenised and pelleted HA was the most suitable material, providing improved ablation characteristics over previous HA materials and NIST glass for the analysis of teeth. An ablation yield of 1.1 showed its suitability to analyse teeth, the metals were homogeneously incorporated, and it produced excellent linearity with limits of detection ranging from 0.1-2 μg kg^-1 for magnesium, aluminium, nickel, copper, zinc, cadmium, barium and lead. A juvenile incisor from a remote indigenous community in Australia and an adult molar from Sri Lanka were assessed for toxic metal exposure. The molar showed evidence of exposure to cadmium and lead. The synthetic HA material was straightforward to prepare, and will improve confidence in the analysis of teeth and other biomineralised material when assessing toxic metal exposure.

Hunter-Schreger Band configuration in human molars reveals more decussation in the lateral enamel of 'functional' cusps than 'guiding' cusps

OBJECTIVES

Enamel prism decussation, which manifests as Hunter-Schreger Bands (HSB), is considered a mechanism to mitigate crack propagation. During the chewing cycle, the 'functional' cusps that are involved in Phase II crushing and grinding experience more complex patterns of stress than do those that 'guide' the molars into occlusion (Phase I). This study examines HSB configuration in the lateral enamel of human molars to identify potential differences between these cusps as predicted from their functional distinctions.

DESIGN

Measurements were recorded from scanning electron micrographs of sections through the mesial cusps of unworn permanent molars. For each section, HSB packing density and the relative thickness of decussated enamel were quantified in the cuspal and middle segments of lateral enamel over the guiding and functional cusps.

RESULTS

No clear trend from first to third molars in HSB configuration was found in either jaw. In maxillary molars, the functional cusp displays higher HSB packing density in the cuspal and middle segments, and relatively thicker decussated enamel in the cuspal segment than does the guiding cusp. In mandibular molars, the functional cusp displays higher HSB packing density in the middle segment than does the guiding cusp, but no difference in relative thickness was found between them. Enamel of mandibular molars shows weaker decussation than maxillary molars.

CONCLUSIONS

The results suggest that guiding cusps are intrinsically more susceptible to crack propagation than functional cusps in human permanent molars. Structural factors such as enamel decussation should be considered when interpreting enamel chipping patterns in dietary contexts.

A Radio-Odontometric Analysis of Sexual Dimorphism in First Molars Using Cone-Beam Computed Tomography

OBJECTIVE

Different techniques for sex prediction are developed and used in the forensic medicine field. One of these methods is based on the teeth morphometry. The aim of the present study was to evaluate the degree of sex determination of the maxillary and mandibular first molar teeth in cone beam computed tomography images.

METHOD AND MATERIALS

This study was carried out on cone beam computed tomography images of 100 men and 100 women with a mean age of 21.28 ± 2.47 years. The roof, floor and height of pulp chamber, as well as marginal enamel thickness and dentin thickness at the height of contour, tooth width, and crown length were measured. Student t test and discriminant analysis were applied to assess the differences in the measured parameters between men and women.

RESULTS

According to the present study, the maxillary first molar was more dimorphic than the mandibular teeth. The accuracy of sex identification of mandibular and maxillary first molar tooth was 84% and 77%, respectively. The mesiodistal measured variables were more accurate in sexual differentiation than the buccolingual ones. For sex differentiation, the most dominant variables for maxillary and mandibular first molar teeth were crown height and dentin thickness, respectively.

CONCLUSIONS

The first molar tooth showed an acceptable level of sex determination accuracy based on the odontometric measurements.

Proximal enamel thickness of the permanent teeth: A systematic review and meta-analysis

INTRODUCTION

This systematic review aimed to identify, evaluate, and provide a synthesis of the available literature on the proximal enamel thickness (PET) of permanent teeth.

METHODS

The eligibility criteria were studies that assessed the PET of the permanent teeth. A search of studies in Medline (via PubMed), the Cochrane Library, Scopus, Web of Science, Embase, and Lilacs databases that measured PET was conducted until August 31, 2020. Two reviewers independently selected the studies, extracted the data, and assessed the risk of bias for systematic reviews involving cross-sectional studies. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations approach. PET data generated from the systematic review were summarized by random-effects inverse-generic meta-analysis.

RESULTS

From 1388 potentially eligible studies, 11 were considered for systematic review and meta-analysis. The measurement of PET was done with radiographs, microscopes, microtomographs, or profilometers. In total, 4019 mesial and distal surfaces involving 2118 teeth were assessed. All included studies showed low to moderate risk of bias, whereas GRADE revealed that the level of evidence was low. Greater mesial and distal enamel thickness was observed for the premolars and molars, whereas it was least for the mandibular central incisors. The least difference of 0.02 mm (95% confidence interval [CI], -0.07 to 0.11 and -0.06 to 0.09, respectively) between mesial and distal sides was observed for the maxillary and mandibular second molars, whereas the maximum difference of 0.12 mm (95% CI, 0.07-0.17 and 0.07-0.16, respectively) was observed for the maxillary central incisors and maxillary first premolars. The meta-analysis indicated a moderate level of heterogeneity (I² of 45%). The funnel plot revealed minimal publication bias.

CONCLUSIONS

The summary effect of the meta-analysis revealed that the thickness of the enamel on the distal aspect was greater than on the mesial aspect by an average of 0.10 mm (95% CI, 0.09-0.12). This finding would be of relevance to all disciplines of dentistry and especially for the clinician planning interproximal reduction, a procedure that is routinely done for clear aligner therapy.

Dimorphism in dental tissues: Sex differences in archaeological individuals for multiple tooth types

OBJECTIVES

Dimorphism in the dentition has been observed in human populations worldwide. However, research has largely focused on traditional linear crown measurements. As imaging systems, such as micro-computed tomography (micro-CT), become increasingly more accessible, new dental measurements such as dental tissue size and proportions can be obtained. This research investigates the variation of dental tissues and proportions by sex in archaeological samples.

MATERIALS AND METHODS

Upper and lower first incisor to second premolar tooth rows were obtained from 30 individuals (n = 300), from 3 archaeological samples. The teeth were micro-CT scanned and surface area and volumetric measurements were obtained from the surface meshes extracted. Dental wear was also recorded and differences between sexes determined.

RESULTS

Enamel and crown measurements were found to be larger in females. Conversely, dentine and root measurements were larger in males.

DISCUSSION

The findings support the potential use of dental tissues to estimate sex of individuals from archaeological samples, while also indicating that individuals aged using current dental aging methods may be underaged or overaged due to sex differences in enamel thickness.

Sex estimation by tooth dimension in a contemporary Spanish population

AIM

Sex determination is a fundamental step in the biologic profile reconstruction of unknown individuals. Teeth are frequently recovered intact, even in case of natural or mass disasters, fires, crashes or accidents. Therefore, they are very valuable in sex determination in a forensic and anthropological context. The objective of this study is to identify a method for sex determination using the mesio-distal widths of permanent teeth, in a contemporary Spanish sample.

METHOD

The mesio-distal dimensions of permanent teeth were obtained from study casts derived from patients seeking treatment at the orthodontic clinic of the Universidad Europea de Valencia. A total of 210 patients were included in the study group after applying the inclusion and exclusion criteria. The mean age of the subjects was 14.48±2.78 in males and 14.71±2.69 in females. A Principal Component Analysis (PCA) was performed from the logarithm of the dental widths. Then, a Logistic Regression Model (LRM) was used to assess the statistical significance of the relations among the components and the sex of an individual.

RESULTS

Based on the indicators Average Tooth Dimension (ADT), Canines to the Rest of the dentition Ratio (CRR) and Lower to Upper Canine Ratio (LUCR) a predictive equation was obtained in order to determine the sex of an unknown individual. The global accuracy of the method was 76.2%. If a simpler model is used based only on the LUCR indicator the accuracy reached would be of 65.7%. The global accuracy of the method in a validation group proved to be 70%.

CONCLUSIONS

The use of tooth dimension can be a considered a valuable complementary tool to use in sex determination in a Spanish contemporary population.

Sexual dimorphism of the enamel and dentine dimensions of the permanent canines of the Middle Pleistocene hominins from Sima de los Huesos (Burgos, Spain)

Sexual dimorphism is an important component of the total variation seen in populations and plays a key role in taxonomic debates. In this study, microtomographic (microcomputed tomography) techniques were applied to a sample of hominin teeth from the Sima de los Huesos site (Spain). Dental tissue proportions of the permanent canines were assessed to characterize the pattern and degree of sexual dimorphism within this population. In addition, the possible similarities and differences with the Homo neanderthalensis remains from Krapina (Croatia) and with a recent modern human sample were evaluated. A combination of classical statistical approaches with more novel techniques allowed us not only to ratify the sex allocation of the individuals previously assigned in the literature but also to estimate the sex of the youngest individuals, which were not assessed in previous studies. Likewise, the sexes of certain extensively worn canines and isolated pieces were estimated. As a result, the sex ratio observed in our dental sample from the Sima de los Huesos population is 5:9 (N_m:N_f). In general terms, both Sima de los Huesos and Krapina dental samples have a degree of sexual dimorphism in their permanent canine tissue proportions that does not surpass that of modern humans. The marked dimorphic root volume of Sima de los Huesos mandibular canines is the exception, which surpasses the modern human mean, although it falls within the 95% confidence interval. Therefore, our results do not support that dental tissue proportions of the European Middle Pleistocene populations were more dimorphic than in modern humans. However, the differences in canine tissue proportions are great enough to allow sex estimation with a high degree of confidence.

Depth-Dependent Cellular Response from Dental Bulk-Fill Resins in Human Dental Pulp Stem Cells

The proper choice of dental composite resins is necessary based on the minimal cytotoxicity and antiodontogenesis on human dental pulp stem cells for dental pulp-dentin tissue repair and regeneration. The aim of this study was to evaluate the cytotoxicity and antidifferentiation effects of dental bulk-fill resins, able to be polymerized as a bulk status for filling deep cavity of a tooth by single light curing, against human dental pulp stem cells (hDPSCs) from three compartments corresponding to depth (0-2, 2-4, and 4-6 mm) from the light-curing site. Three bulk-fill composite resins (SDR, Venus bulk-fill (VBF), and Beautifil Bulk Flowable (BBF)) and a conventional flowable composite resin (Filtek Z350 XT flowable restorative (ZFF)) were individually filled into a cylindrical hole (h = 2 mm, Ф = 10 mm), and three compartments (total ~6 mm of height) were combined as a single assembly for light curing. The resin samples from the three layers were separated and eluted in the culture medium. The extracts were exposed to hDPSCs, and cytotoxicity and differentiation capability were evaluated. Depth of cure and surface hardness according to depth were determined. All bulk-fill resins except BBF revealed cytotoxicity from 4 to 6 or 2 to 4 mm, while ZFF was cytotoxic at over 2 mm. Depth of cure was detected from 3.55 to 4.02 mm in the bulk-fill resins (vs. ~2.25 mm in conventional resin), and 80% hardness compared with that of a fully polymerized top surface was determined from 4.2 to 6 mm in the bulk-fill resin (vs. 2.4 mm in conventional resin). Antidifferentiation was revealed at a depth of 4-6 mm in the bulk-fill resin. There was a difference in depth of cytotoxicity and antidifferentiation between the bulk-fill composite resins, which was mainly due to different cure depths and ingredients. Therefore, careful consideration of choice of bulk-fill resins is necessary especially for restoration of deep cavities for maintaining the viability and differentiation ability of dental pulp stem cells.

Sex determination using maxillary arch width of pediatric population of Namakkal district, India: A forensic study

Aim and Objectives:

The aim of the study is to compute a new formula for sex determination using maxillary arch width of a pediatric population of Namakkal district.

Materials and Methods:

The sample consisted of 146 females and 218 males of South Indian origin aged between 4 and 6 years. Alginate impressions of the upper and lower dental arch were made, and casts were poured immediately. A digital vernier caliper was used to obtain measurements. Arch width at canine, first molar and second molar for both maxilla and mandible were considered for measurement. Statistical analysis was performed using the Statistical Package for the Social Sciences Version 20.0 software.

Results:

The Student's t-test was used to find out the significance between male and female among the different predictor variables at P < 0.05. Significant sexual dimorphism was found in maxillary intercanine width and maxillary first and second intermolar width with conical discriminant function coefficient of 0.732, −0.177 and −0.244, respectively.

Conclusion:

The formula derived from the present study could be of great value in sex determination of pediatric populations of Namakkal district.

Palatoscopy and odontometrics for sex identification and hereditary pattern analysis in a Navi Mumbai population: A cross-sectional study

Background:

Identification of an individual is a challenging task in the field of forensic odontology. Sometimes, the identity of individuals by fingerprints is difficult; hence, the examination of palatal rugae and the human dentition is a viable option.

Aims and Objectives:

The objective of the present study was to determine the sex of an individual and the hereditary pattern using three parameters are as follows: palatine rugae, dimensions of maxillary molar and maxillary canine.

Materials and Methods:

A cross-sectional study involved a total of 200 participants which included 60 males, 60 females and 20 families with four members each. Maxillary impressions were made with elastomeric impression material, and dental stone was used to make the models. The parameters used were as follows: palatine rugae classified by Thomas and Kotze (1983), which included the shape, size, direction and unification pattern, mesiodistal (MD) width of canines and intercanine width and MD and buccolingual width of maxillary molars.

Statistical Analysis:

Unpaired t-test and the median test were used to assess the sex differences in the number and unification pattern for the palatal rugae and to compare dimensions measured for males and females for the odontometric data. The data collected was statistically analyzed using the Statistical Package for Social Sciences 17.0 statistical program for windows. The statistical significance was fixed at 0.05.

Results:

Males showed more number of converging rugae and females showed more number of diverging patterns of rugae. The number of primary and forward rugae was more in both the genders and females showed more wavy rugae while males showed more number of straight and curved rugae. The maxillary canine and maxillary molar dimensions both were more in males than the females and also none of these parameters showed a hereditary pattern.

Conclusion:

Rugae pattern and the human dentition are both highly individualistic and can be used for personal identification and sex determination.

Effects of core and veneer thicknesses on the color of CAD-CAM lithium disilicate ceramics

STATEMENT OF PROBLEM

The color of dental ceramics is important for achieving successful esthetic restorations. However, insufficient studies are available of the color of recently introduced computer-aided design-computer-aided manufacturing (CAD-CAM) lithium disilicate ceramics as functions of the core and veneer thicknesses.

PURPOSE

The purpose of this in vitro study was to evaluate the effects of the thickness of different core and veneer thicknesses on the color of CAD-CAM lithium disilicate ceramics.

MATERIAL AND METHODS

A total of 42 specimens from 2 groups of 7 ceramic cores at 3 thicknesses (0.8, 1.0, and 1.2 mm) were fabricated. The veneer was fabricated at 3 thicknesses (0.3, 0.5, and 0.7 mm). The group name was based on the name of the ceramic core (IPS e.max CAD; lithium disilicate [LD], IPS Empress CAD; leucite-reinforced glass-ceramic [LR]), and the associated number was determined by the combined thicknesses of the core and the veneer: 1=0.8+0.7; 2=1.0+0.5; and 3=1.2+0.3. The color coordinates and the color differences were calculated using a spectrophotometer. The color difference was analyzed using the CIEDE2000 chrominance and the acceptability threshold. Two-way ANOVA was used to identify the color difference based on the core/veneer thicknesses, and the Tukey honest significant differences and Games-Howell tests were conducted to verify the ΔE₀₀ differences of the group (α=.05). In addition, regression analysis was carried out to estimate the causal relationship between the independent variables and the chrominance.

RESULTS

At a certain thickness, the color differences of LD1, LR1, and LR2 were not clinically acceptable based on the thicknesses of the core and the veneer. Results of 2-way ANOVA demonstrated that the different thicknesses of core/veneer combination significantly affected the color difference (P<.05). A significant interaction was present between the thickness and the material (P<.05). The results of multiple regression analyses showed that the average color difference of LR increased by 0.019 as the thickness of the core decreased by 0.2 mm.

CONCLUSIONS

The color is influenced by the thicknesses of the core and the veneer. With a certain thickness, the color differences increased as the thickness of the core decreased, and lithium disilicate ceramics were less vulnerable to standard deviation of color difference compared with the leucite-reinforced ceramics.

Odontometric analysis of permanent maxillary first molar in gender determination

Aims:

This study was conducted to assess the sex determination potential from mesiodistal (MD) and buccolingual (BL) dimensions of permanent maxillary first molar.

Subjects and Methods:

The study was conducted in the Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital, Gulbarga, Karnataka, on 600 subjects (300 male and 300 female), aged 17–25 years. The subjects were selected based on the inclusion and exclusion criteria set forth for the study. After obtaining informed consent, the intraoral measurements of MD and BL dimensions on casts of the first maxillary molars were taken using digital vernier caliper with resolution of 0.01 mm.

Statistical Analysis Used:

The data obtained were subjected to statistical analysis using paired and unpaired t-test to compare MD and BL dimensions between males and females. P ≤0.05 was considered statistically significant.

Results:

The mean MD width of the first maxillary molar was 10.60 ± 0.6644 mm (right) and 10.60 ± 0.6644 mm (left) in males and 10.40 ± 0.6255 mm (right) and 10.40 ± 0.6255 mm (left) in females. The mean BL width of the first maxillary molar was 11.60 ± 1.2227 mm (right) and 11.60 ± 1.2227 mm (left) in males and 11.20 ± 0.8440 mm (right) and 11.20 ± 0.8440 mm (left) in females. The differences between males and females in MD and BL dimensions measured were statistically significant (P < 0.05). Right and left MD dimensions exhibited sexual dimorphism of 1.92% and right and left BL dimensions exhibited sexual dimorphism of 3.57%.

Conclusions:

The MD and BL dimensions of the maxillary first molars may be used as an aid in sex discrimination.

Sex assessment by molar odontometrics in North Indian population

INTRODUCTION

Human identification is based on scientific principles, mainly involving dental records, fingerprints, estimation of age, postmortem reports, differentiation by blood groups, and DNA comparisons. Sex assessment is one of the prime factors employed to assist with the identification of an individual.

AIMS AND OBJECTIVE

To investigate univariate sex differences in the dimensions of permanent first molars and to assess sex, based on buccolingual (BL) and mesiodistal (MD) dimensions of permanent first molars in a population of north India. In addition, the study intended to evaluate the reliability of dimensional variation of these teeth in assessment of sex among the population.

MATERIALS AND METHODS

The study sample consists of 410 adult individuals (200 males and 210 females), from a north Indian population. The BL and MD diameters of the permanent first molars were measured using digital vernier callipers.

RESULTS

It was observed statistically significant difference between males and females with P < 0.05, in maxillary casts in both BL and MD dimensions; but only in the MD dimension in mandibular casts. A high level of sexual dimorphism of 7.7% was found in the BL dimension of the maxillary right first molar. The accuracy of sex assessment by each dimension was deliberated by univariate analyses with an overall accuracy ranging from 67.5 to 88% for various dimensions.

CONCLUSION

Sexual dimorphism of teeth is population specific and among north Indian population, BL and MD dimensions in maxillary first molar and MD dimension in mandibular first molar can be used for sex assessment.

Volume measurement of crowns in mandibular primary central incisors by micro-computed tomography

OBJECTIVE

To determine sex differences in the tissue proportions of crowns of mandibular primary central incisors in Chinese children and to quantify the volume of crown components in three dimensions using micro-computed tomography (micro-CT).

MATERIALS AND METHODS

The specimens used in this study were 41 mandibular first deciduous incisor teeth with intact crowns (21 males and 20 females) obtained from patients between 5-6 years of age. Each specimen was scanned using micro-CT at a resolution of 0.05 mm and 3D-rendered images were created. The volume of each component of the crown was measured and examined for differences in different sex and ages.

RESULTS

The pulp chamber volume decreased with age and the volume ratio of the pulp chamber to the whole crown was significantly smaller in 6-year-olds than in 5-year-olds (p < 0.05).

CONCLUSIONS

Males had significantly larger tooth crown volumes and dentin volumes than females did (p < 0.001), while the volume of enamel showed no sexual dimorphism.

Crown dimensions and proximal enamel thickness of mandibular second bicuspids

To achieve proper recontouring of anterior and posterior teeth, to obtain optimal morphology during enamel stripping, it is important to be aware of dental anatomy. This study aimed at evaluating crown dimensions and proximal enamel thickness in a sample of 40 extracted sound, human, mandibular, second bicuspids (20 right and 20 left). Mesiodistal, cervico-occlusal and buccolingual crown dimensions were measured using a digital caliper, accurate to 0.01 mm. Teeth were embedded in acrylic resin and cut along their long axes through the proximal surfaces to obtain 0.7 mm-thick central sections. Enamel thickness on the cut sections was measured using a perfilometer. Comparative analyses were carried out using the Student's-t test (α= 5%). The mean mesiodistal crown widths for right and left teeth were 7.79 mm (± 0.47) and 7.70 mm (± 0.51), respectively. Mean cervico-occlusal heights ranged from 8.31 mm (± 0.75) on the right to 8.38 mm (± 0.85) on the left teeth. The mean values for the buccolingual dimension were 8.67 mm (± 0.70) on the right and 8.65 mm (± 0.54) on the left teeth. The mean enamel thickness on the mesial surfaces ranged from 1.35 mm (± 0.22) to 1.40 mm (± 0.17), on the left and right sides, respectively. On the distal surfaces, the corresponding values were 1.44 mm (± 0.21) and 1.46 mm (± 0.12). No significant differences were found between measurements for right and left teeth. However, enamel thickness was significantly greater on the distal surfaces, compared with the mesial surfaces.

Sexual dimorphism in the permanent maxillary first molar: a study of the Haryana population (India)

Sexual identification of immature skeletal remains is still a difficult problem to solve in Forensic Anthropology. The aim was to evaluate the existence of sexual dimorphism in maxillary first molars. The base sample comprised 200 subjects (100 males and 100 females) aged 17-25 years. The buccolingual (BL) and mesiodistal (MD) diameters of maxillary first molars were measured using digital vernier calipers both intraorally and on study casts. Data was analyzed using Independent sample t-test and paired t-test. Results showed statistically significant sexual dimorphisms in male and female odontometric features. The mean values of the parameters were greater on the left side than on the right side. Amongst the intraoral group, the right maxillary first molar was found to exhibit the greatest sexual dimorphism (5.34%) in terms of buccolingual dimension. Amongst the study cast group, the left maxillary first molar was found to exhibit the greatest sexual dimorphism (5.54%) in terms of buccolingual dimension. The buccolingual dimensions exhibited greater sexual dimorphism than mesiodistal dimensions.

CONCLUSION

sex determination from an incomplete skeleton or young children may be difficult and in such situations the odontometric features of the teeth can be of immense help in determining the sex.

Sexual dimorphism in permanent teeth of modern Greeks

Sex determination is considered an important step in reconstructing the biological profile of unknown individuals from a forensic context. Forensic anthropologists have long used teeth as an additional tool for sex determination as they resist postmortem destruction. In this case the use of population-specific data is necessary since sexual dimorphism varies between different populations. Currently there are no odontometric standards for determining sex in Greek populations. The purpose of this study is to examine the degree of sexual dimorphism in permanent teeth of modern Greeks. A total of 839 permanent teeth in 133 individuals (70 males and 63 females) from the Athens Collection were examined. Mesiodistal and buccolingual crown and cervical diameters of both maxillary and mandibular teeth were measured. It was found that males have bigger teeth than females and in 65 out of 88 dimensions measured, male teeth exceeded female teeth significantly (P<0.05). Canines were the most dimorphic teeth followed by first premolars, maxillary second premolar and mandibular second molar. Although other teeth were also sexually dimorphic they did not have a statistically significant difference in all dimensions. The most dimorphic dimension was buccolingual cervical diameter followed by buccolingual crown diameter. A comparison of sexual dimorphism in teeth between different populations showed that it differs among different groups. European population groups presented the highest degree of sexual dimorphism in teeth whereas Native South Americans the lowest.

Root length in the permanent teeth of women with an additional X chromosome (47,XXX females)

OBJECTIVE

Previous studies have demonstrated differential effects of the X and Y chromosomes on dental development. The expression of sexual dimorphism in terms of tooth size, shape, number and developmental timing has been explained especially by Y chromosome influence. The Y chromosome promotes enamel, crown and root dentin development. The X chromosome has an effect on enamel deposition. The aim of this research is to study the influence of the extra X chromosome on the development of permanent tooth root length.

MATERIAL AND METHODS

The study subjects (all of whom were from the Kvantti Dental Research Project) were seven 47,XXX females, five female relatives and 51 and 52 population control men and women, respectively. Measurements were made from panoramic radiographs on available permanent teeth by a digital calliper according to established procedures.

RESULTS

The results showed that the maxillary root lengths of the 47,XXX females were of the same magnitude as those in normal women, but the mandibular root lengths were longer in 47,XXX females than in normal men or women.

CONCLUSIONS

Increased enamel thickness in the teeth of 47,XXX females is apparently caused by the active enamel gene in all X chromosomes having no increased influence on crown dentin formation. These results in 47,XXX females indicate an increase in root dentin development, at least in the mandible, which together with the data on crown formation reflects a continuous long-lasting effect of the X chromosome on dental development.

Mesiodistal width and proximal enamel thickness of maxillary first bicuspids

This study aimed at evaluating measurements relative to the mesiodistal crown width and enamel thickness of maxillary first bicuspids. The sample consisted of 40 extracted sound bicuspids (20 right and 20 left), selected from white patients (mean age: 23.7 +/- 4.2 years), who were treated orthodontically with tooth extraction at a private clinic in São Paulo, SP, Brazil. All teeth were embedded in acrylic resin and cut along their long axis through the proximal surfaces, parallel to the buccal side, to obtain 0.6-mm central sections. The mesiodistal crown width and proximal enamel thickness were measured using a stereoscopic microscope connected to a computer. Measurements for right and left teeth, as well as the mesial and distal enamel thicknesses in the total sample, were compared by the Wilcoxon test (alpha = 0.05). The mesiodistal crown width mean values found were 7.51 mm (+/- 0.54) on the right side and 7.53 mm (+/- 0.35) on the left side. The mean enamel thickness on the distal surfaces for both sides was 1.29 mm (right: s.d. = 0.12 and left: s.d. = 0.18). The mean values for the mesial surfaces were 1.08 mm (+/- 0.14) and 1.19 mm (+/- 0.25), on the right and the left sides, respectively. No significant differences were found between the crown measurements and enamel thicknesses on the left and right sides. However, enamel thickness was significantly greater on the distal surfaces. Reliable measurements of enamel thickness are useful to guide stripping, which may be an attractive alternative to tooth extraction because it allows the transverse arch dimension to be maintained.

Predictors of variation in mandibular incisor enamel thickness

BACKGROUND

Interproximal reduction of mandibular incisor enamel often is performed as an adjunct to orthodontic alignment. The authors conducted a study to determine factors contributing to variations in incisor enamel thickness.

METHODS

The authors compared enamel thickness between mandibular central and lateral incisors, between mesial and distal surfaces, between male and female subjects (N=40 each) and between African-American and white subjects (N=40 each). The authors also evaluated correlations between overall tooth width and enamel thickness.

RESULTS

The authors found significantly greater enamel thickness in lateral incisors, on distal tooth surfaces and in black subjects (P<.0001 for each); they found no differences between male and female subjects. They found that wider teeth were associated with greater enamel thickness (P<.01) but that the amount of thickness varied greatly among subjects (range: 0.44-1.28 millimeters).

CONCLUSIONS

Thicker enamel was found on the distal aspect of lateral incisors, in black subjects and in wider teeth. The authors observed, however, that the variations in thickness are not fully explained by these factors alone.

CLINICAL IMPLICATIONS

If substantial enamel reduction is planned as part of dental treatment, the authors recommend that clinicians use calibrated radiographs to measure the thickness of their patients' enamel surfaces because of the extensive variation in enamel thickness among and within people.

Sexual dimorphism of the dental tissues in human permanent mandibular canines and third premolars

Methods of measuring tissue area from images of longitudinal thin tooth sections have been used to assess sexual dimorphism in the permanent dentition. The aim of this study was to demonstrate the extent of sexual dimorphism within the coronal tissue proportions of permanent mandibular canines and premolars, using area measurements of the enamel and dentine-pulp core. The sample consisted of embedded "half-tooth" sections from 45 individuals, all of known age-at-death and sex, collected from the St. Thomas' Anglican Church historic (1821-1874) cemetery site in Belleville, ON, Canada. The relative dentine-pulp area of the third premolars and canines displayed high levels of sexual dimorphism, as well as statistically significant mean differences between the sexes. The male canines and premolars have significantly more dentine than their female counterparts, as well as relatively more dentine with respect to overall crown size. The female canines and premolars have significantly more enamel relative to overall crown area than those of the males. These results suggest that relative area measures of crown tissues are more predictable measures of sexual dimorphism than absolute measures, and tissue proportions may remain constant despite intrasex variation in overall tooth crown size.

Modern human molar enamel thickness and enamel-dentine junction shape

This study examines cross-sections of molar crowns in a diverse modern human sample to quantify variation in enamel thickness and enamel-dentine junction (EDJ) shape. Histological sections were generated from molars sectioned buccolingually across mesial cusps. Enamel cap area, dentine area, EDJ length, and bi-cervical diameter were measured on micrographs using a digitizing tablet. Nine landmarks along the EDJ were defined, and X and Y coordinates were digitized in order to quantify EDJ shape. Upper molars show greater values for the components of enamel thickness, leading to significantly greater average enamel thickness than in lower molars. Average enamel thickness increased significantly from M1 to M3 in both molar rows, due to significantly increasing enamel cap area in upper molars, and decreasing dentine area in lower molars. Differences in EDJ shape were found among maxillary molars in combined and individual populations. Sex differences were also found; males showed significantly greater dentine area, EDJ length, and bi-cervical diameters in certain tooth types, which resulted in females having significantly thicker average enamel. Differences in enamel thickness and EDJ shape within molars were also found among populations, although few consistent trends were evident. This study demonstrates that enamel thickness and EDJ shape vary among molars, between sexes, and among populations; these factors must be considered in the categorization and comparison of ape and human molars, particularly when isolated teeth or fossil taxa are included. Human relative enamel thickness encompasses most values reported for fossil apes and humans, suggesting limited taxonomic value when considered alone.

Assessment of the accuracy of dental enamel thickness measurements using microfocal X-ray computed tomography

Tooth enamel thickness has long been an important character in studies of primate and especially hominin phylogeny, taxonomy, and adaptation. Current methods for accurately assessing enamel thickness involve the physical sectioning of teeth, because measurements of enamel thickness using some radiographic techniques are unreliable. However, because destructive methods limit sample sizes and access to important fossil specimens, it is desirable that they be replaced with nondestructive techniques. Although microfocal X-ray computed tomography (mCT) has been used recently in studies of enamel thickness, the accuracy of this technique has yet to be established. The present research compares physical sections to computer-generated mCT sections of teeth from a variety of primate and nonprimate, recent and fossil taxa to examine whether enamel thickness, tooth size, and diagenetic remineralization (fossilization) impact the ability of mCT to measure enamel thickness accurately. Results indicate that recent teeth of varying size and thickness are clearly and accurately depicted in mCT scans, with measurements from nearly identical planes in physical and mCT sections differing by 3-5%. A fossil papionin molar (ca. 2 Myr) was also accurately measured using mCT scans, although thinner enamel in much older therapsid (ca. 263-241 Myr) teeth could not be distinguished from dentine. mCT is thus an accurate technique for measuring enamel thickness in recent taxa, although heavily mineralized teeth pose an obstacle to the ability of mCT to distinguish dental tissues. Moreover, absolutely thin enamel (less than approximately 0.10 mm) is difficult to resolve adequately in raw mCT images based on pixel values alone. Therefore, caution must be exercised in the application of mCT to the study of fossilized teeth.

Sexual dimorphism in modern human permanent teeth

On average, males possess larger tooth crowns than females in contemporary human populations, although the degree of dimorphism varies within different populations. In previous studies, different amounts of either enamel or dentine were implicated as the cause of this dimorphism. In this study, we attempt to determine the nature of sexual dimorphism in the crowns of permanent modern human teeth and to determine if two contrasting tooth types (permanent third molars and canines) show identical patterns of dimorphism in enamel and dentine distribution. We estimated the relative contributions of both enamel and dentine to total crown size, from buccolingual sections of teeth. Our sample consisted of a total of 144 mandibular permanent third molars and 25 permanent mandibular canines of known sex. We show that sexual dimorphism is likely due, in part, to the presence of relatively more dentine in the crowns of male teeth. However, whatever the underlying cause, dimorphism in both tooth root and tooth crown size should produce measurable dimorphism in tooth weight, though this has not been previously explored. Therefore, we provide some preliminary data that indicate the usefulness of wet tooth weight as a measure of sexual dimorphism. Both male permanent third molars and canines are significantly heavier than those of females. The weight dimorphism reported here for both classes of teeth may prove a useful finding for future forensic studies. In particular, weights of canines may be more useful as a means of sexing modern human skeletal material than linear or area measurements of teeth.

Enamel thickness of deciduous and permanent molars in modern Homo sapiens

This study presents data on the enamel thickness of deciduous (dm2) and permanent (M1-M3) molars for a geographically diverse sample of modern humans. Measurements were recorded from sections through the mesial cusps of unworn teeth. Enamel is significantly thinner on deciduous than on permanent molars, and there is a distinct trend for enamel to increase in relative thickness from M1 to M3. The relatively thicker enamel of M2s and especially M3s can be related to the overall reduction in size of more distal molar crowns, which has been attained through a differential loss of the dentine component. Enamel tends to be thicker on the protocone than on the paracone, and thicker on the protoconid than on the metaconid, but its distribution is not wholly concordant with models that predict increased thickness as a means by which to counter heavier attritional loss on these "functional" cusps. Indeed, the thickness of enamel tends to be more variable on cusp tips and occlusal surfaces than over the lateral aspects of cusps. The proportionately thicker enamel over the lateral aspects of the protocone and protoconid more likely serves as a means to prolong functional crown life by preventing cusp fracture, rather than being an adaptation to increase the attritional longevity of wear facets. The present data suggest that the human dentition is not predisposed to develop a helicoidal wear plane through the disposition of molar enamel thickness.

Molar enamel thickness in the Chacma Baboon,Papio ursinus (kerr 1792)

Modern humans exhibit increasing relative enamel thickness from M1 to M3. Some biomechanical (basic lever) models predict that the more distal molars in humans encounter higher occlusal forces, and it has been postulated that this provides a functional explanation for the observed gradient in relative enamel thickness. However, constrained three-dimensional models and experimental observations suggest that there is a reduction in bite force potential from M1 to M3, which would be consistent with the tendency for humans to reduce the size of the distal molars. In this regard, it has been postulated that the distal increase in enamel thickness is a consequence of crown size reduction; thus, it is unnecessary to invoke functional scenarios to explain this phenomenon. We assess these competing proposals by examining relative enamel thickness in a catarrhine primate (Papio ursinus) that exhibits crown size increase from M1 to M3. The molar row of P. ursinus is positioned relatively far forward of the temporomandibular joint, which results in the baboon being able to exert relatively greater muscle forces during posterior biting in comparison to modern humans. Thus, a significant distalward gradient of increasing enamel thickness would be expected in P. ursinus according to the hypothesis that posits it to be functionally related to bite force. The present study reveals no significant difference in relative enamel thickness along the molar row in P. ursinus. This finding lends support to the notion that the relatively thicker enamel of human distal molars is related primarily to their reduction in size. This carries potential implications for the interpretation of enamel thickness in phylogenetic reconstructions: the relatively thick molar enamel shared by modern humans and some of our fossil relatives may not be strictly homologous, in that it may result from different underlying developmental mechanisms.

The influence of wisdom tooth impaction on root formation

The development of wisdom teeth occurs within a definite period of time. The correlation of wisdom tooth development and chronological age has been frequently used for several purposes, e. g. the start of orthodontic treatment, estimates of age or, for legal and anthropological purposes. Wisdom teeth are frequently impacted in the bone. It has been argued that the impaction of wisdom teeth can cause a delay in root development. This thesis could have bearing on age estimations in teenagers and young adults and the timing of dental treatment. The aim of this study was to determine whether the impaction of wisdom teeth influences the velocity of root formation.

MATERIAL AND METHODS

The dental x-rays (orthopantomograms) of 1053 outpatients were evaluated (age: 14 to 24 years). The condition "impacted" or "not impacted" was registered for each wisdom tooth present. The impaction types were further classified. The data were then calculated using statistical tools.

RESULTS

The correlation between the developmental stages of wisdom teeth and the chronological age is high. However, neither any impaction type nor the whole group of retained wisdom teeth showed a statistically significant different course of root development compared to the root development of non-retained wisdom teeth.

DISCUSSION

This study provides evidence for the lack of bearing of wisdom teeth topography on the growth stages of the dental roots within definite time intervals, based on the evaluation of orthopantomograms only. Obviously, the variations of root formation in the selected chronological periods are greater than the variations attributable to possible periods of delay in root formation of retained wisdom teeth. These results could have some importance for the fields of dental anthropology and dentistry.

An evaluation of dental radiograph accuracy in the measurement of enamel thickness

Many studies have employed lateral radiographs to measure the thickness of tooth enamel in recent human and fossil hominid samples, but the accuracy of measurements obtained by this technique has not been assessed. In this study, 20 isolated human maxillary permanent molars were radiographed using the parallel film technique. The crowns were then sectioned longitudinally through the tips of the buccal cusps. Measurements of enamel cap area, and of linear enamel thickness in the occlusal basin and over the metacone apex, were made from the radiographs and corresponding sectioned surfaces. Comparisons of the two sets of values revealed that radiographs generally overestimated enamel thickness but there was considerable variability in the error by which measurements from radiographs either under- or overestimated the true value. Lateral radiographs may provide a rough visual impression of whether a tooth has thin or thick enamel but they do not generally provide for accurate measurement of enamel thickness. Quantitative data on enamel thickness from studies that have employed lateral radiographs should be viewed with circumspection.

Sex- and age-related differences in primary and secondary dentin formation

Clinical studies carried out on dentin thickness in adults, as well as experimental studies carried out on ovariectomized animals, indicate that odontoblast activity, like that of osteoblastic cells, differs in the two sexes. To examine the evidence for differences in odontoblast activity before puberty, we have measured dentin thickness and other crown dimensions from bitewing radiographs of the lower first molars in 240 children aged 4-16 years. The radiographs were obtained from pedodontic clinics throughout Israel. Only teeth without caries or fillings were used, and the study population had minimal attrition. The results showed that dentin thickness, measured on the roof of the pulp chamber, was significantly greater in boys than in girls at all ages, and that the differences increased during puberty. The differences remained highly significant even when standardized for crown size. They demonstrate that dimorphism in dentin thickness is present even in the earliest stages of odontogenesis and increase with puberty.

Tissue contributions to sex and race: differences in tooth crown size of deciduous molars

This study describes size of constituent deciduous tooth crown components (enamel, dentine, and pulp) to address the manner in which males characteristically have larger teeth than females, and the observation that teeth of American blacks are larger than those of American whites. Measurements were collected (n = 333 individuals) from bitewing radiographs using computer-aided image analysis. Tissue thicknesses (enamel, dentine, pulp) were measured at the crown's mesial and distal heights of contour. Deciduous mesiodistal molar crown length is composed of about 1/7 enamel, 1/3 dentine, and 1/2 pulp. Details differ by tooth type, but males typically have significantly larger dentine and pulp dimensions than females; there is no sexual dimorphism in marginal enamel thickness. Males scale isometrically with females for all variables tested here. Blacks significantly exceed whites in size of all tissues, but tissue types scale isometrically with blacks and whites with one exception: enamel thickness is disproportionately thick in blacks. While the absolute difference is small (5.56 mm of enamel in blacks summed over all four deciduous molar tooth types vs. 5.04 mm in whites), the statistical difference is considerable (P < 0.001). Aside from enamel, crown size in blacks is increased proportionately vis-à-vis whites. Principal components analysis confirmed these univariate relationships and emphasizes the statistical independence of crown component thicknesses, which is in keeping with the sequential growth and separate embryonic origins of the tissues contributing to a tooth crown. Results direct attention to the rates of enamel and dentine deposition (of which little is known), since the literature suggests that blacks (with larger crowns and thicker enamel) spend less time in tooth formation than whites.

Crown components of mandibular molar teeth in 45,X females (Turner syndrome)

This study was designed to determine the possible effect of one X-chromosome constitution on components of the human permanent and primary molar teeth. Enamel, dentine, pulp and crown dimensions were measured on radiographs of first and second permanent and second primary mandibular molars of 49 Finnish 45,X females (Turner syndrome), their 46 first-degree male and female relatives and 50 non-related males and females. In permanent first and second molars of the 45,X females, crown width and the dimensions of tooth components were less than those of normal females and males. Reduction in size affected first more than second molars, and in both teeth the enamel was relatively as well as absolutely thinner than in the controls. No differences were found in tooth components between normal relatives and unrelated controls. These data agree with previous studies which have demonstrated that the X chromosome promotes enamel apposition and that both X chromosomes in normal females are active in amelogenesis, while the Y chromosome influences both dentine and enamel growth. The relative reduction in "dentine" or the estimated mesiodistal width of the tooth germ in the 45,X females indicates that their tooth development is affected at an early stage of morphogenesis. Taken together with the results already reported for anterior teeth, the present results suggest that there is an inverse correlation between the duration of crown formation and the severity of size reduction.