Literatura académica sobre el tema "PALATAL SHAPE"

Introduction: More detailed acquaintance with specialist endodontic literature and treating complicated endodontic cases have revealed that the palatal root canal in maxillary first molars has different features from generally accepted simplicity. Aim: The aim of this study was to investigate the number, orientation and shape of the curvature of the palatal root canal in maxillary first molars, characteristics that may have great influence on the procedure and outcome of endodontic therapy. Materials and methods: Material consisted of 100 left and 100 right extracted human first maxillary molars. Extended access cavity was prepared, and canal orifices were detected using an endodontic probe. K-flex file no 15 or 20 was then introduced into the palatal root canal until the tip appeared at the apical foramen. The tooth was radiographed from buccal-oral (clinical) and mesial-distal (proximal) aspect under standardized conditions. On magnified images, the number and character of canal, orientation and shape of the curvature were determined. Results: One palatal root canal was found in each of 200 teeth. From the clinical projection, 60% of the palatal canals appeared curved and from the proximal 93.5% (p<0.05). Out of 120 curved canals from the clinical aspect, 66.7% were oriented distally and 33.3% mesially. From the proximal projection, of 187 curved canals 68,4% were oriented buccally, and 31,6% palatally. From the clinical projection, 49.2% were C-shaped, and 32.5 % with the J-shaped curvature. Only 18.3% of the palatal canals were with the S-shaped curvature (p<0.05). Conclusions: Upon presented results, practitioners may predict with high significance the character, orientation and curvature shape of the palatal root canal in maxillary first molars in the buccal-oral dimension which is not visible on clinical radiographs and, therefore, perform more successful endodontic treatment.

Abstract Objective: To analyze the size and shape of the hard tissue palate of Italian subjects with hypohidrotic ectodermal dysplasia (HED). Materials and Methods: The morphology and the dimensions of the hard tissue palate were analyzed in eight 6-year-old boys affected by HED. Four of the boys were completely edentulous and four partially dentate. Palatal landmarks were identified on stone casts and digitized with three-dimensional computerized electromagnetic instrumentation. Palatal length, slope, width, and maximum palatal height in both the sagittal and frontal planes were measured. From the coordinates of palatal landmarks, a mathematical equation of palatal shape was constructed, independent of size. HED palatal data were compared with reference data obtained from 12 healthy boys with a complete deciduous dentition. Results: Palatal length and height in both the sagittal and frontal planes were significantly reduced in HED as compared with control individuals. A less steep (not significant) palatal slope was found in HED than in reference subjects, whereas similar palatal width values were observed. All palatal measurements were larger in partially dentate than in edentulous patients. Both HED and edentulousness influenced palatal shape. The HED boys had a relatively lower palate than the reference boys. In the edentulous HED boys, the hard tissue palate was relatively lower than in partially dentate HED subjects. Conclusions: Palatal size and shape were significantly modified by the presence of hypohidrotic ectodermal dysplasia, and the major alterations were found in edentulous HED subjects.

In subjects with different types of cleft palate, palatal shape and symmetry were evaluated utilizing the moiré contourography technique. The sample consisted of 95 subjects with cleft palate and 68 controls. The differences between cleft and control subjects in the transverse and anteroposterior location of the highest point of the palate, palatal axis angle, and the palatal index were assessed by analysis of variance. Effects of cleft type, gender, developmental stage of the dentition, missing teeth, and eight skeletal and pharyngeal cephalometric variables on palatal shape and symmetry were assessed using multiple-regression analyses. In comparison with the noncleft individuals, the cleft palate subjects showed parallel but clearly more remarkable asymmetry in palatal shape and position of the first maxillary molars. The anteroposterior location of the deepest point in the palate was more posterior, and the palate was relatively shallower. The severity of the cleft type affected both the anteroposterior and transverse position of the highest point in palatal morphology.

Objective To derive a three-dimensional mathematical description of normal human hard tissue palatal size and shape. Methods The maxillary dental casts of 30 adolescents free from respiratory problems, who had a complete (28 teeth) permanent sound dentition with normal occlusion, were studied. The x, y, z coordinates of several standardized palatal and dental landmarks were obtained with a computerized three-dimensional digitizer. Palatal landmarks were used to derive a mathematical equation of palatal shape in the frontal and sagittal planes. Palatal width, length, frontal and sagittal heights, and sagittal slope, as well as dental arch transverse and anteroposterior dimensions, were computed. Results Neither the size nor the shape of the palate was significantly influenced by gender. Only the intercanine distance was larger (p < .025) in males than in females. Conclusions Data collected in the present investigation could represent a first database for the quantitative description of normal human palatal morphology in subjects with a complete permanent dentition.