Resorption or wasting of the tooth-supporting bone (ALVEOLAR PROCESS) in the MAXILLA or MANDIBLE.
The thickest and spongiest part of the maxilla and mandible hollowed out into deep cavities for the teeth.
Inflammation and loss of connective tissues supporting or surrounding the teeth. This may involve any part of the PERIODONTIUM. Periodontitis is currently classified by disease progression (CHRONIC PERIODONTITIS; AGGRESSIVE PERIODONTITIS) instead of age of onset. (From 1999 International Workshop for a Classification of Periodontal Diseases and Conditions, American Academy of Periodontology)
A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principle cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX.
The constricted part of the tooth at the junction of the crown and root or roots. It is often referred to as the cementoenamel junction (CEJ), the line at which the cementum covering the root of a tooth and the enamel of the tooth meet. (Jablonski, Dictionary of Dentistry, 1992, p530, p433)
One of a set of bone-like structures in the mouth used for biting and chewing.
Infections with bacteria of the family BACTEROIDACEAE.
Maxillary diseases refer to various medical conditions primarily affecting the maxilla (upper jaw) bone, including inflammatory processes, tumors, cysts, or traumatic injuries, which may cause symptoms such as pain, swelling, or functional impairment.
Bone loss due to osteoclastic activity.
'Gingival neoplasms' are abnormal, uncontrolled growths of tissue originating from the gingiva, which can be benign (non-cancerous) or malignant (cancerous), often manifesting as swellings, ulcerations, or masses within the oral cavity.
Pathological processes involving the PERIODONTIUM including the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT.
The continuous turnover of BONE MATRIX and mineral that involves first an increase in BONE RESORPTION (osteoclastic activity) and later, reactive BONE FORMATION (osteoblastic activity). The process of bone remodeling takes place in the adult skeleton at discrete foci. The process ensures the mechanical integrity of the skeleton throughout life and plays an important role in calcium HOMEOSTASIS. An imbalance in the regulation of bone remodeling's two contrasting events, bone resorption and bone formation, results in many of the metabolic bone diseases, such as OSTEOPOROSIS.
A species of gram-negative, anaerobic, rod-shaped bacteria originally classified within the BACTEROIDES genus. This bacterium produces a cell-bound, oxygen-sensitive collagenase and is isolated from the human mouth.
The structures surrounding and supporting the tooth. Periodontium includes the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT.
The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.
The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth.
The fibrous CONNECTIVE TISSUE surrounding the TOOTH ROOT, separating it from and attaching it to the alveolar bone (ALVEOLAR PROCESS).
Photographic techniques used in ORTHODONTICS; DENTAL ESTHETICS; and patient education.
Technique involving the passage of X-rays through oral structures to create a film record while a central tab or wing of dental X-ray film is being held between upper and lower teeth.
A hollow part of the alveolar process of the MAXILLA or MANDIBLE where each tooth fits and is attached via the periodontal ligament.
One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS.
An abnormal extension of a gingival sulcus accompanied by the apical migration of the epithelial attachment and bone resorption.
The emergence of a tooth from within its follicle in the ALVEOLAR PROCESS of the MAXILLA or MANDIBLE into the ORAL CAVITY. (Boucher's Clinical Dental Terminology, 4th ed)
Chronic inflammation and loss of PERIODONTIUM that is associated with the amount of DENTAL PLAQUE or DENTAL CALCULUS present. Chronic periodontitis occurs mostly in adults and was called adult periodontitis, but this disease can appear in young people.
Infections with bacteria of the genus ACTINOBACILLUS.
Inflammation of gum tissue (GINGIVA) without loss of connective tissue.
A species of Gram-negative, facultatively anaerobic spherical or rod-shaped bacteria indigenous to dental surfaces. It is associated with PERIODONTITIS; BACTERIAL ENDOCARDITIS; and ACTINOMYCOSIS.
The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690)
The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821)
Renewal or repair of lost bone tissue. It excludes BONY CALLUS formed after BONE FRACTURES but not yet replaced by hard bone.
Oral tissue surrounding and attached to TEETH.
The soft tissue filling the cavities of bones. Bone marrow exists in two types, yellow and red. Yellow marrow is found in the large cavities of large bones and consists mostly of fat cells and a few primitive blood cells. Red marrow is a hematopoietic tissue and is the site of production of erythrocytes and granular leukocytes. Bone marrow is made up of a framework of connective tissue containing branching fibers with the frame being filled with marrow cells.
Round, granular, mononuclear phagocytes found in the alveoli of the lungs. They ingest small inhaled particles resulting in degradation and presentation of the antigen to immunocompetent cells.
The growth and development of bones from fetus to adult. It includes two principal mechanisms of bone growth: growth in length of long bones at the epiphyseal cartilages and growth in thickness by depositing new bone (OSTEOGENESIS) with the actions of OSTEOBLASTS and OSTEOCLASTS.
Conservative contouring of the alveolar process, in preparation for immediate or future denture construction. (Dorland, 28th ed)
A transmembrane protein belonging to the tumor necrosis factor superfamily that specifically binds RECEPTOR ACTIVATOR OF NUCLEAR FACTOR-KAPPA B and OSTEOPROTEGERIN. It plays an important role in regulating OSTEOCLAST differentiation and activation.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The failure to retain teeth as a result of disease or injury.
Orthodontic techniques used to correct the malposition of a single tooth.
Tumors or cancer located in bone tissue or specific BONES.
Cells contained in the bone marrow including fat cells (see ADIPOCYTES); STROMAL CELLS; MEGAKARYOCYTES; and the immediate precursors of most blood cells.
The surgical removal of a tooth. (Dorland, 28th ed)
Diseases of BONES.
Metabolic bone diseases are a group of disorders that affect the bones' structure and strength, caused by disturbances in the normal metabolic processes involved in bone formation, resorption, or mineralization, including conditions like osteoporosis, osteomalacia, Paget's disease, and renal osteodystrophy.
Extracellular substance of bone tissue consisting of COLLAGEN fibers, ground substance, and inorganic crystalline minerals and salts.
Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis.
A large multinuclear cell associated with the BONE RESORPTION. An odontoclast, also called cementoclast, is cytomorphologically the same as an osteoclast and is involved in CEMENTUM resorption.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
The collective tissues from which an entire tooth is formed, including the DENTAL SAC; ENAMEL ORGAN; and DENTAL PAPILLA. (From Jablonski, Dictionary of Dentistry, 1992)
A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.
Application of a ligature to tie a vessel or strangulate a part.
The teeth of the first dentition, which are shed and replaced by the permanent teeth.
The bonelike rigid connective tissue covering the root of a tooth from the cementoenamel junction to the apex and lining the apex of the root canal, also assisting in tooth support by serving as attachment structures for the periodontal ligament. (Jablonski, Dictionary of Dentistry, 1992)
The grafting of bone from a donor site to a recipient site.
A wedge-shaped collar of epithelial cells which form the attachment of the gingiva to the tooth surface at the base of the gingival crevice.
Small polyhedral outpouchings along the walls of the alveolar sacs, alveolar ducts and terminal bronchioles through the walls of which gas exchange between alveolar air and pulmonary capillary blood takes place.
The upper part of the tooth, which joins the lower part of the tooth (TOOTH ROOT) at the cervix (TOOTH CERVIX) at a line called the cementoenamel junction. The entire surface of the crown is covered with enamel which is thicker at the extremity and becomes progressively thinner toward the cervix. (From Jablonski, Dictionary of Dentistry, 1992, p216)
Non-collagenous, calcium-binding glycoprotein of developing bone. It links collagen to mineral in the bone matrix. In the synonym SPARC glycoprotein, the acronym stands for Secreted Protein, Acidic and Rich in Cysteine.
The process of bone formation. Histogenesis of bone including ossification.
X-RAY COMPUTERIZED TOMOGRAPHY with resolution in the micrometer range.
The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817)
Exposure of the root surface when the edge of the gum (GINGIVA) moves apically away from the crown of the tooth. This is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the PERIODONTAL LIGAMENT and the supporting bone (ALVEOLAR PROCESS).
Non-inflammatory enlargement of the gingivae produced by factors other than local irritation. It is characteristically due to an increase in the number of cells. (From Jablonski's Dictionary of Dentistry, 1992, p400)
Loss or destruction of periodontal tissue caused by periodontitis or other destructive periodontal diseases or by injury during instrumentation. Attachment refers to the periodontal ligament which attaches to the alveolar bone. It has been hypothesized that treatment of the underlying periodontal disease and the seeding of periodontal ligament cells enable the creating of new attachment.
Excessive growth of the gingiva either by an increase in the size of the constituent cells (GINGIVAL HYPERTROPHY) or by an increase in their number (GINGIVAL HYPERPLASIA). (From Jablonski's Dictionary of Dentistry, 1992, p574)
Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820)
Generalized or localized diffuse fibrous overgrowth of the gingival tissue, usually transmitted as an autosomal dominant trait, but some cases are idiopathic and others produced by drugs. The enlarged gingiva is pink, firm, and has a leather-like consistency with a minutely pebbled surface and in severe cases the teeth are almost completely covered and the enlargement projects into the oral vestibule. (Dorland, 28th ed)
Surgical excision of the gingiva at the level of its attachment, thus creating new marginal gingiva. This procedure is used to eliminate gingival or periodontal pockets or to provide an approach for extensive surgical interventions, and to gain access necessary to remove calculus within the pocket. (Dorland, 28th ed)
Bone-forming cells which secrete an EXTRACELLULAR MATRIX. HYDROXYAPATITE crystals are then deposited into the matrix to form bone.
A fluid occurring in minute amounts in the gingival crevice, believed by some authorities to be an inflammatory exudate and by others to cleanse material from the crevice, containing sticky plasma proteins which improve adhesions of the epithelial attachment, have antimicrobial properties, and exert antibody activity. (From Jablonski, Illustrated Dictionary of Dentistry, 1982)
Surgical reshaping of the gingivae and papillae for correction of deformities (particularly enlargements) and to provide the gingivae with a normal and functional form, the incision creating an external bevel. (Dorland, 28th ed)
A normal developing tooth which has not yet perforated the oral mucosa or one that fails to erupt in the normal sequence or time interval expected for the type of tooth in a given gender, age, or population group.
Breaks in bones.
The transference of BONE MARROW from one human or animal to another for a variety of purposes including HEMATOPOIETIC STEM CELL TRANSPLANTATION or MESENCHYMAL STEM CELL TRANSPLANTATION.
Synthetic or natural materials for the replacement of bones or bone tissue. They include hard tissue replacement polymers, natural coral, hydroxyapatite, beta-tricalcium phosphate, and various other biomaterials. The bone substitutes as inert materials can be incorporated into surrounding tissue or gradually replaced by original tissue.
Surgical procedure to add bone to the ALVEOLAR RIDGE in children born with a CLEFT LIP and a CLEFT PALATE.
Congenital absence of or defects in structures of the teeth.
An extra tooth, erupted or unerupted, resembling or unlike the other teeth in the group to which it belongs. Its presence may cause malposition of adjacent teeth or prevent their eruption.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
Elements of limited time intervals, contributing to particular results or situations.
Loss of the tooth substance by chemical or mechanical processes
Radiographic techniques used in dentistry.
Abnormal enlargement or overgrowth of the gingivae brought about by enlargement of existing cells.
A numerical rating scale for classifying the periodontal status of a person or population with a single figure which takes into consideration prevalence as well as severity of the condition. It is based upon probe measurement of periodontal pockets and on gingival tissue status.
The process whereby calcium salts are deposited in the dental enamel. The process is normal in the development of bones and teeth. (Boucher's Clinical Dental Terminology, 4th ed, p43)
Biocompatible materials placed into (endosseous) or onto (subperiosteal) the jawbone to support a crown, bridge, or artificial tooth, or to stabilize a diseased tooth.
'Mandibular diseases' refer to various medical conditions that primarily affect the structure, function, or health of the mandible (lower jawbone), including but not limited to infections, tumors, developmental disorders, and degenerative diseases.
Vitamin K-dependent calcium-binding protein synthesized by OSTEOBLASTS and found primarily in BONES. Serum osteocalcin measurements provide a noninvasive specific marker of bone metabolism. The protein contains three residues of the amino acid gamma-carboxyglutamic acid (Gla), which, in the presence of CALCIUM, promotes binding to HYDROXYAPATITE and subsequent accumulation in BONE MATRIX.
Any restorative and replacement device that is used as a therapeutic aid in the treatment of periodontal disease. It is an adjunct to other forms of periodontal therapy and does not cure periodontal disease by itself. (Boucher's Clinical Dental Terminology, 3d ed)
Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations.
The process of TOOTH formation. It is divided into several stages including: the dental lamina stage, the bud stage, the cap stage, and the bell stage. Odontogenesis includes the production of tooth enamel (AMELOGENESIS), dentin (DENTINOGENESIS), and dental cementum (CEMENTOGENESIS).
Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19)
Process by which organic tissue becomes hardened by the physiologic deposit of calcium salts.
Bone-growth regulatory factors that are members of the transforming growth factor-beta superfamily of proteins. They are synthesized as large precursor molecules which are cleaved by proteolytic enzymes. The active form can consist of a dimer of two identical proteins or a heterodimer of two related bone morphogenetic proteins.
Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.
Organic compounds which contain P-C-P bonds, where P stands for phosphonates or phosphonic acids. These compounds affect calcium metabolism. They inhibit ectopic calcification and slow down bone resorption and bone turnover. Technetium complexes of diphosphonates have been used successfully as bone scanning agents.
A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed)
Horizontal and, to a lesser degree, axial movement of a tooth in response to normal forces, as in occlusion. It refers also to the movability of a tooth resulting from loss of all or a portion of its attachment and supportive apparatus, as seen in periodontitis, occlusal trauma, and periodontosis. (From Jablonski, Dictionary of Dentistry, 1992, p507 & Boucher's Clinical Dental Terminology, 4th ed, p313)
The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.
Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
The surgical removal of one or both ovaries.
A tooth that is prevented from erupting by a physical barrier, usually other teeth. Impaction may also result from orientation of the tooth in an other than vertical position in the periodontal structures.
An enzyme that catalyzes the conversion of an orthophosphoric monoester and water to an alcohol and orthophosphate. EC 3.1.3.1.
A secreted member of the TNF receptor superfamily that negatively regulates osteoclastogenesis. It is a soluble decoy receptor of RANK LIGAND that inhibits both CELL DIFFERENTIATION and function of OSTEOCLASTS by inhibiting the interaction between RANK LIGAND and RECEPTOR ACTIVATOR OF NUCLEAR FACTOR-KAPPA B.
A noninvasive method for assessing BODY COMPOSITION. It is based on the differential absorption of X-RAYS (or GAMMA RAYS) by different tissues such as bone, fat and other soft tissues. The source of (X-ray or gamma-ray) photon beam is generated either from radioisotopes such as GADOLINIUM 153, IODINE 125, or Americanium 241 which emit GAMMA RAYS in the appropriate range; or from an X-ray tube which produces X-RAYS in the desired range. It is primarily used for quantitating BONE MINERAL CONTENT, especially for the diagnosis of OSTEOPOROSIS, and also in measuring BONE MINERALIZATION.
A potent osteoinductive protein that plays a critical role in the differentiation of osteoprogenitor cells into OSTEOBLASTS.
A PULMONARY ALVEOLI-filling disease, characterized by dense phospholipoproteinaceous deposits in the alveoli, cough, and DYSPNEA. This disease is often related to, congenital or acquired, impaired processing of PULMONARY SURFACTANTS by alveolar macrophages, a process dependent on GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR.

Alveolar bone loss refers to the breakdown and resorption of the alveolar process of the jawbone, which is the part of the jaw that contains the sockets of the teeth. This type of bone loss is often caused by periodontal disease, a chronic inflammation of the gums and surrounding tissues that can lead to the destruction of the structures that support the teeth.

In advanced stages of periodontal disease, the alveolar bone can become severely damaged or destroyed, leading to tooth loss. Alveolar bone loss can also occur as a result of other conditions, such as osteoporosis, trauma, or tumors. Dental X-rays and other imaging techniques are often used to diagnose and monitor alveolar bone loss. Treatment may include deep cleaning of the teeth and gums, medications, surgery, or tooth extraction in severe cases.

The alveolar process is the curved part of the jawbone (mandible or maxilla) that contains sockets or hollow spaces (alveoli) for the teeth to be embedded. These processes are covered with a specialized mucous membrane called the gingiva, which forms a tight seal around the teeth to help protect the periodontal tissues and maintain oral health.

The alveolar process is composed of both compact and spongy bone tissue. The compact bone forms the outer layer, while the spongy bone is found inside the alveoli and provides support for the teeth. When a tooth is lost or extracted, the alveolar process begins to resorb over time due to the lack of mechanical stimulation from the tooth's chewing forces. This can lead to changes in the shape and size of the jawbone, which may require bone grafting procedures before dental implant placement.

Periodontitis is a severe form of gum disease that damages the soft tissue and destroys the bone supporting your teeth. If left untreated, it can lead to tooth loss. It is caused by the buildup of plaque, a sticky film of bacteria that constantly forms on our teeth. The body's immune system fights the bacterial infection, which causes an inflammatory response. If the inflammation continues for a long time, it can damage the tissues and bones that support the teeth.

The early stage of periodontitis is called gingivitis, which is characterized by red, swollen gums that bleed easily when brushed or flossed. When gingivitis is not treated, it can advance to periodontitis. In addition to plaque, other factors that increase the risk of developing periodontitis include smoking or using tobacco products, poor oral hygiene, diabetes, a weakened immune system, and genetic factors.

Regular dental checkups and good oral hygiene practices, such as brushing twice a day, flossing daily, and using an antimicrobial mouth rinse, can help prevent periodontitis. Treatment for periodontitis may include deep cleaning procedures, medications, or surgery in severe cases.

"Bone" is the hard, dense connective tissue that makes up the skeleton of vertebrate animals. It provides support and protection for the body's internal organs, and serves as a attachment site for muscles, tendons, and ligaments. Bone is composed of cells called osteoblasts and osteoclasts, which are responsible for bone formation and resorption, respectively, and an extracellular matrix made up of collagen fibers and mineral crystals.

Bones can be classified into two main types: compact bone and spongy bone. Compact bone is dense and hard, and makes up the outer layer of all bones and the shafts of long bones. Spongy bone is less dense and contains large spaces, and makes up the ends of long bones and the interior of flat and irregular bones.

The human body has 206 bones in total. They can be further classified into five categories based on their shape: long bones, short bones, flat bones, irregular bones, and sesamoid bones.

The term "tooth cervix" is not commonly used in medical dentistry with a specific technical definition. However, if you are referring to the "cervical region of a tooth," it generally refers to the area where the crown (the visible part of the tooth) meets the root (the portion of the tooth that is below the gum line). This region is also sometimes referred to as the "cementoenamel junction" (CEJ), where the enamel covering of the crown meets the cementum covering of the root. Dental issues such as tooth decay, receding gums, or abrasion can affect this area and may require professional dental treatment.

A tooth is a hard, calcified structure found in the jaws (upper and lower) of many vertebrates and used for biting and chewing food. In humans, a typical tooth has a crown, one or more roots, and three layers: the enamel (the outermost layer, hardest substance in the body), the dentin (the layer beneath the enamel), and the pulp (the innermost layer, containing nerves and blood vessels). Teeth are essential for proper nutrition, speech, and aesthetics. There are different types of teeth, including incisors, canines, premolars, and molars, each designed for specific functions in the mouth.

Bacteroidaceae is a family of gram-negative, anaerobic bacteria that are commonly found in the human gastrointestinal tract. Infections caused by Bacteroidaceae are relatively rare, but can occur in cases of severe trauma, surgery, or compromised immune systems. These infections may include bacteremia (bacteria in the blood), abscesses, and wound infections. Treatment typically involves the use of antibiotics that are effective against anaerobic bacteria. It is important to note that proper identification of the specific species causing the infection is necessary for appropriate treatment, as different species within Bacteroidaceae may have different susceptibilities to various antibiotics.

Maxillary diseases refer to conditions that affect the maxilla, which is the upper bone of the jaw. This bone plays an essential role in functions such as biting, chewing, and speaking, and also forms the upper part of the oral cavity, houses the upper teeth, and supports the nose and the eyes.

Maxillary diseases can be caused by various factors, including infections, trauma, tumors, congenital abnormalities, or systemic conditions. Some common maxillary diseases include:

1. Maxillary sinusitis: Inflammation of the maxillary sinuses, which are air-filled cavities located within the maxilla, can cause symptoms such as nasal congestion, facial pain, and headaches.
2. Periodontal disease: Infection and inflammation of the tissues surrounding the teeth, including the gums and the alveolar bone (which is part of the maxilla), can lead to tooth loss and other complications.
3. Maxillary fractures: Trauma to the face can result in fractures of the maxilla, which can cause pain, swelling, and difficulty breathing or speaking.
4. Maxillary cysts and tumors: Abnormal growths in the maxilla can be benign or malignant and may require surgical intervention.
5. Oral cancer: Cancerous lesions in the oral cavity, including the maxilla, can cause pain, swelling, and difficulty swallowing or speaking.

Treatment for maxillary diseases depends on the specific condition and its severity. Treatment options may include antibiotics, surgery, radiation therapy, or chemotherapy. Regular dental check-ups and good oral hygiene practices can help prevent many maxillary diseases.

Bone resorption is the process by which bone tissue is broken down and absorbed into the body. It is a normal part of bone remodeling, in which old or damaged bone tissue is removed and new tissue is formed. However, excessive bone resorption can lead to conditions such as osteoporosis, in which bones become weak and fragile due to a loss of density. This process is carried out by cells called osteoclasts, which break down the bone tissue and release minerals such as calcium into the bloodstream.

Gingival neoplasms refer to abnormal growths or tumors that occur in the gingiva, which are the part of the gums that surround the teeth. These growths can be benign (non-cancerous) or malignant (cancerous). Benign neoplasms include conditions such as fibromas, papillomas, and hemangiomas, while malignant neoplasms are typically squamous cell carcinomas.

Gingival neoplasms can present with a variety of symptoms, including swelling, bleeding, pain, and loose teeth. They may also cause difficulty with chewing, speaking, or swallowing. The exact cause of these neoplasms is not always known, but risk factors include tobacco use, alcohol consumption, poor oral hygiene, and certain viral infections.

Diagnosis of gingival neoplasms typically involves a thorough clinical examination, including a dental exam and biopsy. Treatment options depend on the type and stage of the neoplasm, but may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. Regular dental check-ups and good oral hygiene practices can help to detect gingival neoplasms at an early stage and improve treatment outcomes.

According to the American Academy of Periodontology, periodontal diseases are chronic inflammatory conditions that affect the tissues surrounding and supporting the teeth. These tissues include the gums, periodontal ligament, and alveolar bone. The primary cause of periodontal disease is bacterial plaque, a sticky film that constantly forms on our teeth.

There are two major stages of periodontal disease:

1. Gingivitis: This is the milder form of periodontal disease, characterized by inflammation of the gums (gingiva) without loss of attachment to the teeth. The gums may appear red, swollen, and bleed easily during brushing or flossing. At this stage, the damage can be reversed with proper dental care and improved oral hygiene.
2. Periodontitis: If left untreated, gingivitis can progress to periodontitis, a more severe form of periodontal disease. In periodontitis, the inflammation extends beyond the gums and affects the deeper periodontal tissues, leading to loss of bone support around the teeth. Pockets filled with infection-causing bacteria form between the teeth and gums, causing further damage and potential tooth loss if not treated promptly.

Risk factors for developing periodontal disease include poor oral hygiene, smoking or using smokeless tobacco, genetic predisposition, diabetes, hormonal changes (such as pregnancy or menopause), certain medications, and systemic diseases like AIDS or cancer. Regular dental check-ups and good oral hygiene practices are crucial for preventing periodontal disease and maintaining overall oral health.

Bone remodeling is the normal and continuous process by which bone tissue is removed from the skeleton (a process called resorption) and new bone tissue is formed (a process called formation). This ongoing cycle allows bones to repair microdamage, adjust their size and shape in response to mechanical stress, and maintain mineral homeostasis. The cells responsible for bone resorption are osteoclasts, while the cells responsible for bone formation are osteoblasts. These two cell types work together to maintain the structural integrity and health of bones throughout an individual's life.

During bone remodeling, the process can be divided into several stages:

1. Activation: The initiation of bone remodeling is triggered by various factors such as microdamage, hormonal changes, or mechanical stress. This leads to the recruitment and activation of osteoclast precursor cells.
2. Resorption: Osteoclasts attach to the bone surface and create a sealed compartment called a resorption lacuna. They then secrete acid and enzymes that dissolve and digest the mineralized matrix, creating pits or cavities on the bone surface. This process helps remove old or damaged bone tissue and releases calcium and phosphate ions into the bloodstream.
3. Reversal: After resorption is complete, the osteoclasts undergo apoptosis (programmed cell death), and mononuclear cells called reversal cells appear on the resorbed surface. These cells prepare the bone surface for the next stage by cleaning up debris and releasing signals that attract osteoblast precursors.
4. Formation: Osteoblasts, derived from mesenchymal stem cells, migrate to the resorbed surface and begin producing a new organic matrix called osteoid. As the osteoid mineralizes, it forms a hard, calcified structure that gradually replaces the resorbed bone tissue. The osteoblasts may become embedded within this newly formed bone as they differentiate into osteocytes, which are mature bone cells responsible for maintaining bone homeostasis and responding to mechanical stress.
5. Mineralization: Over time, the newly formed bone continues to mineralize, becoming stronger and more dense. This process helps maintain the structural integrity of the skeleton and ensures adequate calcium storage.

Throughout this continuous cycle of bone remodeling, hormones, growth factors, and mechanical stress play crucial roles in regulating the balance between resorption and formation. Disruptions to this delicate equilibrium can lead to various bone diseases, such as osteoporosis, where excessive resorption results in weakened bones and increased fracture risk.

"Porphyromonas gingivalis" is a gram-negative, anaerobic, rod-shaped bacterium that is commonly found in the oral cavity and is associated with periodontal disease. It is a major pathogen in chronic periodontitis, which is a severe form of gum disease that can lead to destruction of the tissues supporting the teeth, including the gums, periodontal ligament, and alveolar bone.

The bacterium produces several virulence factors, such as proteases and endotoxins, which contribute to its pathogenicity. It has been shown to evade the host's immune response and cause tissue destruction through various mechanisms, including inducing the production of pro-inflammatory cytokines and matrix metalloproteinases.

P. gingivalis has also been linked to several systemic diseases, such as atherosclerosis, rheumatoid arthritis, and Alzheimer's disease, although the exact mechanisms of these associations are not fully understood. Effective oral hygiene practices, including regular brushing, flossing, and professional dental cleanings, can help prevent the overgrowth of P. gingivalis and reduce the risk of periodontal disease.

The periodontium is a complex structure in the oral cavity that surrounds and supports the teeth. It consists of four main components:
1. Gingiva (gums): The pink, soft tissue that covers the crown of the tooth and extends down to the neck of the tooth, where it meets the cementum.
2. Cementum: A specialized, calcified tissue that covers the root of the tooth and provides a surface for the periodontal ligament fibers to attach.
3. Periodontal ligament (PDL): A highly vascular and cell-rich connective tissue that attaches the cementum of the tooth root to the alveolar bone, allowing for tooth mobility and absorption of forces during chewing.
4. Alveolar bone: The portion of the jawbone that contains the sockets (alveoli) for the teeth. It is a spongy bone with a rich blood supply that responds to mechanical stresses from biting and chewing, undergoing remodeling throughout life.

Periodontal diseases, such as gingivitis and periodontitis, affect the health and integrity of the periodontium, leading to inflammation, bleeding, pocket formation, bone loss, and ultimately tooth loss if left untreated.

Bone density refers to the amount of bone mineral content (usually measured in grams) in a given volume of bone (usually measured in cubic centimeters). It is often used as an indicator of bone strength and fracture risk. Bone density is typically measured using dual-energy X-ray absorptiometry (DXA) scans, which provide a T-score that compares the patient's bone density to that of a young adult reference population. A T-score of -1 or above is considered normal, while a T-score between -1 and -2.5 indicates osteopenia (low bone mass), and a T-score below -2.5 indicates osteoporosis (porous bones). Regular exercise, adequate calcium and vitamin D intake, and medication (if necessary) can help maintain or improve bone density and prevent fractures.

The mandible, also known as the lower jaw, is the largest and strongest bone in the human face. It forms the lower portion of the oral cavity and plays a crucial role in various functions such as mastication (chewing), speaking, and swallowing. The mandible is a U-shaped bone that consists of a horizontal part called the body and two vertical parts called rami.

The mandible articulates with the skull at the temporomandibular joints (TMJs) located in front of each ear, allowing for movements like opening and closing the mouth, protrusion, retraction, and side-to-side movement. The mandible contains the lower teeth sockets called alveolar processes, which hold the lower teeth in place.

In medical terminology, the term "mandible" refers specifically to this bone and its associated structures.

The periodontal ligament, also known as the "PDL," is the soft tissue that connects the tooth root to the alveolar bone within the dental alveolus (socket). It consists of collagen fibers organized into groups called principal fibers and accessory fibers. These fibers are embedded into both the cementum of the tooth root and the alveolar bone, providing shock absorption during biting and chewing forces, allowing for slight tooth movement, and maintaining the tooth in its position within the socket.

The periodontal ligament plays a crucial role in the health and maintenance of the periodontium, which includes the gingiva (gums), cementum, alveolar bone, and the periodontal ligament itself. Inflammation or infection of the periodontal ligament can lead to periodontal disease, potentially causing tooth loss if not treated promptly and appropriately.

Dental photography is a type of clinical photography that focuses on documenting the condition and treatment of teeth and oral structures. It involves using specialized cameras, lenses, and lighting to capture high-quality images of the mouth and related areas. These images can be used for diagnostic purposes, patient education, treatment planning, communication with other dental professionals, and monitoring progress over time. Dental photography may include various types of shots, such as extraoral (outside the mouth) and intraoral (inside the mouth) views, close-ups of individual teeth or restorations, and full-face portraits. It requires a strong understanding of dental anatomy, lighting techniques, and image composition to produce accurate and informative images.

Bitewing radiography is a type of dental x-ray examination that involves taking multiple images of the teeth while they are bite together. These x-rays primarily provide a detailed view of the crowns of the upper and lower teeth in a single view, allowing dentists to diagnose and monitor interdental decay (decay between teeth), dental caries, and any bone loss around fillings or near the gum line. Bitewing radiographs are essential for detecting dental problems at an early stage, which can help prevent further damage and costly treatments in the future. They are typically taken annually or biennially during routine dental checkups.

A tooth socket, also known as an alveolus (plural: alveoli), refers to the hollow cavity or space in the jawbone where a tooth is anchored. The tooth socket is part of the alveolar process, which is the curved part of the maxilla or mandible that contains multiple tooth sockets for the upper and lower teeth, respectively.

Each tooth socket has a specialized tissue called the periodontal ligament, which attaches the root of the tooth to the surrounding bone. This ligament helps absorb forces generated during biting and chewing, allowing for comfortable and efficient mastication while also maintaining the tooth's position within the jawbone. The tooth socket is responsible for providing support, stability, and nourishment to the tooth through its blood vessels and nerves.

The maxilla is a paired bone that forms the upper jaw in vertebrates. In humans, it is a major bone in the face and plays several important roles in the craniofacial complex. Each maxilla consists of a body and four processes: frontal process, zygomatic process, alveolar process, and palatine process.

The maxillae contribute to the formation of the eye sockets (orbits), nasal cavity, and the hard palate of the mouth. They also contain the upper teeth sockets (alveoli) and help form the lower part of the orbit and the cheekbones (zygomatic arches).

Here's a quick rundown of its key functions:

1. Supports the upper teeth and forms the upper jaw.
2. Contributes to the formation of the eye sockets, nasal cavity, and hard palate.
3. Helps shape the lower part of the orbit and cheekbones.
4. Partakes in the creation of important sinuses, such as the maxillary sinus, which is located within the body of the maxilla.

A periodontal pocket is a pathological space or gap that develops between the tooth and the surrounding gum tissue (gingiva) as a result of periodontal disease. This condition is also known as a "periodontal depth" or "probing depth." It is measured in millimeters using a dental probe, and it indicates the level of attachment loss of the gingival tissue to the tooth.

In a healthy periodontium, the sulcus (the normal space between the tooth and gum) measures 1-3 mm in depth. However, when there is inflammation due to bacterial accumulation, the gums may become red, swollen, and bleed easily. As the disease progresses, the sulcus deepens, forming a periodontal pocket, which can extend deeper than 3 mm.

Periodontal pockets provide an environment that is conducive to the growth of harmful bacteria, leading to further tissue destruction and bone loss around the tooth. If left untreated, periodontal disease can result in loose teeth and eventually tooth loss. Regular dental check-ups and professional cleanings are essential for maintaining healthy gums and preventing periodontal pockets from developing or worsening.

Tooth eruption is the process by which a tooth emerges from the gums and becomes visible in the oral cavity. It is a normal part of dental development that occurs in a predictable sequence and timeframe. Primary or deciduous teeth, also known as baby teeth, begin to erupt around 6 months of age and continue to emerge until approximately 2-3 years of age. Permanent or adult teeth start to erupt around 6 years of age and can continue to emerge until the early twenties.

The process of tooth eruption involves several stages, including the formation of the tooth within the jawbone, the movement of the tooth through the bone and surrounding tissues, and the final emergence of the tooth into the mouth. Proper tooth eruption is essential for normal oral function, including chewing, speaking, and smiling. Any abnormalities in the tooth eruption process, such as delayed or premature eruption, can indicate underlying dental or medical conditions that require further evaluation and treatment.

Chronic periodontitis is a type of gum disease that is characterized by the inflammation and infection of the tissues surrounding and supporting the teeth. It is a slow-progressing condition that can lead to the destruction of the periodontal ligament and alveolar bone, which can result in loose teeth or tooth loss if left untreated.

Chronic periodontitis is caused by the buildup of dental plaque and calculus (tartar) on the teeth, which harbor bacteria that release toxins that irritate and inflame the gums. Over time, this chronic inflammation can lead to the destruction of the periodontal tissues, including the gingiva, periodontal ligament, and alveolar bone.

The signs and symptoms of chronic periodontitis include:

* Red, swollen, or tender gums
* Bleeding gums during brushing or flossing
* Persistent bad breath (halitosis)
* Receding gums (exposure of the tooth root)
* Loose teeth or changes in bite alignment
* Deep periodontal pockets (spaces between the teeth and gums)

Risk factors for chronic periodontitis include poor oral hygiene, smoking, diabetes, genetics, and certain medications. Treatment typically involves a thorough dental cleaning to remove plaque and calculus, followed by additional procedures such as scaling and root planing or surgery to eliminate infection and promote healing of the periodontal tissues. Good oral hygiene practices, regular dental checkups, and quitting smoking are essential for preventing chronic periodontitis and maintaining good oral health.

Actinobacillus infections are caused by bacteria belonging to the genus Actinobacillus, which are gram-negative, facultatively anaerobic, and non-motile rods. These bacteria can cause a variety of infections in humans and animals, including respiratory tract infections, wound infections, and septicemia.

The most common species that causes infection in humans is Actinobacillus actinomycetemcomitans, which is associated with periodontal disease, endocarditis, and soft tissue infections. Other species such as A. suis, A. lignieresii, and A. equuli can cause infections in animals and occasionally in humans, particularly those who have close contact with animals.

Symptoms of Actinobacillus infections depend on the site of infection and may include fever, chills, swelling, redness, pain, and purulent discharge. Diagnosis is typically made through culture and identification of the bacteria from clinical samples such as blood, wound secretions, or respiratory specimens. Treatment usually involves antibiotics that are effective against gram-negative bacteria, such as aminoglycosides, fluoroquinolones, or third-generation cephalosporins. In severe cases, surgical intervention may be necessary to drain abscesses or remove infected tissue.

Gingivitis is a mild form of gum disease (periodontal disease) that causes irritation, redness, swelling and bleeding of the gingiva, or gums. It's important to note that it is reversible with good oral hygiene and professional dental treatment. If left untreated, however, gingivitis can progress to a more severe form of gum disease known as periodontitis, which can result in tissue damage and eventual tooth loss.

Gingivitis is most commonly caused by the buildup of plaque, a sticky film of bacteria that constantly forms on our teeth. When not removed regularly through brushing and flossing, this plaque can harden into tartar, which is more difficult to remove and contributes to gum inflammation. Other factors like hormonal changes, poor nutrition, certain medications, smoking or a weakened immune system may also increase the risk of developing gingivitis.

'Aggregatibacter actinomycetemcomitans' is a gram-negative, rod-shaped bacterium that belongs to the family Pasteurellaceae. It is facultatively anaerobic, meaning it can grow in both the presence and absence of oxygen. This bacterium is commonly found as part of the oral microbiota in humans and is associated with periodontal diseases such as localized aggressive periodontitis. Additionally, it has been implicated in various extraoral infections, including endocarditis, meningitis, and septicemia, particularly in individuals with underlying medical conditions. The bacterium's virulence factors include leukotoxin, cytolethal distending toxin, and adhesins, which contribute to its pathogenicity.

A tooth root is the part of a tooth that is embedded in the jawbone and cannot be seen when looking at a person's smile. It is the lower portion of a tooth that typically has a conical shape and anchors the tooth to the jawbone through a periodontal ligament. The tooth root is covered by cementum, a specialized bone-like tissue, and contains nerve endings and blood vessels within its pulp chamber.

The number of roots in a tooth can vary depending on the type of tooth. For example, incisors typically have one root, canines may have one or two roots, premolars usually have one or two roots, and molars often have two to four roots. The primary function of the tooth root is to provide stability and support for the crown of the tooth, allowing it to withstand the forces of biting and chewing.

In the context of dentistry, a molar is a type of tooth found in the back of the mouth. They are larger and wider than other types of teeth, such as incisors or canines, and have a flat biting surface with multiple cusps. Molars are primarily used for grinding and chewing food into smaller pieces that are easier to swallow. Humans typically have twelve molars in total, including the four wisdom teeth.

In medical terminology outside of dentistry, "molar" can also refer to a unit of mass in the apothecaries' system of measurement, which is equivalent to 4.08 grams. However, this usage is less common and not related to dental or medical anatomy.

Bone regeneration is the biological process of new bone formation that occurs after an injury or removal of a portion of bone. This complex process involves several stages, including inflammation, migration and proliferation of cells, matrix deposition, and mineralization, leading to the restoration of the bone's structure and function.

The main cells involved in bone regeneration are osteoblasts, which produce new bone matrix, and osteoclasts, which resorb damaged or old bone tissue. The process is tightly regulated by various growth factors, hormones, and signaling molecules that promote the recruitment, differentiation, and activity of these cells.

Bone regeneration can occur naturally in response to injury or surgical intervention, such as fracture repair or dental implant placement. However, in some cases, bone regeneration may be impaired due to factors such as age, disease, or trauma, leading to delayed healing or non-union of the bone. In these situations, various strategies and techniques, including the use of bone grafts, scaffolds, and growth factors, can be employed to enhance and support the bone regeneration process.

Gingiva is the medical term for the soft tissue that surrounds the teeth and forms the margin of the dental groove, also known as the gum. It extends from the mucogingival junction to the base of the cervical third of the tooth root. The gingiva plays a crucial role in protecting and supporting the teeth and maintaining oral health by providing a barrier against microbial invasion and mechanical injury.

Bone marrow is the spongy tissue found inside certain bones in the body, such as the hips, thighs, and vertebrae. It is responsible for producing blood-forming cells, including red blood cells, white blood cells, and platelets. There are two types of bone marrow: red marrow, which is involved in blood cell production, and yellow marrow, which contains fatty tissue.

Red bone marrow contains hematopoietic stem cells, which can differentiate into various types of blood cells. These stem cells continuously divide and mature to produce new blood cells that are released into the circulation. Red blood cells carry oxygen throughout the body, white blood cells help fight infections, and platelets play a crucial role in blood clotting.

Bone marrow also serves as a site for immune cell development and maturation. It contains various types of immune cells, such as lymphocytes, macrophages, and dendritic cells, which help protect the body against infections and diseases.

Abnormalities in bone marrow function can lead to several medical conditions, including anemia, leukopenia, thrombocytopenia, and various types of cancer, such as leukemia and multiple myeloma. Bone marrow aspiration and biopsy are common diagnostic procedures used to evaluate bone marrow health and function.

Alveolar macrophages are a type of macrophage (a large phagocytic cell) that are found in the alveoli of the lungs. They play a crucial role in the immune defense system of the lungs by engulfing and destroying any foreign particles, such as dust, microorganisms, and pathogens, that enter the lungs through the process of inhalation. Alveolar macrophages also produce cytokines, which are signaling molecules that help to coordinate the immune response. They are important for maintaining the health and function of the lungs by removing debris and preventing infection.

Bone development, also known as ossification, is the process by which bone tissue is formed and grows. This complex process involves several different types of cells, including osteoblasts, which produce new bone matrix, and osteoclasts, which break down and resorb existing bone tissue.

There are two main types of bone development: intramembranous and endochondral ossification. Intramembranous ossification occurs when bone tissue forms directly from connective tissue, while endochondral ossification involves the formation of a cartilage model that is later replaced by bone.

During fetal development, most bones develop through endochondral ossification, starting as a cartilage template that is gradually replaced by bone tissue. However, some bones, such as those in the skull and clavicles, develop through intramembranous ossification.

Bone development continues after birth, with new bone tissue being laid down and existing tissue being remodeled throughout life. This ongoing process helps to maintain the strength and integrity of the skeleton, allowing it to adapt to changing mechanical forces and repair any damage that may occur.

Alveoloplasty is a surgical procedure that involves the reshaping and smoothing of the alveolar ridge, which is the bony ridge in the jaw that contains the tooth sockets. This procedure is typically performed after the removal of teeth, such as during a dental extraction or after wisdom tooth removal, to create a more uniform and aesthetically pleasing shape to the jawbone.

Alveoloplasty may be recommended in cases where there are sharp or jagged bony edges that could irritate the gums or other tissues in the mouth, or where the alveolar ridge is uneven or irregular due to tooth loss or other factors. The procedure can help to improve the fit and comfort of dentures or other dental restorations, as well as enhance the overall appearance of the mouth and jaw.

During an alveoloplasty procedure, a dental surgeon will use specialized tools to carefully remove any excess bone tissue and smooth out the remaining bone. The surgical site may be numbed with local anesthesia or sedation may be used for more complex procedures. After the surgery, patients may experience some swelling, bruising, or discomfort, which can typically be managed with over-the-counter pain medications and cold compresses. It is important to follow all post-operative instructions carefully to ensure proper healing and avoid complications.

REceptor Activator of NF-kB (RANK) Ligand is a type of protein that plays a crucial role in the immune system and bone metabolism. It belongs to the tumor necrosis factor (TNF) superfamily and is primarily produced by osteoblasts, which are cells responsible for bone formation.

RANK Ligand binds to its receptor RANK, which is found on the surface of osteoclasts, a type of cell involved in bone resorption or breakdown. The binding of RANK Ligand to RANK activates signaling pathways that promote the differentiation, activation, and survival of osteoclasts, thereby increasing bone resorption.

Abnormalities in the RANKL-RANK signaling pathway have been implicated in various bone diseases, such as osteoporosis, rheumatoid arthritis, and certain types of cancer that metastasize to bones. Therefore, targeting this pathway with therapeutic agents has emerged as a promising approach for the treatment of these conditions.

Animal disease models are specialized animals, typically rodents such as mice or rats, that have been genetically engineered or exposed to certain conditions to develop symptoms and physiological changes similar to those seen in human diseases. These models are used in medical research to study the pathophysiology of diseases, identify potential therapeutic targets, test drug efficacy and safety, and understand disease mechanisms.

The genetic modifications can include knockout or knock-in mutations, transgenic expression of specific genes, or RNA interference techniques. The animals may also be exposed to environmental factors such as chemicals, radiation, or infectious agents to induce the disease state.

Examples of animal disease models include:

1. Mouse models of cancer: Genetically engineered mice that develop various types of tumors, allowing researchers to study cancer initiation, progression, and metastasis.
2. Alzheimer's disease models: Transgenic mice expressing mutant human genes associated with Alzheimer's disease, which exhibit amyloid plaque formation and cognitive decline.
3. Diabetes models: Obese and diabetic mouse strains like the NOD (non-obese diabetic) or db/db mice, used to study the development of type 1 and type 2 diabetes, respectively.
4. Cardiovascular disease models: Atherosclerosis-prone mice, such as ApoE-deficient or LDLR-deficient mice, that develop plaque buildup in their arteries when fed a high-fat diet.
5. Inflammatory bowel disease models: Mice with genetic mutations affecting intestinal barrier function and immune response, such as IL-10 knockout or SAMP1/YitFc mice, which develop colitis.

Animal disease models are essential tools in preclinical research, but it is important to recognize their limitations. Differences between species can affect the translatability of results from animal studies to human patients. Therefore, researchers must carefully consider the choice of model and interpret findings cautiously when applying them to human diseases.

Tooth loss is the condition or process characterized by the disappearance or absence of one or more teeth from their normal position in the dental arch. This can occur due to various reasons such as tooth decay, periodontal disease (gum disease), injury, or aging. The consequences of tooth loss include difficulties in chewing, speaking, and adversely affecting the aesthetics of a person's smile, which may lead to psychological impacts. Additionally, it can cause shifting of adjacent teeth, bone resorption, and changes in the bite, potentially leading to further dental issues if not treated promptly.

Tooth movement, in a dental and orthodontic context, refers to the physical change in position or alignment of one or more teeth within the jaw bone as a result of controlled forces applied through various orthodontic appliances such as braces, aligners, or other orthodontic devices. The purposeful manipulation of these forces encourages the periodontal ligament (the tissue that connects the tooth to the bone) to remodel, allowing the tooth to move gradually over time into the desired position. This process is crucial in achieving proper bite alignment, correcting malocclusions, and enhancing overall oral function and aesthetics.

Bone neoplasms are abnormal growths or tumors that develop in the bone. They can be benign (non-cancerous) or malignant (cancerous). Benign bone neoplasms do not spread to other parts of the body and are rarely a threat to life, although they may cause problems if they grow large enough to press on surrounding tissues or cause fractures. Malignant bone neoplasms, on the other hand, can invade and destroy nearby tissue and may spread (metastasize) to other parts of the body.

There are many different types of bone neoplasms, including:

1. Osteochondroma - a benign tumor that develops from cartilage and bone
2. Enchondroma - a benign tumor that forms in the cartilage that lines the inside of the bones
3. Chondrosarcoma - a malignant tumor that develops from cartilage
4. Osteosarcoma - a malignant tumor that develops from bone cells
5. Ewing sarcoma - a malignant tumor that develops in the bones or soft tissues around the bones
6. Giant cell tumor of bone - a benign or occasionally malignant tumor that develops from bone tissue
7. Fibrosarcoma - a malignant tumor that develops from fibrous tissue in the bone

The symptoms of bone neoplasms vary depending on the type, size, and location of the tumor. They may include pain, swelling, stiffness, fractures, or limited mobility. Treatment options depend on the type and stage of the tumor but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.

Bone marrow cells are the types of cells found within the bone marrow, which is the spongy tissue inside certain bones in the body. The main function of bone marrow is to produce blood cells. There are two types of bone marrow: red and yellow. Red bone marrow is where most blood cell production takes place, while yellow bone marrow serves as a fat storage site.

The three main types of bone marrow cells are:

1. Hematopoietic stem cells (HSCs): These are immature cells that can differentiate into any type of blood cell, including red blood cells, white blood cells, and platelets. They have the ability to self-renew, meaning they can divide and create more hematopoietic stem cells.
2. Red blood cell progenitors: These are immature cells that will develop into mature red blood cells, also known as erythrocytes. Red blood cells carry oxygen from the lungs to the body's tissues and carbon dioxide back to the lungs.
3. Myeloid and lymphoid white blood cell progenitors: These are immature cells that will develop into various types of white blood cells, which play a crucial role in the body's immune system by fighting infections and diseases. Myeloid progenitors give rise to granulocytes (neutrophils, eosinophils, and basophils), monocytes, and megakaryocytes (which eventually become platelets). Lymphoid progenitors differentiate into B cells, T cells, and natural killer (NK) cells.

Bone marrow cells are essential for maintaining a healthy blood cell count and immune system function. Abnormalities in bone marrow cells can lead to various medical conditions, such as anemia, leukopenia, leukocytosis, thrombocytopenia, or thrombocytosis, depending on the specific type of blood cell affected. Additionally, bone marrow cells are often used in transplantation procedures to treat patients with certain types of cancer, such as leukemia and lymphoma, or other hematologic disorders.

Tooth extraction is a dental procedure in which a tooth that is damaged or poses a threat to oral health is removed from its socket in the jawbone. This may be necessary due to various reasons such as severe tooth decay, gum disease, fractured teeth, crowded teeth, or for orthodontic treatment purposes. The procedure is performed by a dentist or an oral surgeon, under local anesthesia to numb the area around the tooth, ensuring minimal discomfort during the extraction process.

Bone diseases is a broad term that refers to various medical conditions that affect the bones. These conditions can be categorized into several groups, including:

1. Developmental and congenital bone diseases: These are conditions that affect bone growth and development before or at birth. Examples include osteogenesis imperfecta (brittle bone disease), achondroplasia (dwarfism), and cleidocranial dysostosis.
2. Metabolic bone diseases: These are conditions that affect the body's ability to maintain healthy bones. They are often caused by hormonal imbalances, vitamin deficiencies, or problems with mineral metabolism. Examples include osteoporosis, osteomalacia, and Paget's disease of bone.
3. Inflammatory bone diseases: These are conditions that cause inflammation in the bones. They can be caused by infections, autoimmune disorders, or other medical conditions. Examples include osteomyelitis, rheumatoid arthritis, and ankylosing spondylitis.
4. Degenerative bone diseases: These are conditions that cause the bones to break down over time. They can be caused by aging, injury, or disease. Examples include osteoarthritis, avascular necrosis, and diffuse idiopathic skeletal hyperostosis (DISH).
5. Tumors and cancers of the bone: These are conditions that involve abnormal growths in the bones. They can be benign or malignant. Examples include osteosarcoma, chondrosarcoma, and Ewing sarcoma.
6. Fractures and injuries: While not strictly a "disease," fractures and injuries are common conditions that affect the bones. They can result from trauma, overuse, or weakened bones. Examples include stress fractures, compound fractures, and dislocations.

Overall, bone diseases can cause a wide range of symptoms, including pain, stiffness, deformity, and decreased mobility. Treatment for these conditions varies depending on the specific diagnosis but may include medication, surgery, physical therapy, or lifestyle changes.

Metabolic bone diseases are a group of conditions that affect the bones and are caused by disorders in the body's metabolism. These disorders can result in changes to the bone structure, density, and strength, leading to an increased risk of fractures and other complications. Some common examples of metabolic bone diseases include:

1. Osteoporosis: a condition characterized by weak and brittle bones that are more likely to break, often as a result of age-related bone loss or hormonal changes.
2. Paget's disease of bone: a chronic disorder that causes abnormal bone growth and deformities, leading to fragile and enlarged bones.
3. Osteomalacia: a condition caused by a lack of vitamin D or problems with the body's ability to absorb it, resulting in weak and soft bones.
4. Hyperparathyroidism: a hormonal disorder that causes too much parathyroid hormone to be produced, leading to bone loss and other complications.
5. Hypoparathyroidism: a hormonal disorder that results in low levels of parathyroid hormone, causing weak and brittle bones.
6. Renal osteodystrophy: a group of bone disorders that occur as a result of chronic kidney disease, including osteomalacia, osteoporosis, and high turnover bone disease.

Treatment for metabolic bone diseases may include medications to improve bone density and strength, dietary changes, exercise, and lifestyle modifications. In some cases, surgery may be necessary to correct bone deformities or fractures.

Bone matrix refers to the non-cellular component of bone that provides structural support and functions as a reservoir for minerals, such as calcium and phosphate. It is made up of organic and inorganic components. The organic component consists mainly of type I collagen fibers, which provide flexibility and tensile strength to the bone. The inorganic component is primarily composed of hydroxyapatite crystals, which give bone its hardness and compressive strength. Bone matrix also contains other proteins, growth factors, and signaling molecules that regulate bone formation, remodeling, and repair.

Osteoporosis is a systemic skeletal disease characterized by low bone mass, deterioration of bone tissue, and disruption of bone architecture, leading to increased risk of fractures, particularly in the spine, wrist, and hip. It mainly affects older people, especially postmenopausal women, due to hormonal changes that reduce bone density. Osteoporosis can also be caused by certain medications, medical conditions, or lifestyle factors such as smoking, alcohol abuse, and a lack of calcium and vitamin D in the diet. The diagnosis is often made using bone mineral density testing, and treatment may include medication to slow bone loss, promote bone formation, and prevent fractures.

Osteoclasts are large, multinucleated cells that are primarily responsible for bone resorption, a process in which they break down and dissolve the mineralized matrix of bones. They are derived from monocyte-macrophage precursor cells of hematopoietic origin and play a crucial role in maintaining bone homeostasis by balancing bone formation and bone resorption.

Osteoclasts adhere to the bone surface and create an isolated microenvironment, called the "resorption lacuna," between their cell membrane and the bone surface. Here, they release hydrogen ions into the lacuna through a process called proton pumping, which lowers the pH and dissolves the mineral component of the bone matrix. Additionally, osteoclasts secrete proteolytic enzymes, such as cathepsin K, that degrade the organic components, like collagen, in the bone matrix.

An imbalance in osteoclast activity can lead to various bone diseases, including osteoporosis and Paget's disease, where excessive bone resorption results in weakened and fragile bones.

"Wistar rats" are a strain of albino rats that are widely used in laboratory research. They were developed at the Wistar Institute in Philadelphia, USA, and were first introduced in 1906. Wistar rats are outbred, which means that they are genetically diverse and do not have a fixed set of genetic characteristics like inbred strains.

Wistar rats are commonly used as animal models in biomedical research because of their size, ease of handling, and relatively low cost. They are used in a wide range of research areas, including toxicology, pharmacology, nutrition, cancer, cardiovascular disease, and behavioral studies. Wistar rats are also used in safety testing of drugs, medical devices, and other products.

Wistar rats are typically larger than many other rat strains, with males weighing between 500-700 grams and females weighing between 250-350 grams. They have a lifespan of approximately 2-3 years. Wistar rats are also known for their docile and friendly nature, making them easy to handle and work with in the laboratory setting.

A tooth germ is a small cluster of cells that eventually develop into a tooth. It contains the dental papilla, which will become the dentin and pulp of the tooth, and the dental follicle, which will form the periodontal ligament, cementum, and alveolar bone. The tooth germ starts as an epithelial thickening called the dental lamina, which then forms a bud, cap, and bell stage before calcification occurs and the tooth begins to erupt through the gums. It is during the bell stage that the enamel organ, which will form the enamel of the tooth, is formed.

"Random allocation," also known as "random assignment" or "randomization," is a process used in clinical trials and other research studies to distribute participants into different intervention groups (such as experimental group vs. control group) in a way that minimizes selection bias and ensures the groups are comparable at the start of the study.

In random allocation, each participant has an equal chance of being assigned to any group, and the assignment is typically made using a computer-generated randomization schedule or other objective methods. This process helps to ensure that any differences between the groups are due to the intervention being tested rather than pre-existing differences in the participants' characteristics.

Ligation, in the context of medical terminology, refers to the process of tying off a part of the body, usually blood vessels or tissue, with a surgical suture or another device. The goal is to stop the flow of fluids such as blood or other substances within the body. It is commonly used during surgeries to control bleeding or to block the passage of fluids, gases, or solids in various parts of the body.

A deciduous tooth, also known as a baby tooth or primary tooth, is a type of temporary tooth that humans and some other mammals develop during childhood. They are called "deciduous" because they are eventually shed and replaced by permanent teeth, much like how leaves on a deciduous tree fall off and are replaced by new growth.

Deciduous teeth begin to form in the womb and start to erupt through the gums when a child is around six months old. By the time a child reaches age three, they typically have a full set of 20 deciduous teeth, including incisors, canines, and molars. These teeth are smaller and less durable than permanent teeth, but they serve important functions such as helping children chew food properly, speak clearly, and maintain space in the jaw for the permanent teeth to grow into.

Deciduous teeth usually begin to fall out around age six or seven, starting with the lower central incisors. This process continues until all of the deciduous teeth have been shed, typically by age 12 or 13. At this point, the permanent teeth will have grown in and taken their place, with the exception of the wisdom teeth, which may not erupt until later in adolescence or early adulthood.

Dental cementum is a type of hard connective tissue that covers the root of a tooth. It is primarily composed of calcium salts and collagen fibers, and it serves to attach the periodontal ligaments (the fibers that help secure the tooth in its socket) to the tooth's root. Cementum also helps protect the root of the tooth and contributes to the maintenance of tooth stability. It continues to grow and deposit new layers throughout an individual's life, which can be seen as incremental lines called "cementum annulations."

Bone transplantation, also known as bone grafting, is a surgical procedure in which bone or bone-like material is transferred from one part of the body to another or from one person to another. The graft may be composed of cortical (hard outer portion) bone, cancellous (spongy inner portion) bone, or a combination of both. It can be taken from different sites in the same individual (autograft), from another individual of the same species (allograft), or from an animal source (xenograft). The purpose of bone transplantation is to replace missing bone, provide structural support, and stimulate new bone growth. This procedure is commonly used in orthopedic, dental, and maxillofacial surgeries to repair bone defects caused by trauma, tumors, or congenital conditions.

Epithelial attachment is a general term that refers to the point where epithelial cells, which are the cells that line the outer surfaces of organs and blood vessels, adhere or attach to an underlying structure. In the context of the mouth and teeth, epithelial attachment is often used to describe the connection between the gum tissue (gingiva) and the tooth surface.

In a healthy mouth, the gingival tissue fits tightly around each tooth, forming a protective seal that helps prevent bacteria and other harmful substances from entering the spaces between the teeth and gums. This tight seal is maintained by specialized epithelial cells called junctional epithelial cells, which form a barrier between the oral environment and the underlying connective tissue.

When the gingival tissue becomes inflamed due to factors such as poor oral hygiene or certain medical conditions, the epithelial attachment can become compromised, leading to a condition known as gingivitis. If left untreated, gingivitis can progress to periodontal disease, which is characterized by the destruction of the tissues that support the teeth, including the bone and connective tissue.

In summary, epithelial attachment refers to the point where epithelial cells adhere to an underlying structure, and in the context of oral health, it describes the connection between the gum tissue and the tooth surface.

Pulmonary alveoli, also known as air sacs, are tiny clusters of air-filled pouches located at the end of the bronchioles in the lungs. They play a crucial role in the process of gas exchange during respiration. The thin walls of the alveoli, called alveolar membranes, allow oxygen from inhaled air to pass into the bloodstream and carbon dioxide from the bloodstream to pass into the alveoli to be exhaled out of the body. This vital function enables the lungs to supply oxygen-rich blood to the rest of the body and remove waste products like carbon dioxide.

A tooth crown is a type of dental restoration that covers the entire visible portion of a tooth, restoring its shape, size, and strength. It is typically made of materials like porcelain, ceramic, or metal alloys and is custom-made to fit over the prepared tooth. The tooth crown is cemented in place and becomes the new outer surface of the tooth, protecting it from further damage or decay.

The process of getting a tooth crown usually involves two dental appointments. During the first appointment, the dentist prepares the tooth by removing any decay or damaged tissue and shaping the tooth to accommodate the crown. An impression is then taken of the prepared tooth and sent to a dental laboratory where the crown is fabricated. In the meantime, a temporary crown is placed over the prepared tooth to protect it until the permanent crown is ready. At the second appointment, the temporary crown is removed, and the permanent crown is cemented in place.

Tooth crowns are often recommended for several reasons, including:

* To restore a broken or fractured tooth
* To protect a weakened tooth from further damage or decay
* To support a large filling when there isn't enough natural tooth structure left
* To cover a dental implant
* To improve the appearance of a discolored or misshapen tooth

Overall, a tooth crown is an effective and long-lasting solution for restoring damaged or decayed teeth and improving oral health.

Osteonectin, also known as SPARC (Secreted Protein Acidic and Rich in Cysteine), is a non-collagenous protein found in the extracellular matrix of bone and other tissues. It plays a crucial role in bone mineralization, collagen fibrillogenesis, and tissue remodeling by interacting with various molecules such as collagens, growth factors, and integrins. Osteonectin is involved in regulating cell adhesion, proliferation, differentiation, and apoptosis during bone development, repair, and homeostasis.

Osteogenesis is the process of bone formation or development. It involves the differentiation and maturation of osteoblasts, which are bone-forming cells that synthesize and deposit the organic matrix of bone tissue, composed mainly of type I collagen. This organic matrix later mineralizes to form the inorganic crystalline component of bone, primarily hydroxyapatite.

There are two primary types of osteogenesis: intramembranous and endochondral. Intramembranous osteogenesis occurs directly within connective tissue, where mesenchymal stem cells differentiate into osteoblasts and form bone tissue without an intervening cartilage template. This process is responsible for the formation of flat bones like the skull and clavicles.

Endochondral osteogenesis, on the other hand, involves the initial development of a cartilaginous model or template, which is later replaced by bone tissue. This process forms long bones, such as those in the limbs, and occurs through several stages involving chondrocyte proliferation, hypertrophy, and calcification, followed by invasion of blood vessels and osteoblasts to replace the cartilage with bone tissue.

Abnormalities in osteogenesis can lead to various skeletal disorders and diseases, such as osteogenesis imperfecta (brittle bone disease), achondroplasia (a form of dwarfism), and cleidocranial dysplasia (a disorder affecting skull and collarbone development).

X-ray microtomography, often referred to as micro-CT, is a non-destructive imaging technique used to visualize and analyze the internal structure of objects with high spatial resolution. It is based on the principles of computed tomography (CT), where multiple X-ray images are acquired at different angles and then reconstructed into cross-sectional slices using specialized software. These slices can be further processed to create 3D visualizations, allowing researchers and clinicians to examine the internal structure and composition of samples in great detail. Micro-CT is widely used in materials science, biology, medicine, and engineering for various applications such as material characterization, bone analysis, and defect inspection.

A cuspid, also known as a canine tooth or cuspid tooth, is a type of tooth in mammals. It is the pointiest tooth in the dental arch and is located between the incisors and bicuspids (or premolars). Cuspids have a single cusp or pointed tip that is used for tearing and grasping food. In humans, there are four cuspids, two on the upper jaw and two on the lower jaw, one on each side of the dental arch.

Gingival recession is the term used to describe the exposure of the root surface of a tooth as a result of the loss of gum tissue (gingiva) due to periodontal disease or improper oral hygiene practices. It can also occur due to other factors such as aggressive brushing, grinding or clenching of teeth, and misaligned teeth. Gingival recession is often characterized by red, swollen, or sensitive gums, and can lead to tooth sensitivity, decay, and even tooth loss if left untreated.

Gingival hyperplasia is a condition characterized by an abnormal growth or enlargement of the gingiva (gum tissue). This condition can be caused by various factors, including bacterial infection, certain medications (such as phenytoin, cyclosporine, and nifedipine), systemic diseases (such as leukemia, vitamin C deficiency, and Crohn's disease), and genetic disorders.

The enlarged gum tissue can be uncomfortable, irritated, and prone to bleeding, especially during brushing or flossing. It may also make it difficult to maintain good oral hygiene, which can increase the risk of dental caries and periodontal disease. Treatment for gingival hyperplasia typically involves improving oral hygiene, controlling any underlying causes, and in some cases, surgical removal of the excess tissue.

Periodontal attachment loss (PAL) is a clinical measurement in dentistry that refers to the amount of connective tissue attachment between the tooth and its surrounding supportive structures (including the gingiva, periodontal ligament, and alveolar bone) that has been lost due to periodontal disease. It is typically expressed in millimeters and represents the distance from the cementoenamel junction (CEJ), which is the point where the tooth's crown meets the root, to the bottom of the periodontal pocket.

Periodontal pockets are formed when the gums detach from the tooth due to inflammation and infection caused by bacterial biofilms accumulating on the teeth. As the disease progresses, more and more of the supporting structures are destroyed, leading to increased pocket depths and attachment loss. This can eventually result in loose teeth and even tooth loss if left untreated.

Therefore, periodontal attachment loss is an important indicator of the severity and progression of periodontal disease, and its measurement helps dental professionals assess the effectiveness of treatment interventions and monitor disease status over time.

Gingival overgrowth, also known as gingival hyperplasia or hypertrophy, refers to an abnormal enlargement or growth of the gum tissue (gingiva) surrounding the teeth. This condition can be caused by various factors, including poor oral hygiene, certain medications (such as phenytoin, cyclosporine, and calcium channel blockers), genetic predisposition, and systemic conditions like vitamin C deficiency or leukemia.

Gingival overgrowth can lead to several complications, such as difficulty in maintaining oral hygiene, which may result in periodontal disease, tooth decay, bad breath, and potential loss of teeth. In some cases, the enlarged gum tissue may also cause discomfort or pain during speaking, chewing, or brushing. Treatment for gingival overgrowth typically involves improving oral hygiene, adjusting medications if possible, and undergoing surgical procedures to remove the excess gum tissue. Regular dental check-ups and cleanings are essential in managing and preventing this condition.

An incisor is a type of tooth that is primarily designed for biting off food pieces rather than chewing or grinding. They are typically chisel-shaped, flat, and have a sharp cutting edge. In humans, there are eight incisors - four on the upper jaw and four on the lower jaw, located at the front of the mouth. Other animals such as dogs, cats, and rodents also have incisors that they use for different purposes like tearing or gnawing.

Gingival fibromatosis is a benign (non-cancerous) condition characterized by the excessive growth of gum (gingival) tissue. The overgrowth can affect one or both the maxilla (upper jaw) and mandible (lower jaw) and can lead to various dental and oral health issues, such as difficulty in chewing, speaking, and maintaining proper oral hygiene.

The etiology of gingival fibromatosis can be divided into two categories: hereditary and acquired. Hereditary gingival fibromatosis is often associated with genetic mutations, while acquired gingival fibromatosis can result from factors like chronic inflammation due to poor oral hygiene, certain medications (such as phenytoin, cyclosporine, or nifedipine), and systemic conditions (like leukemia).

The management of gingival fibromatosis typically involves surgical removal of the excess tissue. However, recurrence is common due to the condition's tendency for regrowth. Regular follow-ups with a dental professional are essential to monitor any potential regrowth and maintain good oral hygiene.

A gingivectomy is a dental procedure that involves the surgical removal or reshaping of the gum tissue (gingiva) to improve the health and appearance of the teeth and gums. This procedure is typically performed when the gums have become swollen, inflamed, or infected due to periodontal disease, which can cause the gums to recede and expose the tooth roots. By removing the affected gum tissue, a gingivectomy can help to eliminate pockets of bacteria and promote healthy gum growth.

During the procedure, a dental surgeon will use local anesthesia to numb the area and then carefully cut away the excess gum tissue using specialized instruments. The surgeon may also smooth and reshape the remaining gum tissue to create a more even and aesthetically pleasing appearance. After the procedure, patients may experience some discomfort, swelling, or bleeding, but these symptoms can typically be managed with over-the-counter pain medications and careful oral hygiene practices.

It's important to note that while a gingivectomy can help to improve the health of the gums and teeth, it is not a substitute for good oral hygiene habits. Regular brushing, flossing, and dental checkups are essential for maintaining healthy teeth and gums over the long term.

Osteoblasts are specialized bone-forming cells that are derived from mesenchymal stem cells. They play a crucial role in the process of bone formation and remodeling. Osteoblasts synthesize, secrete, and mineralize the organic matrix of bones, which is mainly composed of type I collagen.

These cells have receptors for various hormones and growth factors that regulate their activity, such as parathyroid hormone, vitamin D, and transforming growth factor-beta. When osteoblasts are not actively producing bone matrix, they can become trapped within the matrix they produce, where they differentiate into osteocytes, which are mature bone cells that play a role in maintaining bone structure and responding to mechanical stress.

Abnormalities in osteoblast function can lead to various bone diseases, such as osteoporosis, osteogenesis imperfecta, and Paget's disease of bone.

Gingival crevicular fluid (GCF) is defined as the serum transudate or inflammatory exudate that flows from the gingival sulcus or periodontal pocket. It is a physiological fluid found in the narrow space between the tooth and the surrounding gum tissue, which deepens during periodontal disease. The analysis of GCF has been used as a non-invasive method to assess the status of periodontal health and disease since it contains various markers of inflammation, host response, and bacterial products.

Gingivoplasty is a surgical procedure in dentistry that involves the reshaping or contouring of the gingiva (gums). This procedure is typically performed for aesthetic purposes, to improve the appearance of gums that are uneven or have an irregular shape. It can also be done to remove excess gum tissue that may be covering too much of a tooth, making it appear shorter than the other teeth.

Gingivoplasty is often recommended as a part of periodontal treatment to ensure the proper fit and function of dental restorations or to manage and prevent gum disease. The procedure involves removing and reshaping the gingival tissue to create a more aesthetically pleasing and healthy gum line.

It's important to note that while gingivoplasty can improve the appearance of the gums, it does not address any underlying issues related to gum disease or bone loss. Additional periodontal treatments may be necessary to address these concerns.

A tooth is classified as "unerupted" when it has not yet penetrated through the gums and entered the oral cavity. This can apply to both primary (baby) teeth and permanent (adult) teeth. The reasons for a tooth's failure to erupt can vary, including crowding of teeth, lack of sufficient space, or anatomical barriers such as bone or soft tissue. In some cases, unerupted teeth may need to be monitored or treated, depending on the specific situation and any symptoms experienced by the individual.

A bone fracture is a medical condition in which there is a partial or complete break in the continuity of a bone due to external or internal forces. Fractures can occur in any bone in the body and can vary in severity from a small crack to a shattered bone. The symptoms of a bone fracture typically include pain, swelling, bruising, deformity, and difficulty moving the affected limb. Treatment for a bone fracture may involve immobilization with a cast or splint, surgery to realign and stabilize the bone, or medication to manage pain and prevent infection. The specific treatment approach will depend on the location, type, and severity of the fracture.

Bone marrow transplantation (BMT) is a medical procedure in which damaged or destroyed bone marrow is replaced with healthy bone marrow from a donor. Bone marrow is the spongy tissue inside bones that produces blood cells. The main types of BMT are autologous, allogeneic, and umbilical cord blood transplantation.

In autologous BMT, the patient's own bone marrow is used for the transplant. This type of BMT is often used in patients with lymphoma or multiple myeloma who have undergone high-dose chemotherapy or radiation therapy to destroy their cancerous bone marrow.

In allogeneic BMT, bone marrow from a genetically matched donor is used for the transplant. This type of BMT is often used in patients with leukemia, lymphoma, or other blood disorders who have failed other treatments.

Umbilical cord blood transplantation involves using stem cells from umbilical cord blood as a source of healthy bone marrow. This type of BMT is often used in children and adults who do not have a matched donor for allogeneic BMT.

The process of BMT typically involves several steps, including harvesting the bone marrow or stem cells from the donor, conditioning the patient's body to receive the new bone marrow or stem cells, transplanting the new bone marrow or stem cells into the patient's body, and monitoring the patient for signs of engraftment and complications.

BMT is a complex and potentially risky procedure that requires careful planning, preparation, and follow-up care. However, it can be a life-saving treatment for many patients with blood disorders or cancer.

Bone substitutes are materials that are used to replace missing or damaged bone in the body. They can be made from a variety of materials, including natural bone from other parts of the body or from animals, synthetic materials, or a combination of both. The goal of using bone substitutes is to provide structural support and promote the growth of new bone tissue.

Bone substitutes are often used in dental, orthopedic, and craniofacial surgery to help repair defects caused by trauma, tumors, or congenital abnormalities. They can also be used to augment bone volume in procedures such as spinal fusion or joint replacement.

There are several types of bone substitutes available, including:

1. Autografts: Bone taken from another part of the patient's body, such as the hip or pelvis.
2. Allografts: Bone taken from a deceased donor and processed to remove any cells and infectious materials.
3. Xenografts: Bone from an animal source, typically bovine or porcine, that has been processed to remove any cells and infectious materials.
4. Synthetic bone substitutes: Materials such as calcium phosphate ceramics, bioactive glass, and polymer-based materials that are designed to mimic the properties of natural bone.

The choice of bone substitute material depends on several factors, including the size and location of the defect, the patient's medical history, and the surgeon's preference. It is important to note that while bone substitutes can provide structural support and promote new bone growth, they may not have the same strength or durability as natural bone. Therefore, they may not be suitable for all applications, particularly those that require high load-bearing capacity.

Alveolar bone grafting is a surgical procedure that involves transplanting bone tissue to the alveolar ridge, which is the part of the jawbone that contains tooth sockets. This procedure is often performed as a part of dental treatment plans for patients who have congenital defects or have experienced significant bone loss due to periodontal disease, trauma, or other factors.

The goal of alveolar bone grafting is to restore the structure and function of the jawbone, which can help support dental implants, improve chewing ability, and enhance facial aesthetics. The bone tissue used for the graft may come from various sources, including the patient's own body (autograft), a donor (allograft), or synthetic materials (alloplast).

During the procedure, the oral surgeon will make an incision in the gum tissue to expose the jawbone and prepare it for the graft. The bone tissue is then placed in the defective area and secured with screws or plates. The gum tissue is closed with sutures, and the patient is typically given antibiotics and pain medication to manage any discomfort during recovery.

It may take several months for the bone graft to fully integrate with the jawbone, after which dental implants can be placed if necessary. Proper oral hygiene and regular follow-up appointments with the oral surgeon are essential to ensure successful healing and optimal outcomes.

Tooth abnormalities refer to any variations or irregularities in the size, shape, number, structure, or development of teeth that deviate from the typical or normal anatomy. These abnormalities can occur in primary (deciduous) or permanent teeth and can be caused by genetic factors, environmental influences, systemic diseases, or localized dental conditions during tooth formation.

Some examples of tooth abnormalities include:

1. Microdontia - teeth that are smaller than normal in size.
2. Macrodontia - teeth that are larger than normal in size.
3. Peg-shaped teeth - teeth with a narrow, conical shape.
4. Talon cusps - additional cusps or points on the biting surface of a tooth.
5. Dens invaginatus - an abnormal development where the tooth crown has an extra fold or pouch that can trap bacteria and cause dental problems.
6. Taurodontism - teeth with large pulp chambers and short roots.
7. Supernumerary teeth - having more teeth than the typical number (20 primary and 32 permanent teeth).
8. Hypodontia - missing one or more teeth due to a failure of development.
9. Germination - two adjacent teeth fused together, usually occurring in the front teeth.
10. Fusion - two separate teeth that have grown together during development.

Tooth abnormalities may not always require treatment unless they cause functional, aesthetic, or dental health issues. A dentist can diagnose and manage tooth abnormalities through various treatments, such as fillings, extractions, orthodontic care, or restorative procedures.

A supernumerary tooth, also known as hyperdontia, refers to an additional tooth or teeth that grow beyond the regular number of teeth in the dental arch. These extra teeth can erupt in various locations of the dental arch and may occur in any of the tooth types, but they are most commonly seen as extra premolars or molars, and less frequently as incisors or canines. Supernumerary teeth may be asymptomatic or may cause complications such as crowding, displacement, or impaction of adjacent teeth, and therefore, they often require dental treatment.

The femur is the medical term for the thigh bone, which is the longest and strongest bone in the human body. It connects the hip bone to the knee joint and plays a crucial role in supporting the weight of the body and allowing movement during activities such as walking, running, and jumping. The femur is composed of a rounded head, a long shaft, and two condyles at the lower end that articulate with the tibia and patella to form the knee joint.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Tooth wear is the progressive loss of tooth structure that can occur as a result of various factors. According to the medical definition, it refers to the wearing down, rubbing away, or grinding off of the hard tissues of the teeth (enamel and dentin) due to mechanical forces or chemical processes.

There are three primary types of tooth wear:

1. Abrasion: This is the loss of tooth structure caused by friction from external sources, such as incorrect brushing techniques, bite appliances, or habits like nail-biting and pipe smoking.
2. Attrition: This type of tooth wear results from the natural wearing down of teeth due to occlusal forces during biting, chewing, and grinding. However, excessive attrition can occur due to bruxism (teeth grinding) or clenching.
3. Erosion: Chemical processes, such as acid attacks from dietary sources (e.g., citrus fruits, sodas, and sports drinks) or gastric reflux, cause the loss of tooth structure in this type of tooth wear. The enamel dissolves when exposed to low pH levels, leaving the dentin underneath vulnerable to further damage.

Professional dental examination and treatment may be necessary to address significant tooth wear and prevent further progression, which can lead to sensitivity, pain, and functional or aesthetic issues.

Dental radiography is a specific type of imaging that uses radiation to produce detailed images of the teeth, bones, and soft tissues surrounding them. It is a crucial tool in dental diagnostics and treatment planning. There are several types of dental radiographs, including:

1. Intraoral Radiographs: These are taken inside the mouth and provide detailed images of individual teeth or small groups of teeth. They can help detect cavities, assess periodontal health, plan for restorations, and monitor tooth development in children. Common types of intraoral radiographs include bitewing, periapical, and occlusal radiographs.
2. Extraoral Radiographs: These are taken outside the mouth and provide images of larger areas, such as the entire jaw or skull. They can help diagnose issues related to the temporomandibular joint (TMJ), detect impacted teeth, assess bone health, and identify any abnormalities in the facial structure. Common types of extraoral radiographs include panoramic, cephalometric, and sialography radiographs.
3. Cone Beam Computed Tomography (CBCT): This is a specialized type of dental radiography that uses a cone-shaped X-ray beam to create detailed 3D images of the teeth, bones, and soft tissues. It is particularly useful in planning complex treatments such as dental implants, orthodontic treatment, and oral surgery.

Dental radiographs are typically taken using a specialized machine that emits a low dose of radiation. Patients are provided with protective lead aprons to minimize exposure to radiation. The frequency of dental radiographs depends on the patient's individual needs and medical history. Dentists follow strict guidelines to ensure that dental radiography is safe and effective for their patients.

Gingival hypertrophy is a condition characterized by an abnormal enlargement or overgrowth of the gingiva (gum tissue). This can be caused due to various reasons such as inflammation from poor oral hygiene, certain medications like phenytoin and cyclosporine, or systemic conditions such as pregnancy, leukemia, and vitamin C deficiency.

The enlarged gums may appear swollen, red, and bleed easily. They can also cover the teeth, making cleaning difficult, which can further worsen the inflammation. Depending on the cause, treatment options may include improving oral hygiene, changing medications, or undergoing surgical procedures to remove the excess tissue.

The Periodontal Index (PI) is not a current or widely used medical/dental term. However, in the past, it was used to describe a method for assessing and measuring the severity of periodontal disease, also known as gum disease.

Developed by Henry H. Klein and colleagues in 1978, the Periodontal Index was a scoring system that evaluated four parameters: gingival inflammation, gingival bleeding, calculus (tartar) presence, and periodontal pocket depths. The scores for each parameter ranged from 0 to 3, with higher scores indicating worse periodontal health. The overall PI score was the sum of the individual parameter scores, ranging from 0 to 12.

However, due to its limited ability to predict future disease progression and the introduction of more comprehensive assessment methods like the Community Periodontal Index (CPI) and the Basic Periodontal Examination (BPE), the use of the Periodontal Index has become less common in dental practice and research.

Tooth calcification, also known as dental calculus or tartar formation, refers to the hardening of plaque on the surface of teeth. This process occurs when minerals from saliva combine with bacterial deposits and dental plaque, resulting in a hard, calcified substance that adheres to the tooth surface. Calcification can occur both above and below the gum line, and if not removed through professional dental cleanings, it can lead to periodontal disease, tooth decay, and other oral health issues.

Dental implants are artificial tooth roots that are surgically placed into the jawbone to replace missing or extracted teeth. They are typically made of titanium, a biocompatible material that can fuse with the bone over time in a process called osseointegration. Once the implant has integrated with the bone, a dental crown, bridge, or denture can be attached to it to restore function and aesthetics to the mouth.

Dental implants are a popular choice for tooth replacement because they offer several advantages over traditional options like dentures or bridges. They are more stable and comfortable, as they do not rely on adjacent teeth for support and do not slip or move around in the mouth. Additionally, dental implants can help to preserve jawbone density and prevent facial sagging that can occur when teeth are missing.

The process of getting dental implants typically involves several appointments with a dental specialist called a prosthodontist or an oral surgeon. During the first appointment, the implant is placed into the jawbone, and the gum tissue is stitched closed. Over the next few months, the implant will fuse with the bone. Once this process is complete, a second surgery may be necessary to expose the implant and attach an abutment, which connects the implant to the dental restoration. Finally, the crown, bridge, or denture is attached to the implant, providing a natural-looking and functional replacement for the missing tooth.

Mandibular diseases refer to conditions that affect the mandible, or lower jawbone. These diseases can be classified as congenital (present at birth) or acquired (developing after birth). They can also be categorized based on the tissues involved, such as bone, muscle, or cartilage. Some examples of mandibular diseases include:

1. Mandibular fractures: These are breaks in the lower jawbone that can result from trauma or injury.
2. Osteomyelitis: This is an infection of the bone and surrounding tissues, which can affect the mandible.
3. Temporomandibular joint (TMJ) disorders: These are conditions that affect the joint that connects the jawbone to the skull, causing pain and limited movement.
4. Mandibular tumors: These are abnormal growths that can be benign or malignant, and can develop in any of the tissues of the mandible.
5. Osteonecrosis: This is a condition where the bone tissue dies due to lack of blood supply, which can affect the mandible.
6. Cleft lip and palate: This is a congenital deformity that affects the development of the face and mouth, including the lower jawbone.
7. Mandibular hypoplasia: This is a condition where the lower jawbone does not develop properly, leading to a small or recessed chin.
8. Developmental disorders: These are conditions that affect the growth and development of the mandible, such as condylar hyperplasia or hemifacial microsomia.

Osteocalcin is a protein that is produced by osteoblasts, which are the cells responsible for bone formation. It is one of the most abundant non-collagenous proteins found in bones and plays a crucial role in the regulation of bone metabolism. Osteocalcin contains a high affinity for calcium ions, making it essential for the mineralization of the bone matrix.

Once synthesized, osteocalcin is secreted into the extracellular matrix, where it binds to hydroxyapatite crystals, helping to regulate their growth and contributing to the overall strength and integrity of the bones. Osteocalcin also has been found to play a role in other physiological processes outside of bone metabolism, such as modulating insulin sensitivity, energy metabolism, and male fertility.

In summary, osteocalcin is a protein produced by osteoblasts that plays a critical role in bone formation, mineralization, and turnover, and has been implicated in various other physiological processes.

A periodontal prosthesis is a removable dental appliance that is used to replace missing teeth and surrounding tissues in patients who have advanced periodontal disease, also known as gum disease. This type of prosthesis is designed to restore both function and aesthetics, helping individuals to chew, speak, and smile with confidence.

Periodontal prostheses are typically made from a combination of materials, including acrylic resins, metals, and sometimes porcelain. They can be used to replace one or more missing teeth, or even an entire arch of teeth. The design of the prosthesis will depend on the individual's specific needs and the extent of their periodontal disease.

There are several types of periodontal prostheses, including:

1. Removable Partial Dentures (RPDs): These are used when some natural teeth remain in the upper or lower jaw. The RPD is designed to fit around the remaining teeth and provide support for the replacement teeth.
2. Overdentures: These are removable dental appliances that fit over a small number of remaining natural teeth or implants, providing additional stability and support.
3. Complete Dentures: When all the teeth in an arch are missing, a complete denture is used to replace them. The denture is held in place by suction, muscle tension, and sometimes dental adhesives.

It's important to note that periodontal prostheses require regular maintenance and professional cleaning to ensure their longevity and effectiveness. Patients should follow their dentist's or dental specialist's instructions for caring for their prosthesis and maintain good oral hygiene to prevent further issues with their gums and remaining teeth.

The mouth mucosa refers to the mucous membrane that lines the inside of the mouth, also known as the oral mucosa. It covers the tongue, gums, inner cheeks, palate, and floor of the mouth. This moist tissue is made up of epithelial cells, connective tissue, blood vessels, and nerve endings. Its functions include protecting the underlying tissues from physical trauma, chemical irritation, and microbial infections; aiding in food digestion by producing enzymes; and providing sensory information about taste, temperature, and texture.

Odontogenesis is the process of tooth development that involves the formation and calcification of teeth. It is a complex process that requires the interaction of several types of cells, including epithelial cells, mesenchymal cells, and odontoblasts. The process begins during embryonic development with the formation of dental lamina, which gives rise to the tooth bud. As the tooth bud grows and differentiates, it forms the various structures of the tooth, including the enamel, dentin, cementum, and pulp. Odontogenesis is completed when the tooth erupts into the oral cavity. Abnormalities in odontogenesis can result in developmental dental anomalies such as tooth agenesis, microdontia, or odontomas.

Orthodontic appliances are devices used in orthodontics, a branch of dentistry focused on the diagnosis, prevention, and treatment of dental and facial irregularities. These appliances can be fixed or removable and are used to align teeth, correct jaw relationships, or modify dental forces. They can include braces, aligners, palatal expanders, space maintainers, and headgear, among others. The specific type of appliance used depends on the individual patient's needs and the treatment plan developed by the orthodontist.

Physiologic calcification is the normal deposit of calcium salts in body tissues and organs. It is a natural process that occurs as part of the growth and development of the human body, as well as during the repair and remodeling of tissues.

Calcium is an essential mineral that plays a critical role in many bodily functions, including bone formation, muscle contraction, nerve impulse transmission, and blood clotting. In order to maintain proper levels of calcium in the body, excess calcium that is not needed for these functions may be deposited in various tissues as a normal part of the aging process.

Physiologic calcification typically occurs in areas such as the walls of blood vessels, the lungs, and the heart valves. While these calcifications are generally harmless, they can sometimes lead to complications, particularly if they occur in large amounts or in sensitive areas. For example, calcification of the coronary arteries can increase the risk of heart disease, while calcification of the lung tissue can cause respiratory symptoms.

It is important to note that pathologic calcification, on the other hand, refers to the abnormal deposit of calcium salts in tissues and organs, which can be caused by various medical conditions such as chronic kidney disease, hyperparathyroidism, and certain infections. Pathologic calcification is not a normal process and can lead to serious health complications if left untreated.

Bone Morphogenetic Proteins (BMPs) are a group of growth factors that play crucial roles in the development, growth, and repair of bones and other tissues. They belong to the Transforming Growth Factor-β (TGF-β) superfamily and were first discovered when researchers found that certain proteins extracted from demineralized bone matrix had the ability to induce new bone formation.

BMPs stimulate the differentiation of mesenchymal stem cells into osteoblasts, which are the cells responsible for bone formation. They also promote the recruitment and proliferation of these cells, enhancing the overall process of bone regeneration. In addition to their role in bone biology, BMPs have been implicated in various other biological processes, including embryonic development, wound healing, and the regulation of fat metabolism.

There are several types of BMPs (BMP-2, BMP-4, BMP-7, etc.) that exhibit distinct functions and expression patterns. Due to their ability to stimulate bone formation, recombinant human BMPs have been used in clinical applications, such as spinal fusion surgery and non-healing fracture treatment. However, the use of BMPs in medicine has been associated with certain risks and complications, including uncontrolled bone growth, inflammation, and cancer development, which necessitates further research to optimize their therapeutic potential.

Oral surgical procedures refer to various types of surgeries performed in the oral cavity and maxillofacial region, which includes the mouth, jaws, face, and skull. These procedures are typically performed by oral and maxillofacial surgeons, who are dental specialists with extensive training in surgical procedures involving the mouth, jaws, and face.

Some common examples of oral surgical procedures include:

1. Tooth extractions: This involves removing a tooth that is damaged beyond repair or causing problems for the surrounding teeth. Wisdom tooth removal is a common type of tooth extraction.
2. Dental implant placement: This procedure involves placing a small titanium post in the jawbone to serve as a replacement root for a missing tooth. A dental crown is then attached to the implant, creating a natural-looking and functional replacement tooth.
3. Jaw surgery: Also known as orthognathic surgery, this procedure involves repositioning the jaws to correct bite problems or facial asymmetry.
4. Biopsy: This procedure involves removing a small sample of tissue from the oral cavity for laboratory analysis, often to diagnose suspicious lesions or growths.
5. Lesion removal: This procedure involves removing benign or malignant growths from the oral cavity, such as tumors or cysts.
6. Temporomandibular joint (TMJ) surgery: This procedure involves treating disorders of the TMJ, which connects the jawbone to the skull and allows for movement when eating, speaking, and yawning.
7. Facial reconstruction: This procedure involves rebuilding or reshaping the facial bones after trauma, cancer surgery, or other conditions that affect the face.

Overall, oral surgical procedures are an important part of dental and medical care, helping to diagnose and treat a wide range of conditions affecting the mouth, jaws, and face.

Diphosphonates are a class of medications that are used to treat bone diseases, such as osteoporosis and Paget's disease. They work by binding to the surface of bones and inhibiting the activity of bone-resorbing cells called osteoclasts. This helps to slow down the breakdown and loss of bone tissue, which can help to reduce the risk of fractures.

Diphosphonates are typically taken orally in the form of tablets, but some forms may be given by injection. Commonly prescribed diphosphonates include alendronate (Fosamax), risedronate (Actonel), and ibandronate (Boniva). Side effects of diphosphonates can include gastrointestinal symptoms such as nausea, heartburn, and abdominal pain. In rare cases, they may also cause esophageal ulcers or osteonecrosis of the jaw.

It is important to follow the instructions for taking diphosphonates carefully, as they must be taken on an empty stomach with a full glass of water and the patient must remain upright for at least 30 minutes after taking the medication to reduce the risk of esophageal irritation. Regular monitoring of bone density and kidney function is also recommended while taking these medications.

A nonvital tooth is one that no longer has a living or viable pulp, which contains the nerves and blood vessels inside the tooth. This condition can occur due to various reasons such as tooth decay that has progressed deeply into the tooth, dental trauma, or previous invasive dental procedures. As a result, the tooth loses its sensitivity to temperature changes and may darken in color. Nonvital teeth typically require root canal treatment to remove the dead pulp tissue, disinfect the canals, and fill them with an inert material to preserve the tooth structure and function.

Tooth mobility, also known as loose teeth, refers to the degree of movement or displacement of a tooth in its socket when lateral forces are applied. It is often described in terms of grades:

* Grade 1: Tooth can be moved slightly (up to 1 mm) with finger pressure.
* Grade 2: Tooth can be moved up to 2 mm with finger pressure.
* Grade 3: Tooth can be moved more than 2 mm or can be removed from its socket with manual pressure.

Increased tooth mobility can be a sign of periodontal disease, trauma, or other dental conditions and should be evaluated by a dentist. Treatment may include deep cleaning, splinting, or surgery to restore stability to the affected teeth.

The tibia, also known as the shin bone, is the larger of the two bones in the lower leg and part of the knee joint. It supports most of the body's weight and is a major insertion point for muscles that flex the foot and bend the leg. The tibia articulates with the femur at the knee joint and with the fibula and talus bone at the ankle joint. Injuries to the tibia, such as fractures, are common in sports and other activities that put stress on the lower leg.

Postmenopausal osteoporosis is a specific type of osteoporosis that occurs in women after they have gone through menopause. It is defined as a skeletal disorder characterized by compromised bone strength, leading to an increased risk of fractures. In this condition, the decline in estrogen levels that occurs during menopause accelerates bone loss, resulting in a decrease in bone density and quality, which can lead to fragility fractures, particularly in the hips, wrists, and spine.

It's important to note that while postmenopausal osteoporosis is more common in women, men can also develop osteoporosis due to other factors such as aging, lifestyle choices, and medical conditions.

Ovariectomy is a surgical procedure in which one or both ovaries are removed. It is also known as "ovary removal" or "oophorectomy." This procedure is often performed as a treatment for various medical conditions, including ovarian cancer, endometriosis, uterine fibroids, and pelvic pain. Ovariectomy can also be part of a larger surgical procedure called an hysterectomy, in which the uterus is also removed.

In some cases, an ovariectomy may be performed as a preventative measure for individuals at high risk of developing ovarian cancer. This is known as a prophylactic ovariectomy. After an ovariectomy, a person will no longer have menstrual periods and will be unable to become pregnant naturally. Hormone replacement therapy may be recommended in some cases to help manage symptoms associated with the loss of hormones produced by the ovaries.

An impacted tooth is a condition where a tooth fails to erupt into the oral cavity within its expected time frame, resulting in its partial or complete entrapment within the jawbone or soft tissues. This commonly occurs with wisdom teeth (third molars) but can affect any tooth. Impacted teeth may cause problems such as infection, decay of adjacent teeth, gum disease, or cyst formation, and they may require surgical removal.

Alkaline phosphatase (ALP) is an enzyme found in various body tissues, including the liver, bile ducts, digestive system, bones, and kidneys. It plays a role in breaking down proteins and minerals, such as phosphate, in the body.

The medical definition of alkaline phosphatase refers to its function as a hydrolase enzyme that removes phosphate groups from molecules at an alkaline pH level. In clinical settings, ALP is often measured through blood tests as a biomarker for various health conditions.

Elevated levels of ALP in the blood may indicate liver or bone diseases, such as hepatitis, cirrhosis, bone fractures, or cancer. Therefore, physicians may order an alkaline phosphatase test to help diagnose and monitor these conditions. However, it is essential to interpret ALP results in conjunction with other diagnostic tests and clinical findings for accurate diagnosis and treatment.

Osteoprotegerin (OPG) is a soluble decoy receptor for the receptor activator of nuclear factor kappa-B ligand (RANKL). It is a member of the tumor necrosis factor (TNF) receptor superfamily and plays a crucial role in regulating bone metabolism. By binding to RANKL, OPG prevents it from interacting with its signaling receptor RANK on the surface of osteoclast precursor cells, thereby inhibiting osteoclast differentiation, activation, and survival. This results in reduced bone resorption and increased bone mass.

In addition to its role in bone homeostasis, OPG has also been implicated in various physiological and pathological processes, including immune regulation, cancer progression, and cardiovascular disease.

Photon Absorptiometry is a medical technique used to measure the absorption of photons (light particles) by tissues or materials. In clinical practice, it is often used as a non-invasive method for measuring bone mineral density (BMD). This technique uses a low-energy X-ray beam or gamma ray to penetrate the tissue and then measures the amount of radiation absorbed by the bone. The amount of absorption is related to the density and thickness of the bone, allowing for an assessment of BMD. It can be used to diagnose osteoporosis and monitor treatment response in patients with bone diseases. There are two types of photon absorptiometry: single-photon absorptiometry (SPA) and dual-photon absorptiometry (DPA). SPA uses one energy level, while DPA uses two different energy levels to measure BMD, providing more precise measurements.

Bone Morphogenetic Protein 2 (BMP-2) is a growth factor that belongs to the transforming growth factor-beta (TGF-β) superfamily. It plays a crucial role in bone and cartilage formation, as well as in the regulation of wound healing and embryonic development. BMP-2 stimulates the differentiation of mesenchymal stem cells into osteoblasts, which are cells responsible for bone formation.

BMP-2 has been approved by the US Food and Drug Administration (FDA) as a medical device to promote bone growth in certain spinal fusion surgeries and in the treatment of open fractures that have not healed properly. It is usually administered in the form of a collagen sponge soaked with recombinant human BMP-2 protein, which is a laboratory-produced version of the natural protein.

While BMP-2 has shown promising results in some clinical applications, its use is not without risks and controversies. Some studies have reported adverse effects such as inflammation, ectopic bone formation, and increased rates of cancer, which have raised concerns about its safety and efficacy. Therefore, it is essential to weigh the benefits and risks of BMP-2 therapy on a case-by-case basis and under the guidance of a qualified healthcare professional.

Pulmonary Alveolar Proteinosis (PAP) is a rare lung disorder characterized by the accumulation of surfactant, a lipoprotein complex that reduces surface tension within the alveoli, in the air sacs (alveoli) of the lungs. This accumulation can lead to difficulty breathing and reduced oxygen levels in the blood.

There are three types of PAP:

1. Congenital PAP: A very rare inherited form that affects infants and is caused by a genetic mutation that disrupts the production or function of granulocyte-macrophage colony-stimulating factor (GM-CSF), a protein important for the development and function of alveolar macrophages.

2. Secondary PAP: This form is associated with conditions that impair the clearance of surfactant by alveolar macrophages, such as hematologic disorders (e.g., leukemia), infections, exposure to inhaled irritants (e.g., silica dust), and certain medications.

3. Idiopathic PAP: The most common form, also known as autoimmune PAP, is caused by the development of autoantibodies against GM-CSF, which disrupts its function and leads to surfactant accumulation in the lungs.

Treatment for PAP may include whole lung lavage (WLL), a procedure where the affected lung is filled with saline solution and then drained to remove excess surfactant, as well as managing any underlying conditions. In some cases of idiopathic PAP, off-label use of inhaled GM-CSF has shown promise in improving symptoms and lung function.

... or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. After tooth ... and lose its original shape because the bone quickly resorbs, resulting in 30-60% loss in bone volume in the first six months. ... and the callous of bone covers with new gingiva. While there is good evidence that socket preservation prevents bone loss, ... the alveolar ridge has a mean loss of width of 3.8mm, and a height loss of 1.24mm within six months. This loss of bone volume, ...
Loss of proprioception is something which patients can struggle with accepting. Bone Resorption When teeth and roots are ... Although retention of a root prevents the alveolar bone from resorbing, at a distant site from the overdenture abutment the ... Plaque build up around overdenture abutments or precision attachments can lead to inflammation and hyperplasia of the gingiva. ... Bone Resorption Another tissue change that can result from wearing an overdenture is resorption of the alveolar bone. ...
Crown-to-root-ratio is the ratio of the length of the part of a tooth that appears above the alveolar bone versus what lies ... After some bone loss is incurred, though, and more root structure is visible outside of the supporting bone, not only is there ... Overlying the bone is the gingival soft tissue, which is, on average, about 1 millimeter in thickness. Because of this gingiva ... As the inflammation associated with periodontal disease causes the bone to resorb and disappear, revealing more of the root ...
Extension of the lesion into alveolar bone, periodontal ligament with significant bone loss Continued loss of collagen ... tooth loss may occur if the condition is not halted. It is termed localized when less than 30% of sites around teeth are ... The periodontium is composed of alveolar bone, periodontal ligament, cementum and gingiva. An internationally agreed ... Bone is resorbed, producing scarring and fibrous change. Features of the Advanced Lesion: ...
... of that tooth. These two groups were further divided based on the position of the alveolar bone crest to the cementoenamel ... The main reasons for tooth loss are decay or periodontal disease. Active eruption is known as eruption of teeth into the mouth ... unerupted teeth. Because bone resorbs when compressed, and forms under tension, this finite element analysis strongly supports ... This is a natural path of eruption of all the teeth as they emerge from gingiva and continue erupting until they make contact ...
... implants exhibited less-than-expected initial crestal bone loss-the effect of bone modeling at the crest of the alveolar bone ... Biologic width is the minimum thickness of soft tissue that envelops the alveolar bone that surrounds teeth and into which ... Several early clinical reports demonstrated enhanced soft (gingiva) and hard (bone) tissue responses to these platform switched ... requiring less bone to be resorbed to make room for attachment on the lateral surface of the implant fixture. Platform ...
In healthy bone tissue there is a homeostasis between bone resorption and ossification. Diseased or damaged bone is resorbed ... This form of therapy has been shown to prevent loss of bone mineral density (BMD) as a result of a reduction in bone turnover. ... This appears to be consistent with the findings in alveolar cancellous bone. Osteonecrosis can affect any bone, but the hips, ... The definitive symptom of ONJ is the exposure of mandibular or maxillary bone through lesions in the gingiva that do not heal. ...
... is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone. ... Bone remodeling as the alveolus adapts to the edentulous state occurs in the longer term as the alveolar process slowly resorbs ... The source of any bleeding can either be from soft tissues (gingiva and mucosa) or hard tissue (the bony socket). Bleeding of ... Supplementary or malformed teeth. Fractured teeth. Teeth in the fracture line of the jaw bone Teeth which cannot be restored ...
... and placing a bone graft. When a tooth is lost, the alveolar process begins to remodel. The vacant tooth socket collapses as it ... This collapse causes a loss in both height and width of the surrounding bone. In addition, when a maxillary molar or premolar ... The procedure is performed from inside the patient's mouth where the surgeon makes an incision into the gum, or gingiva. Once ... Zitzmann NU, Scharer P (1998). "Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and ...

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