Supernumerary teeth in a sample of South African dental patients

Supernumerary teeth (SNT) are often associated with malocclusions. Data on SNT in the South African population are not well documented. To determine the prevalence, distribution of characteristics and any associated complications of SNT in a South African sample of dental patients. The study was retrospective, cross-sectional and descriptive. Method: Orthopantomographs of 12,005 dental patients were reviewed for the presence of SNT. The number, morphology, location, eruption status and orientation of SNT were assessed. Associated orthodontic problems were noted. The prevalence rate was 2.48%. No sexual dimorphism in the distribution of SNT was noted. Types of SNT tabulated were: supplementary, conical, tuberculate and odontoma. Maxilla demonstrated a higher predilection for SNT. Variation in the distribution of SNT in the anterior, premolar and molar regions in each jaw and across jaws was statistically significant. Relationship of eruption status to the morphology and orientation of SNT was of significance. Malocclusions noted were displacement and impaction of adjacent teeth. From an orthodontic perspective, presence of SNT may compromise tooth movement and space closure in patients. Additionally, as majority of SNT in this population were in the maxillary molar and mandibular premolar regions, caution is advised when planning the placement of orthodontic implants in these regions

Root and canal morphology of the mandibular first molar: A micro-computed tomography-focused observation of literature with illustrative cases. Part 1: External root morphology

The mandibular first molar often requires endodontic intervention, which can be challenging and complex with several variants in the number of canals and roots. Usually, these teeth have a single mesial and distal root, but variants and anomalies have been noted. The incidence of the number of roots can differ between populations. For instance, up to a third of East Asians present with a third root, while the global prevalence is 8.9%. One- and four-rooted first molar teeth are seldom encountered. Over the years different methods have been used to study root and canal morphology, but micro-computed tomography (micro-CT) has provided a non-invasive method to study root and canal morphology in high definition. This paperis the first of two giving an overview of available literature on various aspects of the external and internal root andcanal morphology of the mandibular first permanent molar. The aim is to provide an overview of relevant aspects of the external root morphology of the mandibular first molar in different populations. The content is supported by illustrative micro-CT images and a report on clinical cases where anomalies have been treated

Repeatability of a morphoscopic sex estimation technique for the mental eminence on micro-focus X-ray computed tomography models

Objectives Walker's sex estimation method is based on five morphoscopic features of the human skull. This study aimed at testing the repeatability of one of the five traits, the mental eminence, visually on three-dimensional (3D) models, compared to the traditional, tactile scoring approach on bone. Materials and methods The sample comprised 105 mandibles from the Pretoria Bone Collection and their respective virtual 3D models, obtained from micro-focus X-ray computed tomography (micro-XCT) scans. Four observers independently scored the bones first, followed by the virtual 3D modality. Intra- and interobserver errors (interOE and intraOE) were performed with Fleiss’ and Cohen's Kappa, respectively. We calculated the intermodality agreement per observer with Wilcoxon Signed-Rank tests. Results The intraOE was moderate on bone (κ=0.448) and substantial on 3D (κ=0.799), while the Fleiss’ Kappa test for the interOE resulted in slight agreement both on bone (κ=0.163) and 3D (κ=0.169) irrespective of level of experience. All Wilcoxon Signed-Rank test P-values were significant. Discussion and conclusion The application of the morphoscopic sex estimation for the mental eminence to micro-XCTs could be a matter of personal affinity as the level of experience did not play a role in the results. The expression of the mental eminence trait being population-specific, the individual's population affinity should be considered when sex is estimated in South African skeletons. It remains unclear whether the slight agreement between observers is due to the unreliability of the trait for sex estimation or whether the modalities are not easily interchangeable

A geometric morphometric approach to the study of variation of shovel-shaped incisors

Objectives: The scoring and analysis of dental nonmetric traits are predominantly accomplished by using the Arizona State University Dental Anthropology System (ASUDAS), a standard protocol based on strict definitions and three‐dimensional dental plaques. However, visual scoring, even when controlled by strict definitions of features, visual reference, and the experience of the observer, includes an unavoidable part of subjectivity. In this methodological contribution, we propose a new quantitative geometric morphometric approach to quickly and efficiently assess the variation of shoveling in modern human maxillary central incisors (UI1). Materials and methods: We analyzed 87 modern human UI1s by means of virtual imaging and the ASU‐UI1 dental plaque grades using geometric morphometrics by placing semilandmarks on the labial crown aspect. The modern human sample was composed of individuals from Europe, Africa, and Asia and included representatives of all seven grades defined by the ASUDAS method. Results: Our results highlighted some limitations in the use of the current UI1 ASUDAS plaque, indicating that it did not necessarily represent an objective gradient of expression of a nonmetric tooth feature. Rating of shoveling tended to be more prone to intra‐ and interobserver bias for the highest grades. In addition, our analyses suggest that the observers were strongly influenced by the depth of the lingual crown aspect when assessing the shoveling. Discussion: In this context, our results provide a reliable and reproducible framework reinforced by statistical results supporting the fact that open scale numerical measurements can complement the ASUDAS method

Evaluation of age, sex, and ancestry-related variation in cortical bone and dentine volumes in modern humans, and a preliminary assessment of cortical bone-dentine covariation in later Homo.

Cortical bone and dentine share similarities in their embryological origin, development, and genetic background. Few analyses have combined the study of cortical bone and dentine to quantify their covariation relative to endogenous and exogenous factors. However, knowing how these tissues relate in individuals is of great importance to decipher the factors acting on their evolution, and ultimately to understand the mechanisms responsible for the different patterns of tissue proportions shown in hominins. The aims of this study are to examine age-, sex-, and ancestry-related variation in cortical bone and dentine volumes, and to preliminary assess the possible covariation between these tissues in modern humans and in five composite Neandertals. The modern analytical sample includes 12 immature individuals from France and 49 adults from France and South Africa. Three-dimensional tissue proportions were assessed from microtomographic records of radii and permanent maxillary canines. Results suggest ontogenic differences and a strong sexual dimorphism in cortical bone and dentine developments. The developmental pattern of dentine also seems to vary according to individual's ancestry. We measure a stronger covariation signal between cortical bone and dentine volumes than with any other dental tissue. A more complex covariation pattern is shown when splitting the modern sample by age, sex, and ancestry, as no signal is found in some subsamples while others show a covariation between cortical bone and either crown or radicular dentine. Finally, no difference in cortical bone volume is noticed between the modern young adults and the five young adult composite Neandertals from Marine Isotopic Stages (MIS) 5 and 3. Greater dentine Cortical bone and dentine (co)variation volumes are measured in the MIS 5 chimeric Neandertals whereas a strong interpopulation variation in dentine thickness is noticed in the MIS 3 chimeric Neandertals. Further research on the cortical bonedentine covariation will increase understanding of the impact of endogenous and exogenous factors on the development of the mineralized tissues

Analysis of the hard-tissue menton shape in adult South Africans using cone-beam computed tomography (CBCT) scans

Background: In forensic anthropology, the biological profile is based on human variation. To increase understanding shape variation of the mental region, this study analyzed the influence of population affinity and sex on the menton in adult black and white South Africans, using geometric morphometric methods (GMM). Methods: We used cone-beam computed tomography (CBCT) scans of 291 adult dental patients from the Oral and Dental Hospital, University of Pretoria. We placed eleven standard craniometric landmarks on the menton, mandible, and maxilla of three-dimensional (3D) reconstructions by automatic landmarking and analyzed them by applying GMM. In addition, a subtle shape matrix of seven landmarks was created for a focused analysis of the menton only. Finally, we tested the reproducibility of the landmarks placement with a dispersion analysis. Results and Discussion: The landmarks used in this study were reproducible, with an overall dispersion of less than 1 mm. Population affinity significantly influenced menton shape, with P-values = 0.001 in the complete sample and within the sex groups. Differences between sexes for these seven landmarks were also statistically significant (P-values 0.001 to 0.003) in the complete sample, but not within population groups in isolation. The accuracy for estimation of population affinity by discriminant function analysis was 86.9%. Conclusion: The automatic landmarking improved landmark reproducibility. Population affinity and sexual dimorphism significantly influenced menton shape. However, shape analysis, including all eleven landmarks, was not significantly influenced by sex. This study supports further research focusing on the facial approximations for forensic identification in South Africa

Sulcal pattern variation in extant human endocasts

abstract de congrès publié : De Jager EJ, Van Schoor AN, Hoffman JW, Oettle AC, Fonta C, Beaudet A. 2018 Sulcal pattern variation in extant human brain endocasts. American Association for Physical Anthropologists. Austin, April 10-14. American Journal of Physical Anthropology, 165, suppl 63 (poster)

Sulcal pattern variation in extant human endocasts

abstract de congrès publié : De Jager EJ, Van Schoor AN, Hoffman JW, Oettle AC, Fonta C, Beaudet A. 2018 Sulcal pattern variation in extant human brain endocasts. American Association for Physical Anthropologists. Austin, April 10-14. American Journal of Physical Anthropology, 165, suppl 63 (poster)