Occlusal fissures in equine cheek teeth: μCT and histological findings.
Abstract: Fissures on the occlusal surface of equine cheek teeth are commonly encountered during oral examination. Generally, their presence is considered abnormal but their aetiopathogenesis and clinical impact on pulp disease is still undetermined. The aims of this research were to study the extent of occlusal cheek teeth fissures using high-resolution X-ray computed tomography (μCT) imaging and their histological characteristics. Twenty-seven teeth (of 15 horses) were scanned using μCT imaging to analyse fissure extent. Histological examination of a subset of teeth (n=7) was performed. Forty-three type 1 fissures (35 type 1a, eight type 1b) were identified. The mean length of the fissure of type 1a and type 1b on the occlusal surface was 3.47+/-1.60mm and 13.64+/-7.40mm, respectively. Their mean depth was 13.22+/-10.76mm and 7.42+/-6.42mm, respectively. Potential risk factors associated with fissure depth were identified using a multivariable mixed model The location of the fissure and Triadan number were significantly associated with fissure depth. Fissures could be identified on histological sections with the presence of organic material inside the fissure, microorganisms in the continuation of the fissure extending into the dentinal tubules and the presence of reactionary dentine. This study suggests that fissures can provide a pathway for microorganisms to enter the dentinal tubules, potentially resulting in local pulpal inflammation. It appears that in healthy teeth, vital odontoblasts react by producing reactionary (tertiary) dentin, which lacks patent tubules and thus provides a proper seal.
Copyright © 2019 Elsevier Ltd. All rights reserved.
Publication Date: 2019-12-13 PubMed ID: 31982081DOI: 10.1016/j.tvjl.2019.105421Google Scholar: Lookup
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- Journal Article
Summary
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This research looked at fissures, or cracks, on the surface of horse cheek teeth. Techniques used included high-resolution X-ray imaging and a careful examination of the structure and makeup of the teeth. The researchers found the fissures can provide a route for microorganisms to cause inflammation in the dental pulp, but in healthy teeth, increased production of a type of dentin can create a defensive seal.
Research Study and Methodology
- The study investigated fissures on the occlusal (chewing) surface of equine cheek teeth. These fissures are usually considered abnormal, but their exact cause, development, and impact on pulp diseases remain uncertain.
- Twenty-seven teeth from fifteen horses were scanned using high-resolution X-ray computed tomography imaging (µCT), a non-destructive method for obtaining high-resolution, three-dimensional images that allows researchers to analyze the full extent of the fissures inside the teeth.
- The study also utilized histology (the study of the microscopic anatomy of cells and tissues) to investigate the physical characteristics and materials inside the fissures.
Findings and Observations
- Forty-three type 1 fissures were identified in the teeth scanned. They were further subdivided into type 1a (35 instances) and type 1b (eight instances), with varying mean lengths and depths.
- The histological examination revealed the presence of organic material inside the fissures, with microorganisms extending into the dentinal tubules (small, tube-like structures in the dentin), suggesting that these fissures may provide a pathway for microorganisms to infiltrate the teeth.
- The presence of reactionary dentin (also known as tertiary dentin), a special type of dentin produced in response to stimuli or damage, was also observed. This could suggest a natural defensive reaction in healthy teeth to seal off potential infection routes.
Conclusions and Implications
- Multiple factors, including the fissure’s location and the Triadan number (a widely used dental numbering system), were found to be significantly associated with fissure depth.
- The study suggests that fissures could potentially lead to pulpal inflammation by allowing microorganisms to infiltrate the dental tubules.
- In healthy teeth, the odontoblasts (cells that produce dentin) seem to respond by producing reactionary dentin, which lacks open tubules and could therefore provide a proper seal against microorganisms.
Cite This Article
APA
Pollaris E, Staszyk C, Proost K, Boone MN, Josipovic I, Pardon B, Vlaminck L.
(2019).
Occlusal fissures in equine cheek teeth: μCT and histological findings.
Vet J, 255, 105421.
https://doi.org/10.1016/j.tvjl.2019.105421 Publication
Researcher Affiliations
- Department of Surgery and Anaesthesiology of Large Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 8920 Merelbeke, Belgium.
- Institute of Veterinary-Anatomy,-Histology and -Embryology, Faculty of Veterinary Medicine, Justus-Liebig-University Giessen, Ludwigstraße 23, 35390, Germany.
- Department of Surgery and Anaesthesiology of Large Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 8920 Merelbeke, Belgium.
- Department of Physics and Astronomy - Radiation Physics, Faculty of Science, RP-UGCT, Ghent University, Proeftuinstraat 86, 9000 Ghent, Belgium.
- Department of Physics and Astronomy - Radiation Physics, Faculty of Science, RP-UGCT, Ghent University, Proeftuinstraat 86, 9000 Ghent, Belgium.
- Department of Large Animal Internal medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 8920 Merelbeke, Belgium.
- Department of Surgery and Anaesthesiology of Large Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 8920 Merelbeke, Belgium. Electronic address: lieven.vlaminck@ugent.be.
MeSH Terms
- Animals
- Dental Fissures / diagnostic imaging
- Dental Fissures / epidemiology
- Dental Fissures / microbiology
- Dental Fissures / veterinary
- Dentin / pathology
- Horse Diseases / epidemiology
- Horse Diseases / pathology
- Horses
- Molar / pathology
- Tomography, X-Ray Computed / veterinary
Citations
This article has been cited 3 times.- Kau S, Mansfeld MD, Šoba A, Zwick T, Staszyk C. The facultative human oral pathogen Prevotella histicola in equine cheek tooth apical/ periapical infection: a case report. BMC Vet Res 2021 Oct 30;17(1):343.
- Pollaris E, Broeckx BJG, Rajasekharan S, Cauwels R, Vlaminck L. Fracture Resistance of Equine Cheek Teeth With and Without Occlusal Fissures: A Standardized ex vivo Model. Front Vet Sci 2021;8:699940.
- Pollaris E, Broeckx BJG, Vlaminck L. Occlusal Fissures in Equine Cheek Teeth: A Prospective Longitudinal in vivo Study. Front Vet Sci 2020;7:604420.
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