Clinical implication of protostlylid: a point of view from dental anthropology and non-invasive dentistry
DOI:
https://doi.org/10.17533/udea.rfo.v33n1a9Keywords:
Dental anthropology, Dental morphology, Protostylyd, P point, ICDAS, Non-invasive dentistryAbstract
According to the multifactorial pathological model, dental morphology has been associated as one of the etiological factors of caries by favoring the accumulation of food remains and biofilm retention. One of the most frequent of non-metric dental traits of the Colombian population is the P point of the protostylid, which is constituted in a fossa that is expressed in the bucomesial development groove of the lower molars, a region that follows the occlusal surface as one of sites where carious lesions develop more frequently. However, the lack of knowledge of this morphological feature by most dentists makes the morphological system of the protostylid misdiagnosed, which in many cases leads to the overtreatment of this pit with invasive therapies, which could be avoided with a knowledge adequate dental morphology and with a preventive management or non-invasive techniques. Therefore, the aim of this review of the subject is to reconcile the expression of the P point of the protostylid and to make an approximation to the clinical implications of the same and the conservative diagnostic and therapeutic possibilities offered by dentistry to control the accumulation of food rests and retention of dental biofilm.
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References
World Health Organization. Continuous improvement of oral health in the 21st century: the approach of the WHO Global Oral Health Program. In: Petersen PE (editor). Geneva: World Health Organization; 2003. p.1-14.
Baelum V, Heidmann J, Nyvad B. Dental caries paradigms in diagnosis and diagnostic research. Eur J Oral Sci. 2006; 114: 263-77. DOI: https://doi.org/10.1111/j.1600-0722.2006.00383.x
Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H et al. The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007; 35: 170-8. DOI: https://doi.org/10.1111/j.1600-0528.2007.00347.x
Braga MM, Ekstrand KR, Martignon S, Imparato JC, Ricketts DN, Mendes FM. Clinical performance of two visual scoring systems in detecting and assessing activity status of occlusal caries in primary teeth. Caries Res. 2010; 44(3): 300-8. DOI: https://doi.org/10.1159/000315616
Peters MC, McLean ME. Minimally invasive operative care. I. Minimal intervention and concepts for minimally invasive cavity preparations. J Adhes Dent. 2001; 3(1): 7-16.
Doméjen-Orliaguet S, Banerjee A, Gaucher C, Milétic I, Basso M, Reich E et al. Minimum intervention treatment plan (MITP): practical implementation in general dental practice. J Minim Interv Dent. 2009; 2(2): 103-23.
White JM, Eakle S. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc. 2000; 131(Suppl 1): 13S-19S. DOI: https://doi.org/10.14219/jada.archive.2000.0394
Moreno S, Villavicencio J, Ortiz M, Jaramillo A, Moreno F. Restauraciones preventivas en resina como estrategia para control de la morfología dental. Acta Odontol Venez. 2007; 45(4): 580-8.
Featherstone JD. The caries balance: the basis for caries management by risk assessment. Oral Health Prev Dent. 2004; 2(Suppl 1): 259-64.
Featherstone JDB. Caries prevention and reversal based on the caries balance. Pediatr Dent. 2006; 28: 128-32.
Mount GJ. A new paradigm for operative dentistry. Aust Dent J. 2007; 52(4): 264-70. DOI: https://doi.org/10.1111/j.1834-7819.2007.tb00500.x
Moreno S, Moreno F. Importancia clínica de la antropología dental. Rev Estomatol. 2007; 15(2 Supl.1): 42-53.
Skinner MM, Wood BA, Boesch C, Olejniczak AJ, Rosas A, Smith TM et al. Dental trait expression at the enamel-dentine junction of lower molars in extant and fossil hominoids. J Hum Evol. 2008; 54: 173-86. DOI: https://doi.org/10.1016/j.jhevol.2007.09.012
Hernández JA, Moreno S, Moreno F. Origen, frecuencia y variabilidad del protostílido en poblaciones humanas del suroccidente colombiano: revisión sistemática de la literatura. Rev Fac Odontol Univ Antioq. 2014; 27(1): 108-26. DOI: http://dx.doi.org/10.17533/udea.rfo.v27n1a6
Moreno S, Moreno F. Cíngulo dental. Rev Odontol Mex. 2016; 21(1): 6-7.
Dahlberg AA. The paramolar tubercle (Bolk). Am J Phys Anthrop. 1945; 3(1): 97-103. DOI: https://doi.org/10.1002/ajpa.1330030119
Dahlberg AA. The evolutionary significance of the protostylid. Am J Phys Anthrop. 1950; 8(1): 15-25. DOI: https://doi.org/10.1002/ajpa.1330080110
Hlusko LJ. Protostylid variation in Australopithecus. J Hum Evol. 2004; 46: 579-94. DOI: https://doi.org/10.1016/j.jhevol.2004.03.003
Kustaloglu O. Paramolar structures of the upper dentition. J Dent Res. 1961; 41(1): 75-83. DOI: https://doi.org/10.1177%2F00220345620410015001
Axelson G. Protostylid trait in deciduous and permanent dentition in Icelanders. The Icelandic Dent J. 2004; 22(1): 11-7.
Turner II CG, Nichol CR, Scott GR. Scoring procedures for key morphological traits of the permanent dentition: the Arizona State University dental anthropology system. In: Nelly MA and Larsen CS (editors). Advances in dental anthropology. Wiley-Liss: New York; 1991.
Thesleff I, Sharpe P. Signalling networks regulating dental development. Mech Dev. 1997; 67(2): 111-23. DOI: https://doi.org/10.1016/s0925-4773(97)00115-9
Thesleff I. Epithelial-mesenchymal signaling regulating tooth morphogenesis. J Cell Sci. 2003; 116(Pt. 9): 1647-8. DOI: https://doi.org/10.1242/jcs.00410
Awazawa Y, Hayashi K, Kiba H, Awazawa I, Tobari H. Patho-morphological study of the supplemental groove. Bull Group Int Rech Sci Stomatol Odontol. 1990; 32(3): 145-56.
Gaspersic D. Morphology of the most common form of protostylid on human lower molars. J Anat. 1993; 182(Pt 3): 429-31.
Gaspersic D. Morphometry, scanning electron microscopy and X-ray spectral microanalysis of protostylid pits on human lower third molars. Anat Embryol (Berl). 1996; 193(4): 407-12. DOI: https://doi.org/10.1007/bf00186697
Hanihara K. Criteria for classification of crown characters of the human deciduous dentition. J Anthropol Soc Nippon. 1961; 69(1): 27-45. DOI: https://doi.org/10.1537/ase1911.69.27
Turner II CG. Advances in the dental Search for native American origins. Acta Anthropogen. 1984; 8(1-2): 23-78.
Zoubov AA. La antropología dental y la práctica forense. Maguaré. 1998; 13: 243-52.
Irish JD. Characteristic high- and low-frequency dental traits in Sub-Saharan African populations. Am J Phys Anthropol. 1997; 102(4): 455-67. DOI: https://doi.org/10.1002/(sici)1096-8644(199704)102:4%3C455::aid-ajpa3%3E3.0.co;2-r
Edgar HJH. Microevolution of African American dental morphology. Am J Phys Anthropol. 2007; 132(4): 535-44. DOI: https://doi.org/10.1002/ajpa.20550
Rodríguez-Cuenca JV. Dientes y diversidad humana: avances de la antropología dental. Bogotá: Universidad Nacional de Colombia; 2003.
Díaz E, García L, Fernández M, Palacio L, Ruiz D, Velandia N et al. Frequency and variability of dental morphology in deciduous and permanent dentition of a Nasa indigenous group in the municipality of Morales, Cauca, Colombia. Colomb Med. 2014; 45(1): 15-24.
García A, Gustín F, Quiñonez C, Sacanamboy L, Torres M-H, Triana L et al. Caracterización de 12 rasgos morfológicos dentales en premolares de indígenas Misak de Silvia, Cauca (Colombia). Rev Col Inv Odontol. 2015; 6(17): 77-89.
García A, Gustín F, Quiñonez C, Sacanamboy L, Torres M-H, Triana L et al. Caracterización morfológica de incisivos y molares de un grupo de afrodescendientes de Cali, Valle del Cauca (Colombia). Rev Estomatol. 2015; 23(2): 17-29.
Rocha L, Rivas H, Moreno F. Frecuencia y variabilidad de la morfología dental en niños afro-colombianos de una institución educativa de Puerto Tejada, Cauca, Colombia. Colomb Med. 2007; 38(3): 210-21.
Marcovich I, Prado E, Díaz P, Ortiz Y, Martínez C, Moreno F. Análisis de la morfología dental en escolares afro-colombianos de Villarica, Cauca, Colombia. Rev Fac Odont Univ Ant. 2012; 24(1): 37-61.
Moreno F, Moreno SM, Díaz CA, Bustos EA, Rodríguez JV. Prevalencia y variabilidad de ocho rasgos morfológicos dentales en jóvenes de tres colegios de Cali, 2002. Colomb Med. 2004; 35 (Supl 1): 16-23.
Herazo B. Antropología y epidemiología bucodental colombiana. Ecoe Ediciones: Bogotá; 1992.
Pfeiffer S. The relationship of buccal pits to caries formation and tooth loss. Am J Phys Anthropol. 1978; 50(1): 35-7. DOI: https://doi.org/10.1002/ajpa.1330500106
Hannigan A, O’Mullane DM, Barry D, Schäfer F, Roberts AJ. A caries susceptibility classification of tooth surfaces by survival time. Caries Res. 2000; 34: 103-8. DOI: https://doi.org/10.1159/000016576
Colombia. Ministerio de Salud y de Protección Social. IV Estudio Nacional de Salud Bucal – ENSAB IV: metodología determinación social de la salud bucal. Bogotá: Minsalud; 2014.
Demirici M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010; 4: 270-79.
Quaglio JM, Sousa MB, Ardenghi TM, Mendes FM, Imparato JC, Pinheiro SL. Association between clinical parameters and the presence of active caries lesions in first permanent molars. Braz Oral Res. 2006; 20: 358-63. DOI: https://doi.org/10.1590/S1806-83242006000400014
Urbano D, Arias L, Martínez D, López K, Jaramillo A, Arango M-C. Caries detection in first permanent molars in students at an institution of Cali, 2012. Rev Col Inv Odontol. 2014; 5(14): 105-15.
Chaple-Gil AM. Generalidades sobre la mínima intervención en cariología. Rev Cuba Estomatol. 2016; 53(2): 37-44.
Castellanos JE, Marín-Gallón LM, Úsuga-Vacca MV, Castiblanco-Rubio GA, Martignon-Biermann S. La remineralización del esmalte bajo el entendimiento actual de la caries dental. Univ Odontol. 2013; 32(69): 49-59.
Schwendicke F, Jäger AM, Paris S, Hsu LY, Tu YK. Treating pit-and-fissure caries: a systematic review and network meta-analysis. J Dent Res. 2015; 94(4): 522-33. DOI: https://doi.org/10.1177/0022034515571184
Jingarwar MM, BaJwa NK, PathaK A. Minimal intervention dentistry: a new frontier in clinical dentistry. J Clin Diagn Res. 2014; 8(7): 4-8. DOI: https://doi.org/10.7860/jcdr/2014/9128.4583
Ekstrand K, Martignon S, Bakhshandeh A, Ricketts DNJ. The non-operative resin treatment of proximal caries lesions. Dent Update. 2012; 39(9): 614-22 DOI: https://doi.org/10.12968/denu.2012.39.9.614
Pitts N, Melo PR, Martignon S, Ekstrand K, Ismail A. Caries risk assessment, diagnosis and synthesis in the context of a European Core Curriculum in Cariology. Eur J Dent Educ. 2011; 15 (Suppl. 1): 23–31. DOI: https://doi.org/10.1111/j.1600-0579.2011.00711.x
Martignon S. Criterios ICDAS: nuevas perspectivas para el diagnóstico de la caries dental. Revista Dental Main News. 2007; 14-9.
López-Lázaro S, Soto-Álvarez C, Aramburú G, Rodríguez I, Cantín M, Fonseca GM. Investigación de rasgos dentales no métricos en poblaciones sudamericanas actuales: estado de situación y contextualización forense. Int J Morphol. 2016; 34(2): 580-92. DOI: http://dx.doi.org/10.4067/S0717-95022016000200027
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