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Related Concept Videos

Teeth01:15

Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Tooth Anatomy01:21

Tooth Anatomy

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The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

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Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
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Updated: May 14, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
07:32

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Published on: February 23, 2024

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Pain and Tooth Movement During Orthodontic Leveling and Alignment-A Questionnaire-Based Study.

Eryk Prajwos1, Maciej Jedliński2, Małgorzata Król3

  • 1Student Scientific Society at the Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, Poland.

Journal of Clinical Medicine
|April 12, 2025
PubMed
Summary

Orthodontic pain peaks the day after braces are applied, correlating with tooth movement. Women report more pain, but most patients manage without medication, guiding personalized pain relief strategies.

Keywords:
external pain factorsfixed appliancesorthodontic treatmentpainpain dynamicspatient experiencetooth movement

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Area of Science:

  • Dentistry
  • Orthodontics
  • Pain Management

Background:

  • Fixed orthodontic appliances commonly cause pain, a factor impacting patient experience.
  • Existing research inadequately addresses the dynamic nature of orthodontic pain and its link to tooth movement.

Purpose of the Study:

  • To investigate pain dynamics, influencing factors, and perceived tooth movement in adults undergoing fixed appliance therapy.
  • To provide data for enhanced patient care and improved orthodontic treatment outcomes.

Main Methods:

  • A survey of 24 questions was administered to healthy adults aged 18-50 undergoing fixed appliance treatment.
  • Data collection occurred over one month, focusing on pain intensity, dynamics, modifying factors, and perceived tooth movement.

Main Results:

  • Pain onset occurred within hours of appliance bonding, peaking the day after.
  • Upper incisors and molars were most affected, correlating with perceived earliest tooth movement.
  • Chewing was the primary pain trigger; women reported higher pain and medication use, though most managed without medication.

Conclusions:

  • Early orthodontic pain follows a predictable pattern, peaking post-bonding and linked to tooth movement.
  • Gender influences pain perception, highlighting the need for tailored pain management strategies.
  • Dietary modifications are crucial, as chewing exacerbates pain, informing clinical recommendations for orthodontists.