Showing posts with label extraction forceps. Show all posts
Showing posts with label extraction forceps. Show all posts

Monday, November 14, 2016

Dental Detectives: What Fossil Teeth Reveal About Ancestral Human Diets


When scientists want to know what our ancient ancestors ate, they can look at a few things: fossilized animal bones with marks from tools used to butcher and cut them; fossilized poop; and teeth. The first two can tell us a lot, but they're hard to come by in the fossil record. Thankfully, there are a lot of teeth to fill in the gaps.
"They preserve really well," explains Debbie Guatelli-Steinberg, a dental anthropologist at Ohio State University. "It's kind of convenient because teeth hold so much information."
The structure of a tooth and even the amount of enamel, for example, hint at what the teeth are adapted to eat.
Look at molars: Thick enamel on a molar is good for crushing foods. It suggests an animal used its teeth to grind seeds or crush the marrow out of bones. Thin enamel on a molar, while delicate, causes sharp edges — perfect for slicing and tearing foods like leaves and fruits.
However, these are just clues to some of the things the animal could have been eating, not what it ate every day, says Peter Ungar, an anthropologist at the University of Arkansas.
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"If you eat Jell-O almost every day of the year, but sometimes you need to eat rocks ... you want teeth that can eat rocks," he explains. So, teeth are usually adapted for the toughest component of an animal's diet, not what it eats on a daily basis.
To see what an animal was actually eating, Ungar studies something called dental microwear, the marks left behind by food on teeth. As we chew on say, a celery stick, hard particles — either bits of silica from the plants' cells or sand and grit from the surrounding environment — are dragged across and pressed into our teeth. When we chomp down on something hard, like a nut, the crushing force leaves microscopic pits behind. When we tear through tough grasses — which may not sound appetizing now, but it's likely some of our ancestors did eat them — by moving our teeth side-to-side, the teeth get tiny, microscopic scratches.
"I call it a foodprint," Ungar says.
These foodprints can paint a pretty good picture of what an animal ate in the weeks leading up to its death — a sort of last meal. A study of such microwear revealed that Australopithecus afarensis, our 4 million-year-old ancestor best known by the famous fossil of Lucy, probably ate tough grasses and leaves. And it looks like early members of our genus, Homo — like Homo habilis, which lived 2.4 million years ago or Homo erectus, which even overlapped with humans about 100,000 years ago — were omnivores like us. They ate a variety of foods like meat, plants, fruits, "Anything they wanted!" says Ungar.
So we can tell what an animal was adapted to eat and what it ate shortly before it died. But to know what it ate for longer periods, scientists have to look deeper — to just below the surface of a tooth — for certain molecular signatures left behind from daily meals.
As our teeth grow in early childhood and adolescence, they incorporate certain molecules from the food we eat. The same was true for our ancestors. Paleoanthropologists studying ancient diets are especially interested in carbon molecules in our ancestors' teeth, because they come from plants and stick around for a long time.
Some groups of plants use mostly one form, or isotope, of carbon. Plants with C3 isotopes are usually found in fruits and leaves — things that grow in forests. Plants with C4 isotopes, like grasses and sedges, grow in savannas.
Data from isotopes confirmed that Lucy's species switched from forest foods to savanna foods about 3.5 million years ago. That transition from forests to grasslands may have played a key role in human evolution, explains Matt Sponheimer, a paleoanthropologist at the University of Colorado, Boulder. Some researchers even think that adding more grass to our diets gave our ancestors more foods to eat and places to live as the early climate changed causing Africa's forests to shrink.
Our understanding of what our ancestors ate has become more complex and richer with time, as scientists have applied newer, more advanced techniques to study teeth. When Mary Leakey dug the 2 million-year-old human ancestor Paranthropus boisei out of Olduvai Gorge in Tanzania in 1959 year, she noticed the fossil's wide, thick molars. The skull had huge cheekbones to accommodate strong chewing muscles and powerful jaws, suggesting the species was well-suited for crushing nuts. So, Paranthropus boisei was nicknamed Nutcracker Man.
But when Peter Ungar and others examined Nutcracker Man's teeth, they barely found any foodprints, so they decided he likely ate soft foods like fruits.

An analysis of Nutcracker Man's tooth isotopes revealed C4 carbon, which comes from savannas, not fruit-filled forests.
Today, researchers think that Paranthropus boisei ate a varied diet with lots of different foods, but he mostly ate tough grasses and sedges.

Teeth from more recent fossils reveal more because they have more isotopes preserved in them. For example, the nitrogen in the teeth of Neanderthals can reveal whether the protein they ate came from plants or animals. It's one of many reasons researchers think Neanderthals hunted large mammals, though scientists have also found fossilized plants stuck in Neanderthal teeth.
Researchers were even able to use isotopes to find out when one Neanderthal started weaning her baby. As teeth grow, they lay down layers of enamel. And barium, a molecule children get from breast feeding mothers, builds up in baby teeth until the mother stops nursing. By comparing barium in a Neanderthal tooth with levels in donated present day baby teeth, the scientists were able to find out that the Neanderthal baby had been weaned at about seven months.
We can even use teeth to tell if someone moved between places with dramatically different foods or soils. Since wisdom teeth are the last adult teeth to come in, comparing them to an early emerging canine tooth can give scientists a dietary snapshot across time. Say someone was born in Africa and moved to a new continent as a preteen, while wisdom teeth were still growing. A comparison of the isotopes in the teeth would reveal the story of that migration.
There's still a lot to learn from teeth, and a lot of fossil teeth still being discovered, says Sponheimer. And as the tools to study them get more sophisticated, teeth are providing a richer picture of "who we are and how we came to be," he says.

By: Erin Ross, NPR
http://www.npr.org/sections/thesalt/2016/10/25/497094756/dental-detectives-what-fossil-teeth-reveal-about-ancestral-human-diets

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Monday, July 14, 2014

Extractions

Reasons for Recommending Tooth Extraction
Teeth may need to be extracted for several reasons, including but not limited to:
  • severe periodontal disease
  • irreversible damage to the nerve tissue inside the tooth (and the patient decides against saving the tooth)
  • failed endodontic therapy
  • extreme fracture or decay of the tooth structure
  • improper positioning of the tooth or for orthodontic purposes
To a great extent, the reason for the extraction will influence the amount of discomfort you might experience subsequent to the procedure. When the tooth is to be extracted for periodontal reasons, there will be reduced bone support for the tooth and the tooth might be removed more easily than if there were full bone support. In this case, there might be lessened discomfort following the extraction.

The Procedure
1. Numb the tooth: Your dentist will need to anesthetize (numb up) both your tooth and the bone and gum tissue that surround it. This is done as an injection.

2. Extraction: The root portion of a tooth is firmly encased in bone (its socket), and tightly held in place by a ligament. During the extraction process, the dentist needs to both "expand the socket" (widen and enlarge it) and separate the tooth from its ligament, to the point where the tooth is loose and free to come out.
  • What does it mean to "expand" a tooth's socket? If you have ever tried to remove a tent stake that has been driven deeply into the ground, you know that you can't just pull the stake straight up. Instead, you first have to rock the stake back and forth, widening the hole in which it is lodged. Once the hole has been enlarged enough, the stake will come out easily.
  • How does the dentist expand the jaw bone? The bone inside the jaw is spongy. When a dentist applies firm pressure to a tooth (forcing it against the side of its socket), the bone will compress. After repeated application of pressure, from many different angles, the entire socket gradually becomes expanded. At some point, enough space will have been created (and the ligament separated from the tooth enough) that the tooth will come out.
3. Closing the extraction site: Once your tooth has been removed, your dentist will begin the process of closing your extraction site. This may include:
  • Removing infected or pathologic tissue by curetting (scraping) the walls of the tooth socket
  • Using finger pressure to re-compress the "expanded" socket
  • Rounding off sharp bone edges
  • Evaluating the tooth socket for sinus complications (upper back teeth)
  • Washing out ("irrigating") the socket, so to remove any loose bone or tooth fragments that remain
  • Placing stitches (usually only after surgical extractions).
  • Placing folded gauze over your extraction site and then having you bite down on it so to create firm pressure
The Tools
1. Dental Elevators: During the extraction process, a dentist will usually use an elevator first. These instruments are designed to be wedged in the ligament space between the tooth and its surrounding bone. As the elevator is forced and twisted, the tooth is pressed and rocked against the bone. This helps to expand the socket. It also helps to separate the tooth from its ligament. As this work is continued, the tooth will become more and more mobile. In some cases, the elevator may be able to shove the tooth on out. If not, the dentist will switch to the use of extraction forceps and remove the tooth with them.

2. Extraction Forceps: A dentist will usually keep a number of different extraction forceps on hand. Each one will have a design that's been specially made to grasp a certain type of tooth. When they're used, the dentist will grasp the tooth with the forceps and them firmly and deliberately rock it back and forth as much as it will. Because the bone that surrounds the tooth is compressible, the socket will expand. In addition to a rocking motion, a dentist will also rotate the tooth back and forth. This twisting action helps to rip and tear the tooth from the ligament that binds it in place. At some point, the socket will be enlarged enough, and the ligament torn enough, that the tooth can be easily removed.

What will I feel?
1. Pressure
2. You should not feel any pain 
3. Expect to hear startling extraction noises: These are often just routine

Following the Extraction
We will tell you the reason for the extraction and let you know what to expect following the procedure. Please follow the instructions given to you. If antibiotics are prescribed, take them until the prescription is completely finished. If pain medication is prescribed, take it only if necessary. If the medication prescribed contains a narcotic component, such as codeine, do not drive a motor vehicle or operate machinery that could prove dangerous to yourself or others. Expect some bleeding to occur from the extraction site for the first 24 hours. Remember, there is now a hole in your jaw from which the tooth has been removed, and the hole can be quite large. Some bleeding is to be expected.
  • Do not spit, rinse, or smoke for 24 hours
  • Do not drink through a straw for 24 hours
  • It would be a good idea not to brush near the extraction site for a day or two
  • When you brush and floss the area, be gentle!
  • For 24 hours after the extraction, try to chew food away from the extraction site
  • Some slight swelling in the area is to be expected, especially if the extraction was difficult
  • If sutures are placed, return to have them removed
  • If medication has been prescribed for possible post extraction discomfort, take it as directed
  • If prescription medication has NOT been given, you may take your usual over-the-counter pain reliever, as directed
 Please notify us if:
  • There is extended bleeding from the extraction site. Slight bleeding for several hours is normal.
  • Anything other than slight swelling occurs.
  • Discomfort continues for more than 24 hours, especially if it is not relieved by over-the-counter pain relievers.
Some infrequent complications of routine oral surgical procedures include (but are not limited to):
  • fracture of adjacent teeth or restorations (which of course would mean that these affected areas must be restored to normal function after the healing of the extraction site)
  • separated root tips or root fragments
  • temporary or permanent nerve damage to the area, resulting in anesthesia or paresthesia (numbness)
  • incomplete healing, resulting in severe pain - a "dry socket"
  • fracture of the surrounding bone
If you have any questions about reasons for dental extraction, please feel free to ask us.