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  1. Odontogenic epithelial stem cells: hidden sources
    Padma Priya S, Higuchi A, Abu Fanas S, Pooi Ling M, Kumari Neela V, Sunil PM, et al.
    Lab Invest, 2015 Dec;95(12):1344-52.
    PMID: 26367485 DOI: 10.1038/labinvest.2015.108
    The ultimate goal of dental stem cell research is to construct a bioengineered tooth. Tooth formation occurs based on the well-organized reciprocal interaction of epithelial and mesenchymal cells. The dental mesenchymal stem cells are the best explored, but because the human odontogenic epithelium is lost after the completion of enamel formation, studies on these cells are scarce. The successful creation of a bioengineered tooth is achievable only when the odontogenic epithelium is reconstructed to produce a replica of natural enamel. This article discusses the untapped sources of odontogenic epithelial stem cells in humans, such as those present in the active dental lamina in postnatal life, in remnants of dental lamina (the gubernaculum cord), in the epithelial cell rests of Malassez, and in reduced enamel epithelium. The possible uses of these stem cells in regenerative medicine, not just for enamel formation, are discussed.
    Matched MeSH terms: Odontogenesis*
  2. Fulltext Calcifying Epithelial Odontogenic Tumour - Case Report And Review Of The Literature
    Khoo, Suan Phaik, Jalil, N., Yaacob, H.B.
    Ann Dent, 1997;4(1):-.
    MyJurnal
    The calcifying epithelial odontogenic tumour (CEOT) is a rare benign odontogenic neoplasm which was first described by Pindborg in 1955. It accounts for less than 1% of all odontogenic lesions. A case of CEOT which presented together with cardiac abnomlalities is presented here and the literature of CEOT is reviewed.
    Matched MeSH terms: Odontogenesis
  3. Expression of Odontogenic and Osteogenic Markers in DPSCs and SHED: A Review
    Ching HS, Luddin N, Rahman IA, Ponnuraj KT
    Curr Stem Cell Res Ther, 2017;12(1):71-79.
    PMID: 27527527
    The odontogenic and osteogenic potential of dental pulp stem cells (DPSCs) and stem cells from human exfoliated deciduous tooth (SHED) have been shown clearly by various in vitro and in vivo studies. The findings are promising and demonstrated that dental tissue engineering can give a new hope to the individuals suffering from tooth loss and dental diseases. The evaluation of odontogenic and osteogenic differentiation of DPSCs and SHED is commonly carried out by an illustration of the expression of varied related markers. In this review, few commonly used markers such as alkaline phosphatase (ALP), collagen type 1 (Col I), dentin matrix acid phosphoprotein 1 (DMP1), dentin sialophosphoprotein (DSPP), matrix extracellular phosphoglycoprotein (MEPE), osteocalcin (OCN), and osteopontin (OPN). DSPP, DMP1, and MEPE (odontogenic markers), which play an important role during early odontoblastic differentiation and late dentin mineralization, have been highlighted. Osteoblastic proliferation and early/late osteoblastic differentiation can be assessed by estimating the expression of Col I, ALP, OCN and OPN. Despite that, till date, there is no marker which could demonstrate for certain, the differentiation of human DPSCs and SHED towards the odontogenic and osteogenic lineage. This review suggests that SHED are noticeably different from DPSCs and exhibited higher capacity for osteogenic differentiation compared to DPSCs. On the other hand, different expression levels are shown by SHED and DPSCs with regards to the osteoblast markers for osteoblastic differentiation, where, SHED expressed higher levels of ALP, Col I and OCN compared to DPSCs.
    Matched MeSH terms: Odontogenesis*
  4. Homeobox genes and tooth development: Understanding the biological pathways and applications in regenerative dental science
    Ramanathan A, Srijaya TC, Sukumaran P, Zain RB, Abu Kasim NH
    Arch Oral Biol, 2018 Jan;85:23-39.
    PMID: 29031235 DOI: 10.1016/j.archoralbio.2017.09.033
    OBJECTIVES: Homeobox genes are a group of conserved class of transcription factors that function as key regulators during the embryonic developmental processes. They act as master regulator for developmental genes, which involves coordinated actions of various auto and cross-regulatory mechanisms. In this review, we summarize the expression pattern of homeobox genes in relation to the tooth development and various signaling pathways or molecules contributing to the specific actions of these genes in the regulation of odontogenesis.

    MATERIALS AND METHODS: An electronic search was undertaken using combination of keywords e.g. Homeobox genes, tooth development, dental diseases, stem cells, induced pluripotent stem cells, gene control region was used as search terms in PubMed and Web of Science and relevant full text articles and abstract were retrieved that were written in English. A manual hand search in text books were also carried out. Articles related to homeobox genes in dentistry and tissue engineering and regenerative medicine of odontogenesis were selected.

    RESULTS: The possible perspective of stem cells technology in odontogenesis and subsequent analysis of gene correction pertaining to dental disorders through the possibility of induced pluripotent stem cells technology is also inferred.

    CONCLUSIONS: We demonstrate the promising role of tissue engineering and regenerative medicine on odontogenesis, which can generate a new ray of hope in the field of dental science.

    Matched MeSH terms: Odontogenesis/genetics*
  5. Fulltext Compound Odontoma in Anterior Mandible-A Case Report
    Uma E
    Malays J Med Sci, 2017 May;24(3):92-95.
    PMID: 28814937 DOI: 10.21315/mjms2017.24.3.11
    Odontomas are the most common odontogenic hamartomas worldwide. Depending on the level of organisation of the tissues inside, these can be differentiated into compound type or complex type. As these are asymptomatic and do not cause any changes in the bone, they are often diagnosed during the routine dental examination. Complex odontomas are commonly found to occur in posterior mandible while compound odontomas are found in the anterior maxilla. A nine-year-old female child reported for a routine dental check-up, when a missing left permanent mandibular lateral incisor [32] was noticed. Further investigations revealed compound odontoma and unerupted 32, which is an unusual location. Early detection of these tumours is essential to avoid lengthy corrective treatments.
    Matched MeSH terms: Odontogenesis
  6. Immunomodulatory Effect of Cytokines in the Differentiation of Mesenchymal Stem Cells: A Review
    Zahari W, Hashim SN, Yusof MF, Osman ZF, Kannan TP, Mokhtar KI, et al.
    Curr Stem Cell Res Ther, 2017;12(3):197-206.
    PMID: 27306400 DOI: 10.2174/1574888X11666160614103404
    Mesenchymal stem cells (MSCs) are stromal origin cells with multilineage differentiation capacity. The immunoregulatory properties of MSCs can be interfered effectively by cytokines. Cytokines, produced by a broad range of cells, act at the systemic level to influence biological phenomena such as inflammation, wound healing, organogenesis and oncogenesis. Cytokines also play vital roles in the differentiation of MSCs into several cell lineages. This review summarizes on how cytokines can affect MSCs differentiation and their relative signaling pathways, which may serve to understand the possible underlying mechanisms. Also, this review reveals the potential clinical use of MSCs as promising therapeutic agents due to their special characteristics such as multipotent differentiation, immunomodulatory properties, and selfrestoration.
    Matched MeSH terms: Odontogenesis/genetics; Odontogenesis/immunology*
  7. Fulltext The accuracy of demirjian method in dental age estimation of malay children
    Abu Asab S, Noor SN, Khamis MF
    Singapore Dent J, 2011;32(1):19-27.
    PMID: 23739283 DOI: 10.1016/S0377-5291(12)70012-3
    This study is aimed to evaluate the accuracy of Demirjian method in estimating the chronological age of male and female Kelantanese Malay children between 6 and 16 years of age and to establish a new dental age (DA) curve if the Demirjian method was not found to be accurate. About 905 panoramic radiographs of healthy Malay children between 6 and 16 years of age were collected from the radiographic unit in the Hospital Universiti Sains Malaysia (HUSM) and the orthodontic clinic in Hospital Kota Bharu (HKB). Children who had any disease affecting the dental development, or have agenesis in the lower arch and poor quality radiographic images were excluded. The results showed that Demirjian method overestimated the chronological age (CA) by 1.23 years for boys and 1.20 years for girls and it was less accurate for the Kelantanese Malay children. Thus new standard curve were produced and tested on external samples. Results showed that the mean difference between the chronological age and DA is about 0.17 years for boys and 0.11 years for girls. DA was more advanced in the Kelantanese Malay boys and girls as compared to French-Canadian children in all age groups. It is concluded that the Demirjian method tends to be less accurate in estimating the chronological age in Malay children. The new curve that was produced is more applicable to the Kelantanese Malay children.
    Matched MeSH terms: Odontogenesis
  8. Fulltext Dental age estimation of growing children by measurement of open apices: A Malaysian formula
    Cugati N, Kumaresan R, Srinivasan B, Karthikeyan P
    J Forensic Dent Sci, 2015 Sep-Dec;7(3):227-31.
    PMID: 26816464 DOI: 10.4103/0975-1475.172445
    BACKGROUND: Age estimation is of prime importance in forensic science and clinical dentistry. Age estimation based on teeth development is one reliable approach. Many radiographic methods are proposed on the Western population for estimating dental age, and a similar assessment was found to be inadequate in Malaysian population. Hence, this study aims at formulating a regression model for dental age estimation in Malaysian children population using Cameriere's method.
    MATERIALS AND METHODS: Orthopantomographs of 421 Malaysian children aged between 5 and 16 years involving all the three ethnic origins were digitalized and analyzed using Cameriere's method of age estimation. The subjects' age was modeled as a function of the morphological variables, gender (g), ethnicity, sum of normalized open apices (s), number of tooth with completed root formation (N0) and the first-order interaction between s and N0.
    RESULTS: The variables that contributed significantly to the fit were included in the regression model, yielding the following formula: Age = 11.368-0.345g + 0.553No -1.096s - 0.380s.No, where g is a variable, 1 for males and 2 for females. The equation explained 87.1% of total deviance.
    CONCLUSION: The results obtained insist on reframing the original Cameriere's formula to suit the population of the nation specifically. Further studies are to be conducted to evaluate the applicability of this formula on a larger sample size.
    KEYWORDS: Age estimation; Cameriere's method; dental age; forensic odontology
    Matched MeSH terms: Odontogenesis
  9. Fulltext Multiple talon cusps on maxillary central incisor: A case report
    Kv S, C PR, Yadav SR, Kumar N, C D MK, Kumar SP
    J Dent Res Dent Clin Dent Prospects, 2017;11(2):127-130.
    PMID: 28748055 DOI: 10.15171/joddd.2017.023
    Dental anomalies affecting the teeth are relatively common. Simultaneous occurrence of multiple dental abnormalities in a single tooth is uncommon and relatively rare. One such abnormality routinely encountered in dental clinics is the talon cusp. It is also referred to as dens evaginatus, characterized by the presence of an accessory cusp-like structure projecting from the cingulum of anterior teeth. It has an increased predilection for maxillary teeth and permanent dentition. Although numerous cases of talon cusp have been reported in the literature, occurrence of multiple talon cusps in maxillary central incisors has not been found in the literature. This case report highlights the presence of talon cusps in maxillary anterior teeth with multiple impacted supernumerary teeth.
    Matched MeSH terms: Odontogenesis
  10. Fulltext Dislodged Bonded Molar Tube into Wound during Orthognathic Surgery
    Shaeran TAT, Samsudin AR
    Case Rep Dent, 2018;2018:6540945.
    PMID: 29971169 DOI: 10.1155/2018/6540945
    Introduction: Dislodgement of orthodontic appliance into operation wounds may occur while performing orthognathic surgery. Its occurrence is commonly associated with bonded upper molar tube.

    Case Report: A 25-year-old gentleman presented with recurrent upper right vestibular abscess three months following a bimaxillary orthognathic surgery. A bonded molar orthodontic tube had dislodged into the wound during the operation. The clinical presentation initially mimics an odontogenic infection until our investigations revealed that it originated from the dislodged appliance. The abscess was drained, the wound site was explored, and the molar tube and neighbouring rigid fixation plates and screws were removed. The patient recovered well following the procedure.

    Conclusion: Dislodged metal orthodontic appliance in oral wound acts as a foreign body that may exert allergic reactions, infection, or inflammation. Pre- and postoperative intraoral examination of fixed orthodontic appliances including its count should be recorded in orthognathic surgery protocol.

    Matched MeSH terms: Odontogenesis
  11. Fulltext Orthodontic treatment of a unilateral cleft lip and palate patient with secondary bone graft and eruption of canine
    Mathew, Thomas
    Malaysian Dental Journal, 2010;31(2):84-89.
    MyJurnal
    The cleft lip and palate patients often have constricted maxillary arch, congenitally missing teeth, impacted teeth, and many kinds of malocclusion problems. Secondary bone grafting in cleft lip and palate patients is performed preferably before the eruption of permanent canine in order to provide adequate periodontal support for eruption and preservation of the teeth adjacent to the cleft. Secondary grafting with iliac marrow consistently produces trabecular bone to unify the maxilla and provide odontogenic support. Presented here is a case of unilateral cleft lip and palate, which was treated by expansion by quad helix and straight wire appliance for correction of dental malocclusion. Also discussed in detail the entire range of treatment procedures the boy underwent from 14 years of age, especially the role of secondary bone grafting with iliac marrow to facilitate the eruption of permanent impacted canine.
    Matched MeSH terms: Odontogenesis
  12. Fulltext Determination of RUNX2 single nucleotide polymorphism RS6930053 in class i, ii and iii malocclusions
    Khairani Idah Mokhtar, Noraini Abu Bakar, Azrul Fazwan Kharuddin
    International Medical Journal Malaysia, 2017;16(21):57-57.
    MyJurnal
    Runt-related transcription factor 2 (RUNX2) plays important roles in osteoblast
    differentiation, tooth development and chondrocyte maturation; hence its involvement in
    craniofacial development is paramount. Mutation in RUNX2 is implicated with cleidocranial
    dysplasia; a bone development disorder, while single nucleotide polymorphism (SNP) in RUNX2 is
    associated with Class II/2 malocclusion. This study aimed to determine RUNX2 SNP of DNA marker
    (rs6930053) in malocclusion patients from local population. (Copied from article).
    Matched MeSH terms: Odontogenesis
  13. Modified method of dental age estimation of Malay juveniles
    Bunyarit SS, Jayaraman J, Naidu MK, Yuen Ying RP, Danaee M, Nambiar P
    Leg Med (Tokyo), 2017 09;28:45-53.
    PMID: 28772147 DOI: 10.1016/j.legalmed.2017.07.009
    Matched MeSH terms: Odontogenesis
  14. Effect of different calcium phosphate scaffold ratios on odontogenic differentiation of human dental pulp cells
    AbdulQader ST, Kannan TP, Rahman IA, Ismail H, Mahmood Z
    Mater Sci Eng C Mater Biol Appl, 2015 Apr;49:225-233.
    PMID: 25686943 DOI: 10.1016/j.msec.2014.12.070
    Calcium phosphate (CaP) scaffolds have been widely and successfully used with osteoblast cells for bone tissue regeneration. However, it is necessary to investigate the effects of these scaffolds on odontoblast cells' proliferation and differentiation for dentin tissue regeneration. In this study, three different hydroxyapatite (HA) to beta tricalcium phosphate (β-TCP) ratios of biphasic calcium phosphate (BCP) scaffolds, BCP20, BCP50, and BCP80, with a mean pore size of 300μm and 65% porosity were prepared from phosphoric acid (H2PO4) and calcium carbonate (CaCO3) sintered at 1000°C for 2h. The extracts of these scaffolds were assessed with regard to cell viability and differentiation of odontoblasts. The high alkalinity, more calcium, and phosphate ions released that were exhibited by BCP20 decreased the viability of human dental pulp cells (HDPCs) as compared to BCP50 and BCP80. However, the cells cultured with BCP20 extract expressed high alkaline phosphatase activity and high expression level of bone sialoprotein (BSP), dental matrix protein-1 (DMP-1), and dentin sialophosphoprotein (DSPP) genes as compared to that cultured with BCP50 and BCP80 extracts. The results highlighted the effect of different scaffold ratios on the cell microenvironment and demonstrated that BCP20 scaffold can support HDPC differentiation for dentin tissue regeneration.
    Matched MeSH terms: Odontogenesis/drug effects*; Odontogenesis/physiology
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