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Thanks to their exceptional diversity, teeth are among the most distinctive features of vertebrates. Parameters such as tooth size, shape, number, identity, and implantation can have substantial implications for the ecology and certain social behaviors of toothed species. Despite decades of research primarily focused on mammalian dentition, particularly using the laboratory mouse model, squamate reptiles ("lizards" and snakes) offer a wide array of tooth types and dentition variations. This diversity, which includes differences in size, shape, function, and replacement capacity, provides invaluable opportunities for investigating these fundamental properties. The central bearded dragon (Pogona vitticeps), a popular pet species with well-established husbandry practices, is of particular interest. It features a broad spectrum of morphs and spontaneous mutants and exhibits a wide range of heterodont phenotypes, including variation in the size, shape, number, implantation, and renewal of teeth at both posterior and anterior positions. These characteristics position the species as a crucial model organism for developmental studies in tooth research and for gaining deeper insights into evolutionary patterns of vertebrate dentitions. In this article, we provide an overview of the current understanding of squamate dentition, its diversity, development, and replacement. Furthermore, we discuss the significant advantages offered by squamate species as model organisms for investigating the evolutionary and developmental aspects of vertebrate dentition. [Display omitted] • Teeth are a hallmark features of vertebrates • Large ecomorphological diversity of squamate dentitions remains largely unexplored • Central bearded dragon is an emerging model for evo-devo and dental research • Squamate dentition: diversity, development, and replacement importance • Squamate models offer crucial insights into vertebrate tooth evolution [ABSTRACT FROM AUTHOR]

Virtual palaeontology is a growing field, leading palaeontologists to better understand the microanatomy of many extinct species. The application of techniques such as CT and μCT-scanning allows the researchers to study micro-anatomical features in a non-invasive way and make inferences on the palaeobiology of animals. Dinosaurs have been extensively studied using these techniques, with particular focus on the microanatomy of the cranium, whereas relatively little is known of other cranial elements, such as the lower jaw. Here, we aim to fill this gap, describing the microanatomy of the specimen ML 768, an isolated dentary belonging to a dryosaurid iguanodontian dinosaur from the Upper Jurassic of Lourinhã Fm. The dentary ML 768 was subjected to μCT-scanning, and subsequently the data were segmented in Avizo and rendered in Blender. We identified functional and replacement teeth, recognising remnants of old replacement cycles. Furthermore, we mapped a rich neurovascular network present in the dentary and compared it with reference literature. We found that the high vascularisation is shared with other cerapodan dinosaurs with high tooth replacement rates, although homoeostasis may have also played a role in the development of this condition. Further evidence is needed to appreciate the macroevolutionary significance of these findings. [ABSTRACT FROM AUTHOR]

Introduction: Losing natural teeth can have significant emotional and social impacts on individuals. One available treatment option is dental implants, which are popular in developed countries due to their high success rates and the improvements they bring to quality of life. However, limited knowledge about dental implants can influence both demand and outcomes. Research on this subject within the Malaysian population is scarce. Therefore, this study aims to assess the knowledge of dental implants and the factors associated with it among adults attending Hospital Universiti Sains Malaysia (USM). Materials and methods: This cross-sectional study used a validated self-administered questionnaire adapted from previous studies.A total of 104 adults attending Klinik Rawatan Keluarga (KRK) Hospital USM participated in the study. The data were analysed using IBM SPSS version 26.0. Results: The mean age was 43.2 years (SD =15.34), with 52.9% male and 47.1% female respondents. Respondents exhibited a moderate score of knowledge about dental implants, with an average score of 4.9 (SD =1.20). Females (95% CI: -1.062, -0.151) and individuals with high education levels (95% CI: -0.961, -0.032) demonstrated significantly greater knowledge of dental implants compared to their counterparts (p <0.05). Conclusion: This study concludes that the respondents possess a moderate knowledge score regarding dental implants. Notably, females and those with a high education level exhibit superior knowledge. Therefore, disseminating information dental implants and their benefits is essential to the public is essential to improve understanding and facilitate informed decision-making regarding tooth replacement. [ABSTRACT FROM AUTHOR]

The basal macronarian sauropod Europasaurus holgeri is known only from the Late Jurassic of the Langenberg Quarry near Goslar, Lower Saxony, Germany. Europasaurus has been identified as an insular dwarf and shows a clear resemblance to Camarasaurus and Giraffatitan. This study provides a detailed description of the dentition of Europasaurus based on an array of fossils outstanding in their abundance, variety of preservation, and ontogenetic range. Dental morphology for the replacement and functional dentitions, the tooth replacement pattern, and implications for food intake are described for the Europasaurus dentition, which is characterized by broad-crowned teeth. Characteristic features for Europasaurus are the presence of denticles on replacement teeth, the wrinkled enamel, and large wear facets both on the apex and on the carinae of the tooth crowns. The partially articulated skull SNHM-2207-R and isolated tooth rows DfmMh/FV 580.1 and DfmMh/FV 896.7 suggest the presence of strong connective tissue partially covering the teeth. This connective tissue would have provided stability and protection for the teeth. Evidence for this connective tissue include exposed tooth necks, in-situ teeth with strongly resorbed roots which no longer would have been connected to the jaw bone, and wrinkled enamel and its surface pattern. The same features can be observed in other sauropod taxa as well. We therefore suggest that eusauropods in general possessed this connective tissue structure, which may be an autapomorphy of the group. Possibly, this hypothetical structure is homologous to the rhamphotheca in birds and some non-avian theropods, which, however rarely, show such a close integration of keratinous tissue and teeth that we hypothesize here. [ABSTRACT FROM AUTHOR]

Periodontal disease is one of the leading causes of tooth loss worldwide, leaving dental professionals to choose between maintaining periodontally compromised teeth or replacing them with dental implants. This systematic review aims to compare the cost-effectiveness of periodontal therapy and dental implants for such cases. A comprehensive search was conducted in PubMed, Scopus, and the Cochrane Library from 2010 to 2023, resulting in 38 articles meeting the inclusion criteria. The review revealed that while dental implants provide a higher upfront cost, they offer better long-term stability and reduced maintenance costs compared to periodontal therapy. However, periodontal treatment provides psychological benefits by preserving natural teeth and may be more cost-effective in the short to medium term. The decision between the two approaches depends on factors like patient age, periodontal risk, and maintenance commitment. Clinically, both options offer similar long-term survival rates but differ in patient satisfaction and complication risks. This review highlights the need for patientspecific treatment planning to ensure optimal outcomes. [ABSTRACT FROM AUTHOR]

The Rhomaleosauridae were a clade of Jurassic plesiosaurians, characterized by triangular skulls, an elongated preorbital region, marked premaxillary-maxillary constriction, and intermediate body proportions that fall between pliosauromorphs and plesiosauromorphs. Despite recent progress in the study of dental replacement in plesiosaurians, the replacement features in rhomaleosaurids have not been studied yet. Here, the dental features of the rhomaleosaurid Maresaurus coccai Gasparini, 1997 are described and analyzed based on the holotype specimen. Regarding symmetry, it was determined that M. coccai shows symmetrical replacement in the maxillary-premaxillary and asymmetrical replacement in the dentary. Additionally, the tooth replacement cycle period (TRCP) of two alveoli was determined for the dental series, except for the anterior part of the left mandibular ramus, which presents an TRCP of three, an asymmetry considered here as teratology. This result indicates that the replacement cycle period (TRCP) of the two alveoli would correspond to a primitive character for Plesiosauria, displaying an increase of TRCP from two to three alveoli in taxa comparatively more derived within Pliosauridae. [ABSTRACT FROM AUTHOR]

Abstract Background Tooth replacement patterns of early-diverging ornithischians, which are important for understanding the evolution of the highly specialized dental systems in hadrosaurid and ceratopsid dinosaurs, are poorly known. The early-diverging neornithischian Jeholosaurus, a small, bipedal herbivorous dinosaur from the Early Cretaceous Jehol Biota, is an important taxon for understanding ornithischian dental evolution, but its dental morphology was only briefly described previously and its tooth replacement is poorly known. Results CT scanning of six specimens representing different ontogenetic stages of Jeholosaurus reveals significant new information regarding the dental system of Jeholosaurus, including one or two replacement teeth in nearly all alveoli, relatively complete tooth resorption, and an increase in the numbers of alveoli and replacement teeth during ontogeny. Reconstructions of Zahnreihen indicate that the replacement pattern of the maxillary dentition is similar to that of the dentary dentition but with a cyclical difference. The maxillary tooth replacement rate in Jeholosaurus is probably 46 days, which is faster than that of most other early-diverging ornithischians. During the ontogeny of Jeholosaurus, the premaxillary tooth replacement rate slows from 25 days to 33 days with similar daily dentine formation. Conclusions The tooth replacement rate exhibits a decreasing trend with ontogeny, as in Alligator. In a phylogenetic context, fast tooth replacement and multi-generation replacement teeth have evolved at least twice independently in Ornithopoda, and our analyses suggest that the early-diverging members of the major ornithischian clades exhibit different tooth replacement patterns as an adaption to herbivory.

Most tooth‐bearing non‐mammalian vertebrates have the capacity to replace their teeth throughout life. This capacity was lost in mammals, which replace their teeth only once at most. Not surprisingly, continuous tooth replacement has attracted much attention. Classical morphological studies (e.g. to analyse patterns of replacement) are now being complemented by molecular studies that investigate the expression of genes involved in tooth formation. This review focuses on ray‐finned fish (actinopterygians), which have teeth often distributed throughout the mouth and pharynx, and more specifically on teleost fish, the largest group of extant vertebrates. First we highlight the diversity in tooth distribution and in tooth replacement patterns. Replacement tooth formation can start from a distinct (usually discontinuous and transient) dental lamina, but also in the absence of a successional lamina, e.g. from the surface epithelium of the oropharynx or from the outer dental epithelium of a predecessor tooth. The relationship of a replacement tooth to its predecessor is closely related to whether replacement is the result of a prepattern or occurs on demand. As replacement teeth do not necessarily have the same molecular signature as first‐generation teeth, the question of the actual trigger for tooth replacement is discussed. Much emphasis has been laid in the past on the potential role of epithelial stem cells in initiating tooth replacement. The outcome of such studies has been equivocal, possibly related to the taxa investigated, and the permanent or transient nature of the dental lamina. Alternatively, replacement may result from local proliferation of undifferentiated progenitors, stimulated by hitherto unknown, perhaps mesenchymal, factors. So far, the role of the neurovascular link in continuous tooth replacement has been poorly investigated, despite the presence of a rich vascularisation surrounding actinopterygian (as well as chondrichthyan) teeth and despite a complete arrest of tooth replacement after nerve resection. Lastly, tooth replacement is possibly co‐opted as a process to expand the number of teeth in a dentition ontogenetically whilst conserving features of the primary dentition. That neither a dental lamina, nor stem cells appear to be required for tooth replacement places teleosts in an advantageous position as models for tooth regeneration in humans, where the dental lamina regresses and epithelial stem cells are considered lost. [ABSTRACT FROM AUTHOR]

Replacement teeth develop from the successional dental lamina (SDL). Understanding how SDL transitions from quiescence to initiation is crucial for preserving dental lamina stem cells in the jawbone microenvironment and for complete tooth regeneration. Miniature pigs are good models for studying human tooth replacement because of their similarities to humans. However, the molecular mechanisms and cellular composition that initiate SDL development remain unclear. One possible reason for this is the limitations of the current methods for culturing SDL in vitro, such as the inability to directly observe tooth morphological changes during culture and low tissue viability. This study aimed to improve the in vitro culture method for SDL. Using a McIlwain Tissue Chopper, we obtained mandibular slices containing deciduous canine and SDL of permanent canine. The slices were approximately 500 μm thick and were cultured on a Transwell membrane supported with metal grids over medium. The SDL developed into the bud stage on the second day and entered the cap stage on the fifth day in vitro. The expression of proliferation markers, cell death markers, and key odontogenetic genes in vitro was similar to that observed in vivo. In conclusion, we successfully applied a slice culture system to the SDL of miniature pigs. This slice culture method allowed us to directly visualize SDL initiation and further elucidate the molecular mechanisms underlying the initiation of permanent tooth development. [ABSTRACT FROM AUTHOR]

The basal macronarian sauropod Europasaurus holgeri is known only from the Late Jurassic of the Langenberg Quarry near Goslar, Lower Saxony, Germany. Europasaurus has been identified as an insular dwarf and shows a clear resemblance to Camarasaurus and Giraffatitan. This study provides a detailed description of the dentition of Europasaurus based on an array of fossils outstanding in their abundance, variety of preservation, and ontogenetic range. Dental morphology for the replacement and functional dentitions, the tooth replacement pattern, and implications for food intake are described for the Europasaurus dentition, which is characterized by broad-crowned teeth. Characteristic features for Europasaurus are the presence of denticles on replacement teeth, the wrinkled enamel, and large wear facets both on the apex and on the carinae of the tooth crowns. The partially articulated skull SNHM-2207-R and isolated tooth rows DfmMh/FV 580.1 and DfmMh/FV 896.7 suggest the presence of strong connective tissue partially covering the teeth. This connective tissue would have provided stability and protection for the teeth. Evidence for this connective tissue include exposed tooth necks, in-situ teeth with strongly resorbed roots which no longer would have been connected to the jaw bone, and wrinkled enamel and its surface pattern. The same features can be observed in other sauropod taxa as well. We therefore suggest that eusauropods in general possessed this connective tissue structure, which may be an autapomorphy of the group. Possibly, this hypothetical structure is homologous to the rhamphotheca in birds and some non-avian theropods, which, however rarely, show such a close integration of keratinous tissue and teeth that we hypothesize here.

This study investigated endodontically treated teeth that were replaced by dental implants at the University of North Carolina (UNC) at Chapel Hill School of Dentistry. The primary objective of this study was to determine the reasons leading to the extraction of endodontically treated teeth and their subsequent replacement with dental implants. The secondary objective was to evaluate the proportion of these teeth that, according to experienced endodontists, could have been preserved. The UNC-Chapel Hill's dental electronic health records between 2004 and 2019 were probed for implant placement that replaced root canal–treated teeth. Preextraction radiographs and clinical charts were examined to ascertain the primary reason related to the extraction and to compile a profile for each case. In cases in which endodontic failure was the primary reason for extraction, radiographs and clinical findings were evaluated by 2experienced endodontists to assess potential treatment options. Between 2004 and 2019, 29.3% (1564 of 5229) of teeth replaced by dental implants at UNC School of Dentistry had undergone root canal treatment, with the mandibular first molar being the most commonly replaced tooth. The leading reasons for extraction were recurrent caries associated with defective restoration (26.6%), fracture of coronal structure (21.5%), vertical root fracture (20.9%), compromised periodontal condition (13.8%), and endodontic failure (2.4%). Two experienced endodontists evaluated extractions due to endodontic failure and concluded that 61.7% of them could have been candidates for endodontic retreatment. Substantial loss of tooth structure was the leading cause of extraction of root canal–treated teeth, followed by vertical root fracture and periodontal disease. Although endodontic failure constituted a minor portion of the reasons for extraction, a considerable number of teeth were extracted due to vertical root fractures following root canal treatment. A significant proportion of the extracted teeth due to endodontic failure could have been considered as potential candidates for endodontic retreatment. [ABSTRACT FROM AUTHOR]

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Aim: To use auto‐transplantation of a central incisor and canine and repositioning of a lateral incisor with corticotomy as an alternative to complex lengthy orthodontics and possible tooth loss. Method: Following initial consultation in a joint orthodontic/oral surgery clinic in Guy's Hospital, the decision was made to carry out auto‐transplantation of the ectopic teeth under general anaesthesia. The procedure included extraction of retained primary teeth, auto‐transplantation of upper right permanent central incisor and canine, segmental osteotomy/corticotomy to reposition the lateral incisor, followed by splinting of the upper 3–3 for 6 weeks. The patient was reviewed multiple times over a 2.5‐year period and no signs of inflammation, ankylosis, sensitivity, root resorption, mobility or loss of vitality was noted. Discussion: Auto‐transplantation is an underutilised technique despite being used for over 70 years. It does, however, have its limitations and there are several factors that can affect its success and predictability. This case highlights that it can be an excellent alternative to lengthy and difficult orthodontic treatment and resulted in avoidance of loss of teeth. This treatment method reduced time and cost to the NHS as well as improved the patient journey. It is important to work closely with colleagues and adopt a multidisciplinary approach to treatment planning and have an awareness for alternative treatment options that are available for joint orthodontic/oral surgery cases. Conclusion: Auto‐transplantation, in certain cases and conditions, can be very successful and save both patient and the NHS time and money. Greater awareness of this technique is required so that it can be offered more regularly as a treatment option. [ABSTRACT FROM AUTHOR]

Most vertebrate species undergo tooth replacement throughout adult life. This process is marked by the shedding of existing teeth and the regeneration of tooth organs. However, little is known about the genetic circuitry regulating tooth replacement. Here, we tested whether fish orthologs of genes known to regulate mammalian hair regeneration have effects on tooth replacement. Using two fish species that demonstrate distinct modes of tooth regeneration, threespine stickleback (Gasterosteus aculeatus) and zebrafish (Danio rerio), we found that transgenic overexpression of four different genes changed tooth replacement rates in the direction predicted by a hair regeneration model: Wnt10a and Grem2a increased tooth replacement rate, whereas Bmp6 and Dkk2 strongly inhibited tooth formation. Thus, similar to known roles in hair regeneration, Wnt and BMP signals promote and inhibit regeneration, respectively. Regulation of total tooth number was separable from regulation of replacement rates. RNA sequencing of stickleback dental tissue showed that Bmp6 overexpression resulted in an upregulation of Wnt inhibitors. Together, these data support a model in which different epithelial organs, such as teeth and hair, share genetic circuitry driving organ regeneration. [ABSTRACT FROM AUTHOR]

The Lufeng locality of China was a major biodiversity hotspot for sauropods and tritylodontids during the Early Jurassic. We describe a partly crushed cranium with complete dentition and dentaries from the Early Jurassic Lufeng Formation of China that we refer to Lufengia. The upper postcanine row length is 10.27 mm, representing one of the smallest tritylodontids to date. Lufengia and Dianzhongia are comparable in the upper postcanine dental pattern in having upper postcanine teeth with the cusp formula 2-3-3 and a small distolingual cusp. Based on the new discovery, Dianzhongia is here considered to be an older individual of Lufengia. Through the micro-computed tomography (micro-CT) of the fossil, differing paths of upper and lower dental replacements alongside new details about tooth replacement in tritylodontids have been revealed. [ABSTRACT FROM AUTHOR]

Pterosaurs are an extinct group of Mesozoic flying reptiles, which exhibited high diversity with regard to their dentition. Although morphological features of pterosaur dentition have been described in detail in several contributions, the histology of tooth and tooth attachment tissues (i.e. periodontium) has been scarcely analysed to date for this clade. Here we describe and interpret the microstructure of the tooth and periodontium attachment tissues of Pterodaustro guinazui, a filter‐feeding pterodactyloid pterosaur from the Lower Cretaceous of Argentina. The histological analysis of the lower jaw and its filamentous teeth verifies that the geometry of the implantation corresponds to an aulacodont condition (i.e. teeth are set in a groove with no interdental separation). This pattern departs from that recorded in other archosaurs, being possibly also present in other, non‐closely related, pterosaurs. Regarding tooth attachment, in contrast to other pterosaurs, there is no direct evidence for gomphosis in Pterodaustro (i.e. the absence of cementum, mineralized periodontal ligamentum and alveolar bone). Nevertheless, the current evidence for ankylosis is still not conclusive. Contrary to that reported for other archosaurs, replacement teeth are absent in Pterodaustro, which is interpreted as evidence for monophyodonty or diphyodonty in this taxon. Most of the microstructural features are possibly related to the complex filter‐feeding apparatus of Pterodaustro and does not appear to represent the general pattern of pterosaurs. [ABSTRACT FROM AUTHOR]

The Late Jurassic docodontan Haldanodon exspectatus from the Guimarota coal mine in Portugal provides important information on the evolution of the dental replacement pattern in mammaliaforms. Haldanodon shows diphyodont replacement of antemolars and non-replacement of molars. Lower incisors are replaced in alternating order with early replacement of i2 and i4, and late replacement of i1 and i3. Upper and lower premolars were replaced sequentially from front to back. In the maxilla and mandible, four deciduous premolar positions are present (dP1-4, dp1-4), but only three permanent premolars (P1/p1, P3/p3, P4/p4) erupt with loss of the dP2/dp2 position. The anterior deciduous premolars (dP1-2/dp1-2) are small and peg-like, dP3-4/dp3-4 are much larger and molariform. The lower canine and dp4 are the last lower teeth to be replaced. The permanent lower premolars are premolariform and consist mainly of large main cusp a. The ultimate permanent lower premolar (p4) erupts at the same time as m4. After replacement of the antemolars, one or two more molars (m5-6) are added at the posterior end of the tooth row of the mandible. Growth of the ramus occurs at the anterior and posterior ends as evident from the much larger permanent canine and addition of m5-6. In the maxilla, all permanent premolars differ morphologically clearly from the molars. The replacing P1 is small and consists mainly of labial cusps A, B, and C. The P3 and P4 are increasingly larger and show a lingual extension with cusps X and Y which is shorter than in the molars. The adult dental formula of Haldanodon is 6I/4i, 1C/1c, 3P/3p, 5 M/5-6m, the deciduous dental formula is ?dI/4di, 1dC/1dc, 4dP/4dp. The tooth eruption sequence in the mandible is m1 → p1 + m2 → i2 + i4 → ?i1 + ?i3 → p3 + m3 → c + p4 + m4 → m5 → m6. Our results corroborate the earlier suggestions that "Peraiocynodon inexpectatus" is based on deciduous lower premolars (dp1-4) of Docodon victor, and that "Peraiocynodon major" and Cyrtlatherium canei are based on deciduous lower premolars. [ABSTRACT FROM AUTHOR]

Even though restoring missing teeth and oral tissue with dental implants is perceived by most patients as a positive experience, patients lack access to evidence-based information about different treatment options. In order to provide more accurate information for public dental education in Switzerland and to compare it worldwide, this descriptive cross-sectional survey-based study assessed pre-operative attitudes, awareness, and knowledge of patients. A total of 160 patients with indication for tooth extraction were selected randomly from clinical routine between August 2022 and February 2023. Statistical analysis was performed including the chi-square test based on a significance level of 0.05. The results confirm that most patients (78%) were aware of implants as a treatment option for replacing missing teeth and consider them a prioritized solution (79%). Their primary sources of information are dentists (59%), the Internet (50%), relatives and friends (40%). The majority of patients (84%) wanted the surgical procedure to be performed by a board-certified clinical specialist expecting high functional and aesthetic outcomes. Low levels of knowledge could be observed regarding postoperative care, functionality, and clinical performance of implants. This survey-based study revealed a positive attitude and an acceptable level of awareness and knowledge regarding the use of dental implants. [ABSTRACT FROM AUTHOR]

BackgroundThe formation of supernumerary teeth is an excellent model for studying the molecular mechanisms that control stem/progenitor cell homeostasis needed to generate a renewable source of replacement cells and tissues. Although multiple growth factors and transcriptional factors have been associated with supernumerary tooth formation, the regulatory inputs of extracellular matrix in this regenerative process remains poorly understood.ResultsIn this study, we present evidence that disrupting glycosaminoglycans (GAGs) in the dental epithelium of mice by inactivating FAM20B, a xylose kinase essential for GAG assembly, leads to supernumerary tooth formation in a pattern reminiscent of replacement teeth. The dental epithelial GAGs confine murine tooth number by restricting the homeostasis of Sox2(+) dental epithelial stem/progenitor cells in a non-autonomous manner. FAM20B-catalyzed GAGs regulate the cell fate of dental lamina by restricting FGFR2b signaling at the initial stage of tooth development to maintain a subtle balance between the renewal and differentiation of Sox2(+) cells. At the later cap stage, WNT signaling functions as a relay cue to facilitate the supernumerary tooth formation.ConclusionsThe novel mechanism we have characterized through which GAGs control the tooth number in mice may also be more broadly relevant for potentiating signaling interactions in other tissues during development and tissue homeostasis.

Spinosaurid dinosaurs show a wide geographical and temporal distribution, being present in Gondwanan and Laurasian landmasses, at least, during the Lower Cretaceous and the Cenomanian. European spinosaurids are more diverse than previously thought with five, and probably six, currently recognised genera. The revision of CPI 477, a fragment of a left maxilla from the Lower Cretaceous of La Rioja (Spain) previously assigned to Baryonyx, demonstrates that this specimen cannot be referred to this genus and likely belongs to an indeterminate baryonychine closer to Baryonyx than to Suchomimus. CPI 477 exhibits a tooth replacement process comparable to that of other theropods and, besides, similar to other large theropods, two replacement teeth could simultaneously be developed in the same alveolus, partly explaining high replacement ratios and the overabundance of spinosaurid teeth in some fossil sites. Furthermore, the Oxalaia maxilla shares the anteriorly located external naris with Irritator and baryonychine spinosaurids, which differ from the more retracted ones in African spinosaurines. Finally, in addition to the previously noticed differences between Baryonychinae and Spinosaurinae, the paradental groove of African spinosaurines and Oxalaia differs from that of baryonychines in being sinusoidal instead of straight. [ABSTRACT FROM AUTHOR]

A new species of the genus Belebey (Bolosauridae), Be. shumovi sp. nov., is described from the Upper Kazanian Substage (Guadalupian) of European Russia based on elements of the upper jaw, a maxilla and two premaxillae. This is the largest known bolosaurid, the skull length of which could be estimated to be around 160 mm. In addition to its overall size, Be. shumovi differs from other species of the genus in the shape of the maxilla, maxillary teeth, and their distribution along the tooth row. The holotype of Be. shumovi (maxilla) exhibits marginal dentition at the earliest stage of the tooth replacement process. Computed tomography (CT) scan data indicate the presence of almost completely formed replacement teeth along the entire tooth row, confirming the hypothesis of a single-wave cycle of tooth replacement in bolosaurids. Based on the material studied, the tertiary dentine formation was discovered for the first time among fossil reptiles. The tertiary dentine is one of the most evident adaptations of bolosaurids to high-fibre herbivory and demonstrates uniformity of the protection mechanism of the pulp in tetrapod history throughout most of the Phanerozoic. [ABSTRACT FROM AUTHOR]

Rhynchosaurs were key herbivores over much of the world in the Middle and Late Triassic, often dominating their faunas ecologically, and much of their success may relate to their dentition. They show the unique ankylothecodont mode of tooth implantation, with deep roots embedded in the bone of the jaw and low crowns that were rapidly worn down in use. During growth, the main area of oral food processing, located in the middle and posterior portions of the occlusal surfaces of the jaws, moved posteriorly relative to the anterior tips of the jaws, which curved up. As the maxilla and dentary grew by addition of new bone posteriorly, the dental lamina fed in new teeth at the back of the tooth rows. CT scanning of the holotype skull of Bentonyx sidensis from the Middle Triassic of England reveals previously concealed details of the dentition. Together with new dentary material from the same location, this has enabled us to examine the tooth replacement process and elucidate ontogenetic changes in dentition and jaw morphology as the animals aged. There were major changes in rhynchosaur anatomy and function through their evolutionary history, with the early forms of the Middle Triassic dying out before or during the Carnian Pluvial Episode (233–232 Ma), and the subclade Hyperodapedontinae, with broad skulls and adaptations to chop tough vegetation, subsequently diversifying worldwide in a successful ecological expansion until their global extinction 227–225 Ma. [ABSTRACT FROM AUTHOR]

Lately in Malaysia, there is an arise on the issue of dental quackery conducted by quack dentists. Quack dentists are individuals who conducts dental procedures illegally without proper educational dental background, and their treatment includes braces, dentures and dental veneers. The increase of desire to have better smile and dental aesthetics with cheaper service has led to the arise of this illegal cosmetic dental treatment. This case report describes a case of replacement of a single missing tooth by a quack dentist. Bizarre aesthetic and restorative outcome were noted as six-unit fixed partial denture (dental bridge) was used to replace only one missing tooth 11, involving over the area of five teeth (area of tooth 13 until tooth 22). Other problems related to the bridge was also discussed. It is hoped that this case report will highlight the presence of quack dentistry in the area of Kuala Lumpur, Malaysia and will urge the authorities to devise a strong national oral health policy to culminate this unethical dental practice. [ABSTRACT FROM AUTHOR]

Abstract The Alpine Prosanto Formation (Middle Triassic) cropping out in the Ducan region in eastern Switzerland has yielded a rich fish and reptile fauna. Here, we present new pachypleurosaur remains from the upper part of the formation (Early Ladinian), similar to the previously known pachypleurosaurs from the Middle Triassic UNESCO World Heritage Site of Monte San Giorgio in southern Switzerland/northern Italy. From these remains, a new pachypleurosaur species, Prosantosaurus scheffoldi nov. gen. et spec., is described on the basis of six fairly complete skeletons, one disarticulated specimen and an isolated skull. As is typical for pachypleurosaurs and most other Triassic marine reptiles, the new taxon is based to a large degree on a combination of characters (e.g., nasals articulating broadly with the anterior margins of the prefrontals and lacking posterior processes; postorbitals with rounded anterior processes that articulate with the postfrontals anterolaterally) rather than on many unambiguous autapomorphies, although a few of the latter were found including (1) a premaxilla which is excluded from entering both the external and internal nares and (2) a parietal, which is distinctly longer than wide and carrying distinct anterolaterally angled processes. Phylogenetic relationships of the new taxon are tested within European Pachypleurosauria, revealing that the new species is the sister taxon to a clade including Serpianosaurus, Proneusticosaurus, and the monophyletic Neusticosaurus spp. Mapping of palaeogeographic and stratigraphical distribution of valid European pachypleurosaurs shows that a formerly proposed scenario of migration of pachypleurosaurs from the eastern Palaeotethys during the Olenekian into the Germanic Basin and a subsequent diversification and invasion during the Anisian into the intraplatform basins of the South Alpine realm must be re-assessed. The exceptional preservation and preparation of the Ducan fossils further allow the description of tooth replacement patterns for the first time in a European pachypleurosaur species. The “alveolarization” of replacement teeth, the horizontal replacement pattern, and the subsequent remodelling of the functional alveoli during tooth replacement supports the monophyly of Sauropterygia as discussed before.

Dietary specialisations are important determinants of ecological structure, particularly in species with high per‐capita trophic influence like marine apex predators. These species are, however, among the most challenging in which to establish spatiotemporally integrated diets.We introduce a novel integration of stable isotopes with a multidimensional nutritional niche framework that addresses the challenges of establishing spatiotemporally integrated nutritional niches in wild populations, and apply the framework to explore individual diet specialisation in a marine apex predator, the white shark Carcharodon carcharias.Sequential tooth files were sampled from juvenile white sharks to establish individual isotopic (δ‐space; δ13C, δ15N, δ34S) niche specialisation. Bayesian mixing models were then used to reveal individual‐level prey (p‐space) specialisation, and further combined with nutritional geometry models to quantify the nutritional (N‐space) dimensions of individual specialisation, and their relationships to prey use.Isotopic and mixing model analyses indicated juvenile white sharks as individual specialists within a broader, generalist, population niche. Individual sharks differed in their consumption of several important mesopredator species, which suggested among‐individual variance in trophic roles in either pelagic or benthic food webs. However, variation in nutrient intakes was small and not consistently correlated with differences in prey use, suggesting white sharks as nutritional specialists and that individuals could use functionally and nutritionally different prey as complementary means to achieve a common nutritional goal.We identify how degrees of individual specialisation can differ between niche spaces (δ‐, p‐ or N‐space), the physiological and ecological implications of this, and argue that integrating nutrition can provide stronger, mechanistic links between diet specialisation and its intrinsic (fitness/performance) and extrinsic (ecological) outcomes. Our time‐integrated framework is adaptable for examining the nutritional consequences and drivers of food use variation at the individual, population or species level. [ABSTRACT FROM AUTHOR]

Even though restoring missing teeth and oral tissue with dental implants is perceived by most patients as a positive experience, patients lack access to evidence-based information about different treatment options. In order to provide more accurate information for public dental education in Switzerland and to compare it worldwide, this descriptive cross-sectional survey-based study assessed pre-operative attitudes, awareness, and knowledge of patients. A total of 160 patients with indication for tooth extraction were selected randomly from clinical routine between August 2022 and February 2023. Statistical analysis was performed including the chi-square test based on a significance level of 0.05. The results confirm that most patients (78%) were aware of implants as a treatment option for replacing missing teeth and consider them a prioritized solution (79%). Their primary sources of information are dentists (59%), the Internet (50%), relatives and friends (40%). The majority of patients (84%) wanted the surgical procedure to be performed by a board-certified clinical specialist expecting high functional and aesthetic outcomes. Low levels of knowledge could be observed regarding postoperative care, functionality, and clinical performance of implants. This survey-based study revealed a positive attitude and an acceptable level of awareness and knowledge regarding the use of dental implants.

Abstract Background The popularity of implant dentistry is increasing dramatically, but the success of implant treatment depends on a patient’s knowledge and expectations. Methods This study aimed to assess dental implant knowledge among refugees as a treatment option (n = 565), using face-to-face interviews. The frequency distribution of the responses in general and according to age, gender and education was calculated. Results 81.8% of the interviewees had missing teeth, however, only 26.2% replaced them. 16.6% of participants had never/hardly heard about implants. Females who never heard of implants were more than males (P

Like most mammals, humans replace their teeth once throughout their lives and have limited regenerative capabilities. In contrast, mice continually renew tissues lost due to gnawing through a well characterized population of stem cells on the labial surface of the incisor. Most non-mammalian vertebrates replace teeth throughout life; the cellular and molecular mechanisms of successional tooth replacement are largely unknown. Here we use single nuclei RNA sequencing (snRNA-seq) of replacement teeth and adjacent oral lamina in Lake Malawi cichlids, species with lifelong whole–tooth replacement, to make two main discoveries. First, despite hundreds of millions of years of evolution, we demonstrate conservation of cell type gene expression across vertebrate teeth (fish, mouse, human). Second, we used an approach that combines marker gene expression and developmental potential of dental cells to uncover the transcriptional signature of stem-like cells in regenerating teeth. Our work underscores the importance of a comparative framework in the study of vertebrate oral and regenerative biology.

The dental system of ceratopsids is among the most specialized structure in Dinosauria by the presence of tooth batteries and high-angled wear surfaces. However, the origin of this unique dental system is poorly understood due to a lack of relevant knowledge in early-diverging ceratopsians. Here, we study the dental system of three earliest-diverging Chinese ceratopsians: Yinlong and Hualianceratops from the early Late Jurassic of Xinjiang and Chaoyangsaurus from the Late Jurassic of Liaoning Province. By micro-computed tomographic analyses, our study has revealed significant new information regarding the dental system, including no more than five replacement teeth in each jaw quadrant; at most one replacement tooth in each alveolus; nearly full resorption of the functional tooth root; and occlusion with low-angled, concave wear facets. Yinlong displays an increase in the number of maxillary alveoli and a decrease in the number of replacement teeth during ontogeny as well as the retention of functional tooth remnants in the largest individual. Chaoyangsaurus and Hualianceratops have slightly more replacement teeth than Yinlong. In general, early-diverging ceratopsians display a relatively slow tooth replacement rate and likely use gastroliths to triturate foodstuffs. The difference in dietary strategy might have influenced the tooth replacement pattern in later-diverging ceratopsians.

Here we report on a new Early Cretaceous eutherian represented by a partial skeleton from the Jiufotang Formation at Sihedang site, Lingyuan City, Liaoning Province that fills a crucial gap between the earliest eutherians from the Yixian Formation and later Cretaceous eutherians. The newspecimen reveals, to our knowledge for the first time in eutherians, that the Meckelian cartilage was ossified but reduced in size, confirming a complete detachment of the middle ear from the lower jaw. Seven hyoid elements, including paired stylohyals, epihyals and thyrohyals and the single basihyal are preserved. For the inner ear the ossified primary lamina, base of the secondary lamina, ossified cochlear ganglion and secondary crus commune are present and the cochlear canal is coiled through 360°. In addition, plesiomorphic features of the dentition include weak conules, lack of pre- and post-cingula and less expanded protocones on the upper molars and height differential between the trigonid and talonid, a large protoconid and a small paraconid on the lower molars. The new taxon displays an alternating pattern of tooth replacement with P3 being the last upper premolar to erupt similar to the basal eutherian Juramaia. Parsimony analysis places the new taxon with Montanalestes, Sinodelphys and Ambolestes as a sister group to other eutherians. [ABSTRACT FROM AUTHOR]

This study set out to examine both the longitudinal association between tooth status and cognitive performance among older adults in Europe, and the mediating effects of loneliness and quality of life on this association. We conducted a prospective analysis using data from 38,614 participants aged 50 or older, taken from the Survey of Health, Ageing and Retirement in Europe (SHARE) of 2013 (baseline) and 2015 (follow up). Bootstrapping with resampling strategies was used for testing a multiple mediator model. The average age of participants was 66.9 (SD = 9.4). About 23% of the participants had full sets of their own teeth and 38.2% had missing teeth fully replaced by dental implants or dentures. Participants who had partially replaced teeth (B = 0.038, p < 0.001), and with fully replaced teeth (B = 0.041, p < 0.001), or had all their teeth in place (B = 0.055, p < 0.001), had better cognitive performance compared to those who did not replace their missing teeth. It was also found that quality of life and loneliness partially mediated these relationships - Having all teeth in place or replacing all or partially missing teeth was found to affect cognitive performance also via improved quality of life and through lower loneliness. In later life, poor tooth status can be directly associated with cognitive decline and indirectly linked to cognitive performance, in light of decreasing quality of life and increasing loneliness. Clinicians should be aware of both the impact of poor tooth status on cognitive status and the implications for the wellbeing of older adults. [ABSTRACT FROM AUTHOR]

Background Reptiles exhibit a large heterogeneity in teeth morphology. The main variability comprises the different tooth shape, the type of tooth attachment to the underlying bone, or the ability to replace the teeth. Findings Here, we provide full datasets of microtomography scans and 3D models of reptilian dentitions and skulls. We selected representative species for each of 9 reptilian families on the basis of their characteristic dental features. Because there are ≥4 different types of tooth-bone attachments, ranging from the mammalian-like thecodont attachment found in crocodilians to the simple acrodont implantation observed in some lizards, we aimed to evaluate species with different types of tooth-bone attachments. Moreover, another interesting feature varying in reptilian species is the complexity of tooth shape or the number of tooth generations, which can be associated with the type of tooth attachment to the jawbone. Therefore, selected model species also include animals with distinct tooth morphology along the jaw or different number of tooth generations. The development of tooth attachment and relationship of the tooth to the jaw can be further analysed in detail on a large collection of pre-hatching stages of chameleon. Next, we introduce different possibilities for how these datasets can be further used to study tooth-bone relationships or tooth morphology in 3D space. Moreover, these datasets can be valuable for additional morphological and morphometric analyses of reptilian skulls or their individually segmented skeletal elements. Conclusions Our collection of microcomputed tomography scans can bring new insight into dental or skeletal research. The broad selection of reptilian species, together with their unique dental features and high quality of these scans including complete series of developmental stages of our model species and provide large opportunities for their reuse. Scans can be further used for virtual reality, 3D printing, or in education. [ABSTRACT FROM AUTHOR]

Snake venom is produced, transported and delivered by the sophisticated venom delivery system (VDS). When snakes bite, the venom travels from the venom gland through the venom duct into needle‐like fangs that inject it into their prey. To counteract breakages, fangs are continuously replaced throughout life. Currently, the anatomy of the connection between the duct and the fang has not been described, and the mechanism by which the duct is reconnected to the replacement fang has not been identified. We examined the VDS in 3D in representative species from two families and one subfamily (Elapidae, Viperidae, Atractaspidinae) using contrast‐enhanced microCT (diceCT), followed by dissection and histology. We observed that the venom duct bifurcates immediately anterior to the fangs so that both the original and replacement fangs are separately connected and functional in delivering venom. When a fang is absent, the canal leading to the empty position is temporarily closed. We found that elapid snakes have a crescent‐shaped venom reservoir where venom likely pools before it enters the fang. These findings form the final piece of the puzzle of VDS anatomy in front‐fanged venomous snakes. Additionally, they provide further evidence for independent evolution of the VDS in these three snake taxa. [ABSTRACT FROM AUTHOR]

The Alpine Prosanto Formation (Middle Triassic) cropping out in the Ducan region in eastern Switzerland has yielded a rich fish and reptile fauna. Here, we present new pachypleurosaur remains from the upper part of the formation (Early Ladinian), similar to the previously known pachypleurosaurs from the Middle Triassic UNESCO World Heritage Site of Monte San Giorgio in southern Switzerland/northern Italy. From these remains, a new pachypleurosaur species, Prosantosaurus scheffoldi nov. gen. et spec., is described on the basis of six fairly complete skeletons, one disarticulated specimen and an isolated skull. As is typical for pachypleurosaurs and most other Triassic marine reptiles, the new taxon is based to a large degree on a combination of characters (e.g., nasals articulating broadly with the anterior margins of the prefrontals and lacking posterior processes; postorbitals with rounded anterior processes that articulate with the postfrontals anterolaterally) rather than on many unambiguous autapomorphies, although a few of the latter were found including (1) a premaxilla which is excluded from entering both the external and internal nares and (2) a parietal, which is distinctly longer than wide and carrying distinct anterolaterally angled processes. Phylogenetic relationships of the new taxon are tested within European Pachypleurosauria, revealing that the new species is the sister taxon to a clade including Serpianosaurus, Proneusticosaurus, and the monophyletic Neusticosaurus spp. Mapping of palaeogeographic and stratigraphical distribution of valid European pachypleurosaurs shows that a formerly proposed scenario of migration of pachypleurosaurs from the eastern Palaeotethys during the Olenekian into the Germanic Basin and a subsequent diversification and invasion during the Anisian into the intraplatform basins of the South Alpine realm must be re-assessed. The exceptional preservation and preparation of the Ducan fossils further allow the description of tooth replacement patterns for the first time in a European pachypleurosaur species. The “alveolarization” of replacement teeth, the horizontal replacement pattern, and the subsequent remodelling of the functional alveoli during tooth replacement supports the monophyly of Sauropterygia as discussed before. [ABSTRACT FROM AUTHOR]

Background: Unlike many vertebrates with continuous dental replacement, mammals have a maximum of two dental generations. Due to the absence of dental replacement in the laboratory mouse, the mechanisms of the mammalian tooth replacement system are poorly known. In this study, we use the European rabbit as a model for mammalian tooth development and replacement. Results: We provide data on some key regulators of tooth development. We detected the presence of SOX2 in both the replacement dental lamina and the rudimentary successional dental lamina of unreplaced molars, indicating that SOX2 may not be sufficient to initiate and maintain tooth replacement. We showed that Shh does not seem to be directly involved in tooth replacement. The transient presence of the rudimentary successional dental lamina in the molar allowed us to identify genes that could be essential for the initiation or the maintenance of tooth replacement. Hence, the locations of Sostdc1, RUNX2, and LEF1 vary between the deciduous premolar, the replacement premolar, and the molar, indicating possible roles in tooth replacement. Conclusion: According to our observations, initiation and the maintenance of tooth replacement correlate with the presence of LEF1+ cells and the absence of both mesenchymal RUNX2 and epithelial Sostdc1+ cells. Key Findings: Permanent dentitionRabbitTooth germOdontogenesisTooth replacementDiphyodonty [ABSTRACT FROM AUTHOR]

The small-sized sauropterygian Keichousaurus hui was one of the most abundant marine reptiles from the Triassic Yangtze Sea in South China. Although Keichousaurus has been studied in many aspects, including the osteology, ontogeny, sexual dimorphism, and reproduction, the dentition of this marine reptile was only briefly described in external morphology. In this study, we provide new information on Keichousaurus tooth implantation, histology, and replacement based on a detailed examination of well-preserved specimens collected in the past decades. The tooth histology has been investigated for the first time by analyzing cross-sections of premaxillary teeth and the tooth attachment and implantation have been further revealed by X-ray computed microtomography. We refer the tooth replacement of Keichousaurus to the iguanid replacement type on the basis of the observed invasion of small replacement tooth into the pulp cavity of the functional tooth. Given the resemblance to other extinct and modern piscivorous predators in the morphology and structure of teeth, Keichousaurus might mainly feed on small or juvenile fishes and some relatively soft-bodied invertebrates (e.g., mysidacean shrimps) from the same ecosystem.

Background: The popularity of implant dentistry is increasing dramatically, but the success of implant treatment depends on a patient's knowledge and expectations. Methods: This study aimed to assess dental implant knowledge among refugees as a treatment option (n = 565), using face-to-face interviews. The frequency distribution of the responses in general and according to age, gender and education was calculated. Results: 81.8% of the interviewees had missing teeth, however, only 26.2% replaced them. 16.6% of participants had never/hardly heard about implants. Females who never heard of implants were more than males (P < 0.001). 51.3% of participants described dental implants as a screw, and only 35.4% knew implants were placed in jawbones. 6.2% of respondents reported that implants required more care than a natural teeth, with 47.6% believing that diseases affect implant success. Friends were the main source of information (61.4%). Highly educated participants showed higher knowledge about implants. Conclusions: The surveyed sample revealed limited knowledge about dental implants with high cost being a major obstacle, warranting more strategies to increase awareness and to make implants more affordable for this population. [ABSTRACT FROM AUTHOR]

In osteichthyans (bony fishes) the dentition is characterized by marginal tooth rows replaced by basal resorption. Basal resorption was present in the stem osteichthyan Andreolepis, which also possessed overgrowing tooth‐shaped odontodes, a possible intermediate state between external odontodes and teeth. Andreolepis, however, lacked the enlarged marginal tooth rows found in more advanced osteichthyans, and how these evolved from the stem osteichthyan condition is unknown. Here we present computed tomography and synchrotron‐based x‐ray phase‐contrast imaging of the jaws and teeth of the Early Devonian sarcopterygian Powichthys. We reveal the presence of fields of overgrowing tooth‐like odontodes, resembling the dentitions of stem‐group osteichthyans, alongside the marginal tooth row. In the inner dental arcade, we show a continuous variation between regions of tooth‐like and external odontode‐like replacement, apparently driven by variations in the relative rates of bone growth, odontode addition and odontode size. These results suggest that there is a degree of plasticity in oral odontode development. We propose that the tooth rows of crown osteichthyans develop in an essentially similar manner to the teeth of stem osteichthyans, with differences explained by increased resorption activity linked to the larger size of the teeth. Therefore, the external odontodes and teeth of both stem and crown osteichthyan lie on the same developmental continuum. [ABSTRACT FROM AUTHOR]

A well-preserved skull of Tyrannosaurus rex from the Late Cretaceous (Maastrichtian) Hell Creek Formation of Montana is used to document its tooth replacement with the help of high-resolution medical CT scanning. A pattern of retaining only one single replacement tooth before replacing the functional tooth is reconstructed for most alveoli of the jaws, with exception of the second alveolus of the left maxilla, and the fourth alveolus of the right dentary, where another, second replacement tooth can be seen. The youngest replacement teeth have only a thin layer of enamel around the tooth crown, the larger replacement teeth have thicker enamel, fortified at the apex as in the functional teeth. The Zahnreihen approach allows to reconstruct a z-spacing of 2 in the upper jaws, whereas the right dentary displays a z-spacing of 1 in the rostral and distal third of the tooth row and a z-spacing of 2 in its medial part. In MB.R.91216, teeth of the upper jaws and the medial part of the dentary were probably replaced in a regular alternating pattern between odd and even teeth, whereas the mesial and distal teeth of the dentary were replaced simultaneously. [ABSTRACT FROM AUTHOR]

Most jawed vertebrates (gnathostomes) replace their teeth throughout life (polyphyodonty) and there is currently great interest in its molecular and cellular basis, particularly in fish. While much has still to be elucidated, it appears that whichever tooth replacement mechanism is used, only one tooth replaces one predecessor, at any one time. Here we present fossil crushing dentitions of two extinct pycnodont fishes, Pycnodus zeaformis and Pycnodus maliensis. Their surface features and x‐ray micro‐CT virtual sections show no evidence of one‐for‐one replacement. Instead, individual large teeth were replaced by multiple small teeth, for which, as far as we could ascertain, there is no known mechanism. This occurred where underlying dentigerous bone was damaged. Small teeth also developed where parts of large teeth had broken off, and in gaps between large teeth created by the geometry of their close alignment in rows. We compared the virtual sections to those of functionally analogous crushing dentitions of three modern fishes. Contrasting greatly to the pycnodonts, each showed an orderly, one‐for‐one replacement, typical of osteichthyans. We propose that the pycnodont specimens exhibit a gap‐filling tooth addition hitherto unseen in gnathostomes, and that the oral epithelium retained an initiatory competence throughout life, with a programming of 'if a gap exists, fill it'. This would also have facilitated the addition of large teeth in rows, in space provided by ontogenetic growth. We hypothesize that gaps were registered as an absence of pressure at the crushing surface, initiating tooth development, as in the modern cichlid Astatoreochromis alluaudi. [ABSTRACT FROM AUTHOR]

Armadillosuchus arrudai , an extinct crocodyliform, has a complex pattern of tooth replacement. Replacement of functional teeth followed an alternating numerical and directional wave from posterior to anterior. Notably, the presence of an initial fossa in some teeth indicated root resorption and facilitated the development of tooth replacement. These aspects suggest a coordinated tooth replacement process, enabling the animal to maintain functional dentition. This study provides insights into the unique dental dynamics of Armadillosuchus arrudai , highlighting its lifelong polyphyodonty and the meaning of alternating replacement patterns. Microtomography allowed the comprehension of these intricate tooth replacement processes. [Display omitted] • Description of replacement teeth in Armadillosuchus arrudai (Crocodyliformes, Sphagesauridae) based on microtomography. • High rates of dental replacements in Armadillosuchus arrudai indicating polyphyodonty in the Sphagesauridae. • Description of teeth structures that indicate the first stages of dental replacement activity. • An alternation pattern during tooth replacement periods. • Posterior-to-anterior wave of dental replacement in the maxilla. [ABSTRACT FROM AUTHOR]

Introduction: The choice of prosthetic replacement is largely determined by the patient's choice and economic status, available technology and expertise, as well as the number of missing teeth. The aim of this study was to identify the trend in prosthetic replacement, in partially edentulous patients treated at Riyadh Elm University (REU) hospitals, as well as to investigate the factors that might influence the prosthetic choice. Methods: The records from Dentoplus digital system of all partially edentulous patients who had a prosthetic replacement at REU 2013, until June 2018, were screened and analyzed using Statistical software SPSS version 25. Chi-square and Fisher exact tests were performed. Alpha level was set at ≤0.05. Results: 6,340 patients received implants, removable or fixed prosthesis. Majority of the patients were females (60%). RPDs were the highest placed restorations (69%). Students (73%) placed most RPDs. Implants significantly increased through the years by almost (30%) (P-value = 0.00). Among FPDs, metal-ceramics were the highest restorations (74%), with a significant increase of all-ceramic restorations through years (P-value = 0.00). Moreover, FPDs were significantly the highest restorations among young-adult and middle-aged patients (P-value = 0.00). Conclusion: There was a clear change in prosthetic rehabilitation trends over the past few years. Although removable partial dentures continued to play a major role in prosthetic teeth replacement, the use of dental implants showed a steady increase every year. Students' requirements and level of experience, along with the patient age, had an influence in the prosthetic choice.

Dental replacement in Heterodontosauridae has been debated over the last five decades primarily on indirect evidence, such as the development of wear facets and the position of erupted teeth. Direct observation of unerupted teeth provides unambiguous data for understanding tooth replacement but this has been done only for Heterodontosaurus and Fruitadens. This study addresses dental replacement in Manidens condorensis based on the positioning of functional and replacement teeth using microcomputed tomography data, differential wear along the dentition and the differences in labiolingual/apicobasal level of functional teeth. Dental replacement in Manidens condorensis was continuous in an anterior‐to‐posterior wave pattern, with asynchronous tooth eruption and the addition of new teeth posteriorly to the toothrow during ontogeny. Manidens shows the first evidence of dental replacement for the large dentary caniniform in Heterodontosauridae, which possibly had replacement timing distinct from the cheek dentition. Newly erupted teeth imbricate in a mesial cavity–distal crown base relationship during eruption, so that imbrication of the midposterior dentition remains unaltered during tooth replacement. The presence/absence of a small caniniform tooth in the D3 position of several specimens suggests possible intraspecific dimorphism in Manidens. On longitudinal sections of isolated crowns the histological features such as Howship's lacunae and odontoclast spaces are similar in size to extant reptiles. The differential wear decreasing posteriorly and hypothetical Z‐spacing below 2.3 in Manidens are similar to basal ornithischians. Tooth replacement in Heterodontosauridae (and other early ornithischians) provides key information for understanding the dynamics of jaw function and craniomandibular specialization to herbivory. [ABSTRACT FROM AUTHOR]

We explored patterns, rates and unexpected socio‐ecological consequences of tooth replacement in serrasalmids and characids of the Peruvian Amazon using microcomputed tomography. Of 24 specimens collected in February 2019, representing a mix of red‐bellied piranha Pygocentrus nattereri, redeye piranha Serrasalmus rhombeus, silver dollar fish Ctenobrycon hauxwellianus and mojara Astyanax abramis, six individuals possessed edentulous jaw quadrants. On average, 22.9% of fish collected per day from these species featured incomplete dentition, a value three to five times higher than anticipated based on replacement rates estimated from captive fish, differences that may be driven by ontogeny, seasonality or environmental quality. [ABSTRACT FROM AUTHOR]

Introduction: In recent years, dental implants have become a viable option for replacement of missing teeth in completely or partially edentulous patients. However, due to inadequate knowledge or information many patients do not prefer implant therapy. Aim: The main study objective was to evaluate the knowledge and awareness regarding dental implants as an option of treatment among dental patients according to their level of education in Riyadh, Saudi Arabia. Materials and Methods: The knowledge and awareness of patients regarding the use of dental implants for substituting missing teeth were assessed with the help of a cross-sectional study from January 2018 to June 2018 utilising standardised self-explanatory questionnaire that were circulated at two places in Riyadh: dental patients visiting the college of dentistry, King Saud University and outpatients visiting King Khalid University Hospital. Patients were provided with the questionnaires during their routine visits to the dental clinics. A total of 1471 subjects participated in this study. Chi-square test was performed to find association between education level of study subjects and their knowledge on various aspects of dental implants, and a p-value