MORPHOLOGICAL ANALYSIS OF CEMENTOENAMEL JUNCTION TYPES IN PREMOLARS AND MOLARS OF A SAMPLE OF PAKISTANI POPULATION

Authors

  • Asma Saher Ansari Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan
  • Amynah Tariq Sheikh Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan
  • Imtiaz Ahmed Department of Orthodontics, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan
  • Syed jaffar Abbas Zaidi Dow International Dental College, Dow University of Health Sciences

Abstract

Background: Cementoenamel junction represents the demarcation between enamel covered crown and cementum covered root surface. There is paucity of population specific data of the morphological variability of cementoenamel junctions of permanent and primary teeth. The objective of this study was to investigate the morphological diversity and interrelationship of cementoenamel junction of premolar and molar teeth in permanent dentition of a sample of Pakistani population with potential forensic and anthropological implications. Method: This cross-sectional study was conducted at Oral Biology department of Dr Ishrat ul Ebad khan institute of oral health science, Dow University from March 2016 till September 2016. Seventy-five maxillary and mandibular permanent premolar and molars from adult patients of both sexes were selected and sectioned. Longitudinal ground sections were prepared to study the morphological interrelationship between Cementum and Enamel in each specimen to be viewed under light microscope. A chi-square test was applied between the categorical variables. Results: Results showed 57.3% of sections had cementum overlapping enamel interrelation, 32% showed edge to edge cementum and enamel relation and 9.3% showed that cementum and enamel failed to meet resulting in exposed dentine, while 1.3% sample showed enamel over cementum relation. No significant correlation was found between gender, type of tooth, maxillary, mandibular arches and the morphological variation of CEJ (p>0.05). Conclusion: Based on the findings of this study, it can be concluded that there are considerable morphological variations in CEJ of premolars and molars with preponderance of cementum overlapping enamel in these teeth. Based on these findings, dentists are advised to be mindful of dental procedures involving the CEJ and that these interventions should be performed meticulously avoiding any detachment of cementum and subsequent exposure of dentin resulting in dentin hypersensitivity.Keywords: Cementoenamel junction; light microscopy; ground section

Author Biographies

Asma Saher Ansari, Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Asma Saher Ansari, BDS, MDS is Assistant Professor, Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Amynah Tariq Sheikh, Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Amynah Tariq Sheikh, BDS, MPhil, MCPS is Professor, Department of Oral Biology, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Imtiaz Ahmed, Department of Orthodontics, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Imtiaz Ahmed, BDS, FCPS,M Orth is Professor, Department of Orthodontics, Dr. Ishrat-Ul -Ebad Khan Institute of Oral Health Sciences, DOW University of Health Sciences, Karachi, Pakistan

Syed jaffar Abbas Zaidi, Dow International Dental College, Dow University of Health Sciences

Assistant Professor, Department of Oral Biology, Dow International Dental College, Dow University of Health Sciences

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Published

2019-02-10