Prevalencia de las maloclusiones según la clasificación de Angle en una población universitaria / Prevalence of maloclusions according to angle's classification in a university population

INTRODUCCIÓN: La prevalencia de maloclusiones dentales es elevada, según los diversos estudios epidemiológicos realizados. Por ello llevamos a cabo un estudio descriptivo de tipo transversal con 87 modelos de estudio de ortodoncia de estudiantes de la Facultad de Odontología de la Universidad San Pablo-CEU, con el objetivo de determinar la prevalencia de maloclusiones en este colectivo, según la Clasificación de Angle. MÉTODOS: Se estudiaron las maloclusiones presentes por género y en función de si los estudiantes habían llevado tratamientos de ortodoncia previos o no, además se diferenció el grupo de alumnos Nacional del Internacional. Para obtener los resultados de nuestra investigación se aplicó estadística descriptiva e inferencial. Los datos fueron analizados estadísticamente por medio del programa IBM/SPSS Statistics versión 24, aplicando las pruebas de Chi cuadrado y el Test exacto de Fisher. RESULTADOS: La distribución de la muestra fue un 77% de mujeres frente a un 23% de hombres. De ellos, el 71,3% habían sido tratados previamente con ortodoncia, el 28,7% no habían recibido tratamientos previos de ortodoncia. Además, el 67,8% pertenecían al grupo Nacional y el 32,2% al Internacional. Tanto la Clase Canina como la Molar más prevalente fue la Clase I, seguida de la Clase II y, por último, la Clase III de Angle. CONCLUSIONES: Se puede concluir que la Clase I es la oclusión de Angle más prevalente, a la que le siguen la Clase II y, en último lugar, la Clase III

INTRODUCTION: According to the various epidemiological studies conducted, the prevalence of dental malocclusions is high. Therefore, we conducted a descriptive cross-sectional study with 87 orthodontic study models on students of the School of Dentistry of the Universidad San Pablo-CEU, with the aim of determining the prevalence of malocclusions in this group, according to Angle's Classification. METHODS: The malocclusions present were studied by gender and according to whether or not the students had undergone previous orthodontic treatment. Furthermore, the group of National students was differentiated from the group of International students. Descriptive and inferential statistics were applied in order to obtain the results of our research. The data were statistically analysed using the IBM/SPSS Statistics version 24 program, applying Chi-Square Tests and Fisher's Exact Test. RESULTS: The sample distribution was 77% female versus 23% male. Of these, 71.3% had previously received orthodontic treatment, while 27% had not previously received orthodontic treatment. In addition, 67.8% belonged to the National group and 32.2% to the International group. Both the most prevalent Canine and Molar Class was Angle's Class 1, followed by Class II and, finally, Class III. CONCLUSIONS: It may be concluded that Class I is the most prevalent Angle's malocclusion, followed by Class II and, lastly, Class III

A geometric morphometric analysis of hominin lower molars: Evolutionary implications and overview of postcanine dental variation.

Lower molars have been extensively studied in the context of hominin evolution using classic and geometric morphometric analyses, 2D and 3D approaches, evaluations of the external (outer enamel surface) and internal anatomy (dentine, pulp chamber, and radicular canals), and studies of the crown and root variation. In this study, we present a 2D geometric morphometric analysis of the crown anatomy of lower first, second, and third molars of a broad sample of hominins, including Pliocene and Lower, Middle, and Upper Pleistocene species coming from Africa, Asia, and Europe. We show that shape variability increases from first to second and third molars. While first molars tend to retain a relatively stable 5-cusped conformation throughout the hominin fossil record, second and third molars show marked distal reductions in later Homo species. This trend to distal reduction is similar to that observed in previous studies of premolars and upper second and third molars, and points to a correlated reduction of distal areas across the whole postcanine dentition. Results on lower molar variation, as well as on other postcanine teeth, show certain trends in European Pleistocene populations from the Atapuerca sites. Middle Pleistocene hominins from Sima de los Huesos show Neanderthal affinities and strong dental reduction, especially in the most distal molars. The degree of dental reduction in this population is stronger than that observed in classic Neanderthals. Homo antecessor hominins from Gran Dolina-TD6 have primitive lower teeth that contrast with their more derived upper teeth. The evolutionary implications of these dental affinities are discussed in light of recent paleogenetic studies.

A geometric morphometric analysis of hominin upper second and third molars, with particular emphasis on European Pleistocene populations.

The study of dental morphology by means of geometric morphometric methods allows for a detailed and quantitative comparison of hominin species that is useful for taxonomic assignment and phylogenetic reconstruction. Upper second and third molars have been studied in a comprehensive sample of Plio- and Pleistocene hominins from African, Asian and European sites in order to complete our analysis of the upper postcanine dentition. Intraspecific variation in these two molars is high, but some interspecific trends can be identified. Both molars exhibit a strong reduction of the distal cusps in recent hominin species, namely European Homo heidelbergensis, Homo neanderthalensis and Homo sapiens, but this reduction shows specific patterns and proportions in the three groups. Second molars tend to show four well developed cusps in earlier hominin species and their morphology is only marginally affected by allometric effects. Third molars can be incipiently reduced in earlier species and they evince a significant allometric component, identified both inter- and intraspecifically. European Middle Pleistocene fossils from Sima de los Huesos (SH) show a very strong reduction of these two molars, even more marked than the reduction observed in Neanderthals and in modern human populations. The highly derived shape of SH molars points to an early acquisition of typical Neanderthal dental traits by pre-Neanderthal populations and to a deviation of this population from mean morphologies of other European Middle Pleistocene groups.

Three-dimensional evaluation of root canal morphology in lower second premolars of early and middle Pleistocene human populations from Atapuerca (Burgos, Spain).

The aim of this study is to describe the morphology of the roots and root canals of permanent lower second premolars (LP4s) with fully developed roots of five hominin groups: Homo sp. (ATE9-1 specimen) from Atapuerca-Sima del Elefante locality, H. antecessor (ATD6-4 and ATD6-125) from Atapuerca-Gran Dolina TD6 locality, H. heidelbergensis from Atapuerca-Sima de los Huesos locality, H. neanderthalensis from Krapina, Regourdou, and Abri Bourgeois-Delaunay localities, and two contemporary H. sapiens groups. The teeth were scanned by means of microtomography. The roots were divided into three virtual segments by three planes: cemento-enamel junction (CEJ), mid-root (MR), and mid-apex (MA). Volumetric and planar direct measurements of the whole teeth and each segment were taken. Descriptive statistical analyses and nonparametric Mann-Whiney test were performed to test for significant differences (P < 0.025) between groups. ATE9-1 and Gran Dolina-TD6 fossils present intricate radicular complexes that might be transitional between the morphologies of Australopithecus robustus and African early Homo and the derived conditions typically found in later Homo. In H. neanderthalensis and H. heidelbergensis, the root canals are wide, with small apical convergence. This trait is particularly pronounced in the Sima de los Huesos sample which may reflect a particularity of this population. Our study demonstrates the potential of hominin roots and root canals as untapped sources of taxonomic information when the tooth crown is fragmented. Future studies, including more fossil specimens and species will shed light in the polarity of the morphologies observed.

Morphological description and comparison of the dental remains from Atapuerca-Sima de los Huesos site (Spain).

The systematic excavation of the Sima de los Huesos (SH) site in Sierra de Atapuerca (Burgos, Spain) has yielded the largest hominin collection worldwide for the Middle Pleistocene. The dental sample now consists of more than 500 teeth that provide exceptional opportunities to define the dental morphological pattern of a Middle Pleistocene population as well as develop hypotheses about the origins of the Neanderthals. The dental collection has now increased to over 533 specimens (525 permanent and 8 deciduous teeth), necessitating new morphological assessments. Thus, we present a detailed morphological description of the SH permanent dentition recovered up to 2007, accomplishing comparisons with European Middle Pleistocene hominins, Neanderthals, and early and contemporary Homo sapiens. We find that SH dentitions present all the morphological traits that, either in their degree of expression, frequency, or particular combination, are usually considered as typical of Homo neanderthalensis. This study ratifies the deep roots of the Neanderthal lineage in the Middle Pleistocene of Europe. In addition, SH teeth are morphologically "more Neanderthal" than other penecontemporaneous Middle Pleistocene samples such as Mauer or Arago, and even more derived than some classic Neanderthal samples. Thus, our study would not sustain the linearity of the accretion process hypothesized for the origins of the Neanderthals, and we suggest that other evolutionary models and scenarios should be explored for the Middle and Upper Pleistocene of Europe. We propose that more than one hominin lineage may have coexisted during the Middle Pleistocene in Europe.

A geometric morphometric analysis of hominin upper premolars. Shape variation and morphological integration.

This paper continues the series of articles initiated in 2006 that analyse hominin dental crown morphology by means of geometric morphometric techniques. The detailed study of both upper premolar occlusal morphologies in a comprehensive sample of hominin fossils, including those coming from the Gran Dolina-TD6 and Sima de los Huesos sites from Atapuerca, Spain, complement previous works on lower first and second premolars and upper first molars. A morphological gradient consisting of the change from asymmetric to symmetric upper premolars and a marked reduction of the lingual cusp in recent Homo species has been observed in both premolars. Although percentages of correct classification based on upper premolar morphologies are not very high, significant morphological differences between Neanderthals (and European middle Pleistocene fossils) and modern humans have been identified, especially in upper second premolars. The study of morphological integration between premolar morphologies reveals significant correlations that are weaker between upper premolars than between lower ones and significant correlations between antagonists. These results have important implications for understanding the genetic and functional factors underlying dental phenotypic variation and covariation.

Evolutionary novelties and losses in geometric morphometrics: a practical approach through hominin molar morphology.

Geometric morphometric techniques may offer a promising methodological approach to analyze evolutionary novelties in a quantitative framework. Nevertheless, and despite continuous improvements to this methodology, the inclusion of novel features in these studies presents some difficulties. In the present study, different methods to explicitly include novel traits in geometric morphometric analyses are compared, including homology-free approaches, landmark-based approaches, and combinations of both techniques. The two-dimensional occlusal morphology of the lower second molar in multiple hominin species was chosen to evaluate these methods, as an example of an anatomical structure including one novelty: a distal fifth cusp is present in earlier hominins, and notably absent in many later Homo species. Results reveal that different approaches provide different results, highlighting that the design of the conformations of landmarks has a high impact on the inferred conclusions. Among diverse methods, a combined approach including landmarks, sliding semilandmarks, and only one landmark related to the studied novelty (an indicator of its absence or presence and of its size, when present), was able to directly discern structures with and without the novel feature, circumventing some of the methodological difficulties associated with these traits. This study demonstrates the ability of geometric morphometric techniques to investigate evolutionary novelties and explores the implications of different methods, providing a reference context for future studies.

Early Pleistocene human mandible from Sima del Elefante (TE) cave site in Sierra de Atapuerca (Spain): a comparative morphological study.

We present a detailed morphological comparative study of the hominin mandible ATE9-1 recovered in 2007 from the Sima del Elefante cave site in Sierra de Atapuerca, Burgos, northern Spain. Paleomagnetic analyses, biostratigraphical studies, and quantitative data obtained through nuclide cosmogenic methods, place this specimen in the Early Pleistocene (1.2-1.3 Ma). This finding, together with archaeological evidence from different European sites, suggests that Western Europe was colonised shortly after the first hominin expansion out of Africa around the Olduvai subchron. Our analysis of the ATE9-1 mandible includes a geometric morphometric analysis of the lower second premolar (LP(4)), a combined and detailed external and internal assessment of ATE9-1 roots through CT and microCT techniques, as well as a comparative study of mandibular and other dental features. This analysis reveals some primitive Homo traits on the external aspect of the symphysis and the dentition shared with early African Homo and the Dmanisi hominins. In contrast, other mandibular traits on the internal aspect of the symphysis are derived with regard to African early Homo, indicating unexpectedly large departures from patterns observed in Africa. Reaching the most occidental part of the Eurasian continent implies that the first African emigrants had to cross narrow corridors and to overcome geographic barriers favouring genetic drift, long isolation periods, and adaptation to new climatic and seasonal conditions. Given these conditions and that we are dealing with a long time period, it is possible that one or more speciation events could have occurred in this extreme part of Eurasia during the Early Pleistocene, originating in the lineages represented by the Sima del Elefante-TE9 hominins and possibly by the Gran Dolina-TD6 hominins. In the absence of any additional evidence, we prefer not include the specimen ATE9-1 in any named taxon and refer to it as Homo sp.

Early Pleistocene human mandible from Sima del Elefante (TE) cave site in Sierra de Atapuerca (Spain): a palaeopathological study.

Here we present a detailed palaeopathological study of the hominin mandible ATE9-1 found at the Sima del Elefante site (TE), Sierra de Atapuerca, Spain. This fossil represents the earliest hominin remains from Western Europe with an age of ca. 1.3 Ma. The specimen displays several dento-gnathic lesions; the antiquity and geographic location of this fossil justifies a detailed palaeopathological study to determine if the pathologies have significantly altered taxonomically relevant features. Our study reveals severe dental attrition combined with generalized hypercementosis, alveolar root exposure, mild periodontal disease, tooth dislocation, and an anomalous occlusal plane. We have also observed calculus deposits, two cystic lesions and an anomalous wear facet compatible with tooth picking. The majority of these pathological signs can be explained by compensatory eruption. We propose that these lesions are associated as causes, consequences, and amplifiers of one another within the framework of heavy and even traumatic occlusion, masticatory habits, or both traumatic occlusion and masticatory habits. Despite the severity of these lesions, occlusion was at least partially functional so it was unlikely to influence the survival of this individual. In addition, the lesions do not prohibit the taxonomic assessment of the mandible.

Crown size and cusp proportions in Homo antecessor upper first molars. A comment on Quam et al. 2009.

A recent evaluation of upper first molar (M¹) crown size and cusp proportions in the genus Homo (Quam et al. 2009) describes Homo antecessor as maintaining a primitive pattern of cusp proportions, similar to that identified in australopithecines and the earliest members of the genus Homo. These results contrast with those of Gómez-Robles et al. (2007), who described the crown shape in these molars as derived and similar to Neanderthals and European Homo heidelbergensis. The reassessment of these measurements following the same methodology described by Quam et al. (2009) in all the M(1) s that are currently part of the hypodigm of H. antecessor demonstrates that the fossils from TD6 not only have the same cusp proportions identified in later Homo species, but also a strongly reduced metacone and a large hypocone shared with Middle and Upper Pleistocene members of the Neanderthal lineage. The evolutionary significance of these features should be evaluated in light of the results provided by recently discovered dental, cranial, mandibular, and postcranial H. antecessor fossils.