Detection of root canals in historical population from Radom (Poland).

BACKGROUND: The aim of this study was to analyse the number of root canals in maxillary first premolars, first molars and mandibular first molar teeth from an 18th to 19th century Radom (Poland) population, and then assess whether the diversity of root canals has fluctuated for about two hundred years. MATERIALS AND METHODS: A total of 139 human permanent teeth were analysed by cone beam computed tomography in three projections. The types of root canal systems were classified in each tooth root separately. RESULTS: In one-rooted maxillary premolars, two canals occurred most often (53%).In two-rooted majority buccal (91%) and every palatal roots there is one canal. All three-rooted maxillary premolars have one root canal. In two-rooted first maxillary molars, fused roots have two canals. All mesiobuccal roots presented type 2-1 canal configurations. In three-rooted maxillary first molars in the mesiobuccal roots the most common root canal type is 2-1 (72%). A second mesiobuccal canal occurred in 86%. The distobuccal and palatal roots presented one canal in all cases. First mandibular molars occurred in two-rooted form in 98%. In mesial roots, two root canals predominated (59%). Most distal root (66%) had one canal. In three-rooted teeth one root canal was the most frequent finding. CONCLUSIONS: Knowledge about the variation in root canals is important in studies of past populations. This evidence may be important in relation to assessing the variability of human populations. The analysis carried out show the cohesion between the historical population of Radom and other groups from modern Poland.

Anatomical variations of knee ligaments in magnetic resonance imaging: pictorial essay.

Evaluation with magnetic resonance imaging (MRI) is currently a gold standard for comprehensive posttraumatic assessment of the knee joint. Increasing availability of MR systems with stronger magnetic fields and new sequences results in higher resolution of images and thus allows imaging smaller and finer anatomical details, including different anatomical variations. This article focuses on anatomical variations of knee ligaments, which can mimics pathological structures. Well-known and less common ligaments that are sporadically observed and may raise the most doubt will be discussed. Familiarity with those variations of ligaments is indispensable for precise MRI reporting to avoid misinterpretation as meniscal tears, loose bodies or mass lesions especially in cases. This paper is addressed to both radiology and orthopaedics specialists. Illustrations show discussed ligaments in standard planes while, for less known ligaments, we add information on how to adjust planes to properly visualise a particular structure, which will hopefully facilitate finding and differentiating those structures in clinical practice.

Characterisation of the supraorbital foramen and notch as an exit route for the supraorbital nerve in populations from different climatic conditions.

The aim of this study was to obtain morphological data on the supraorbital foramina and notches related to sex and side of the skull in populations from different climatic conditions. We assume that the type and frequency of these supraorbital structures may depend on the climatic conditions in which the population lived. Populations from colder regions should have a higher frequency of foramina and populations from warmer climates should have a higher frequency of supraorbital notches than other populations. This may be a result of adaptive changes and developmental responses to ambient temperatures, for prevention of heat loss in the supraorbital neurovascular bundle passing through these supraorbital structures. Localisation of the supraorbital neurovascular bundle is higher and deeper when it passes through the foramen than in the notch. A total of 1978 orbits from 989 skulls collected in three climatic regions: warm, temperate and cold, were analysed. The highest frequency of supraorbital foramina (35.4%) was in skulls from cold climatic conditions. In samples from warm climates, the frequency of supraorbital foramina was lowest (16.4%). In contrast, the frequency of supraorbital notches was highest in the sample from warm climates (54.5%), and lowest in the sample from cold climatic conditions (44.0%). Statistically significant differences in the frequency of supraorbital structures were found between cold climate sample and the other two samples (p<0.05). Our results suggest a relationship between the type of supraorbital structure and climatic conditions as an adaptation to cold climate and thermoregulatory processes concerning the human head. This research is of direct relevance to clinical practice, and drawing attention to the differences in the frequency of these supraorbital structures may help surgeons to avoid injuring the neurovascular bundles. These data and studies may also contribute to the understanding of the impact of climate on the morphology of modern European skulls.

Clinical anatomy of the auriculotemporal nerve in the area of the infratemporal fossa.

The auriculotemporal nerve is a sensory branch extending from the posterior section of the mandibular nerve trunk. Its nerve roots form a short trunk, which gives off a number of branches, innervating: the temporomandibular joint, the temporal region, structures of the external ear: auricle, and external acoustic meatus, and the parotid gland. It also conducts excretory fibres to the buccal and labial glands. Anatomical relationships between the auriculotemporal nerve and the muscles of mastication, temporomandibular joint, and surrounding vessels in the area of the infratemporal fossa create favourable conditions for entrapment syndromes. Entrapment of the auriculotemporal nerve plays a role in the pathogenesis of temporomandibular joint pain syndromes, headaches, as well as pain symptoms or paraesthesias within the external acoustic meatus and auricle. The current study was performed on 16 specimens containing the infratemporal fossa. Some variations in the nerve roots of the auriculotemporal nerve were found and described as one-, two-, three-, four-, and five-root variants. The topography of the auriculotemporal nerve and its close relationship to the structures of the temporomandibular joint were described. Individually, the variable topography of the nerve course may play a role in the symptomatology of headaches and localisation of pain in the face regions and masticatory system.

Lead and cadmium concentrations in blood of people living near a copper smelter in Legnica, Poland.

Examination of 60 inhabitants (including 28 children) of a village 900 m from a copper smelter with concurrent monitoring of air pollution was performed. Blood levels of lead and cadmium were measured three times in five years. At the same time dust amounts and air-dust concentrations of Cu, Pb, Cd, Mn, Cr, Zn, Ni and As were measured. In the first phase of the investigation, for nearly 60% of days Pb and Cu air concentrations exceeded 2-5 times the norm. In the third stage, after significant reductions of gas-dust emissions (copper from 992 to 47 tons/year, lead from 1720 to 30 tons/year) no excessive metal air concentrations are noted. In the first examination the average blood lead concentration was 0.766 +/- 0.14 microgram/ml (in the group of children 0.52 +/- 0.07 microgram/ml). After five years, there was a statistically significant decrease in the blood concentrations of lead, to 0.44 +/- 0.14 microgram/ml (children 0.31 +/- 0.05 microgram/ml), and cadmium, to 0.028 +/- 0.007 microgram/ml (children 0.019 +/- 0.004 microgram/ml). A big lead and cadmium load in the villagers, despite the substantial reduction of gas and dust emission, points to the contamination of the surroundings of the cooper smelter.

[Prospective examinations concerning the effect of exposure to aromatic hydrocarbons on health status]. / Prospektywne badnia nad wplywem weglowodorów aromatycznych na stan zdrowia.

The purpose of the study was to evaluate the general and toxicological status of footwear factory workers exposed to toluene, benzene and trace amounts of chromium. The subjects were 80 persons who worked with the glue, and were professionally exposed to aromatic hydrocarbons such as toluene and benzene AT amounts not exceeding the TLVs. The mean age of the subjects was 46.89 years and the mean period of work 20.26 years. Complete internal and neurological examinations were carried out. The following parameters were determined: hematocrit, hemoglobin, erythrocytes, leukocytes, platelets, reticulocytes, chromium, copper, zinc in serum and hippuric acid in urine (in 30 persons). In the examined group no changes in the leukocyte system were found. Two women had a lower hemoglobin level and erythrocyte count. In three persons thrombocytopenia was observed (3.75%). The mean metal levels in serum were within normal values. Only in 4 persons (5.0%) elevated levels of phenol in urine were found which indicated exposure to benzene. In 30 subjects (18 women and 12 men) (most exposed to toluene) the hippuric acid level in urine was examined. It was found to range from 130 mg/l to 2080 mg/l. In the control group not exposed to either of the solvents the level of hippuric acid in urine varied from 190 to 330 mg/l. There was little effect of aromatic hydrocarbons on hematopoiesis. The increased absorption of benzene or toluene found in the examined persons would indicate a necessity for biological monitoring of this group.

[Effect of combined exposure (noise, dust, nitrogen oxides) on health status of metal workers in heavy industry. Evaluation of erythrocyte metabolism]. / Wplyw narazenia mieszanego (halas, pyl, tlenki azotu) na stan zdrowia slusarzy fabryki przemyslu ciezkiego. Ocena metabolizmu krwinki czerwonej.

This paper presents the effects of combined exposure (noise, dust, nitrogen oxides) on the health condition of industrial workers, with special regard to red blood cell metabolism. 208 male industrial plant workers of the average age of 38.5 +/- 8.27 years and the average work period of 14.7 +/- 8.22 years were examined. The statistically significant increase of methemoglobin level was detected as well as some changes in erythrocyte metabolism in terms of increased activity of glucose-6-phosphate dehydrogenase, pyruvate kinase and in vitro production of lactic acid in erythrocytes. The observed changes indicate the influence of exposure to nitrogen oxides and the resulting cellular adaptation to unfavourable working conditions (activation of the pentose cycle and of the final stage of anaerobic glycolysis cycle).