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      Determination of intra-oral surface areas by cone-beam computed tomography analysis and their relation with anthrometric measurements of the head

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          Abstract

          Purpose

          Determination of intra-oral surface areas might contribute to our understanding of the physiology of the oral cavity and oral diseases. In previous studies, the intra-oral surface area was determined using a laborious and technically challenging method. Our aim was to develop an easy and non-invasive method to determine the intra-oral surface areas.

          Methods

          In this study, we used cone-beam computed tomography (CBCT) and digital analysis in 20 human cadavers to determine various intra-oral surface areas, based on digital segmentation. Next, we explored whether there was a relationship between various intra-oral surface areas and anthropometric measurements of the head using Pearson correlation coefficient.

          Results

          Using CBCT and digital analysis, it was possible to determine various intra-oral surface areas. On average, the total intra-oral surface area was 173 ± 19 cm 2. Moderate, statistical significant correlations were observed between (1) the length of the head and the palatal surface area, as well as (2) the depth of the head and the surface area of the tongue. These correlations suggest the feasibility of estimating intra-oral surface areas without relying on CBCT imaging.

          Conclusions

          This study presents a technique for measuring the intra-oral surface areas by CBCT imaging in combination with digital analysis. The results of this study suggest that anthropometric measurements of the head might be used to estimate the surface areas of the palate and tongue.

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          Most cited references25

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          The surface area of the adult human mouth and thickness of the salivary film covering the teeth and oral mucosa.

          The surface area of the mouth was measured to calculate the average thickness of the salivary film which separates the opposing layers of the oral mucosa and which also overlies the dental plaque. The subjects were 10 adults of each sex, all of whom had essentially a full complement of teeth. Impressions were taken of the upper and lower jaws, the buccal and labial vestibular mucosa, and the ventral surface of the tongue, and stone models were cast. The dorsum of the tongue was assumed to have the same area as the palate plus that of the palatal surfaces of the upper teeth. The six separate areas considered were the teeth, the palate, the buccal and lingual gingival and alveolar mucosa, the buccal and labial vestibular mucosa, the ventral surface of the tongue, including the floor of the mouth, and the dorsum of the tongue. Aluminum foil, of known weight per unit area, was adapted to the models of the different regions of the mouth, and the surface areas were calculated from the weights of the foil. The mean total surface area of the mouth was 214.7 +/- 12.9 cm2, and there was no significant difference due to gender. The teeth, keratinized epithelium, and non-keratinized epithelium occupied about 20%, 50%, and 30% of the total surface area, respectively. Given that the average volumes of saliva present in the mouth before and after swallowing have been estimated to be 0.77 and 1.07 mL, respectively, it can be calculated that the average thickness of the salivary film in the mouth varies between 0.07 and 0.10 mm.(ABSTRACT TRUNCATED AT 250 WORDS)
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            Saliva the defender of the oral cavity

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              Human body preservation - old and new techniques.

              This review deals with the art of (anatomical) embalming. The first part contains a brief historical review of the history of embalming, starting with ancient cultures such as the Egyptians and the lesser known Chinchorro culture, then going down the centuries and describing the anatomical techniques developed over the last two centuries. The second part deals in detail with the chemicals used for embalming purposes. The third part deals with several approaches to evaluating embalming methods, their suitability for biomechanical testing, antimicrobial properties, histological appearance, and usability. The fourth and final part analyze the European Biocidal Products Directive (98/8/EC) in the light of embalming. © 2014 Anatomical Society.
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                Author and article information

                Contributors
                z.assy@acta.nl
                Journal
                Surg Radiol Anat
                Surg Radiol Anat
                Surgical and Radiologic Anatomy
                Springer Paris (Paris )
                0930-1038
                1279-8517
                11 July 2020
                11 July 2020
                2020
                : 42
                : 9
                : 1063-1071
                Affiliations
                [1 ]GRID grid.7177.6, ISNI 0000000084992262, Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam, , University of Amsterdam and VU University Amsterdam, ; Room 12 N-37, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands
                [2 ]GRID grid.7177.6, ISNI 0000000084992262, Department of Oral and Maxillofacial Surgery, Amsterdam UMC Location AMC and Academic Centre for Dentistry Amsterdam (ACTA), , University of Amsterdam, ; Amsterdam, The Netherlands
                [3 ]GRID grid.7177.6, ISNI 0000000084992262, Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), , University of Amsterdam and VU University Amsterdam, ; Amsterdam, The Netherlands
                [4 ]GRID grid.7177.6, ISNI 0000000084992262, Department of Oral Cell Biology and Functional Anatomy, Academic Centre for Dentistry Amsterdam (ACTA), , University of Amsterdam and VU University Amsterdam, ; Amsterdam, The Netherlands
                Author information
                http://orcid.org/0000-0002-1531-8930
                Article
                2530
                10.1007/s00276-020-02530-7
                7363725
                32653942
                60c4539d-9476-4e12-93d4-350193513c37
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 30 April 2020
                : 4 July 2020
                Funding
                Funded by: Nederlandse Tijdschrift Voor Tandheelkunde (NTVT)
                Award ID: grant number OZB2018.01
                Award Recipient :
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag France SAS, part of Springer Nature 2020

                Surgery
                tongue,palate,anthropometry,cone-beam computed tomography
                Surgery
                tongue, palate, anthropometry, cone-beam computed tomography

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