Ante's law

Last updated

In dentistry, Ante's law refers to a group of proposals related to crown-to-root ratio put forth by Irwin H. Ante [1] in a thesis paper he wrote in 1926. [2]

Dentistry branch of medicine

Dentistry, also known as Dental and Oral Medicine, is a branch of medicine that consists of the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity, commonly in the dentition but also the oral mucosa, and of adjacent and related structures and tissues, particularly in the maxillofacial area. Although primarily associated with teeth among the general public, the field of dentistry or dental medicine is not limited to teeth but includes other aspects of the craniofacial complex including the temporomandibular joint and other supporting, muscular, lymphatic, nervous, vascular, and anatomical structures.

Crown-to-root ratio important consideration in the diagnosis, treatment planning and restoration of teeth

Crown-to-root-ratio is the ratio of the length of the part of a tooth that appears above the alveolar bone versus what lies below it. It is an important consideration in the diagnosis, treatment planning and restoration of teeth, one that hopefully guides the plan of treatment to the proper end result.

Ante's law postulated that:

"the total periodontal membrane area of the abutment teeth must equal or exceed that of the teeth to be replaced."

Working from this premise, later claims were made that:

"the length of the periodontal membrane attachment of the abutment tooth should be at least one half to two thirds of that of its normal root attachment". [3]

Because of these largely unsubstantiated, empirical concepts, many teeth were subsequently excluded from suitability as an abutment for fixed partial dentures and double abutments became a popular means of complying with Ante's law.

Bridge (dentistry) fixed dental restoration

A bridge is a fixed dental restoration used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants.

Long-term clinical trials failed to provide evidence for Ante's so called "law" and as such, it can be concluded that Ante's law with respect to teeth has been refuted. [4] [5]

Related Research Articles

Human tooth calcified whitish structure in humans mouths used to break down food

The human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. Humans have four types of teeth: incisors, canines, premolars, and molars, which each have a specific function. The incisors cut the food, the canines tear the food and the molars and premolars crush the food. The roots of teeth are embedded in the maxilla or the mandible and are covered by gums. Teeth are made of multiple tissues of varying density and hardness.

Dentures prosthetic devices constructed to replace missing teeth

Dentures are prosthetic devices constructed to replace missing teeth, and are supported by the surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable. However, there are many denture designs, some which rely on bonding or clasping onto teeth or dental implants. There are two main categories of dentures, the distinction being whether they are used to replace missing teeth on the mandibular arch or on the maxillary arch.

Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. However, there are still dentists that promote themselves as cosmetic dentists.

Dental surgery surgery of the teeth and jaw bones

Dental surgery is any of a number of medical procedures that involve artificially modifying dentition; in other words, surgery of the teeth, gums and jaw bones.

A dental restoration or dental filling is a treatment to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants. They are of two broad types—direct and indirect—and are further classified by location and size. A root canal filling, for example, is a restorative technique used to fill the space where the dental pulp normally resides.

Dental technician member of the dental team

A dental technologist is a member of the dental team who, upon prescription from a dental clinician, constructs custom-made restorative and dental appliances.

Dental implant surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis.

A dental implant is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called osseointegration, in which materials such as titanium form an intimate bond to bone. The implant fixture is first placed so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic is attached to the implant or an abutment is placed which will hold a dental prosthetic.

Periodontology or periodontics is the specialty of dentistry that studies supporting structures of teeth, as well as diseases and conditions that affect them. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. A person who practices this specialty is known as a periodontist.

Edentulism

Edentulism or toothlessness is the condition of being toothless to at least some degree; in organisms that naturally have teeth (dentition), it is the result of tooth loss. Loss of some teeth is called partial edentulism, whereas loss of all teeth is called complete edentulism. Persons who have lost teeth are edentulous (edentate), whereas those who have not lost teeth can be called dentate by comparison. For example, a scientific study may include a partially edentulous group and a healthy dentate control group.

Crown lengthening

Crown lengthening is a surgical procedure performed by a dentist, or more frequently a specialist periodontist. There are a number of reasons for considering crown lengthening in a treatment plan. Commonly, the procedure is used to expose a greater amount of tooth structure for the purpose of subsequently restoring the tooth prosthetically. However, other indications include accessing subgingival caries, accessing perforations and to treat aesthetic disproportions such as a gummy smile. There are a number of procedures used to achieve an increase in crown length.

Dental pertains to the teeth, including dentistry. Topics related to the dentistry, the human mouth and teeth include:

Guided bone regeneration (GBR) and guided tissue regeneration (GTR) are dental surgical procedures that use barrier membranes to direct the growth of new bone and gingival tissue at sites with insufficient volumes or dimensions of bone or gingiva for proper function, esthetics or prosthetic restoration. Guided bone regeneration typically refers to ridge augmentation or bone regenerative procedures; guided tissue regeneration typically refers to regeneration of periodontal attachment.

In dentistry, an abutment is a connecting element. This is used in the context of a fixed bridge, partial removable dentures and in implants. The implant fixture is the screw-like component that is osseointegrated.

Platform switching

In dentistry, platform switching is a method used to preserve alveolar bone levels around dental implants. The concept refers to placing screwed or friction fit restorative abutments of narrower diameter on implants of wider diameter, rather than placing abutments of similar diameters, referred to as platform matching.

Tooth mobility

Tooth mobility is the medical term for loose tooth.

A complete denture is a removable appliance used when all teeth within a jaw have been lost and need to be prosthetically replaced. In contrast to a partial denture, a complete denture is constructed when there are no more teeth left in an arch, hence it is an exclusively tissue-supported prosthesis. A complete denture can be opposed by natural dentition, a partial or complete denture, fixed appliances or, sometimes, soft tissues.

Overdenture

Overdenture is any removable dental prosthesis that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or dental implants. It is one of the most practical measures used in preventive dentistry. Overdentures can be either tooth supported or implant supported. It is found to help in the preservation of alveolar bone and delay the process of complete edentulism.

Regarding implant (medicine), one of the milestone progress is osseointegration which was termed in 1981 by Tomas Albrektsson. The scope of this article is limited to the pre-1981 history.

References

  1. Lovely M. Review of Fixed Partial Dentures Jaypee Brothers Medical Publishers, 2006. page 170.
  2. Ante IH. The fundamental principles of abutments. Michigan State Dental Society Bulletin 1926;8:14-23
  3. Tylman SD, Tylman SG. Theory and Practice of Crown and Bridge Prosthodontics 4th Ed. St. Louis: CV Mosby, 1960
  4. Lulic M, Brägger U, Lang NP, et al. Ante’s (1926) law revisited: a systematic review on survival rates and complications of fixed dental prostheses (FDPs) on severely reduced periodontal tissue support. Clin Oral Implants Res 2007;18(suppl 3):63-72
  5. Greenstein G, Cavallaro JS. Importance of crown to root and crown to implant ratios. Dentistry Today (Course number 135, 3/1/2011)