5 ms·

The tooth, the whole tooth and the jawbone too

47 points by Hooke 2y ago

mistersquid 2y ago
From the OP: > She suffered a toothache and asked a barber-surgeon to extract the offending molar. He struggled to get the tooth out, but convinced the patient to let him try again with different tools. > > He fixed his instrument, and with a sudden exertion of all his strength, he brought away the affected Tooth, together with a piece of the jaw-bone, as big as a walnut, and three neighbouring Molares.
- evmar 2y ago
  (wife is a dentist) To my knowledge, the state of the art in tooth removal still is basically pliers and a lot of force. The difference today is a trained professional knows the technique and has practiced it a lot. (And anesthetic.) Here's a random video of it from a quick search on YouTube: https://www.youtube.com/watch?v=vydv7aomV20 https://www.youtube.com/watch?v=vydv7aomV20
  - thangngoc89 2y ago
    (I’m a dentist) To further expand on your comment, the alveolar bone is porous so we use pilers on the tooth to compress the alveolar bone, making a big enough hole for the whole tooth to come out in one piece. Molars have 2-3 roots so it is a lot of efforts. In difficult case, I would divide the tooth into sections to pull each root out.
    - infinite8s 2y ago
      What's the current state of the art in terms of being able to regrow teeth/regenerate alveolar bone?
      - heymijo 2y ago
        One thing is using rapamycin for bone and soft tissue regrowth. The FDA recently approved a human study after previous research showed success in mice. https://dental.washington.edu/uw-periodontal-study-receives-fda-approval-for-anti-aging-drug-use/ https://dental.washington.edu/uw-periodontal-study-receives-...
      - namibj 2y ago
        For teeth? The https://pmc.ncbi.nlm.nih.gov/articles/PMC7880588/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7880588/ Anti-USAG-1 serum. It's laboratory antibody serum from a specific human-sourced monoclonal cell line. Seems to work on all mammals (notably both nice and ferrets; I'm told their teeth system is widely different evolutionary and that humans are kinda in the middle). A human study should be ongoing on some children in Japan that for genetic reasons are missing a few adult teeth (never grew).
    - b112 2y ago
      I have 4! At least on the one yanked a few years back. My dental surgeon was amused... and annoyed.
      - lukeholder 2y ago
        Don’t ever tell a 2 wisdom teeth story: https://youtu.be/cRdjDTMSTtY?si=4Qz0OR6B8t2MG7E9 https://youtu.be/cRdjDTMSTtY?si=4Qz0OR6B8t2MG7E9
  - chokma 2y ago
    > To my knowledge, the state of the art in tooth removal still is basically pliers and a lot of force One time, my dentist told me "I can't get it out, I am going to fetch my dad to do it" when she had trouble removing a tooth. What followed was a not so fun experience in professionally applied dental violence. (Her father was also a dentist)
handzhiev 2y ago
Teeth treatment alone is enough to be very very thankful that we live today vs even a century ago
- graemep 2y ago
  If you go further back it lot does not get a lot worse, and further back at least some people would have had less tooth decay because of better diets. A century ago is probably pretty close to the worst possible time: starchy diets, relatively cheap pure/refined sugar, but no modern dentistry.
  - jader201 2y ago
    > A century ago is probably pretty close to the worst possible time Which may have attributed/motivated the later advancements that were made.
  - lifestyleguru 2y ago
    It took me too many unnecessarily drilled and filled teeth by overzealous dentists to realize this. I removed salt-sugar-fat junk food from the diet and care about my teeth. Absolutely nothing happened with them for one decade now. Again... bloody dentists, they abuse so much the fact that you trust them. They treat your teeth as a piece of sandstone until there is nothing to drill into anymore.
  - potsandpans 2y ago
    I've read that medieval populations had significant tooth wear due to stone mills depositing stone residue into flour. Im not sure how this stacks against the time period youre referencing, if it was better or worse.
    - inglor_cz 2y ago
      https://pmc.ncbi.nlm.nih.gov/articles/PMC3094918/ https://pmc.ncbi.nlm.nih.gov/articles/PMC3094918/ One of the many articles studying dental health of pre-modern populations. Yeah, it wasn't great. Human teeth aren't really suitable for a long-lived species that eats a lot of carbs.
block_dagger 2y ago
Bravo on the title.
rekabis 2y ago
When wholesale collapse does come for humanity later this century, things are going to get very ugly for people in terms of the lack of modern dentistry and medical care.

47 points by Hooke 2y ago

From the OP: > She suffered a toothache and asked a barber-surgeon to extract the offending molar. He struggled to get the tooth out, but convinced the patient to let him try again with different tools. > > He fixed his instrument, and with a sudden exertion of all his strength, he brought away the affected Tooth, together with a piece of the jaw-bone, as big as a walnut, and three neighbouring Molares.

evmar 2y ago
(wife is a dentist) To my knowledge, the state of the art in tooth removal still is basically pliers and a lot of force. The difference today is a trained professional knows the technique and has practiced it a lot. (And anesthetic.) Here's a random video of it from a quick search on YouTube: https://www.youtube.com/watch?v=vydv7aomV20 https://www.youtube.com/watch?v=vydv7aomV20
- thangngoc89 2y ago
  (I’m a dentist) To further expand on your comment, the alveolar bone is porous so we use pilers on the tooth to compress the alveolar bone, making a big enough hole for the whole tooth to come out in one piece. Molars have 2-3 roots so it is a lot of efforts. In difficult case, I would divide the tooth into sections to pull each root out.
  - infinite8s 2y ago
    What's the current state of the art in terms of being able to regrow teeth/regenerate alveolar bone?
    - heymijo 2y ago
      One thing is using rapamycin for bone and soft tissue regrowth. The FDA recently approved a human study after previous research showed success in mice. https://dental.washington.edu/uw-periodontal-study-receives-fda-approval-for-anti-aging-drug-use/ https://dental.washington.edu/uw-periodontal-study-receives-...
    - namibj 2y ago
      For teeth? The https://pmc.ncbi.nlm.nih.gov/articles/PMC7880588/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7880588/ Anti-USAG-1 serum. It's laboratory antibody serum from a specific human-sourced monoclonal cell line. Seems to work on all mammals (notably both nice and ferrets; I'm told their teeth system is widely different evolutionary and that humans are kinda in the middle). A human study should be ongoing on some children in Japan that for genetic reasons are missing a few adult teeth (never grew).
  - b112 2y ago
    I have 4! At least on the one yanked a few years back. My dental surgeon was amused... and annoyed.
    - lukeholder 2y ago
      Don’t ever tell a 2 wisdom teeth story: https://youtu.be/cRdjDTMSTtY?si=4Qz0OR6B8t2MG7E9 https://youtu.be/cRdjDTMSTtY?si=4Qz0OR6B8t2MG7E9
- chokma 2y ago
  > To my knowledge, the state of the art in tooth removal still is basically pliers and a lot of force One time, my dentist told me "I can't get it out, I am going to fetch my dad to do it" when she had trouble removing a tooth. What followed was a not so fun experience in professionally applied dental violence. (Her father was also a dentist)

handzhiev 2y ago

Teeth treatment alone is enough to be very very thankful that we live today vs even a century ago

graemep 2y ago
If you go further back it lot does not get a lot worse, and further back at least some people would have had less tooth decay because of better diets. A century ago is probably pretty close to the worst possible time: starchy diets, relatively cheap pure/refined sugar, but no modern dentistry.
- jader201 2y ago
  > A century ago is probably pretty close to the worst possible time Which may have attributed/motivated the later advancements that were made.
- lifestyleguru 2y ago
  It took me too many unnecessarily drilled and filled teeth by overzealous dentists to realize this. I removed salt-sugar-fat junk food from the diet and care about my teeth. Absolutely nothing happened with them for one decade now. Again... bloody dentists, they abuse so much the fact that you trust them. They treat your teeth as a piece of sandstone until there is nothing to drill into anymore.
- potsandpans 2y ago
  I've read that medieval populations had significant tooth wear due to stone mills depositing stone residue into flour. Im not sure how this stacks against the time period youre referencing, if it was better or worse.
  - inglor_cz 2y ago
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3094918/ https://pmc.ncbi.nlm.nih.gov/articles/PMC3094918/ One of the many articles studying dental health of pre-modern populations. Yeah, it wasn't great. Human teeth aren't really suitable for a long-lived species that eats a lot of carbs.

block_dagger 2y ago

Bravo on the title.

rekabis 2y ago

When wholesale collapse does come for humanity later this century, things are going to get very ugly for people in terms of the lack of modern dentistry and medical care.