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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JDOI</journal-id>
      <journal-title-group>
        <journal-title>Journal of Dentistry And Oral Implants</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2473-1005</issn>
      <publisher>
        <publisher-name>Open Access Pub</publisher-name>
        <publisher-loc>United States</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">JDOI-19-2577</article-id>
      <article-id pub-id-type="doi">10.14302/issn.2473-1005.jdoi-19-2577</article-id>
      <article-categories>
        <subj-group>
          <subject>in-brief</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Hydrodynamic Equilibrium of Teeth Sustentation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>José</surname>
            <given-names>Ricardo Kina</given-names>
          </name>
          <xref ref-type="aff" rid="idm1842345332">1</xref>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Kina</surname>
            <given-names/>
          </name>
          <xref ref-type="aff" rid="idm1842364100">2</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1842345332">
        <label>1</label>
        <addr-line>FOA-UNESP, Araçatuba Dental School, São Paulo State University, Brazil.</addr-line>
      </aff>
      <aff id="idm1842364100">
        <label>2</label>
        <addr-line>Eunice Fumico Umeda Kina, São Paulo, Brazil.</addr-line>
      </aff>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Lolita</surname>
            <given-names>Lopez</given-names>
          </name>
          <xref ref-type="aff" rid="idm1842208180">1</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1842208180">
        <label>1</label>
        <addr-line>Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Entrerríos s/n, Santiago de Compostela, Spain </addr-line>
      </aff>
      <author-notes>
        <corresp id="cor1">Correspondence: José Ricardo Kina, FOA-UNESP, Araçatuba Dental School, São Paulo State University, Brazil; Email: <email>kinajr@hotmail.com</email>.</corresp>
        <fn fn-type="conflict" id="idm1842392492">
          <p>The authors have declared that no competing interests exist.</p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub" iso-8601-date="2019-01-24">
        <day>24</day>
        <month>01</month>
        <year>2019</year>
      </pub-date>
      <volume>2</volume>
      <issue>1</issue>
      <fpage>18</fpage>
      <lpage>19</lpage>
      <history>
        <date date-type="received">
          <day>02</day>
          <month>01</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>21</day>
          <month>01</month>
          <year>2019</year>
        </date>
        <date date-type="online">
          <day>24</day>
          <month>01</month>
          <year>2019</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© </copyright-statement>
        <copyright-year>2019</copyright-year>
        <copyright-holder>José Ricardo Kina, et al.</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="http://openaccesspub.org/jdoi/article/971">This article is available from http://openaccesspub.org/jdoi/article/971</self-uri>
      <abstract>
        <p>The article discusses biomechanical principles underlying tooth support and hydrodynamic equilibrium. It considers periodontal ligament behavior, load distribution, and fluid dynamics, linking basic science concepts to clinical implications.</p>
      </abstract>
      <kwd-group>
        <kwd>periodontal ligament</kwd>
      </kwd-group>
      <counts>
        <fig-count count="0"/>
        <table-count count="0"/>
        <page-count count="2"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <sec id="idm1842213292" sec-type="intro">
      <title>Introduction </title>
      <p>The periodontium is constituted of different tissue: the gingiva, alveolar bone, cementum, and periodontal ligament. Each tissue of the periodontium can exert different specialized functions and the main ones are those of protection, sustentation, defense, nutrition, cell renewal, neural <xref ref-type="bibr" rid="ridm1843231244">1</xref>. The cementum and alveolar bone are hard tissues which gingival and periodontal ligament fibers anchor a tooth into its alveolar socket <xref ref-type="bibr" rid="ridm1843298804">2</xref>. The periodontal ligament is a strong connective tissue structure, presenting neural components and a vascular system, which support and distribute occlusal forces during masticatory function <xref ref-type="bibr" rid="ridm1843231244">1</xref><xref ref-type="bibr" rid="ridm1843298804">2</xref>. To support and distribute occlusal forces the periodontal ligament presents a hydrodynamic balance which works inducing not only occlusal forces distribution but also an efficient turn over to modify the structure of the periodontal bone that in addition to absorbing occlusal forces may restructure the architecture of the periodontal bone according with the forces applied during masticatory process <xref ref-type="bibr" rid="ridm1843304636">3</xref><xref ref-type="bibr" rid="ridm1843094604">4</xref><xref ref-type="bibr" rid="ridm1843089708">5</xref>. During masticatory process the forces applied by masticatory muscle induce the mandible movement causing the lower teeth to crush the food bolus against the maxillary antagonist teeth. The force applied against the teeth is directed to the periodontal ligament and needs to be dissipated efficiently. The dissipation of the occlusal forces is mainly accomplished through the hydrodynamic equilibrium determined by the extra cellular fluids of the periodontal ligament. When occlusal forces are applied against the teeth, they undergo a movement of intrusion limited by the fibers constituted by the strong connective tissue structure of the periodontal ligament <xref ref-type="bibr" rid="ridm1843298804">2</xref>.  The intrusive movements of the teeth   compress the extracellular fluids of the periodontal ligament directly against the alveolar bone which penetrate through the Volkmann canals and Haversian system into the medullary bone. After the occlusal force ceased, the periodontal ligament resumes its origin size, producing a tensile force in the extra cellular fluids which penetrated into the medullary bone, determining its return to the periodontal ligament <xref ref-type="bibr" rid="ridm1843304636">3</xref>. The compressive and the traction forces determined by the extra cellular fluid of the periodontal ligament during the action of the occlusal force on the teeth, causes the extracellular fluid movement of the periodontal ligament that   travels between the periodontal ligament and the bone marrow determining the bone remodeling to support the action of the masticatory load. In this way the alveolar bone is always modifying its architectural structure depending on the incidence of force applied during the chewing cycle for each tooth involved in the process <xref ref-type="bibr" rid="ridm1843089708">5</xref><xref ref-type="bibr" rid="ridm1843082012">6</xref>. In spite of the regenerative potential of the periodontal ligament these bone remodeling is determined mainly in the bone marrow due to the intense source of vascularization and undifferentiated mesenchymal cells capable of restructuring the alveolar bone depending on the stimulus provided by the occlusal forces <xref ref-type="bibr" rid="ridm1843089708">5</xref>. Thus the alveolar bone undergoes intense transformation during the life of an individual, adapting the most different occlusal forces applied on the teeth.</p>
    </sec>
  </body>
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