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	<title>tooth &#8211; Fountain Magazine</title>
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		<title>Tooth Development: The Remarkable Timing of Events, Molecular and Cellular Interactions</title>
		<link>https://fountainmagazine.com/all-issues/2017/issue-116-march-april-2017/tooth-development-the-remarkable-timing-of-events-molecular-and-cellular-interactions/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Wed, 01 Mar 2017 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 116 (March - April 2017)]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[The bell stage]]></category>
		<category><![CDATA[The bud stage]]></category>
		<category><![CDATA[The cap stage]]></category>
		<category><![CDATA[tooth]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2017/issue-116-march-april-2017/tooth-development-the-remarkable-timing-of-events-molecular-and-cellular-interactions/</guid>

					<description><![CDATA[At around five weeks of development, two U-shaped areas of bands of cells form in the human embryo’s developing mouth. These primary epithelial bands form precisely in the positions of the future upper and lower jaws. Each of these bands then subdivide by proliferating and growing into the underlying tissue (called the mesenchyme). The first [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>At around five weeks of development, two U-shaped areas of bands of cells form in the human embryo’s developing mouth. These <em>primary epithelial bands</em> form precisely in the positions of the future upper and lower jaws. Each of these bands then subdivide by proliferating and growing into the underlying tissue (called the mesenchyme). The first of these subdivisions forms the zone where the teeth will form (the dental lamina), while the second, which forms in front of the dental lamina, will form the future vestibule of the mouth (the vestibular lamina).</p>
<p><span id="more-5220"></span></p>
<p>At this time, within these bands, plate-like structures called placodes, mark the positions of future teeth. Proliferation of cells in these areas continue to grow into the underlying mesenchymal tissue while other cells called ectomesynchymal cells begin to assemble around these swellings of cells.</p>
<p>This sets the stage for the development of the teeth. The process can now be divided into the bud, cap, and bell stages. These three stages only describe the shape of the developing tooth during each stage. An innumerable amount of genes and proteins are involved during each of these stages, some of which are yet to be discovered. During these stages, cells transform into other cells by interacting with each other and by various complex molecular signaling pathways.</p>
<p>An astonishing feature during development, not unique to tooth development, is the predetermination of the fate of every one of these countless cells.</p>
<p>The question of what initiates tooth development , and what determines the positions of the teeth in the developing oral cavity, continues to be a compelling one for researchers. As early as the eleventh day of gestation, signs of initiation emerge. To date, over ninety different genes and numerous other signaling molecules, including transcription factors from various cellular families, have been discovered and implicated in the initiation of tooth development. The intricate and complex interactions that occur during these processes are far from being fully understood.</p>
<p><em>The bud stage:</em> Also referred to as the ectomesenchymal condensation stage, it is characterized by the invasion of epithelium into the surrounding cells (the ectomesenchyme). Proliferation of cells during this stage increases cellular thickness in the region, hence forming a bud-like structure. There are no significant cellular changes during this stage; however there is much activity surrounding the developing tooth during the transition between the bud and cap stages. Nerve fibers begin to enter the dental follicle, which later enter the dental pulp.</p>
<p><em>The cap stage</em>: The passage from bud to cap stage is marked by the change in cellular form or shape (morphodifferentiation). These cellular changes are also determined and regulated by numerous signals and the expression of specific genes. The differences that occur at this stage also determine the tooth type that will be formed (incisor, canine, or molar).</p>
<p>The tooth bud continues to grow and pulls the dental lamina as it grows. It now appears like a bulge which rests on a conglomerate of ectomesenchymal cells, hence taking the shape of a cap positioned on a ‘head’ of ectomesenchyme.</p>
<p>At this stage, the future structures of the tooth can be distinguished. The ectomesenchymal portion, now called the dental papilla, will give rise to the dentine and pulp (the blood and nerve supply) of the tooth. The portion on the outside of the dental lamina and the cap (called the dental follicle) will give rise to the future supporting structures of the tooth (the bony socket and periodontal ligament). The cells making up this cap, which includes a lining of cells and the cells inside this lining, are called the enamel organ, and will give rise to the tooth enamel. This triad of structures is collectively termed the tooth germ (i.e., a collection of cells that will form the tooth).</p>
<p>During the latter part of the cap stage, cells begin to transform by altering their functions. The core of the enamel organ forms star shaped cells (the stellate, or star-like, reticulum). This occurs by a process whereby cells produce and discharge a hydrophilic protein which in turn increases water content between cells, thus separating them while they maintain links with each other, giving them the starry appearance.</p>
<p>Around this time a structure called the enamel knot arrives. It is thought to be the coordinating center for tooth cusp shape. It appears and disappears at different stages of development.</p>
<p>In the midst of the cellular changes taking place, clusters of blood vessels begin to penetrate the dental papilla, precisely in the positions of the future roots. It is thought that the blood vessels and nerves also play a role in the initiation of tooth development.</p>
<p><em>The bell stage:</em> As the growth of the tooth germ proceeds, the inner portion deepens and it begins to bear resemblance to a bell. It is in the course of this stage that the tooth takes on its final shape (its crown form). In addition, the cells which will be responsible for the formation of the tooth’s enamel and dentine form at this stage.</p>
<p>The cells which make up the enamel organ begin to change their form, including their shape and size, while their function changes according to the role they are destined to perform. The cells interact with each other in an astonishingly coordinated way as they induce one cell to differentiate into another at precise stages of formation. Two distinct layers of cells form in this way, which are then separated by an intermediate layer. The outer layer of cells begins to manufacture and secrete the organic components which will later form mature mineralized enamel (ameloblasts), while the inner cellular layer will begin to manufacture and secrete substances which will be the building blocks for the formation of mature dentine (odontoblasts). At the point where the inner and outer cell layers meet at the edge of the bell, the cells continue to proliferate up to the time that the crown size is completed. Once this is complete, the cells then generate the cellular constituents for tooth root development.</p>
<p>By the end of bell stage, the developing tooth is separated from its original attachment to the surface of the developing oral cavity, and is now housed in its own developing crypt.</p>
<p>During the latter part of this stage, an offshoot of tissue forms on the tongue and palate facing the side of the developing tooth. These offshoots are the tooth buds of the future permanent teeth.</p>
<p>The subsequent maturation and mineralization of the tooth’s enamel and dentine are separate areas of study which are indeed as complex and intricate as one can imagine.</p>
<p>This exceedingly complex, orchestrated work of art, albeit simplified for the reader, must occur in harmony with the growth of other structures including the face, tongue, and jaws. The subsequent events that must take place for the appearance of the teeth is yet another area to be studied. This process is exquisitely timed with respect to development and function.</p>
<p>When considered how complicated all of this is, and how perfectly it functions, one can’t help but be awed.</p>
<h3>References</h3>
<ul>
<li>Antonio Nanci; Ten Cate’s Oral Histology, Development, Structure and Function.8th Edition, 2013.</li>
<li>Beverly Kramer &amp;John Allan; The Fundamentals of Human Embryology, Student Manual (2<sup>nd</sup> Edition), 2010.    </li>
</ul>
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		<title>Imitation Teeth: Implants</title>
		<link>https://fountainmagazine.com/all-issues/2014/issue-102-november-december-2014/implants-november-2014/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Sat, 01 Nov 2014 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 102 (November - December 2014)]]></category>
		<category><![CDATA[artificial]]></category>
		<category><![CDATA[bone]]></category>
		<category><![CDATA[Health & Medicine]]></category>
		<category><![CDATA[healthy]]></category>
		<category><![CDATA[implant]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[jaw]]></category>
		<category><![CDATA[materials]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[suspension]]></category>
		<category><![CDATA[teeth]]></category>
		<category><![CDATA[tooth]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2014/issue-102-november-december-2014/implants-november-2014/</guid>

					<description><![CDATA[Our teeth were designed in a harmonious and organized fashion, just like each and every particle of our body. It becomes unbearable when one tooth is missing, as this harmony is spoiled. Dentists are trying to compensate for such absences with artificial teeth called implants. This kind of application is nearly as old as human [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Our teeth were designed in a harmonious and organized fashion, just like each and every particle of our body. It becomes unbearable when one tooth is missing, as this harmony is spoiled. Dentists are trying to compensate for such absences with artificial teeth called implants. This kind of application is nearly as old as human history. Most of the time, however, humanity was utterly inadequate in replicating real teeth, as many implants, shaped from wood or computer assisted technology, failed to match real teeth.</p>
<p><span id="more-1716"></span></p>
<p>In the past, the area missing a tooth could be filled by bridge implants by eroding the enamel on neighboring teeth. In cases where there was a large gap or no teeth to use as connectors, removable implants were used. In other words, present healthy teeth would be treated to compensate for the missing teeth; if the number and health of the remaining teeth was not sufficient, removable implants would be produced that gave the &#8220;ready to fall out&#8221; feeling. The imperfections of this type of implant led scientists to pursue new ideas.</p>
<p>Scientists have tried to fill in missing teeth with artificial roots and with implants mounted over these by mimicking the existing tooth root. This way, there is no need to treat and erode the healthy enamel of neighboring teeth in the gap. These artificial roots, which are positioned into the jaw bone by a surgical operation, are called a &#8220;tooth implant.&#8221; Modern-day implants are generally composed of two main parts.</p>
<p>One of these is the fixture part which is secured into the jaw bone by screws; the other is the support part (abutment) which mimics the visible parts of the tooth in the mouth. Approximately 3-4 months of curing time is required for the fusion of bone and implant (osseointegration), which is screwed together by a surgical operation. Towards the end of this time, the implant is built over the abutment. The length of time necessary for the implant to integrate with the bone to replace a tooth which can be extracted so quickly is rather noteworthy despite ongoing studies to reduce the wait time and successful attempts to do so.</p>
<h3><b>Employed materials</b></h3>
<p>Even though the main logic for implants is the mimicry of the tooth and the root, the materials utilized are quite variable. The history of such implants goes back thousands of years. The employment of bamboo sticks in tooth restorations could be seen in some civilizations, such as ancient China. Mayans used sea shells, which were recently shown to be biologically suitable as implant material. Maggiolo produced a tooth root by using gold, in 1809. In the beginning of the 20th century, Lambotte prepared implants using materials such as aluminum, silver, brass, copper, and gold.</p>
<p>These newer implant methods have failed because of the insufficient strength of the majority of the materials and the failure to fit into biological tissues. The initial employment of titanium and its alloys in the 1950&#8217;s almost opened a new age in implantology and enabled the successful use of these materials up until today. However, these titanium implants, which are considered successful, have a very limited ability to mimic tooth roots:</p>
<ul>
<li>Once the implant is in place, for reasons such as aging and improper tooth brushing, tooth gum recession and resurfacing of the bright faces of the implants which mimic the root surface can take place. This leads to undesirable displays. Even though gum recession can also occur in natural teeth for similar reasons, this situation is not as disturbing as with implants. This is because the tooth root color is similar to that of the tooth surface.</li>
<li>Under normal conditions, implants should be fused to integrate with the bone (osseointegration). Integrated implants are considered successful clinically. A similar case to this bondage, which is unwanted clinically, is the fusing of tooth and bone which can be seen generally in dead teeth and is called ankylosis. Many hardships can be encountered when the tooth that is fused with the jaw bone is required to be removed. The same thing also applies to the implant. If an implant is set to be extracted for a reason, even if just a small amount must be removed, the surrounding jaw bone must be removed as well. However, a natural tooth is not bonded so tightly to the jaw bone, as if the tooth is healthy, it is suspended over the jaw bone through small suspension-like structures. When a tooth is needed to be pulled as a result of trauma or tooth rotting, only these suspensions are detached; thus any damage to the jaw bone is averted. Present efforts to design similar mechanisms for implants have not been successful yet.</li>
<li>When a disease develops in our natural teeth, we feel pain and take action before it is too late. However, diseases within implants are rarely encountered as pain; generally, when the pain is felt, the implant is already disconnected from the bone and it is lost. Toothache often felt as a strong pain is a blessing granted to us. If the implants were built with pain mechanisms, just like in our natural teeth, we could take action at the beginning of the disease and avoid the time and financial losses.</li>
<li>Even a healthy tooth, which we think of as immobile, can move via microscopic ligaments for 0.1 mm around its root on a type of pad. The tooth root is created in a perfect fashion to resist the strong chewing power that can be generated from many directions in the mouth through these ligaments, which are wrapped around different sides and which come from different angles. However, these ligaments, which act as a suspension, do not exist in between the implant and jaw bone. Therefore, implants are almost immobile. Even though it may seem like a good thing for them to be immobile and tightly fixed, there may be intense power spots generated on the implant or jaw bone since these forces acting on the implants are transmitted to the jaw bone without being dispersed. Forces densely acting on small areas can lead to fractures of the material, including tiny screws or porcelain plating, and can damage the bone tissue. Investigators once understood that these tiny, suspension-like structures won&#8217;t form around the implant, so they engaged in mounting tiny Teflon or spring pieces inside the implant to generate suspension. However, these imitated suspensions failed to resist the chewing forces that can go up to 400 kg at times, and their use was aborted after a short time.</li>
<li>Teeth can be examined by the method of tapping with small hand tools (percussion). These small impacts cause pain in case of an abscess at the tooth root. By taking necessary actions, the tooth can survive longer. It is impossible to do such determination and diagnosis with implants.</li>
</ul>
<p>As it is seen, making less successful artificial implants as opposed to real teeth is quite a cumbersome, costly, painful, and time consuming job. Despite all of these imperfections, because of their numerous advantages over traditional implants, the popularity of dental implants continues to increase, and is preferred by dentists and patients. In addition, implants are seen as an inevitable treatment option when tooth loss occurs, and may ultimately provide patient relief in the long run.</p>
<p>Despite progress made in implants, it&#8217;s clear that our teeth were created in such a perfect way, down to the very smallest detail, that they cannot be replaced. Science is well aware of the fact that we will never fully be able to replicate tooth structure. Therefore, studies are shifting towards stem cell research. This way, instead of foreign substances, the missing tooth will be compensated as if by planting tooth seeds by using human&#8217;s own cells. Nonetheless, the opportunities that are discovered via all these efforts will never replace the natural teeth that were so perfectly created for us.</p>
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		<title>Can a Filling Imitate a Tooth?</title>
		<link>https://fountainmagazine.com/all-issues/2013/issue-94-july-august-2013/can-a-filling-imitate-a-tooth-july-2013/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Mon, 01 Jul 2013 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 94 (July - August 2013)]]></category>
		<category><![CDATA[decay]]></category>
		<category><![CDATA[filling]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[structure]]></category>
		<category><![CDATA[teeth]]></category>
		<category><![CDATA[tooth]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2013/issue-94-july-august-2013/can-a-filling-imitate-a-tooth-july-2013/</guid>

					<description><![CDATA[Teeth may lose their hard structure because of decay or various other reasons. The loss of the dental tissues raises many problems such as bad appearance in the mouth and weakening in the capability to chew. A dentist is expected to restore the excellent structure of teeth using artificial fillings. In order to understand the [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Teeth may lose their hard structure because of decay or various other reasons. The loss of the dental tissues raises many problems such as bad appearance in the mouth and weakening in the capability to chew.  A dentist is expected to restore the excellent structure of teeth using artificial fillings. In order to understand the great difference between real teeth and artificial teeth, let us have a look at the structure of teeth.</p>
<p>The excellent nature of teeth comes from the microstructure of the material they are made of. They are not homogenous like cement used in construction work. It is composed of various different layers such as enamel, dentine, and cementum which are formed by enamel prisms and dentine tubules. This structure of the teeth is the source of inspiration for the produced restorations. Since an exact imitation is aimed, in addition to other properties, the microstructure of the teeth also needs to be imitated. </p>
<p>When the general structure of the teeth is investigated, it is observed that there are two major components: organic and inorganic structures. The filling material, referred to as composite, must be in the color of the tooth and must contain the same type of structure. The filling material in the composite increases the resistance of the restoration and has the same function of the mineral hydroxyapatite in the enamel. In the composite, resin matrix takes the place of the organic matrix in the enamel. Up to this point, everything seems fine but the images of scanning electron microscope (SEM) showing the cross sections portray the trivial difference between the composite and the natural tooth. The homogenous, ordinary appearance of the filling and the astonishingly embellished tooth are very easy to differentiate.</p>
<p>There are prerequisites that make tooth restoration successful. We can summarize these as esthetics, functionality, and phonation. These properties are affected with the loss of the tooth or the structure of the tooth. What follows is an analysis as to how and to what extent these properties can be replaced.</p>
<p>Esthetics in the dentistry means exact imitation of the tooth color. To be able to give a natural color to the filling or to the crown could be considered a miracle. It might sound like a very simple issue. However, this is probably the most challenging thing for dentists. If the color does not match, your restoration will look different and will easily be noticeable. Maybe it is my professional curiosity because while watching television I have a tendency to look at people&#8217;s teeth before I look anywhere else. From the most popular singers and actors to mighty and scholarly politicians, I can always recognize their prosthesis. Ironically,  these people were spending their wealth on professional dentists who could not give their original teeth back to them. The color is not something that could be mixed up together by fulfilling only one of its features. The color comes into existence as a result of common features of many factors. A dentist’s only hope is one day using homogeneous clay typed structures squeezed from a tube.</p>
<p>The structure of the enamel and the dentine are deeply related with opacity and translucency, two important subjects of optics. That is why some parts of the tooth are translucent while the other parts are opaque. It is possible to restore it with a few optical tricks. The tooth is neither completely opaque nor translucent. For example, while the cutting edges of the tooth are translucent (especially the cutting edges of newly erupted milk teeth, they are almost glassy), the cervix of tooth, adjacent to gingiva, is opaque and dusky. Thus, in big restorations, we implant materials that reflect the light differently for every surface of the tooth. We try to compare and contrast to the original teeth by using optical tricks. However, a more important thing is the sustainability of this quality. Especially, for restorations made to anterior teeth, you can observe that the colors have become darker and have separated from adjacent tooth with a dusky-colored borderline.  Indeed, it is evident that color harmony is not preserved properly.  </p>
<p>We cannot expect to reach a result that is equivalent to the look and feel of natural teeth through esthetic restoration only. The mechanical properties of restoration must be similar to that of the natural teeth.  The reaction of the teeth to a certain force is very important. Teeth are subjected to forces of different types and magnitudes throughout the day, and they are created so as to endure those forces.  Any restoration must be as strong and durable as the natural teeth. A piece of filling that is placed into a tooth becomes a working part of the entire system. If it is not as resolute as the rest of the system, then it cannot integrate and may fall out. In this regard, the mechanical properties of the material for restoration are crucial. There are dozens of other aspects in which one can compare those properties with a natural tooth. Considering just a couple of the important properties such as hardness and flexibility is enough to show significant differences between natural teeth and restorative materials. </p>
<p>Both hardness and flexibility of a material are determined by certain characteristics and are all formulated in scientific terms. We can see the difference of natural teeth very easily by comparing the hardness and flexibility of the most commonly used composites in the fore teeth and that of hard tissues like enamel and dentine. There is yet another point not to be missed: What makes our teeth perfect is that they are both hard and flexible at the same time. We can see the big gap between real and artificial teeth when we compare the quantitative values of these mechanical properties.</p>
<p>Teeth, in addition to their superior mechanical features, impress us with their exceptional capacity to transmit the force they face. Teeth come in contact with their hard counterpart everyday while eating or otherwise. A casual observer might think that a tooth is directly attached to the chin bone. Let alone being attached, the tooth does not even touch the chin bone. It is tied to the chin bone with flexible strings. A fusion of the bone and teeth is out of the question. It’s as if a bucket is lowered in a well. Whenever we chew, the pressure endured by the teeth is transferred to the bone through these strings in the best manner. These periodontal ligaments serve as shock absorbers. It would be incomplete to explain force transfer in teeth with these strings. It is imperative to remember the structure called lines of forces located on the chin bone that are shaped in such a manner as to guide the force.</p>
<p>It is a noteworthy challenge to make restorations and to replace a tooth in every aspect. Man-made products or works of art cannot be completely imitated; experts at least could tell the differences right away. Could it then ever be possible to imitate an artwork of the Divine to the same degree of perfection in its authentic form?</p>
<p><em>Mehmet Yildiz is a Professor of operative dentistry at Ataturk  University, Erzurum, Turkey.</em>                    </p>
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		<title>Health Provided Through The Teeth</title>
		<link>https://fountainmagazine.com/all-issues/2004/issue-48-october-december-2004/health-provided-through-the-teeth/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Fri, 01 Oct 2004 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 48 (October - December 2004)]]></category>
		<category><![CDATA[age]]></category>
		<category><![CDATA[baby]]></category>
		<category><![CDATA[brushing]]></category>
		<category><![CDATA[decay]]></category>
		<category><![CDATA[dental]]></category>
		<category><![CDATA[drinks]]></category>
		<category><![CDATA[erupt]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[gums]]></category>
		<category><![CDATA[Health & Medicine]]></category>
		<category><![CDATA[jaw]]></category>
		<category><![CDATA[milk]]></category>
		<category><![CDATA[molars]]></category>
		<category><![CDATA[months]]></category>
		<category><![CDATA[mouth]]></category>
		<category><![CDATA[permanent]]></category>
		<category><![CDATA[soft]]></category>
		<category><![CDATA[teeth]]></category>
		<category><![CDATA[tooth]]></category>
		<category><![CDATA[wisdom]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2004/issue-48-october-december-2004/health-provided-through-the-teeth/</guid>

					<description><![CDATA[Being the product of the cosmic tree, human beings are one of the most complicated biological systems, all-inclusively equipped with both material and spiritual attributes. When examined from diverse points of view, such a multidimensional system and infinitely precise processing order can be much more accurately apprehended. If we compare the human body to a [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Being the product of the cosmic tree, human beings are one of the most complicated biological systems, all-inclusively equipped with both material and spiritual attributes. When examined from diverse points of view, such a multidimensional system and infinitely precise processing order can be much more accurately apprehended. If we compare the human body to a great palace, a modern city or a perfectly-functioning factory, we will be able to understand it better. When we consider the human body as a food-processing factory, teeth are the mechanical grinders that are situated at the entrance of this factory. Moreover, the teeth are given the duty of supplying their owner with speech of a more decent and harmonic quality.</p>
<p>A tooth is created with four main layers: enamel, dentine, pulp chamber and cementum (the thin layer where the tooth attaches to the jaw). The hardest tissue of the body, the enamel is the protective, outermost layer of the tooth. Since it does not contain any living matter such as veins or nerves, we are not affected by hot, cold, sweet or sour stimulants via the tooth. If the Owner of an Everlasting Might and Compassion had not created the enamel of the tooth, which He placed at the entrance of the digestion room in the human palace, as he did, the variety of food we would eat would be very limited. Even slight contact with air would cause us great discomfort, and speaking or even opening our mouth would give us great pain.</p>
<p>The dentine, the hard layer just below the enamel, is a tissue sensitive to hot, cold, sweet and sour stimulants. As a reflection of the Creator’s Affection for His Creation, the dentine tissue is repaired when necessary by the restoring cells that he placed there.</p>
<p>The most inner part of the tooth is the organic part called the pulp chamber, which is filled with veins to protect the tooth from decay and feed it with necessary nutrients. Nerve cells in the soft pulp tissue play the greatest role in sensing the stimulants of heat, cold and pressure.</p>
<p>If we examine the anatomical structure of a tooth in detail, only then can we clearly see how it is perfectly equipped with wondrous and intelligent structures. However, are we really conscious of the duties of our teeth, placed in our jaws like pearls, in protecting our general health?</p>
<p>One of the main entrances to our bodies for microbes is the mouth. Because of this, maintaining healthy teeth and a clean mouth is very important in preventing diseases and maintaining a healthy life. When the mouth is not kept hygienic, a suitable environment is formed for the emergence of even very feeble microbes. In an unhygienic mouth, food residue accumulates and forms a bacterial plaque on the teeth. Using the glucose in this plaque, these bacteria produce acids. It is this acid that causes tooth decay and gum diseases.</p>
<p>Are we adequately informed about dental health and hygiene, a very important concept in preventive medicine? That Prophet Muhammad, peace and blessings be upon him, emphasized the importance of cleaning the mouth and teeth whenever one does his/her ablution and after every meal, grants a profundity of worship to God by keeping our teeth healthy. </p>
<h3><b>Importance of Milk Teeth</b></h3>
<p>Milk teeth start to appear in a baby’s gums after about the sixth month of age. The appearance of milk teeth differs from baby to baby according to factors like genetics, birth weight, socio-economics and nourishment level. By cutting a group of teeth every six months, all of the milk teeth appear by the age of 30 months. Between the 6th and 12th months the first incisors, between the 12th and 18th months the first molars, between the 18th and 24th months the first canines and between the 24th and 30th months the second molars erupt. Since the dentine tissue is not fully developed in this period, milk teeth are not at all resistant to decay. Since the pulp chamber is very soft and packed with blood vessels, it is very vulnerable to decay. Sucking fingers, excessive use of a pacifier, sucking or biting lips and gritting teeth all negatively affect the development of milk teeth. During the eruption of milk teeth, babies may have discomfort like itching gums, a need to bite something, excessive saliva secretion, watery eyes, lack of appetite, loss of weight, fever, bad temper and crying. In order to relieve these discomforts, the baby may be given something to chew on to relieve the pressure on the gums, and some cold drinks and cold food to soothe the pain.</p>
<p>As nothing in creation occurs devoid of wisdom, one may ask “What benefits are there after the discomforts when a baby’s milk teeth are coming in?” In other words, why are the milk teeth so important? Most of us do not give them enough care, because we think of them as temporary. The space occupied by the milk teeth is saved for the permanent teeth, and when the permanent tooth starts erupting, the milk tooth guides it into its proper place. If milk teeth are extracted too early, this alignment and spacing function of milk teeth cannot be performed, hence the permanent teeth may erupt in an improper way. Moreover, milk teeth provide proper chewing and correct vocal speech for the baby. When a baby develops unhealthy milk teeth, this may cause problems like poor facial appearance, and therefore some psychological disorders in the future. Untreated defects of milk teeth can cause pain, bad breath, difficulty in chewing, disorders in jaw development, malnutrition, aesthetic and general health problems like rheumatism and heart diseases. </p>
<h3><b>Protection of Milk Teeth</b></h3>
<p>Since tooth decay in babies’ teeth is very difficult to treat, preventive measures are much more important in looking after the milk teeth. Some of these measures are as follows;</p>
<p>• A baby must not allowed to sleep with A milk bottle in her/his mouth,</p>
<p>• Sugar, honey or any other sugary substance must never be added to baby’s milk,</p>
<p>• Baby must be given water after every feeding,</p>
<p>• After baby’s first teeth erupt, after every morning and evening meal, his teeth must be wiped with a soft, wet, clean towel,</p>
<p>• Give a soft learning toothbrush to the baby to play with.</p>
<p>A child must start using a toothbrush after his molars erupt, at the age of 2.5 to 3 years old. The size of the toothbrush should be suitable to the child’s mouth. It should be soft and made of nylon. Children can only brush the front of their teeth. Since the space between the teeth should also be cleaned to provide a shield against decay, parents should supervise their children when brushing their teeth. At this age, a child cannot brush his/her teeth properly, but the main aim to be achieved is for him/her to get into the habit of brushing teeth. Toothpaste may start to be used for the child after the age of three. We must not forget that the important thing for oral hygiene is not the toothpaste itself, but brushing the teeth properly and thoroughly. If these measures are not taken, or if it is already too late, any disorder in the milk teeth must be treated immediately without making the mistake of thinking the milk teeth will be replaced anyway. </p>
<h3><b>Permanent Teeth</b></h3>
<p>The first permanent teeth are the first big molars, which erupt when the child is about six years old. Between ages 7 and 9, the lower and upper incisors, between ages 9 and 10, the lower canines, between 10 and 12, the first and second small molars, between 11 and 12, the upper canines, between 12 and 13, the second big molars, and finally, between 17 and 21, the wisdom teeth, the third molars erupt. During the eruption of permanent teeth, some problems like distorted development may occur. Genetic factors, early loss of milk teeth, breathing disorders, untreated cavities between milk teeth and a mismatch of jaw and tooth sizes, may cause irregular development of teeth. The dental treatment practiced for aligning such irregular teeth is called ‘orthodontic treatment.’ Since irregularities of teeth form spaces suitable for the accumulation of food residue which allows microorganisms to increase and then leads to decay, orthodontic treatment should be done before the permanent teeth are firmly positioned. Irregular teeth may cause jaw-aches because of abnormal interlacing of upper and lower teeth.</p>
<p>There are different thoughts about whether the wisdom teeth should be pulled out or not. Wisdom teeth are placed at the furthest back part of the jaw curvature. This part of the mouth is very suitable for food residue and microorganisms to accumulate. Because of this, wisdom teeth are very vulnerable to decay. In addition, any decay in these teeth may also affect the adjacent molars. If a positive result will not be achieved from treatment, these teeth can then be pulled out. However, if the wisdom teeth will erupt correctly into their places and do not negatively affect the surrounding tissues, and if there is sufficient space for them in the jaws, it is definitely beneficial for them to stay.</p>
<p>Another tooth problem that seems to concern today’s aesthetic conscious individuals is the color of teeth. However, tooth color is completely a personal phenomenon, like eye or skin color. But still, we must know that some external factors, like tea, coffee, smoking, feeding habits and tooth injuries, and some internal factors, like genetic attributes and aging, may also affect the color of the teeth. </p>
<h3><b>What should we do to obtain Dental Health? </b></h3>
<p>Mouth and tooth hygiene is an important issue that was emphasized strongly by Prophet Muhammad, peace and blessings be upon him, and the most effective method he used was brushing the teeth. However, after eating acidic foods or drinking acidic drinks like fruit juice, fruits, soft drinks or fizzy drinks, you should wait for about 30 minutes, because the dental enamel will be softer and more sensitive just after consuming such foods and drinks and if you brush straightaway, you may rub the acid into the enamel tissue of your teeth. You can clean the residues of acidic foods and drinks by rinsing your mouth with water or a fluoride based mouth rinse.</p>
<p>Having a healthy mouth and teeth mainly depends upon applying a good brushing technique to the teeth and gums. By applying the brush in a circular manner, you should always start brushing the gums towards the teeth, then the outer surfaces and finish with all inner surfaces. You must avoid damaging the masticator surfaces by applying too much force. Brushing the teeth twice a day at least is necessary to prevent the formation of bacterium plaque.</p>
<p>In order to achieve ideal hygiene for your teeth, you should also use dental floss for cleaning between the teeth. This will help to clean places where a brush cannot reach and thus prevent dental plaque. Also, special mouth rinses may be used in order to provide an effective general cleanliness.</p>
<p>Toothpicks can also be used between the teeth. While they are cheaper, they cannot provide a hygiene as comprehensive as dental floss, since they are thicker than floss. When using toothpicks, you should choose those with blunted tips to prevent any inflammation of the gums. Food residue that has stayed too long between the teeth should not be swallowed, since large amount of harmful microorganisms may grow on it.</p>
<p>In elderly people, due to a lack of sufficient calcium, disorders like gum retraction and wobbly teeth may occur. For people who have lost their teeth completely, because of osteolysis of the lower jaw, dental prostheses may not fit properly in the jaw. During this time of life, extra calcium intake should be provided by following a calcium-rich diet.</p>
<p>With age, the amount of calcium also decreases in the body. In relation to this situation, teeth also become more fragile. Using the teeth to break open nuts may cause cracks that cannot be seen with the eye, which may later cause fractures in the teeth. Therefore, we must never use our teeth to break hard foods, such as nuts, at any age, and we must be careful about breaking teeth, especially during old age.</p>
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		<title>God, His Essence And Attributes</title>
		<link>https://fountainmagazine.com/all-issues/1993/issue-1-january-march-1993/god-his-essence-and-attributes/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Fri, 01 Jan 1993 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 1 (January - March 1993)]]></category>
		<category><![CDATA[‘see’]]></category>
		<category><![CDATA[attributes]]></category>
		<category><![CDATA[created]]></category>
		<category><![CDATA[creation]]></category>
		<category><![CDATA[creator]]></category>
		<category><![CDATA[door]]></category>
		<category><![CDATA[essence]]></category>
		<category><![CDATA[existence]]></category>
		<category><![CDATA[fact]]></category>
		<category><![CDATA[form]]></category>
		<category><![CDATA[god]]></category>
		<category><![CDATA[human]]></category>
		<category><![CDATA[knocking]]></category>
		<category><![CDATA[light]]></category>
		<category><![CDATA[means]]></category>
		<category><![CDATA[perceive]]></category>
		<category><![CDATA[question]]></category>
		<category><![CDATA[Questions & Answers]]></category>
		<category><![CDATA[ramadan]]></category>
		<category><![CDATA[tooth]]></category>
		<category><![CDATA[understanding]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/1993/issue-1-january-march-1993/god-his-essence-and-attributes/</guid>

					<description><![CDATA[God is absolutely other than His creation. The Creator cannot by any means be the same kind of being as that which He created. Although this is self-evident to sense and reason, some people still ask why we cannot directly see God. But direct vision is very limited and could never be an appropriate way [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>God is absolutely other than His creation. The Creator cannot by any means be the same kind of being as that which He created. Although this is self-evident to sense and reason, some people still ask why we cannot directly see God.</p>
<p>But direct vision is very limited and could never be an appropriate way of seeking the Unlimited. Let us explain:</p>
<p>There are innumerable bacteria in the human body, indeed innumerable bacteria in so small a space as a human tooth. These creatures are quite unaware of the tooth in which they live. To become aware of it, they would have to somehow situate themselves out of the tooth, and then, through the use of artificial means (telescopes and microscopes and the like) they might, conceivably, obtain some very approximate notion of the dimensions of the tooth, and then, perhaps, of the larger body to which the tooth is attached. Only through such an effort, which is scarcely imaginable, could the bacteria become aware of the human body which makes up the large ground or sustaining environment of their life. And this scarcely imaginable awareness is itself an immeasurable distance away from anything remotely resembling what we would call understanding.</p>
<p>Though on a very different scale, the sense-awareness of human beings is similarly limited. It may indeed be that, with the assistance of telescopes and other instruments, we can ‘see’ across distances of millions of light years. But all that we ‘see’ in this way is insignificant compared to the dimensions of the whole of which it is a minute fragment. In fact, allowing for the difference in scale, what human beings can ‘see’ is as insignificant as the bacteria’s awareness of the living tissue within which they exist and perish, when compared to the dimensions of the body of which that tissue is a minute fragment.</p>
<p>Further, if we consider the matter closely, we soon realize that our ‘seeing’ (or hearing or any other mode of perception) is conditional upon our understanding. We need to have some general ideas about what we ‘see’ in order to distinguish it and recognize it. If we did not have some idea, however vague at first, of what, for example, a tree is, we should be literally unable to make sense of that object before our eyes which we know as a tree. If our ‘seeing’ is as limited as it is, and if–even for the objects within creation, and within the reach of our ‘seeing’ or our ‘seeing’ instruments–we need some general understanding so that we can make sense of what we ‘see’, how improper a demand it is, how absurd a demand, to ask why we cannot directly ‘see’ or directly ‘know’ the Creator of the whole.</p>
<p>We are created beings, that is, finite, limited in our possibilities and our capacities. Only the Creator, God, is Infinite. By His Mercy, the Creation is available to us as the ground or environment within which we exist and perish, strive for understanding and virtue, and seek our salvation. The Prophet Muhammad, peace be upon him, said: compared with the Seat of Honour (kursi), the whole universe is as little as a ring thrown upon a desert. Similarly, compared with the Throne (arsh), the kursi is as little as a ring thrown upon the desert.’ From that comparison we gain some understanding of how far the Infinitude of the Creator exceeds our power of apprehending it. How can we even begin to conceive of the reality of the kursi and arsh from which the All-Mighty in His Infinite Majesty sends out His Will and Command and sustains His Creation, let alone begin to conceive of God Himself? </p>
<h3><b>Why can’t we see God?</b></h3>
<p>The Qur’an teaches: ‘Vision comprehends Him not, but He comprehends all vision’ [6:103].</p>
<p>After the Prophet’s ascent to the heavens, peace be upon him, his Companions asked him:‘Have you seen God?’ It is reported on the authority of Abu Dharr that, on one occasion, he answered: ‘He is the Light, how do I see Him?’ and on another occasion, he answered:’I have seen a Light.’ These statements clarify the well-known saying, ‘The light is the limit or veil of God’. Between us and God is the light which He created. All that we see by that light, within that light–the light is the ground and environment and the limit of our seeing, and that light shields or veils us from God. In fact, we see but a part of that light of creation, we see but a part of what veils Him.</p>
<p>Let us consider the matter from another direction. Ibrahim Haqqi says: ‘In the whole universe of creation there is nothing that is either the like or the equal or the contrary of God. God is Exalted above all form, indeed immune to and free from form.’</p>
<p>It is only because existing things have a like or an equal or a contrary that we are able to distinguish them and perceive them. We know what is ‘long’ only against what is ‘short’ by comparison or contrast; similarly, we know ‘light’ only against what is ‘dark’. How then should we distinguish or perceive One who has neither like, nor equal, nor contrary? This is the meaning of the statement that God is Exalted above form.</p>
<p>The reader will certainly have understood that the question of those who ask to directly perceive God is but an image of the question of those who ask to directly ‘think’ or ‘know’ His Being. But, in truth, we can no more ‘think’ or ‘know’ His Being, than we can ‘see’ Him. Just as He is beyond all measures of form or quality or quantity, He is also beyond all our powers of conception or reasoning. As the Muslims learned in kalam (theology) put it: ‘Whatever conception of God we form in our minds, He is other than it.’ And the Sufis say: ‘God is beyond; and beyond all our conceptions; and we are surrounded by thousands of veils.’</p>
<p>Men of wisdom have said that God exists and He cannot be comprehended by human reason, nor perceived by human senses. The only means to knowledge of Him is through the Prophets, that is, the men whom God appointed as bearers of His Revelation. Where perception and reason have no access, we need to, indeed we must, accept the guidance of Revelation.</p>
<p>Imagine that we are in a closed room and hear a knocking at the door of that room. We may well form some vague impressions about who is knocking, but we can no more than guess at his attributes. We know for certain only that there is knocking at the door, and that we are free to go to the door and, on opening it, ask the person to make himself known to us so that we obtain thereby a more secure knowledge of his true attributes.</p>
<p>This poor analogy may help us to more usefully approach the question of how to seek God. The fact of Creation, the immensity of it combined with an essential unity of form, the sheer beauty and harmony of it, and its usefulness to us as well as its demands upon our labour and our understanding, all make us aware of the existence of the Creator. In just the same way as we deduce from the manufacture of a wonderful diversity of fabrics out of a single material that there is certainly an agent who spins and mixes and dyes and weaves and otherwise prepares the final product, so we deduce from the stunning evidence of the Creation that there is a Creator. While a manufacturer of fabrics can be got hold of and may be persuaded to make himself known to us, no such impertinent curiosity can be addressed to the Creator. Indeed, it would be most incorrect to do so–as well as being impossible–just as impossible as it would be for the fabric to address such curiosity to the fabric-maker. Thus, without assistance from the Creator himself, we can get no further than when, hearing the first knocking on the door, we began to indulge hopelessly vague surmises about who was knocking.</p>
<p>But the reality is that, by the Mercy of God, the Creation of mankind was accompanied by Revelation. Through God’s Revelation to the Prophets and their teaching of us, the door is held open for us. We are enabled to respond to the Creation around us as signs manifesting not only the fact of the Creator’s existence but also His Attributes. Through the Prophets we learn to contemplate His Attributes and to call them–the One, the All-Merciful, the All-Compassionate, the All-Knowing, the All-Powerful, and so on. A true understanding of these Attributes requires inward experience and contemplation, which are achieved only after sincere and total observance of the Divine decrees, objective study and long, profound meditation, according to the pattern of the Prophets. Only if a person has developed the inward faculties will he be able to grasp the meaning of the Divine works, that is, the Creation, and then rise to contemplation of the Divine Attributes manifested in it.</p>
<p>Even then, it is by no means possible for any person to comprehend the Divine Essence. That is why it is said–‘His Names are known, His Attributes are comprehended, and His Essence exists.’ In the words of Abu Bakr as Siddiq, may God be pleased with him: ‘To comprehend His Essence means to confess that His Essence can not be comprehended.’</p>
<p>What falls to us is to remain committed to our covenant with God, and to beseech Him in this way: “O You who alone are worshipped&#8230; It needs no saying that we are unable to attain to true knowledge of You. Yet we believe that You are indeed “nearer to us than our neck-veins”. We feel Your existence and nearness in the depths of our hearts through the universe which You have created and opened to us a like a book, and through the wonderful harmony of form between the least and the largest of what You have brought into being. We come to perceive that we are integrated into the whole realm of Your theophanies, and by that perception our souls are rested and consoled, and our hearts find serenity.’</p>
<p>But there are some who do not seek any such serenity or indeed any inward life at all. They are of a mechanical turn of mind and readily fall into a mechanical kind of sophistry which entraps and paralyses their reason, They ask: </p>
<h3><b>Given that god created every thing, who created God?</b></h3>
<p>When I first heard this question, I straightway confessed again ‘and Muhammad is His Messenger’, for the Prophet, peace be upon him, predicted that this question would be raised. Indeed, he predicted a great many future events of importance-all have come true and will continue to do so as time unfolds. On one occasion he said: ‘A day will certainly come when some people will sit with their legs crossed and ask: ‘Given that God created everything, who created God?’</p>
<p>Of course, those who put such questions are atheists or inclined to atheism and seek to lead others astray also. The purpose of their question is to avoid the responsibility owed by a creature to the Creator, to avoid belief and worship. At best, the question is derived from the observation of (what are taken to be) ‘cause and effect’ relationships. Every circumstance can be thought of as an ‘effect’ and attributed to an antecedent circumstance or ‘cause’ which, in turn, is attributed to some circumstance antecedent to it, and so on. In the first place, it is obvious to anyone who reasons objectively that the notion of ‘cause’ is only a hypothesis, it has no objective existence: all that objectively exists is a particular, often (but not always) repeated sequence of circumstances. Secondly, if this hypothesis is applied to existence as a whole, we cannot find a creator of it because each creator must have a creator before that creator, in a never-ending chain. (In fact, the futile notion of a never-ending chain of creators was one of the arguments used by Muslim theologians to explain the necessity of believing in God).</p>
<p>It is self-evident that the Creator must be Self-Subsistent and One, without like or equal. If any created being can be said to ‘cause’ anything, that capacity to ‘cause’ was itself created within that being. Thus, no being in the universe can be said to be self-existent; rather, it owes its existence to the Creator who alone is Self-Existent as well as Self-Subsistent. It follows from the fact that the Creator alone truly creates that for each and every being He has determined all possible ‘causes’ and ‘effects’, all things whatsoever that come before or after it. Therefore we speak of God as the Sustainer, who holds and gives life to His Creation from first to last. All ‘causes’ have their beginning in Him, and all ‘effects’ find their ending in Him. In truth, created things are no more than so many ciphers or zeros which, no matter how many we put in a series, add up to nothing, unless a positive ‘one’ is placed before the series to give it value. In just this way the creation could have no real existence nor any value except by God.</p>
<p>What we call ‘causes’ have no direct or independent influence in existence, no direct or independent ‘effects’. It may be that we need to speak of ‘causes and effects’ in order to understand how, in a short space and over a little period of time, some part of the Creation is made (by the Mercy of God) intelligible to us and available to us for our use. But even this but confirms our dependence upon God and our answerability before Him. It is not God who needs ‘causes and effects’ to create; rather it is we who need ‘causes and effects’ to understand what He has created. He alone is the First and the Last, the Eternal, the Initiator and the Determiner–and all our busy little efforts after cause and effect are but veils between ourselves and His Majesty.</p>
<p><em> Let us and then affirm once more: He, God, is One, the Self-Subsistent and Enternally-Besought of-All, He neither begets nor was begotten, and nothing whatever is like unto Him.</em></p>
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