Biomedical subjects

A M Raustia

Publications and source records attributed to A M Raustia.

At least 37 records · Page 2Linked to original sources

PubMed1997

Factors related to Periotest values in endosseal implants: a 9-year follow-up.

Periotest values (PTV) of successful endosseal implants of 2 one-stage implant systems. TPS and ITI, were followed from 3 months to 9 years in order to determine the factors that contribute to the values. 128 TPS screw implants were inserted in the lower jaw of 34 subjects, (mean age 55 years), for retaining overdentures. 108 ITI implants were inserted in the upper and lower jaws in 50 subjects (mean age 42 years), for retaining overdentures, crowns and bridges. PTVs were first measured after the osseointegration period and thereafter annually. First of all there was a difference between the 2 implant systems. Mean PTVs of TPS bicortical screws were significantly lower (P < 0.05) than those of ITI implants (screws, hollow-screws, hollow-cylinders). Factors which significantly contributed to PTVs of ITI implants were jaw (upper/lower), implant length and region of the jaw in which the implant was inserted. PTVs of ITI implants in the lower jaw were lower than in the upper jaw (P < 0.05). The length of implant had no effect on PTVs in the lower jaw, but in the upper jaw, PTVs of ITI 8-10-mm implants were lower than 12-mm implants (P < 0.05). PTVs of implants inserted in the anterior region of the upper jaw were higher than those in the posterior region (P < 0.05). In conclusion, bone quality and implant length had a statistically significant effect on implant mobility in long-term follow-up. PTVs of various implant systems, however, differ, a fact that must be taken into account in evaluating the success of implants.

Adult↗

PubMed1996

The effect of stomatognathic treatment: a clinical follow-up study.

Temporomandibular disorders (TMD) are common but complex problems in dentistry. Most patients can be treated using relatively simple methods, such as counselling, splint therapy, and occlusal adjustment. Patients who do not respond to conservative treatment may benefit from surgical treatment. Ninety-two patients (68 women, 24 men, mean age 36 years, range 14-74 years) were treated between 1988 and 1990 in the Department of Prosthetic Dentistry and Stomatognathic Physiology. Sixty-two patients of which 15 were surgically treated, attended for clinical follow-up in 1994. Success of treatment was evaluated using the anamnestic and clinical dysfunction indices of Helkimo. All patients reported that they had benefitted from their treatment. Symptoms of TMD were also noted to be clinically less than before. The results of the study reported show that the effects of stomatognathic treatment are beneficial in long-term, i.e. the patients were subjectively satisfied, and symptoms recorded clinically on follow-up were statistically significantly less than before.

Adolescent↗

PubMed1996

Evaluation of masticatory muscles of edentulous patients by computed tomography and electromyography.

On account of its tissue resolution capacity, computed tomography (CT) is an excellent method for the examination and quantitative analysis of the masticatory muscles. The aim of the present study was to evaluate the influence of the long edentulous period by CT on the structure of the main masticatory muscles in 10 edentulous patients and to study their functioning by electromyography (EMG) in connection with the renewal of the dentures. CT scanning was performed before prosthodontic treatment and EMG recordings of the masseter and temporal muscles before treatment and 4 weeks and 6 months after insertion of the new dentures. The results suggest, however, that a long edentulous period is visible not only in the functioning of the masticatory muscles, in terms of decreased EMG activity, but also as decreased density of the muscles which implies muscle atrophy, as seen by CT in the masseter and medial pterygoid muscles.

Adult↗

PubMed1996

Effect of treatment of palatal inflammatory papillary hyperplasia with local and systemic antifungal agents accompanied by renewal of complete dentures.

The aim of this study was to estimate the effect of local and systemic antifungal treatment, accompanied by renewal of complete dentures, on palatal inflammatory papillary hyperplasia (PIPH). The treatment groups consisted of 26 subjects treated with a local antifungal agent (miconazole, 2% gel) for 4 weeks and 13 subjects treated with a systemic antifungal agent (fluconazole, 50 mg) for 2 weeks (test groups). Ten subjects fitted with new complete dentures served as a control group. Variables examined before antifungal and prosthetic treatment included estimation of the size and color of the affected palatal area, measurements of the lengths of the papillae, and salivary variables. Six months after the completion of prosthetic treatment healing was determined as disappearance or marked reduction of the redness of the PIPH. Healing was more often observed in test groups (64%) than in the control group (20%) (p = 0.012). Fifty-eight per cent of the subjects treated with a local (miconazole, 2%) and 77% of those treated with a systemic (fluconazole, 50 mg) antifungal agent were healed. Even though papillary hyperplastic tissue did not disappear, the treatment of PIPH with an antifungal agent without surgery before renewal of dentures might be an alternative treatment in mild cases.

Administration, Oral↗

PubMed1995

Type II and type III collagen in mandibular condylar cartilage of patients with temporomandibular joint pathology.

PURPOSE: This study was undertaken to examine the presence of type II and type III collagen in the cartilage of the mandibular condyle in different types of temporomandibular joint (TMJ) pathology, including rheumatoid arthritis (RA), to assess to what degree the newly formed tissue is cartilaginous. PATIENTS AND METHODS: Tissue samples from 46 TMJ surgery patients (37 women and 9 men; mean age, 37 years; range, 14 to 76 years) were investigated. The samples were obtained at surgery mostly from anteriorly situated osteophytes or the anterosuperior uneven articular surface of the condyle. Tissue sections were stained with hematoxylin-eosin, toluidine blue, and Gomori's reticular stain. Type II and type III collagens were demonstrated by immunohistochemical staining. RESULTS: The amount of type II collagen was variable in the mandibular condylar cartilage. Type III collagen was found in the new osteoid tissue as well as the new chondroid tissue that was synthesized in the most reactive situations. CONCLUSIONS: Type II collagen synthesis occurred mainly in condylar hypertrophy and the intermediate stage of internal derangement of the TMJ. Type III collagen, which is found in fibrous repair tissue, was also found in sites of repair of mandibular condylar cartilage, including RA and osteomyelitis.

Adolescent↗

PubMed1995

Clinical and MRI findings of the temporomandibular joint in relation to occlusion in young adults.

Magnetic resonance imaging (MRI) is excellent for visualizing soft tissues of the temporomandibular joint (TMJ) . Because it has no harmful effects, it can be used in asymptomatic subjects. MRI and clinical findings relating to TMJs were correlated with findings relating to occlusion in 20 medical and dental students (13 women, 7 men) who volunteered to participate in our study. Subjects with clinically evident joint signs such as clicking, crepitation or tenderness on palpation also exhibited pathologic MRI findings, especially in regards to configuration, position and function of the disk, and, often, disturbances of occlusal relationships between the upper and lower teeth.

Adult↗

PubMed1995

Correlation of occlusal factors and condyle position asymmetry with signs and symptoms of temporomandibular disorders in young adults.

The role of the occlusion in the etiology and prevalence of temporomandibular disorders (TMD) has not been conclusively demonstrated. Occlusal factors and condyle position asymmetry as deduced from computed tomography (CT) axial scans were correlated with signs and symptoms of TMD in 49 young adults (mean age 24 years, range 15-33 years) with complete or almost complete dentition. A statistically significant correlation was noted between these signs and symptoms and occlusal variables describing asymmetry (the amount and lateral deviation of the slide from the retruded contact position (RCP) to the intercuspal position (IP), deviation of protrusion and asymmetry in bilateral cuspid occlusion). It seems that occlusal discrepancy can be a predisposing factor to TMD, especially when it is asymmetrically expressed.

Adult↗

PubMed1995

Prosthetic possibilities using endosseal implants as anchorages--an epidemiological study in 65-year-old subjects.

In order to evaluate the possibility of using endosseal implants (ITI Dental Implant System) and implant-retained prostheses for 65-year-old patients from a medium-sized Finnish city, 431 such patients were examined by means of panoramic radiographs. The population represents 61% of the total age group in the city (born in 1923). The possibility to construct a prosthesis, anchored on implants, was evaluated in three different groups. It was shown that in group I (edentulous maxilla and mandible, 256 patients) all male and 97% of female subjects could have been treated with implant-retained over-dentures in the lower jaw. Corresponding figures in the upper jaw were 62% for males and 59% for females. In patients with edentulous maxilla and dentulous or partially edentulous mandible (group II, 84 subjects) implant-retained overdenture in the maxilla could have been possible in 52% of male and 43% of female participants. In subjects with own teeth left in both jaws (group III, 91 participants) some kind of implant-retained bridge or single implants could have been constructed in 70% in maxilla and in 92% in mandible.

Aged↗

PubMed1995

General and local contraindications for endosseal implants--an epidemiological panoramic radiograph study in 65-year-old subjects.

In order to evaluate general and local contraindications for implantation for 65-yr-old subjects from a medium-sized Finnish city, 431 such persons were examined anamnestically and by means of panoramic radiographs. The population represents 61% of the total age group in the city (born in 1923). It was shown that several degrees of cardiac problems and increased blood pressure followed by pulmonary diseases and diabetes were the most commonly encountered relative contraindications for implantation. Eleven percent of the patients said that they smoked regularly and the bone quality was estimated to be less suitable for implantation in 21% of the cases. Implantation was evaluated according to the Bonefit system (implant lengths between 6 and 16 mm) in 10 regions in the maxilla and 6 regions in the mandible and was shown to be possible in 38% of the regions in the partially edentulous maxillae and 50% of those in the partially edentulous mandibles, the corresponding figures for the edentulous jaws were 55% in the maxilla and 61% in the mandible.

Aged↗

PubMed1994

Changes in electric activity of masseter and temporal muscles after mandibular sagittal split osteotomy.

The functioning of the masseter and anterior temporal muscles was assessed by electromyography in 18 patients before orthognathic surgery and 6 weeks, 3 months, 1 year, and 2 years afterwards. Electromyogram (EMG) recordings were made during maximal bite in intercuspal position and chewing. The mean electric activity in the masseter and anterior temporal muscles decreased markedly 6 weeks after surgery but increased clearly for 1 year in both functions. Only a slight further increase was observed at 2-year follow-up during chewing, but not during maximal bite in intercuspidation. The mean changes in electric activity increased more clearly in patients with hyperplastic mandible than in patients with hypoplastic mandible and in those with long shift of the mandible. The same finding was also more visible in men and older patients than in women and younger patients.

Adolescent↗

PubMed1994

Clinical, magnetic-resonance imaging and surgical findings in patients with temporomandibular joint disorder--a survey of 47 patients.

The purpose of this study was to evaluate and correlate the clinical, magnetic-resonance imaging (MRI), and surgical findings in 47 patients with temporo-mandibular joint (TMJ) disorders. 51 TMJs (24 right, 27 left) were operated on, because 4 patients underwent treatment of both TMJs. The best correlation between MRI and surgical findings was noted in connection with position of the disk. This was surgically confirmed altogether in 88% of cases (45/51). The clinical diagnosis was confirmed by surgical findings in 75% of cases of anterior dislocation of the disk with reduction and 89% of cases of anterior dislocation of the disk without reduction. Bone changes noted by MRI were confirmed by surgery in 71% of cases. MRI was excellent especially relating to disk position and changes in disk morphology. The results show also that there are findings using MRI, e.g. of joint effusion, which cannot be confirmed during surgery.

Adolescent↗

PubMed1994

The effect of removal of all third molars on the dental arches in the third decade of life.

The intent of this study was to evaluate any change in the dental arches of adults in the third decade of life after the removal of all third molars in relation to occlusal factors, gender and the status of the third molars prior to extraction. The subjects were 24 healthy students (9 women, 15 men; mean age 23.2; age range 20-32) whose third molars were all removed. All extractions in the lower arch were performed because of impaction and complicating symptoms such as pain and swelling. Full occlusal registrations were performed before the extractions and one year afterwards, including the production of dental casts. The dimensions of the lower dental arch showed a small, but significant, increase one year after the removal of all the third molars. No significant change took place in the lower anterior area during the year. In the maxillary arch (in the lateral and transversal dimensions), the direction of change was similar to that of the lower arch, but smaller than in the mandibular arch. This indicated a minor space gain during the year after the removal of all third molars. The changes in the dental arches did not correlate significantly with changes in craniomandibular disorders (CMDs). It can be concluded that the extraction of an impacted third molar allows at least the second molar to drift posteriorly and laterally in the dental arch. The results give no further indication, in this age group, to extract the lower third molars in order to prevent lower anterior crowding.

Adult↗

PubMed1994

Temporomandibular joint findings obtained by brain MRI.

Magnetic resonance imaging (MRI) is an excellent method for examining the temporomandibular joint (TMJ). Forty-five patients, 29 females and 16 males (mean age 44, range 17-77 years), who had been referred for MRI examination of the brain were asked about their TMJ problems by questionnaire. Subjectively, 29 of the 45 were symptom-free, 11 had mild symptoms, while five experienced severe ones. Symptoms of TMJ dysfunction were correlated with MRI findings that applied to the TMJ emerging in connection with a brain MRI. This study was performed in order to obtain valuable information about the structure of the TMJs. Seven of the 29 patients who anamnestically reported no symptoms of TMJ dysfunction had changes in the configuration and/or position of the disk. In this study, MRI findings concerning the TMJ did not clearly correlate with subjective symptoms of TMJ dysfunction.

Adolescent↗

PubMed1994

Changes in head and cervical-spine postures and EMG activities of masticatory muscles following treatment with complete upper and partial lower denture.

A clinical stomatognathic, cephalometric and electromyographic (EMG) study was performed in relation to 14 subjects (10 women, 4 men), each with an edentulous maxilla and residual mandibular dentition before and six months after treatment with complete upper and partial lower dentures. The mean age of the subjects was 54.4 years (range 43-64 years). The mean period of edentulousness and age of dentures were 22.5 years (range 15-33 years) and 14.1 (range 1.5-30 years), respectively. Natural head position was recorded (using a fluid-level method) and measured from cephalograms. EMG activity was measured in relation to masseter and temporal muscles. A decrease in clinical dysfunction index was noted in 12 of 14 subjects (86%). There was no change in cervical inclination, but a slight extension of the head was noted after treatment. Rapid recovery of the masticatory muscles was reflected in increased EMG activity, especially when biting in the maximal intercuspal position. In cases of edentulous maxilla and residual mandibular anterior dentition, treatment with a complete upper and lower partial denture had a favorable effect on craniomandibular disorders and masticatory-muscle function.

Adult↗

PubMed1994

Clinical and radiologic assessment of possibilities for endosseous implants and osseointegrated prostheses in 55-year-old edentulous subjects.

To determine how many 55-year-old edentulous subjects were suitable candidates for implant-retained overdentures of fixed implant bridges and how many of them might be interested in such treatment, case histories were reviewed, and clinical and radiologic examinations were performed on 146 subjects (100 women, 46 men) in a medium-sized city in northern Finland. Numbers and lengths of implants required in altogether 16 regions in the upper and lower jaw were evaluated. The commonest implant length was 8 mm in the upper jaw and 16 mm in the lower jaw. Construction of an implant-retained fixed bridge would have been possible in the upper jaw in 121 subjects (83%) and of an overdenture in all lower jaws. Information about the benefits of the treatment is important because, although the percentage of subjects who were suitable candidates for implant-retained prostheses was high, few subjects were aware of or interested in this type of treatment.

Alveolar Bone Loss↗

PubMed1993

Head and cervical spine postures in complete denture wearers.

Signs and symptoms in the stomatognathic system and head and cervical spine postures were evaluated in 10 edentulous patients prior to renewal of their dentures, as well as immediately and six months after insertion of new dentures. Natural head posture was recorded using the fluid-level method and measured from the roentgen cephalograms. It was shown that the variables duration of edentulousness and free-way space displayed positive correlations with the dysfunction symptoms. In addition, the patients who needed oral rehabilitation the most, who received the greatest reduction in their free-way space, were seen to have raised their heads more than average. There was also an inverse correlation between the reduction of clinical dysfunction index score and cervical spine postures.

Adult↗

PubMed1993

Parotid gland carcinoma simulating signs and symptoms of craniomandibular disorders--a case report.

The following case involves a 33-year-old woman who received two accidental blows to her left temporomandibular joint (TMJ) region six months before her first visit to the Institute of Dentistry, University of Oulu. Both clinical and computed tomography (CT) examinations of this left TMJ strongly favored a diagnosis of craniomandibular disorders (CMD). However, a fine needle biopsy and an histopathological examination of the parotid gland established the final diagnosis as poorly differentiated adenocarcinoma of the parotid gland. The course of the disease was very aggressive developing several metastases, and the patient died 24 months after the diagnosis. The presence of facial nerve paralysis, especially in combination with cheek numbness in the parotid region, should have strongly suggested the possibility of such a malignancy.

Adenocarcinoma↗

PubMed1993

Occlusal interferences in association with teeth left in the line of mandibular fractures.

In order to evaluate whether teeth left in the line of mandibular fracture can predispose to occlusal interferences, the contact relationships between the maxillary and mandibular teeth in 37 mandibular corpus fracture patients were examined on the average 41 months after the injury. Control group consisted of 27 healthy dental students. It was shown that occlusal interferences were encountered in 38% (16/42) of teeth in the line of mandibular fracture in 38% (16/42) of their anterior and in 32% (9/28) of their posterior ones. Similar examination in the control group revealed interferences in 28% (113/400) so the ones found in teeth in the line of mandibular fractures can be supposed to have been caused by the injury and/or its treatment. It is also concluded that whether or not the interferences found in these patients were caused by the injury or its treatment or were signs of individual range they should be corrected with occlusal adjustment to prevent further pathological changes in these teeth and in the function of the masticatory system.

Adolescent↗