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Biomedical subjects

A N Goss

Publications and source records attributed to A N Goss.

At least 91 records · Page 5Linked to original sources
PubMed1989

Discriminant function analysis of clinical and psychological variables in temporomandibular joint pain dysfunction.

Detailed clinical, psychological and illness behaviour information was obtained from 43 patients with temporomandibular joint pain dysfunction. A discriminant function analysis was performed on the multiple variables to test their effectiveness as predictors of a successful response to simple conservative therapy. The questionnaire and statistical methodology employed are described in detail. It was found that clinical, psychological, and illness behaviour factors when used alone were poor predictors (less than 60 per cent) of treatment outcome. However, grouping clinical and psychological factors resulted in over 80 per cent successful prediction.

Adult↗
PubMed1989

The effect of public or private management on patients with temporomandibular joint pain dysfunction.

Australians may receive free dental treatment via the public sector if they have a health care card but otherwise must seek treatment via the private sector. These two modes of dental delivery have different objectives, facilities, and patient populations. Two groups of patients, one public and one private, who presented to the same clinicians with temporomandibular joint dysfunction were studied. There were differences in age, numbers of natural teeth and some psychological features. However, the outcome to simple non-surgical management resulted in similar levels of successful treatment.

Adult↗
PubMed1988

Dental patients in a general pain clinic.

Case histories of 15 patients with dental pain who were examined at the Royal Adelaide Hospital Pain Clinic were reviewed. These were the only patients with dental pain seen at the clinic over a 10-year period and represent less than 1% of the total patients fully examined at the clinic. Only one patient had an underlying organic problem; the remainder had a diagnosis of atypical facial pain. Common characteristics that pointed to the diagnosis of intractability were the duration of the pain, extensive and multiple ineffective treatments, a history of pain elsewhere in the body, and a history of psychologic disturbance. Ten of the 12 patients who were offered and accepted psychotherapeutic treatment had appreciable symptomatic relief. No dental or surgical treatments resulted in any pain relief.

Adult↗
PubMed1988

Cryoneurotomy for intractable temporomandibular joint pain.

A review of cryoneurotomy to the temporomandibular joint capsule and/or the great auricular nerve for six consecutive patients with intractable neurogenic pain in the preauricular region is presented. All the patients had severe pain complicated by failed previous treatment, analgesic abuse or psychiatric problems. All the patients had excellent pain relief for 1 year following cryoneurotomy but with recurrence in four patients. Repeated cryoneurotomy can be performed but with decreasing effectiveness.

Adolescent↗
PubMed1988

Effect of iodine deficiency on craniofacial growth in young common marmosets (Callithrix jacchus).

The effects of iodine deficiency on general and craniofacial growth were determined in young common marmosets. Examinations, including direct measurement, cephalometric radiology, and dental examination, were performed at three-month intervals from birth to 1 year on a cross-sectional sample of three groups of marmosets. The groups were those on a normal diet, n = 50; an iodine-deficient diet during gestation and for 1 year postnatally, n = 26; and an iodine-deficient diet only during gestation (returned to a normal diet at 1 month after birth), n = 18. The iodine-deficient animals were smaller in all dimensions, compared with controls, but they did not have typical cretin facies. Animals that were iodine deficient during gestation but subsequently fed a normal diet were small initially but displayed compensatory growth, so that by 1 year they were nearly normal in size.

Age Factors↗
PubMed1987

The sheep as a model for temporomandibular joint surgery.

The anatomical, histological and surgical details of sheep as a model for temporomandibular surgery are presented. The advantages are the similarities in size, shape and structure of the joint to humans, coupled with low cost and high ethical acceptability.

Animals↗
PubMed1987

The accuracy of temporomandibular joint arthroscopy.

The results of preoperative investigation arthroscopy and surgical exploration were compared for 12 T.M. joints in 9 female patients. Arthroscopy was found to contribute to the diagnosis and correlate accurately to the other investigations. The degree of iatrogenic damage was low.

Adolescent↗
PubMed1987

A cephalometric study of young marmosets (Callithrix jacchus).

Linear and angular measurements of young marmosets taken at three-month intervals from a series of cephalograms are presented. They show that linear craniofacial development was largely complete by six months of age, subsequent angular changes being mainly related to dental development. No sexual dimorphism was apparent, and there was substantial homogeneity in results for animals of the same age. Thus, marmosets, with their low cost, ease of handling, and rapid maturation, may provide a useful animal model for craniofacial research.

Age Factors↗
PubMed1986

Temporomandibular joint arthroscopy.

The surgical technique for arthroscopic examination of the superior space of the temporomandibular joint and the morbidity encountered with the procedure in 50 cases are presented. Eighty-eight per cent of the examinations provided diagnostic information. There were no serious complications, and minor short-term complaints were encountered in only 12% of the examinations.

Adolescent↗
PubMed1985

Inherited craniofacial fibrous dysplasia.

Craniofacial fibrous dysplasia occurring in a mother and two of her three daughters is reported. In all three patients, the condition was characterized by extensive bilateral and bimaxillary involvement. All patients exhibited radiographic evidence of abnormal maxillary and mandibular bone and tooth displacement. Morphologic examination of deciduous teeth from the daughters showed replacement of normal pulp tissue by fibro-osseous lesion. Because of the familial occurrence of the cases, it is proposed that they comprise an example of inherited craniofacial fibrous dysplasia.

Adult↗
PubMed1985

Diagnosis of temporomandibular joint pain in patients seen at a pain clinic.

A retrospective survey of a pain clinic population found 43 patients (2.6% of the total population) who had pain in the temporomandibular joint region. The clinical presentation of these patients did not differ greatly from that observed with typical responsive temporomandibular joint pain; however, important discriminating factors were duration of the pain, a strong history of pain elsewhere in the body, and major psychiatric disturbance. The diagnosis was atypical facial pain in 39 (90%) of the cases; other diagnoses included glossopharyngeal neuralgia and perineural invasion by adenocystic carcinoma. Although the various treatment strategies employed resulted in an improvement of pain in 63% of cases, there was often a subsequent development of pain elsewhere in the body or other disturbances.

Adult↗
PubMed1985

Psychological factors in temporomandibular joint dysfunction pain. A review.

Psychological factors are involved in TMJ dysfunction but much previous research has tried to identify single personality factors. Multiple factors, however, are involved. These can be divided into 2 main groups: external social factors and the innate psychiatric state of the patient. The concepts involved and their measurement by life events and illness behaviour questionnaires are discussed. The clinical importance of this to the oral surgeon is emphasised, in relation to the patient who fails to respond to conservative therapy and for whom TMJ surgery is planned. Some of these difficult patients may be less well socially integrated than the majority of TMJ patients.

Attitude to Health↗
PubMed1984

Role of recent stressful life events experience in the onset of TMJ dysfunction pain.

This study investigated the experience of recent stressful life events in 85 TMJ dysfunction patients and 85 control patients in the 6 months prior to onset by use of a semistructured interview. The effect of age was studied (under or over age 40 yr). TMJ patients experienced twice as many stressful life events in the 6 months before onset as did control patients. Events concerned problems of work, money, health, problems of loss and of interpersonal relationships. These had a greater negative impact on older patients who seemed less able to cope with them. Almost 50% of TMJ dysfunction onsets were attributable to life events which played a formative role in onset. This was calculated mathematically by use of "brought forward times".

Adult↗