Is "lingual surface attrition of the maxillary teeth (LSAMAT)" caused by dental erosion?
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Biomedical subjects
Publications and source records attributed to B G Smith.
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Clinically, in modern populations, tooth wear can be differentiated into three main types--attrition, abrasion and erosion, acting either separately or together. Anthropologists generally have not recognized erosion as a factor affecting the teeth of past populations. This study compares the patterns of wear known to be associated with erosion in present-day dental patients with those found in some British, pre-Conquest, skeletons. It is concluded that erosion may have been a major factor causing the extensive tooth wear in some 20 of 151 individuals.
The use of deoxyribonucleic acid (DNA) cytometry to identify a subset of patients with grade 1, stage Ta or T1 transitional cell carcinoma at high risk for death or recurrence was investigated in a retrospective study using paraffin blocks from 88 low grade transitional cell carcinomas of the bladder with an absorptiometric video-based image analysis system. Tumors were evaluated for ploidy (70 diploid, 16 aneuploid and 2 tetraploid) and the presence of cells with greater than 5C DNA. Survival analysis of 62 patients with adequate followup (15 to 20 years) showed that 43 of 62 (69%) suffered recurrences and 13 (21%) died of bladder cancer. The single most important predictors of death and recurrence were stem line aneuploidy and the presence of cells with greater than 5C DNA, respectively.
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Tooth wear seems to be an increasing problem, particularly amongst older patients who are retaining their teeth for longer. Having survived the ravages of caries and periodontal disease, they are then at risk of wearing out their dentition. Diagnosis and a full understanding of the aetiology is crucial to the effective management of unacceptable levels of tooth wear. Monitoring over a long period is helpful in planning life long management. There are specific treatment techniques which are useful in restoring badly worn teeth.
Society is becoming more litigious, and dentistry has not been exempt. However, by following correct and prudent professional procedures at all times, dentists may sensibly expect to avoid serious litigation. In the first of an irregular series on dento-legal topics, Bernard Smith reviews the thorny subject of negligence in dentistry, and gives advice on both how to prevent and how to respond to accusations. Other articles in the series will look at particular legal problems in the dental specialties.
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A test designed to measure basic manual perception and control skills, assumed to be less susceptible to the effects of haphazard and unplanned training, was developed and used with groups of dental students and ancillary personnel. The test was similar to one reported to be successful in predicting practical ability in American dental students. Statistical techniques were used to compare the results of the perception and control test with practical and theory examination results. The results show that the perception and control test is not a reliable predictor of performance with British dental students but was more successful with the ancillary groups and particularly with dental auxiliaries.
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The ultimate goal of the cone method of colostomy irrigation is to return patients with colostomies to their former role in society with confidence in themselves to the extent that having a colostomy is not considered a handicap. The results have generally been excellent. We believe all patients with stomas should be afforded the opportunity to attempt colostomy irrigation.
The synthetic double-stranded polyribonucleotides, poly (rA):poly (rU) and poly (rI):poly (rC), were shown to be potent inhibitors of the in vitro plaque-forming cell (PFC) response to a thymus-dependent (SRBC) and thymus-independent (E. coli 0127 LPS) antigen in mouse C57BL/6 spleen cell cultures. The same polynucleotides had no effect on the PFC response of nude (athymic) mouse spleen cells to E. coli 0127 LPS, suggesting that functional T lymphocytes are necessary for the inhibitory effect. Enhancement effects were modest and inconsistent in the cultures. Poly (rA) and poly (rU) were ineffective as inhibitors. The data indirectly suggest that the inhibition may be due to the early production of interferon by functional T lymphocytes.
A solid-phase radioimmunoassay procedure was adapted for the haptenic study of tartrazine, an azo dye implicated in various forms of allergy. Further, the haptenic relationship of tartrazine and aspirin was investigated, since sensitivity of individuals to the two substances is often clinically associated. The specificity of antibody to tartrazine was directed strongly toward a pyrazolone intermediate of the molecule, 1-(4-sulfophenyl)-3-carboxy-5-hydroxy-pyrazole. Aspirin did not cross-react with anti-tartrazine, suggesting that the clinical association of aspirin and tartrazine sensitivity in patients is a nonimmunological phenomenon.