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Biomedical subjects

B H Stevens

Publications and source records attributed to B H Stevens.

3 recordsLinked to original sources

Forced eruption: a multidisciplinary approach for form, function, and biologic predictability.

There are several treatment options for patients with coronal fractures, subgingival caries perforations, and root resorption. Frequently, forced eruption is not considered, although in many cases of single-rooted teeth, forced eruption is the "gold standard" for producing an esthetic result without jeopardizing periodontal support for adjacent teeth. Sufficient tooth length, achieved through forced eruption, ensures the periodontal health of the "biologic width" and crown margin and thus a successful restorative outcome.

Adult↗

Dentin ablation by Ho: YAG laser: correlation of energy versus volume using stereophotogrammetry.

The future use of lasers in endodontics is dependent upon predictable and consistent ablation of dentin. In this pilot study we used an Ho:YAG laser fiberoptic delivery system to apply laser energy to prepared tooth sections in vitro. Longitudinally sectioned single-rooted human teeth were subjected to single-energy pulses varying from 25 to 1750 mJ at a focal length of 1 mm. At different energy levels we observed changes in the dentin surface ranging from minute surface pitting to the formation of large craters. Scanning electron microscopy and stereophotogrammetry were used to determine the relationship between the amount of energy applied to dentin and the extent of dentin ablation. Dentin crater formation was quantified by determining surface area, depth, and volume of craters produced. Increases in laser energy were compared with increases in surface area, depth, and volume of craters produced within the range of 150 to 1200 mJ. The Ho:YAG laser fiberoptic delivery system used in this study provides an effective means of ablating dentin. Three-dimensional stereophotogrammetry may prove to be a useful method for further studies on the effects of laser energy on mineralized tissues.

Dentin↗

Microbiologic and pathologic aspects of pulpal and periapical disease.

The greatest cause of endodontic and periapical pathosis is microbial infection of the pulp. Most odontogenic infections are of a polymicrobial nature. With advances in anaerobic isolation and culturing techniques, much has been learned about the presence of pathogenic organisms such as Porphyromonas and Prevotella species (formerly classified as black-pigmented Bacteroides species) in infected root canals. This review provides a summary of recent developments in endodontic microbiology, virulence factors, and host defense systems as they relate to the pathogenesis of pulpal and periapical inflammatory lesions.

Actinomyces↗