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Biomedical subjects

B Hedegard

Publications and source records attributed to B Hedegard.

At least 19 recordsLinked to original sources

Changes in chewing patterns of patients with complete dentures after placement of osseointegrated implants in the mandible.

Mandibular movements were recorded with the Selspot system in 16 complete denture patients, before and after treatment with mandibular OIFD. The general chewing pattern underwent only minor changes. However, some chewing cycle parameters showed obvious alterations. Increased mandibular velocity and displacement, especially in the opening phase, were registered. The cycle duration showed a tendency to decrease due to a significant shortening of the occlusion phase. This can be attributed to the stabilization of the occlusion provided by the fixed denture in the mandible.

Adult↗

A study of the reproducibility of the functional denture space with a dynamic impression technique.

A study was made on four patients to determine the reproducibility of the outer form of the buccal and lingual flanges of a complete lower denture as developed by functional movements of the surrounding tissues. 1. Two dentists participated in the study to find out the operator effect when making impressions for the functional form of the flanges. 2. Two tissue-conditioning impression materials were used to determine if the characteristics of the impression material had any effect on the final form. 3. The impression materials were applied to the denture flanges by two different methods. 4. The impressions were placed in a mitre box, stabilized with plaster, and sectioned in the molar, premolar, and incisor regions. This provided five cut surfaces for measuring. 5. Each section was measured at five to six representative distances. 6. The differences in the flange form measurement and the distances among the impressions made with the same technique and material were small, and the reproducibility can be considered clinically acceptable. 7. There were statistically significant differences in the flange form measurement distances among the different materials and method of application of the material.

Alveolar Process↗

Frequency of symptoms of mandibular dysfunction in young Swedish men.

The occurrence of symptoms of dysfunction of the masticatory system was studied in 253 Swedish men from the region of Stockholm with an average age of 19 years. Besides inquiry by questionnaire regarding subjective symptoms a clinical functional examination of the masticatory apparatus was performed. Fourteen per cent were aware of clicking of the temporomandibular joint and 12% of other symptoms of dysfunction such as difficulties in opening the mouth wide, locking and pain on performance of various movements of the mandible. In the clinical investigation, symptoms of dysfunction were noted in 28% of those examined, mainly in the form of tenderness to palpation over the temporomandibular joints and of the masticatory musculature as well as difficult, painful and irregular movements of the mandible. Individuals with clinical symptoms of dysfunction of the masticatory system had a higher frequency of other joint and muscle symptoms, clicking of the temporomandibular joint and occlusal disturbances in the form of balancing side interferences, than those without clinical symptoms. Balancing sides interferences were the only occlusal disturbance that was significantly correlated with the symptoms of dysfunction (pain on movement and tenderness to palpation).

Adolescent↗

Reflex activity in the masseter muscle of young individuals. I. Experimental procedure - results.

The monosynaptic myotatic (jaw jerk) potential (MSP) evoked in the relaxed masseter by a tap on the chin and recorded electromyographically in this muscle (latency 6-3 ms, duration 5-9 ms) was similar in subjects with, or without TMJ clicking. The latency of the myotatic potential was significantly shorter (5.8 ms) when evoked during isometric contraction. The duration was 5-2 ms. A potential with similar characteristics as the MSP was evoked by TMJ clicking, as we believe by excitation of muscle spindles from tissue transmitted vibrations (latency 5-5 ms, duration 5-6 ms). The TMJ click evoked MSP could in the contracting massester be followed by silent periods (SPs) both of the early (latency about 10 ms) and the late type (latency about 50 ms). A tap on the chin during isometric contraction of the jaw elevators, was followed by an SP of the early type (latency 12-2 ms, duration 17-5 ms) and sometimes by an SP of the late type (latency 58 ms, duration 18 ms). The late SP occurred significantly more often in patients with TMJ-dysfunction. The period of lower activity following an MSP can be divided into two phases: a first phase with a complete electrical silence, denoted SP, and a second phase during which the activity is slowly increasing to reach the control level. This latter phase will be called "depressed activity" (DA) and is introduced as a new parameter. The SP with tooth tapping (latency 10-5 ms, duration 9-4 ms) was similar in groups with or without TMJ clicking. The superimposed MSP (SMSP) preceding the SP at tooth tapping is supposed to be a manifestation of the "load-compensation reflex".

Adult↗

[Clinical evaluation of an hygiene program for patients with denture stomatitis].

1. Daily thorough cleaning of dentures is the essential factor for the healing or prevention of denture stomatitis. 2. The denture-bearing base and its mucosal side should be shaped and prepared in such a manner that denture hygiene is facilitated. 3. In papillomatous stomatitis surgical and hygienic measures must be combined.

Dentures↗