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Biomedical subjects

B L Butler

Publications and source records attributed to B L Butler.

3 recordsLinked to original sources

Esthetic replacement of a maxillary central incisor with an ITI 15-degree angled implant: a case report.

Single-stage implants are frequently used, but their use in the anterior dentition has not been widely published. The purpose of this case report is to present the esthetic result of a single-stage implant to replace a maxillary central incisor, and to demonstrate the unconventional use of a 15-degree angled ITI implant. A 15-degree 12-mm hollow cylinder was placed with the angle reversed facially. The emergence profile of the adjacent roots was matched with the transmucosal portion, turning at the osseous crest. The implant was restored after 6 months with an ITI gold coping and transverse screw-retained crown. The gingival margin and the papillae were shaped by the transmucosal portion and the restoration. To date, the implant has been loaded for 24 months with an ideal soft tissue esthetic and radiographic appearance.

Adult↗

An accurate, time-efficient method to assess plaque accumulation.

The authors compared the accuracy and time efficiency of a simplified index called the Plaque Assessment Scoring System, or PASS, and the O'Leary Plaque Control Record. Using both indexes, they examined 35 participants. They found a strong correlation between the results achieved with each method. They also noted that the mean time required to complete the PASS examination was considerably less than that needed to record the O'Leary index, 1.47 vs. 7.07 minutes, respectively.

Adult↗

Development of a methylprednisolone protocol for use in acute spinal cord injuries.

Acute spinal cord injury is a serious medical condition that results in 10,000 new cases of paralysis each year. Initial physical damage to the spinal cord is followed by chemical damage, resulting in cell death and scar tissue formation. Methylprednisolone therapy has proven effective in suppressing the chemical damage, particularly when started within 8 hours of injury. A protocol developed by the Pharmacy Department at Methodist Medical Center in Dallas, Texas, is described. This protocol facilitates accurate, efficient preparation and administration of this emergency therapy. The protocol takes advantage of the pharmacist's unique expertise to lessen the risk of calculation errors and mistakes in preparation, by providing a tailored drug admixture for administration at a fixed flow rate. The protocol and a sample of the pharmacy work sheet are presented.

Clinical Protocols↗