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Biomedical subjects

C Molin

Publications and source records attributed to C Molin.

At least 37 records · Page 2Linked to original sources

Long-term effects of jaw fixation in severe obesity.

Weight-loss pattern was analysed in 26 grossly overweight patients after jaw fixation. During a mean fixation time of seven months (range 1.5 to 18 months), mean weight loss in females was 19.3 +/- 5.8 kg (s.d.) and in males 30.0 +/- 22.0 kg. Two years after fixation, mean weight loss in women was 13.8 +/- 8.3 kg. In some cases the jaws were not wired but were covered with plastic splints, which seemed to help these patients in their decision to reduce energy intake. A psychiatric follow-up revealed that most patients reported moderate psychiatric symptoms during treatment. Patients reporting that they ate for consolation tended to regain weight after fixation, whereas patients not reporting this eating pattern continued to lose weight. In selected cases, jaw fixation may be used as an initiating method to institute weight loss. After removal of the fixation, other methods must be available to prevent weight regain.

Adult↗

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↗

Relation between functional disturbances of the masticatory system and some anthropometric, physiological and psychological variables in young Swedish men.

The relation between functional disturbances of the masticatory system and anthropometric, physiological and psychological variables was studied in 248 Swedish men, aged 18-25 years. No physiological variables and only a few anthropometric variables were found to be correlated with symptoms of functional disorders or to the state of the dentition. Thus, for example, face height was greater in the presence than in the absence of disturbances of the occlusion (mainly occlusal interferences). The psychological variables were found to be most closely correlated with symptoms of functional disorders and the state of the dentition. Men with clinical dysfunction had a lower general level of intelligence than men without. Social adaptation at school was poor in those who reported parafunctions. Men with parafunctions, frequent headache, general muscle and joint symptoms and balancing side interferences had low emotional stability compared with those without such symptoms. Individuals completely free from symptoms of functional disturbances had high emotional stability.

Adolescent↗

Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA).

Nineteen individuals with inordinate fear of dental treatment are presented and discussed with respect to their psychopathology and those aspects of their fear involving feelings of confinement and helplessness in the dental chair, and a negative relationship with the dentist. This material is part of a comprehensive investigation previously reported by the authors into the components and factors contributing to this kind of fear, and the personality and emotional reactions of the individuals suffering from it. The data presented are based on single structured interviews of each patient. Analysis of the patient population suggests division into four major categories: those in whom fear of dental treatment was associated with feelings of inferiority in bodily appearance or function (the largest category); those in whom the fear was associated with neurotic disturbances in which disturbance in body image is not apparent; those in whom the fear was a reflection of a schizophrenic or schizoid process; and those in whom no overt psychopathology was found. The patients in the first category were those who tended most to be afraid of dental treatment due to feelings of confinement or helplessness in the dental chair, or due to a negative relationship with the dentist.

Adult↗