MPD syndrome: generic or specific?
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Biomedical subjects
Publications and source records attributed to C S Greene.
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This paper reports the short-term and long-term results of conservative reversible treatment used in 175 patients with MPD syndrome. These results are compared with those from ten published papers in which investigators used either irreversible treatment methods, reversible methods, or a combination of both approaches. The treatment outcome results in this study were similar to those in all of the previously reported studies. These findings suggest that conservative reversible therapies are both sufficient and appropriate for management of MPD syndrome in most patients. Major alterations of mandibular position or dentoalveolar relationships do not appear to be necessary for obtaining either short-term or long-term success, and therefore they can be generally regarded as inappropriate treatment for this disorder.
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The question of where holistic dentistry ends and quackery begins is a serious issue for our profession to consider. Although we obviously want to permit great latitude in the practice of dentistry, there must be some definitions of the limits of that latitude. More importantly, as we want to improve and expand the treatment services that dentists can provide to patients, there must be some guidelines regulating both the development and the use of new therapies. The major guideline for doing this already exists: it is called the scientific method.
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This is a report of three children with spinal epidural abscess. The literature is reviewed and the features of this condition in children are noted. Because of the nonspecificity of presenting symptoms in children, the diagnosis may be delayed, resulting in a worse outcome, especially in children under 1 year of age. The extensive laminectomy advised for the treatment of spinal epidural abscesses in adults is undesirable in children because of the risk of spinal deformity and in most cases is probably not necessary.
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The composite MMPI profiles of 42 successfully-treated and 42 unsuccessfully-treated female patients with MPD syndrome were compared statistically. The profiles did not differ in configuration, but that of the unsuccessful patients was significantly higher than that of the successful group, indicating a greater degree of emotional distress. The pattern of deviation from normal for both groups was diagnostic of a psychophysiological disorder marked by repression and somatization.
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