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Biomedical subjects

C Sadowsky

Publications and source records attributed to C Sadowsky.

15 recordsLinked to original sources
PubMed1991

Orthodontic treatment and temporomandibular joint sounds--a longitudinal study.

Temporomandibular joint sounds are often recognized as a clinical sign of temporomandibular disorders. The purpose of this study was to examine changes in the occurrence and resolution of these sounds in patients before and after orthodontic treatment with full fixed appliances. From a pool of 324 patients who came to a university postgraduate orthodontic clinic specifically for treatment of a malocclusion, 160 were examined before and after orthodontic treatment. When joint sounds were either reported or detected clinically, the patients underwent an audiovisual examination to more precisely and objectively record the occurrence and timing of the sound during mandibular opening and closing. No statistically significant difference could be found in the change in occurrence of joint sounds among patients treated with extraction and nonextraction treatment strategies. Overall, fewer patients had joint sounds at the end of the active stage of orthodontic treatment than before treatment. Also, fewer patients demonstrated reciprocal clicking after treatment than before treatment. Therefore it appeared that orthodontic treatment did not pose an increased risk for developing temporomandibular joint sounds irrespective of whether extraction or nonextraction treatment strategies were used. A progression of signs or symptoms to more serious problems was not apparent over the time period studied.

Adolescent↗
PubMed1991

An evaluation of the relationship between temporomandibular joint sounds and mandibular movements.

Mandibular movements in 28 subjects with TMJ sounds (who were otherwise asymptomatic) were evaluated and compared to those of 28 control subjects with no signs or symptoms of TM disorders (including the absence of clinically detectable TMJ sounds). Mandibular movements were recorded using the Sirognathograph interfaced with a personal computer. The joint sounds were recorded with contact microphones. The variables used to measure mandibular movements were not statistically different between the two groups except for mean mandibular deviation in the frontal plane, which was greater in the study group (3.2 mm) than the control group (2.2 mm). All combinations of mandibular movements were found to occur in relation to joint sounds with no obvious pattern. The large variability in both the study and control subjects, combined with the frequent finding of joint sounds in normal subjects, indicates that caution should be exercised in interpreting the characteristics of electronically recorded mandibular movements and TMJ sounds.

Adolescent↗
PubMed1990

Timing and character of reciprocal temporomandibular joint sounds in an asymptomatic orthodontic sample.

The timing and character of opening and closing temporomandibular joint sounds were evaluated in a sample of 33 asymptomatic subjects with reciprocal clicking. Using stereophonic headphones and videotape recordings, three consecutive reciprocal sounds were recorded and analyzed. The timing of the three consecutive opening and closing sounds was consistent in the majority of subjects, and occurred generally on late opening and middle to late closing. When the timing, character (frequency, amplitude, and duration), and wave patterns were evaluated, a notable amount of variation was observed in the overall sample. This suggested a variety of intra-articular reasons for the reciprocal sounds in this particular sample of subjects.

Adolescent↗
PubMed1989

The relationship between temporomandibular joint sounds and malocclusion.

The relationship between temporomandibular joint (TMJ) sounds and the occlusion was evaluated in a sample of 226 patients before commencement of orthodontic treatment. TMJ sounds were recorded on videotape, using an audiovisual system, for subsequent classification into various categories. The prevalence of joint sounds was 36.3% (N = 82) of which 50% (N = 41) were categorized as reciprocal clicks. The occlusion (static and functional) and skeletal relationships generally did not appear to be significant factors in contributing to TMJ sounds in patients with malocclusions. However, a larger interincisal angle in the sound-present group, and dental wear and increased overbite in the reciprocal-clicking subgroup may be associated factors.

Adolescent↗
PubMed1989

Occlusal contacts following orthodontic treatment: a follow-up study.

Occlusal contacts in maximum intercuspation were examined in a sample of 40 patients at the end of active orthodontic treatment and again an average of 21 months later. An increase in the total number of contacts was due to more actual and near contacts on all posterior teeth and more near contacts on anterior teeth. When the results were compared to a previous short term study, continued settling of the occlusion occurred beyond an initial three months of retention. Few contacts changed their location between the occlusal inclined planes and central grooves, suggesting minimal settling of the occlusion in a buccolingual direction.

Adolescent↗
PubMed1988

Class II, Division 1 vertical pattern.

The treatment of a skeletal Class II, Division 1 malocclusion in the early permanent dentition is described. The patient had a vertical facial pattern and lower arch crowding; four premolars were extracted. Although some anchorage was lost in the maxillary arch and the face developed in a predominantly vertical direction, the final result demonstrated a well-balanced and pleasing profile.

Adolescent↗
PubMed1987

Timing of temporomandibular joint sounds in orthodontic patients.

The consistency of occurrence and also the timing of TMJ sounds during jaw opening and closing were studied by means of an audio-visual sound recording system in an attempt to address the possible causes of temporomandibular joint (TMJ) sounds. From a group of 347 orthodontic patients, 104 were found to have medium- or high-amplitude TMJ sounds during jaw opening or closing. Most patients (53%) had reciprocal clicking--that is, a single sound on opening and on closing; another 12% had multiple sounds on opening or closing; 22% had a single closing sound; and 13% had a single opening sound. Sounds occurred at all degrees of jaw opening throughout this sample, but in most patients opening sounds tended to be closer to maximum opening, whereas closing sounds tended to occur in the middle of the closing movement. No statistically significant association was found between the timing of the opening and closing sounds. In 42.3% of patients, the sound was inconsistent in its occurrence on successive opening and closing cycles. Twenty-three percent of patients reported pain, jaw locking, or limitation of movement, but these were not associated with the timing of the opening sound. The findings suggest that the reciprocal click, widely associated with anterior disc displacement with reduction, was relatively common, but that other explanations for the joint sounds should also be considered. Conversely, a large variation may exist in the timing and the occurrence of sounds in patients with anterior disc displacement in the absence of pain and limitation of movement.

Adolescent↗
PubMed1986

Changes in tooth contacts following orthodontic treatment.

Occlusal contacts in maximum intercuspation were examined in 38 patients at the end of the active phase of orthodontic treatment and again 3 months into the retention phase to assess the initial posttreatment occlusal changes. The sample consisted of 23 patients with conventional retainers and 15 patients with gnathological rubber tooth positioners. Polyether rubber impression bites were used to record occlusal contacts. The locations of the contacts were then transferred to study models. In the combined sample (N = 38), the total number of contacts increased 14% over the 3-month period. This was due entirely to an increase in the number of contacts on posterior teeth (premolars and molars). Those cases with fewer teeth in contact at the end of treatment developed more teeth in contact over the 3-month period. Although the group retained with positioners demonstrated a greater gain in the total number of teeth in contact over time when compared with the group with conventional retainers, the additional gain was minimal.

Dental Occlusion↗
PubMed1985

Periodontal complication during orthodontic therapy. A case report.

Occasionally periodontal complications arise during adult orthodontic therapy, although conditions may also occur in adolescent patients. This case report describes the periodontal condition that developed during orthodontic treatment of an adolescent girl. Eleven months after the start of treatment, an unusual hyperplastic soft-tissue lesion developed that did not respond to conservative treatment. The case history, orthodontic treatment, periodontal treatment, histopathology, and follow-up are described. Suggestions for prevention and early diagnosis of similar problems are reviewed since particular periodontal infections may progress subclinically.

Adolescent↗
PubMed1985

Temporomandibular joint sounds related to orthodontic therapy.

A cross-sectional survey for temporomandibular joint (TMJ) sounds was conducted on 347 orthodontic patients before, during, and after treatment. Those patients who reported joint sounds, or in whom sounds were noted on clinical examination, were subjected to an audiovisual evaluation which was recorded on videotape to identify more precisely the character of the sounds during jaw opening and closing. TMJ sounds were quite common before, during, and after orthodontic treatment. There was a significant association among three variables: joint sounds, age, and treatment. It is not clear, however, whether joint sounds increased due to orthodontic treatment, age, or both. No significant associations were found between TMJ sounds and functional occlusal factors. Significantly more sounds were noted by the examiners than were reported by the patients. Medium or high amplitude sounds were evident in 32.6% of the 135 subjects who underwent the audiovisual examination.

Adolescent↗
PubMed1975

Agenesis of the corpus callosum with hypothermia.

A patient with episodic hypothermia and agenesis of the corpus callosum had no direct evidence of hypothalamic-pituitary dysfunction. However, it is speculated on the basis of a recent clinicopathologic case study that selective hypothalamic involvement is the cause of the hypothermia. Electroencephalograms and treatment with antiseizure medication did not support an epileptic genesis for the episodic hypothermia. Double, simultaneous, tachistoscopic stimulation studies revealed an asymmetry of response that can be explained by either a functional disconnection of the cerebral hemispheres or bilateral independent and asymmetrical representation of speech mechanisms.

Adult↗