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Biomedical subjects

D C Gerke

Publications and source records attributed to D C Gerke.

At least 19 recordsLinked to original sources
PubMed1994

Clinical behaviour over three years of GS-80 and Lojic+ amalgam alloys.

The clinical performance of GS-80 and Lojic+amalgam alloys was compared with that of Dispersalloy, Valiant PhD, Lojic N and Permite C amalgam alloys over periods of up to three years. The 1114 restorations were placed by one dentist in 23 canine, 418 premolar and 673 molar permanent teeth of 301 adult patients treated in a private practice. Direct and indirect clinical assessments were made of the restorations for failures (there were no true failures), and for the deterioration of four clinical factors. All restorations were rated as being either 'good' (A) or 'adequate' (B) for each of the four factors which, apart from surface texture, showed some slight but statistically-significant clinical deterioration with time. Lojic+ and Permite C showed clinically slight but statistically more surface roughness and marginal fracture, while Lojic+ and GS-80 showed more surface tarnishing, than did the other alloys. There were no statistically significant differences between the alloys for marginal staining.

Adult↗
PubMed1992

A multivariate study of patients with temporomandibular joint disorder, atypical facial pain, and dental pain.

The multifactorial nature of oral and facial pain was investigated by the collection of clinical and psychologic data from 312 patients with either dental pain, temporomandibular joint disorder, or atypical facial pain. Significant differences between the groups in gender and age distribution, muscle and joint pain, radiographic joint changes, number of remaining teeth, pain duration, and aspects of the patients' perception of pain were evident. In addition, discriminant function analysis clearly differentiated between the three groups on the basis of both clinical and psychologic variables, emphasizing the multifactorial nature of oral and facial pain.

Adult↗
PubMed1992

Clinical evaluation of four anterior composite resins over five years.

Four hundred and thirty nine chemical-cured composite resin restorations were placed in the anterior teeth of 86 patients treated in a private dental practice. Four anterior resins were used, and placement was performed with acid etching and appropriate enamel bonding resins. Assessments were made of the handling characteristics, condition of the gingiva, surface staining, marginal staining, color deterioration, and of the longevity of the four materials. Clinical deterioration rates and failures of the different types of composites were evaluated over periods of up to five years. Although all the assessed clinical factors deteriorated with time, there were very few unsatisfactory rating scores. Most of the composite restorations performed well over the study. Eight per cent of the restorations failed during the study. Class IV preparations showed the highest restoration failure rates.

Acrylic Resins↗
PubMed1992

Clinical evaluation of light-cured anterior resin composites over periods of up to 4 years.

Seven hundred light-cured anterior restorations were placed in the permanent teeth of 161 patients by one researcher and evaluated over 4 years. One microfilled and two hybrid resins were assessed for their handling and for gingivitis adjacent to them, surface staining, marginal staining, and color mismatch. Restorative failures were related to the material, patient age, tooth site, and class of preparation. The different handling properties of the three resins did not affect their clinical behavior. There were only 10 unsatisfactory instances from 1626 restoration observations for the four clinical parameters assessed, and no clinically significant differences were found between the three materials, apart from the initial lighter shade mismatches of the microfilled resin. There was no obvious clinical deterioration recorded for most of the restoration observations, although all restorations deteriorated slightly over the study. There were no significant failure differences between the three resins, but significantly more failures occurred in elderly patients, restored (Class V) premolar teeth, and Class IV and V preparations. Of the 43 restoration failures, 81% were from Class V preparations, which reflected undue reliance on a dentin-bonding resin system for restoration retention in premolar cervical abrasion-erosion lesions.

Adolescent↗
PubMed1991

The scope of oral and maxillofacial surgery in Australia and New Zealand. A postal survey.

The current scope of oral and maxillofacial surgery in Australia and New Zealand was explored with a survey of full members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons resident in the region. There was an 83 per cent usable response rate and the objectivity of the data was confirmed by check questions and material from other sources. The study showed that oral and maxillofacial surgery is the surgical specialty of dentistry with the core of referral and surgical services being dento-alveolar. However, the essential knowledge of the anatomy, pathology, and surgery of the orofacial region forms the basis for the wider scope of modern oral and maxillofacial surgery. Current surgery includes management of trauma, pathology, dentofacial deformity, and a wide range of reconstructive surgery including grafts and implants.

Australia↗
PubMed1990

Clinical evaluation of occlusal glass ionomer, resin, and amalgam restorations.

The purpose of the study was to evaluate four materials (a glass ionomer (polyalkenoate) silver cermet, two composite resin restoratives and a high copper content dental amalgam) placed in either conventional Class I cavities or in modified odontotomy-enameloplasty-sealant (OES) fissure preparations. One experienced operator inserted 438 occlusal. Class I restorations in the posterior permanent teeth of 124 patients in a private dental practice. Restorations were assessed for bulk loss of material, surface voids and cracking, restoration margin fractures and staining, and surface staining and roughness, by using colour transparencies taken at baseline and at recalls for up to 3 years. The glass ionomer cermet was the most difficult material to handle and also gave the least satisfactory clinical result. Loss of material and surface voids were common in the cermet restorations with surface cracking or crazing being seen in 11.4 per cent of the restorations, especially in the larger, conventional Class I preparations. One posterior resin was more viscous and difficult to handle than the other resin and exhibited more surface voids. The amalgam alloy was used in Class I preparations only and showed more restoration margin fractures and surface staining than did the other three materials. However, there were no unsatisfactory clinical assessments given for either restoration margin fracture and staining, or surface staining and roughness for any of the materials. Patient acceptance of the modified OES fissure preparation was extremely good.

Adult↗
PubMed1990

Clinical behaviour of high-copper amalgams with time, site, size and class of cavity preparation.

In this study 767 amalgam restorations placed in the posterior permanent teeth of 122 patients were evaluated at 6-monthly intervals up to 2 years. Six commercially available high-copper alloy amalgams were assessed for surface roughness, surface tarnish, marginal staining and marginal fracture and the results were related to product, restoration age, restoration cavity class type, restoration size (normal or large Class II preparations) and tooth type (premolar or permanent molar). Dispersalloy (Johnson and Johnson, East Windsor, USA) gave restorations which were overall superior for the clinical characteristics examined. Large restorations on the occlusal surfaces of molar teeth showed more signs of deterioration over the study than did other restoration types. However, all restorations remained clinically satisfactory throughout the study.

Analysis of Variance↗
PubMed1990

Effect of training on the scope of oral and maxillofacial surgery.

The relationships between training and qualifications and the scope of oral and maxillofacial surgical practice was investigated by a survey of all full members of the Australian and New Zealand Association of Oral and Maxillofacial surgeons. It was found that scope did correlate to length of training. Three were differences in scope for more recently trained surgeons and by practice location. The possession of medical qualification did not necessarily affect scope of practice but did affect attitudes.

Attitude of Health Personnel↗
PubMed1990

Psychological factors in temporomandibular joint dysfunction: life events.

Psychological and emotional factors are clearly involved in the development of temporomandibular joint dysfunction (TMJD). They also are involved in whether the patient chooses to present for treatment and how they react to the health care professional and treatment. However, many previous studies have been simplistic in that they look at a particular psychologic aspect in isolation. In this series of studies, a multivariate analysis of a broad range of psychologic and physical variables in a TMJD group (N = 105) and a matched control group (N = 90) was performed. The methodology of the study is described in detail in this paper. Patients with high life events were compared with those with low life events. A simple relationship of high life events to development of TMJD was not demonstrated. However, high life events did correlate directly with other psychological parameters and to the development of illness behaviour.

Anxiety↗
PubMed1990

Psychological factors in temporomandibular joint dysfunction: anxiety.

This study was to clarify the relationship between anxiety and temporomandibular joint dysfunction (TMJD) in a group of patients with TMJD (N = 105) and a matched control group (N = 90) using measures of anxiety, relevant physical parameters and a number of other psychological variables. Patients were divided into high and low anxiety groups using the Spielberger Anxiety Inventory and compared using measures obtained from the Gerke-Goss Inventory on Dental and Psychological Factors. Statistical comparison revealed no significant differences between the anxiety groups in physical parameters. Both of the TMJD groups (high and low anxiety) revealed more prominent features of Abnormal Illness Behaviour as compared to the control groups (high and low anxiety). This prominence of Abnormal Illness Behaviour was most evident in the TMJD group with low anxiety, a finding which may have further clinical implications.

Anxiety↗
PubMed1990

Psychological factors in temporomandibular joint dysfunction: depression.

This study was to clarify the relationship between anxiety and temporomandibular joint dysfunction (TMJD) in a group of patients with TMJD (N = 105) and a matched control group (N = 90) using measures of depression, relevant physical parameters and a number of other psychological variables. Patients were divided into high and low depression groups using the Zung self-rating depression scale and compared using measures obtained from the Goss-Gerke Inventory on Dental and Psychological Factors. Statistical comparison revealed no significant differences between depression groups in physical parameters. The TMJD groups were generally more depressed than the control group. The highly depressed TMJD group had a greater degree of abnormal illness behaviour and generally were similar to those patients identified in other studies as being refractory to treatment.

Depression↗
PubMed1989

Discriminant function analysis of clinical and psychological variables in temporomandibular joint pain dysfunction.

Detailed clinical, psychological and illness behaviour information was obtained from 43 patients with temporomandibular joint pain dysfunction. A discriminant function analysis was performed on the multiple variables to test their effectiveness as predictors of a successful response to simple conservative therapy. The questionnaire and statistical methodology employed are described in detail. It was found that clinical, psychological, and illness behaviour factors when used alone were poor predictors (less than 60 per cent) of treatment outcome. However, grouping clinical and psychological factors resulted in over 80 per cent successful prediction.

Adult↗
PubMed1989

The effect of public or private management on patients with temporomandibular joint pain dysfunction.

Australians may receive free dental treatment via the public sector if they have a health care card but otherwise must seek treatment via the private sector. These two modes of dental delivery have different objectives, facilities, and patient populations. Two groups of patients, one public and one private, who presented to the same clinicians with temporomandibular joint dysfunction were studied. There were differences in age, numbers of natural teeth and some psychological features. However, the outcome to simple non-surgical management resulted in similar levels of successful treatment.

Adult↗