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Biomedical subjects

D J Tartakow

Publications and source records attributed to D J Tartakow.

3 recordsLinked to original sources

Infection control in the dental practice with emphasis on the orthodontic practice.

Infections present a significant hazard in the orthodontic office because they can be transmitted by blood or saliva through direct or indirect contact, droplets, aerosols, or contaminated instruments and equipment. Because the incidence of certain microbial cross-infections in the dental environment has not been well documented, orthodontic personnel may not take the problem of cross-infection as seriously as they should, and they may transmit or contract more infections than they realize. The use of effective infection-control procedures in the orthodontic office and laboratory will prevent cross-contamination that may extend to the orthodontist, office staff, assistants, and patients. The goal of this article is to present infection control in a simple, yet comprehensive, manner, and to encourage all orthodontic practitioners to implement essential infection-control procedures in their practices.

Blood-Borne Pathogens↗

Urea peroxide solution in the treatment of gingivitis in orthodontics.

A 3-month study was conducted to determine the effect of a 10 per cent urea peroxide solution on gingivitis and oral debris accumulation in orthodontic patients. Sixty fullybanded children (thirty-two girls, twenty-eight boys) 10 to 17 years of age were randomly placed into two groups of thirty members. The treatment group was assigned the use of the test solution and given normal oral hygiene instructions. The control group was given only the normal oral hygiene instructions. The subjects' gingival status was evaluated by means of the gingival index (GI) of O'Leary. The accumulation of oral debris was monitored by means of the oral debris index (ODI) of Greene and Vermillion as modified by Womack. Subjects were scored at the start of the study and approximately 1 and 3 months thereafter. Analysis of variance of the GI and ODI scores revealed significant treatment effects (p = 0.0013 and p = 0.0051, respectively), which substantiated the clinical observations. Rinsing with the test solution in conjunction with toothbrushing appears useful as an oral hygiene measure for orthodontic patients. No adverse reactions were experienced by any of the patients using the test solutions.

Adolescent↗

Phosphoric acid penetration during direct bonding.

This work has investigated the actual penetration of acid etching material into the enamel surface as it is used in preparation for the direct-bonding adhesive. Three important conclusions can be drawn from this investigation. (1) Rinsing does not necessarily completely arrest the acid etching process in the depth of the exposed enamel. (2) The effect of the acid etching material does seem to be deeper than 10 mu, which is contrary to the manufacturers' statements. There is (3) no evidence of actual penetration of the acid etching material at the dentinoenamel junction.

Acid Etching, Dental↗