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Biomedical subjects

E M Sonnenberg

Publications and source records attributed to E M Sonnenberg.

12 recordsLinked to original sources

Provision of health care for persons with developmental disabilities living in the community. The Morristown model.

Persons with developmental disabilities living in the community have a greater number and variety of health care needs than the average population of the same age and sex. The erroneous assumption that the generic health care system would be able to provide all necessary services to the large number of individuals recently transferred from state residential facilities to the community has proved to be an unexpected disappointment to human service policymakers. In an effort to remedy this situation, a program of health care services was established by the New Jersey Department of Human Services at a community teaching hospital to supplement the existing generic system of medical care. Within four years, the program had rapidly grown to provide care for 729 patients who had come to rely on the center for primary care, specialty medical and dental services, and medical case management. The demographic characteristics of this program are described as well as data on morbidity, service utilization, and special problems encountered when care was provided to this complex and medically underserved population.

Adolescent

Oculodentodigital dysplasia.

A case of oculodentodigital dysplasia in a 35-year-old man is reported. The diagnosis was based on the characteristic facies, microcornea, and dental dysplasia. Digital findings, although consistent with previous reports, were somewhat atypical, with almost complete aplasia of the right foot present. Although the patient appeared to be mentally retarded, it is not clear whether this can be considered a component of the syndrome or merely a coincidental finding.

Adult

The prevalence of periodontitis and dental caries in a Down's syndrome population.

The prevalence rates of periodontitis and dental caries in 30 Down's syndrome patients and 30 matched, otherwise retarded, controls were compared. The populations were older than those usually studied, with mean (+/- SE) ages of 27.4 (+/- 2.1) and 28.9 (+/- 2.3) for the Down's syndrome and control groups, respectively. Bone loss was found in 60.0% of sites in the Down's syndrome patients, compared with 9.3% sites in controls. In Down's syndrome, bone loss was first seen at about age 16, with 92% of patients 16 or older having loss; in contrast, only 42% of control patients 16 or older had bone loss, which first appeared at about age 28. There was a considerable difference in caries prevalence in the two groups, with the Down's syndrome patients having a lower overall prevalence which was most noticeable with respect to interproximal lesions. Seven Down's syndrome patients over age 15 were caries-free, as opposed to only one control patient.

Adolescent

The use of regression constants in estimating tooth size in a Negro population.

A study of a sample of 105 Negro children and adolescents, residents of Connecticut, was undertaken to determine the degree of correlation between mandibular tooth size and the size of the canines and premolars. The correlation between the total mesiodistal width of the mandibular permanent incisors and that of the maxillary or mandibular canine and first and second premolars was found to be 0.63 and 0.71, respectively. Further, regression constants were determined in an attempt to estimate the buccal segments from the mandibular incisors.

Adolescent