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Biomedical subjects

E Machtei

Publications and source records attributed to E Machtei.

9 recordsLinked to original sources

Studies on the relationship between changes in radiographic bone height and probing attachment.

The aim of this investigation was to determine the relationship between loss of radiographic crestal bone height and probing attachment loss. As part of this aim, we are introducing a new method for determination of a threshold for significant probing attachment loss which takes into account the error contributed by alteration in tissue tone. 57 adults with established periodontitis were selected. Radiographs were taken using the Rinn alignment system. Crestal change was determined from bone height measurements on digitized images of pairs of radiographs using the "side-by-side" technique of analysis developed recently by us. Probing attachment loss was measured using the Florida electronic probe system. Radiographic and probing measurements were made at baseline and after 1 year. No treatment was given during this period. A direct and significant relationship was observed between radiographic bone loss and probing attachment loss on a site basis (p = 0.0001, r2 = 0.018) and between subject means (p = 0.0014, r2 = 0.16). Radiographic and probing attachment change at all categories of sites, dichotomously classified as to not changing or loosing indicated 13% of sites were loosing by measurement of radiographic change and 9.6% were loosing by measurement of attachment change. Concordance in radiographic and attachment level change was found in 82% of sites examined. The relative diagnostic import of change in probing attachment or change in radiographic bone height requires treatment outcome studies based on use of diagnostic information of the 2 measuring techniques used singly and in combination.

Adult↗

Effect of benign familial neutropenia on the periodontium of Yemenite Jews.

The purpose of this study was to compare the periodontal status of Yemenite Jews with and without benign familial neutropenia (BFN). Thirty-four volunteers were examined at baseline and after 3 years. Plaque index (PlI), bleeding index (BI) probing depth (PD), and attachment levels (AL) were recorded. Differential blood counts were done on at least three occasions during the study. Volunteers with at least one count of less than 2000 neutrophils were considered neutropenic. The majority of patients received oral hygiene instructions and scaling at the initial visit. During the study there was a significant drop in PlI (P less than 0.01) and BI (P less than 0.05). At baseline the BFN and non-BFN volunteers had similar PlI, but the BI was significantly greater in the BFN group. At follow-up, there was a significantly greater number of teeth with pockets greater than or equal to 6 mm in the BFN group (P less than 0.05). These results indicate that volunteers with BFN, a phenomenon that has not previously been associated with any pathology, are more susceptible to gingival inflammation and attachment loss than unaffected volunteers and that they respond more favorably to an improvement in oral hygiene.

Adult↗

Familial gingival fibromatosis; no correlation with HLA-antigen. A family study.

Familial gingival fibromatosis is generally reported to be inherited as an autosomal dominant trait. We investigated 2 families with few siblings affected with gingival fibromatosis. No linkage between HLA antigen and the phenomenon was found. These results support the idea of the autosomal dominant nature of familial gingival fibromatosis.

Female↗

Use of a metastabilized chlorous acid/chlorine dioxide formulation as a mouthrinse for plaque reduction.

A metastabilized chlorous acid/chlorine dioxide (MECA) formulation was used as a mouthwash in a group of 18 volunteers aged 20-27. Its effect on developing plaque and salivary bacterial count was tested. The trial was carried out over 33 days during which each subject used three different formulations of mouthwash: a high concentration (0.16% sodium chloride in an activating system), a low concentration (0.04% sodium chloride, comparably activated) and a placebo mouthwash (activating system alone). Each participant used each of the three formulations as the only means of oral hygiene for 5-day periods. Each experimental period was separated by 9 days during which the participants returned to their regular oral hygiene habits. The high concentration and low concentration groups showed a 34.5 and 13.5% reduction of dental plaque scores, respectively, compared with the placebo control group. This effect on the plaque index scores was not accompanied by any significant change in the number of salivary bacteria.

Adult↗

The attached gingiva in children: diagnostic, developmental and orthodontic considerations for its treatment.

In the clinical context, the width of the attached gingiva is established by substracting the sulcus depth from the width of the keratinized gingiva. Summarizing all factors, it becomes clear that control of marginal inflammation appears to be the most important key to limiting--and possibly reversing--an otherwise progressive recession. A nonsurgical approach should be the clinician's first choice.

Child↗