PubMed HealthSearch

Biomedical subjects

F Alcouffe

Publications and source records attributed to F Alcouffe.

17 recordsLinked to original sources

[Prevention of substance loss in an edentulous site: report of case combining gingival graft and coral particles].

Ridge collapse is often seen after tooth extraction and grafting procedure is used in this technique. This case report presents, after block section of two maxillary incisors, the use of an occlusal epithelio-connective tissue graft, followed by grafting of coral particles. Clinical results, six months post-operatively, show a total maintenance of edentulous ridge volume and height. A biopsy at the same interval shows fibrous tissue surrounding coral particles, giant cells in some areas, but also some areas of calcification.

Adult

[Psychological considerations in implantology].

Osseointegrated dental implants are now in common usage in dentistry. Since their placement requires considerable work it is important that the patient be motivated. The author explores the major psychological features of candidates for implant therapy.

Aged

[Maintenance therapy. Review of the literature].

The periodontal literature contains a paucity of articles dealing with the maintenance of periodontal health after active treatment. The difficulty in doing long term clinical studies relates to the lack of compliance among patients. Well controlled maintenance programs are the main consideration in obtaining a good prognosis over the long term.

Aftercare

"Spontaneous" oral hygiene: a predictor for future preventive behavior?

The aim of this study was to establish whether a patient's "spontaneous" hygiene could be a reliable predictor of his or her tendency to maintain a certain permanent level of hygiene. The sample comprised 147 private periodontal patients whose plaque indices were recorded before (index 1) and after (index 2) a standardized hygiene program was carried out. According to their initial indices the patients were distributed in 10 classes (Class 0: from 0 to 10% using O'Leary's plaque index, class 1: from 11% to 20%, etc.). The two biggest classes were greater than 50% (48.3% of the subjects of the whole sample belonged to classes 5 and 6). A coefficient (IC) = Index 1 - Index 2/Index 1 + Index 2 was conceived to appreciate the different degrees of improvement. There was a marked difference in behavior between patients whose initial plaque index was less than 50% and those whose initial index was greater than 50%. The former improved noticeably, whereas the latter did not. Within the limits of the investigated population the following conclusions can be drawn: 1) initial plaque index and possibilities of improvement are correlated; 2) initial plaque index, recorded prior to any periodontal treatment, may be a reliable predictor of a patient's future compliance.

Adult

Improvement of oral hygiene habits: a psychological approach. 2-year data.

The present communication attempts to determine the effects of individual interviews, conducted by a psychologist, on unmotivated patients' oral hygiene habits. For this investigation, 26 subjects were selected according to the following main criteria: (a) patients with good motor skills (to make sure that poor hygiene was due to poor compliance and not to poor dexterity); (b) patients suffering from periodontitis of Cl II and Cl III of the Modified Nomenclature of the American Academy of Periodontology; (c) patients, who had never been taught toothbrushing techniques prior to attending 4 routine sessions on oral hygiene, and who in spite of understanding the pathogenic relation between plaque and disease, were unable to reach a plaque index score beneath the 50% level. The 26 selected patients were divided randomly into 2 equal groups. Subjects assigned to the 1st group were submitted to interviews with a psychologist, whereas those of the 2nd group were not (control group). Throughout the investigation period, the plaque indices were scored for both groups at 3-month intervals. Results revealed a decrease of plaque index scores in the interviewed group, from 68% to 49%. During the same period, the non-interviewed group exhibited virtually no change.

Adult

Oral hygiene behavior: differences between men and women.

It is a well-established fact that in western countries, women demonstrate better "spontaneous" oral hygiene than do men. The purpose of this study was to determine whether being female or male influences the quality of improvement. The study group comprised 84 patients (56 women and 28 men) of different socio-economic status, who consulted a periodontist in an urban community. Plaque indices were recorded before any treatment and at the end of initial therapy. The results confirmed that women's "spontaneous" oral hygiene is higher than that of men. The observed absolute improvement was higher in men, but it was not possible to asset a difference in relative improvement according to gender after completion of initial therapy.

Female

[The most appropriate type of flap for endodontic surgery].

Retrograde filling consists in sealing endodontics system directly at the apical zone after surgical approach. This article is studying the best approach by flap surgery adapted to anatomo-pathological data of each case.

Apicoectomy