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Biomedical subjects

F M Gordy

Publications and source records attributed to F M Gordy.

11 recordsLinked to original sources
PubMed2001

The prevalence of hypertension in a dental school patient population.

OBJECTIVE: A study of the prevalence of hypertension in the patient population was conducted at the University of Mississippi, School of Dentistry. METHOD AND MATERIALS: The 3,665 records reviewed represented patients treated by undergraduate dental students from 1993 through 1997. Inclusion criteria were diagnosis of hypertension by a physician or presentation with a systolic reading of greater than 140 mm Hg or a diastolic reading of greater than 90 mm Hg. RESULTS: Of the 1,021 subjects who met the criteria, 609 were previously diagnosed with hypertension and 412 exhibited elevated blood pressure. The prevalence of diagnosed hypertension in the study population was 16.6%. When the 412 subjects who exhibited elevated blood pressure were included, the prevalence of hypertension was 27.9%. At the initial screening, 32.2% of diagnosed adults and 27.0% of undiagnosed adults exhibited a systolic reading of 160 mm Hg or greater or a diastolic reading of 100 mm Hg or greater. For all age groups, there were no statistically significant differences in race, sex, educational level, or occupation between the diagnosed and undiagnosed groups. CONCLUSION: The prevalence of hypertension, often undiagnosed or uncontrolled, justifies routine blood pressure screening of dental patients.

Adult↗
PubMed1999

Evaluation of blood pressure in children and adolescents: a review.

Hypertension in children has received minimal attention in the dental literature; this may be the result of comparatively low interest in the subject by the medical community. It is now believed that the processes causing cardiovascular disease morbidity and mortality begin early in life. The implication for prevention is that screening and intervention should commence in childhood. Although the prevalence is lower than in adults, elevated blood pressure during childhood is not uncommon. Dentists may be uniquely positioned to screen children for hypertension. Children from poor families may not use medical services except in emergencies, but may visit a dentist as part of Head Start or through other state or federal programs. By incorporating blood pressure screening for children as well as for adults and with appropriate referral, dentists may contribute to the reduction of cardiovascular disease. This review presents a discussion of blood pressure in children and adolescents, the epidemiology and etiology of elevated blood pressure, the problems associated with hypertension, and recommended procedures for measuring blood pressure in children and young adult patients.

Adolescent↗
PubMed1997

Homozygous beta thalassemia in an African-American pediatric patient.

Homozygous beta-thalassemia in an African-American pediatric patient is rare. In homozygous, beta-thalassemia there are characteristic changes due to severe chronic hemolytic anemia. Orofacial characteristics of homozygous beta-thalassemia result from expansion of bone marrow causing skull and facial deformities. This expansion causes clinically recognizable maxillary hyperplasia, severe protrusion of the middle third of the face, and anterior displacement of the incisors producing a typical faces historically referred to as "Cooley's face." The orofacial characteristics of an African American pediatric patient are described in detail.

Black People↗
PubMed1993

Focal osteoporotic bone marrow defect in the anterior maxilla.

An unusual presentation of a focal osteoporotic bone marrow defect is documented. A definitive diagnosis could not be established on the basis of the location, history, clinical, and radiographic appearance. A biopsy provided the identity of the lesion.

Bone Marrow↗
PubMed1992

Idiopathic bone cavity (traumatic bone cyst) with the radiographic appearance of a fibro-osseous lesion.

This article presents an unusual case of idiopathic bone cavity that originally was either not observed or diagnosed as a fibro-osseous condition. When a differential diagnosis was established, it included fibro-osseous conditions, odontogenic cysts and neoplasms, and central giant cell granuloma but not the definitive diagnosis. The patient's demographic data, history, symptoms, and clinical and radiographic appearance all conspired to obscure the true nature of the condition, which was not revealed until a biopsy was attempted. A more thorough initial radiographic examination might have led to an earlier diagnosis.

Adult↗
PubMedDate not supplied

Growth of an ameloblastoma during pregnancy: opportunity lost?

A 19-year-old pregnant woman presented with an enlarging lesion in the right mandible. She was examined by a general dental practice resident in the hospital outpatient clinic and subsequently managed by the resident as an inpatient. Both moral and ethical questions arose because of the discovery of the lesion early in the patient's pregnancy. Delay on the part of the patient while she contemplated termination of the pregnancy, compounded by loss of contact with her, eliminated the possibility of removal of the lesion during the second trimester. The patient elected to continue the pregnancy, and an en bloc procedure was used to remove the ameloblastoma.

Adult↗
PubMedDate not supplied

Tobacco cessation: a practical dental service.

Tobacco use is a complex addiction that must be addressed in all aspects of health care. Despite the deleterious and costly outcomes of tobacco use, Americans still are smoking and using smokeless tobacco. Dentists are trained to detect oral lesions and periodontal problems that are related to tobacco use. Dentists also are in a position to help prevent the initiation of tobacco use by children and adolescents through the use of positive anti-tobacco messages. Over the past decade, tobacco cessation strategies have been modified for practical use in the dental setting.

Child↗