Failure to attract and retain clinician/scientist faculty puts our profession at risk.
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Biomedical subjects
Publications and source records attributed to G D Douglass.
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The general dentist has a unique role as the gatekeeper of dental care. In this role, the generalist is called upon to be the primary diagnostician and is charged with the responsibility for triaging patients. Classification systems devised by many of the dental specialties are valuable tools for the diagnosis of diseases and conditions specific to the specialty, but no classifications have been directed to the general dentist. This paper describes a system being used at the University of California at San Francisco School of Dentistry that enables the general dentist to classify a patient's stomatognathic system as either physiologic or nonphysiologic and then guides the clinician toward appropriate treatment decisions.
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Chronic focal sclerosing osteomyelitis is a periapical lesion that involves reactive osteogenesis evoked by chronic inflammation of the dental pulp. In most cases, this lesion develops in the mandibular molar region in response to a low-grade infection of the pulp that results from a deep carious lesion. A case is presented in which incomplete tooth fracture was the apparent cause of this type of periapical pathosis.
Integrins, a family of cell adhesion receptors, play an important part in wound healing. These complex macromolecules are defined, and their roles explored.
Electrosurgery is a helpful adjunct to restorative dentistry, yet there often is damage to underlying connective tissue. In this study, small loop electrodes demonstrated a wider area of coagulation necrosis than was found with needle electrodes. In all instances, coagulation necrosis as a result of heat was noted. To help minimize tissue damage, very fine wire electrodes should be used, and entry into deep tissue layers should be avoided.
Two clinical variables previously cited in the literature have been related to inaccuracies inherent in some indirect quadrant and full dental arch techniques. The Coe checkbite tray system appears to control these clinical variables better than any other procedure presently in use. No attempt has been made to correlate concepts discussed herein with restorative Types II and III which require more sophisticated procedures. The choice of any technique must be based upon intelligent gathering of pertinent facts of clinical history, examination procedures, diagnosis, and treatment planning.
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