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Biomedical subjects

G J Roberts

Publications and source records attributed to G J Roberts.

At least 19 recordsLinked to original sources

Catch-up growth induced by growth hormone in the craniofacial skeleton of the Snell strain of the hypopituitary dwarf mouse.

Immature Snell strain dwarf mice were treated with human growth hormone for 20 and 40 days, between the ages of 22 and 41 days and 22 and 61 days, respectively. Mature dwarfs were similarly treated for 20 and 40 days between the ages of 62 and 81 days and 62 and 101 days, respectively. These groups of treated mice were compared with untreated dwarfs and normal mice reared under the same conditions. The catch-up growth effected by human growth hormone on the craniofacial and somatic development of the Snell strain dwarf mouse at both immature and mature ages was considerable, overall being approximately 14 per cent. Neurocranial parameters tended toward the values of normal mice achieving 89-98 per cent of normal growth. Viscerocranial parameters showed greater catch-up, from a lower start point, reaching 81-93 per cent of the control. This catch-up in mature mice (aged 82-102 days) was at a time when any substantial growth in either dwarf or normal mice has usually ceased.

Age Factors

Nance-Horan syndrome: a contiguous gene syndrome involving deletion of the amelogenin gene? A case report and molecular analysis.

DESIGN: A case of Nance-Horan syndrome in a male is presented, with some features of the condition in his carrier mother and her mother. It is proposed that Nance-Horan syndrome might be a contiguous gene syndrome mapping to chromosome Xp21.2-p22.3. SETTING: The proband had congenital cataract microphthalmia and dental abnormalities including screwdriver shaped incisors and evidence of enamel pitting hypoplasia. The region Xp21.2-p22.3 also contains the tooth enamel protein gene, amelogenin (AMGX). RESULTS: Using molecular genetic techniques, we have shown that there is no evidence that the AMGX gene is deleted in this case of the Nance-Horan syndrome.

Abnormalities, Multiple

Growth of the nasal septum in the Snell strain of hypopituitary dwarf mouse.

The literature relating to experimental investigation of growth of the nasal septum has been reviewed in detail. A total of 156 skulls from the Snell hypopituitary mouse, six controls and six dwarfs at each age group were radiographed in lateral view to enable measurement of the different components of the nasal septum. By 80 days of age, the snout of the nasal septum in the Snell strain of mice was 56 per cent the size of the snout in normal mice (n = 12, t = 8.07, P = 0.0005). It is concluded that the Snell strain of mouse is an example of a specific genetic defect causing severe growth retardation of cartilaginous tissues, particularly the nasal complex.

Animals

Trigeminal neurapraxia following a blow to the face: a case report.

Examination of the cranial nerves is a simple and valuable procedure following trauma to the head and neck. By understanding their courses, branches and distributions, the site of any damage may be localized. Once the site and nature of injury has been determined, correct management may be instigated. A case is presented in which there was some degree of trigeminal nerve damage following trauma. The site of damage was determined to be extracranial and therefore a conservative regimen adopted. The mechanism of injury is postulated.

Child

Patterns of breast and bottle feeding and their association with dental caries in 1- to 4-year-old South African children. 2. A case control study of children with nursing caries.

In a case control study, 109 children with nursing caries (> or = 2 decayed, missing, or filled labial or palatal surfaces of primary incisor teeth) were matched for age, race, gender, and social class to 109 children without nursing caries from the same study areas. Mean dmfs and dmft scores were statistically higher in the nursing caries group but no statistically significant differences were found for feeding patterns between the groups in relation to the prevalence of nursing caries. In the present study nursing caries was found to be unrelated to the length of type of feeding (breast or bottle).

Bottle Feeding

Patterns of breast and bottle feeding and their association with dental caries in 1- to 4-year-old South African children. 1. Dental caries prevalence and experience.

In order to study associations between breast and bottle feeding and dental caries a questionnaire on feeding habits was completed by trained interviewers for 1,263 children aged 1 to 4 years from five South African communities. Of these, 73 to 94 per cent had been breast fed for mean periods of 9 to 16 months. The types of infant feeding practised (breast, bottle or mixed) varied little within the groups although each group differed significantly from the others for the preferred feeding practice. Using responses to a dietary interview the children were subdivided into those breast fed for 12 months or longer (n = 546), those who had mixed breast and bottle feeding (n = 527) and those who were bottle fed only (n = 190). Caries prevalence increased with the age of the child, more in bottle fed than other groups. Within all feeding groups caries prevalence was lowest among white children and in social class I. The dmfs and dmft scores showed irregular patterns and were significantly influenced by feeding group and the interaction between race and social class.

Age Factors

Optimum sampling time for detection of dental bacteraemia in children.

A total of 458 blood cultures were taken from 229 children aged 2 to 16 yr. Each 6 ml sample was taken starting at one of the following times after the extraction of a single tooth: 10 s, 30 s, 60 s, 90 s, 120 s, 180 s, 600 s and continuously over 2.5 min. The samples were cultured in the BACTEC radiometric culture system and when positive the bacteria isolated were speciated. At 30 s 56% of the samples were positive, the highest proportion, in contrast to only 38% of positive samples at 90 s and 28% at 600 s. Over 50% of the organisms found were Viridans streptococci.

Adolescent

Immediate and delayed direct pulp capping with the use of a new visible light-cured calcium hydroxide preparation.

The pulpal response to mechanical exposure and capping either immediately or after 24 hours was investigated in 64 teeth of four cynomolgus monkeys with the use of Dycal, VLC Dycal, or Prisma-Bond. All overlying amalgam restorations were surface-sealed with zinc oxide-eugenol cement. After 2 months the teeth were removed and prepared for histologic examination; dentine bridges were present in almost all teeth filled with Dycal or VLC Dycal, and pulpal inflammation was observed in only one tooth that showed evidence of infection. Dentine bridges were usually incomplete when Prisma-Bond was used, although pulpal inflammation was only observed in 2 of 22 teeth. The success rate of pulp capping delayed for 24 hours was as high as that for immediate capping.

Animals

Growth of the cartilages of the mid-line cranial base of the Wistar rat: an autoradiographic study using 35S-sulphate.

Matrix synthesis in the mid-line cranial base of the rat was studied using a single injection of 35S-sulphate in animals aged 4-80 days. High uptake of 35S-sulphate in the morphologically distinct zone of early hypertrophy led to it being renamed the Matrixogenic Zone. Relocation of 35S-sulphate label into the primary spongiosa was used to estimate the growth rate of each site of endochondral ossification. This showed a marked caudorostral and temporal gradient. In addition, there was a caudorostral and temporal gradient in hypertrophic cell size, but only a temporal gradient in the rate of cell loss.

Animals

Short root anomaly.

A case of generalised short root anomaly is described. All permanent teeth had abnormally short roots, associated with microdontia, hypodontia and a dens invaginatus. Members of the patient's family were similarly affected.

Adolescent

Caries and the preschool child: treatment of the preschool child in the hospital service.

Dental treatment of the preschool child in hospital is usually carried out under a general anaesthetic, following referral from a dentist. The reasons for a general anaesthetic are that the child has either proved unable to accept treatment because of dental anxiety or extreme youth or has a severe medical problem which requires dental care to be carried out in a hospital environment. The costs of such treatment are necessarily high and account of these is taken in the description of the services offered and their organization. The need for prevention is also stressed.

Anesthesia, Dental

Tissue response to glass ionomer retrograde root fillings.

The periapical tissue response to glass ionomer cement retrograde root fillings was investigated both in the presence and in the absence of fillings in the root canals of eight upper incisor teeth of four monkeys. The pulps of the teeth were extirpated and one canal in each pair was filled with laterally condensed gutta-percha immediately after canal preparation. The other canal was prepared but left open to oral contamination. Apicectomies were performed on both teeth in each pair 1 week later, and glass ionomer cement retrograde root fillings were placed. After 5 months, the teeth and surrounding tissues were removed and prepared for histological examination. All four of the teeth without root canal fillings showed severe periapical inflammation, and bacterial were present in the interface between the dentine and the retrograde root filling. The teeth with root canal fillings showed little or no periapical inflammation. This study showed that adhesive retrograde root fillings were successful when the root canal was completely filled, but in the absence of a gutta-percha canal filling they failed to provide a seal.

Animals

Inhalation sedation (relative analgesia) with oxygen/nitrous oxide gas mixtures: 2. Practical techniques.

Inhalation sedation can be a remarkably safe and effective method of managing patients' anxiety. In the first part of this two-part article the author reviewed the principles of the procedure. In Part 2 he gives a detailed practical guide to the technique, incorporating the subtle changes that have been developed over the last ten years. In particular, current recommendations on patient assessment are described, and the clinical assessment of patients undergoing sedation is emphasized. The modern recommendations for monitoring are given, with emphasis placed on the need for clinical monitoring by both the dental surgeon and the dental surgery assistant. The need to exercise caution at all stages of administration of the technique is reiterated.

Anesthesia, Dental

Inhalation sedation (relative analgesia) with oxygen/nitrous oxide gas mixtures: 1. Principles.

Inhalation sedation with low-to-moderate concentrations of nitrous oxide in oxygen has a remarkable safety record--in over 45 years of use there has not been any mortality or serious morbidity recorded. It is not surprising therefore that the use of the technique is increasing steadily, as it has been shown to be an effective method of managing patients' anxiety. In this two-part article the author explains the procedure. In Part 1 he reviews the principles of relative analgesia: describing the characteristics of the different planes of sedation, the mechanism of uptake and elimination of nitrous oxide, and the need for scavenging. In Part 2 he will give a detailed practical guide to the modern technique, incorporating the subtle changes that have been developed over the last ten years.

Air Pollutants, Occupational